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Psychologic Status and Influence of Surgery Techniques on Acute Nonneuropathic Pain After Dental Implant Surgery: Systematic Review and Meta-Analyses Publisher Pubmed



Lopezlopez J1 ; Ramezanzade S2 ; Atabaki MS3 ; Sadeghi E4
Authors
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Authors Affiliations
  1. 1. Department of Odontostomatology, Faculty of Medicine and Health Sciences, Dentistry, Medical-Surgical Area of Odontological Hospital University of Barcelona, Oral Health and Masticatory System Group, Bellvitge Biomedical Research Institute, IDIBELL, Barcelona, Spain
  2. 2. Tehran, Iran
  3. 3. Implant Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Department of Biostatistics and Epidemiology, Faculty of Health, Isfahan University of Medical Sciences, Fasa, Isfahan, Iran

Source: International Journal of Oral and Maxillofacial Implants Published:2021


Abstract

Purpose: Dental implant placement is often followed by acute pain, which is one of the m: ost important patient-centered matters of treatment. However, this pain is often not adequately appreciated by clinicians, and knowledge about risk factors associated with acute pain is scant. An understanding of these factors is important to help clinicians deliver efficient pain control advice based on individual demand. Materials and Methods: A systematic review of the literature was carried out to identify published risk factors for acute pain after dental implant surgery. PubMed, Cochrane Central Register of Controlled Trials, Embase, and Google Scholar databases were searched to find pertinent studies up to August 2019. Cohorts and randomized controlled trials (RCTs; including split-mouth trials) were included. The criteria used were those described in the PRISMA statement for performing systematic reviews. Results: Nine hundred twenty-five papers were identified through the initial searching. After three stages of screening, 38 articles were included in the qualitative analysis but only 8 in the quantitative analysis. Despite the heterogeneity of the included articles, these data showed that flapped (vs flapless) surgery, anxiety, longer surgical duration, anticipation of more pain before surgery, and higher pain levels at earlier time points play a key role in the intensity of acute pain after dental implant surgery. There is strong evidence to suggest that the place of insertion (maxilla/mandible) is not a risk factor for pain. Conclusion: The results for the effect of immediate loading (vs delayed loading), number of implants inserted, sex, age, and smoking on pain were inconclusive. Int J Oral Maxillofac Implants 2021;36:248–269. doi: 10.11607/jomi.8300 ©2021 by Quintessence Publishing Co Inc.
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