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The potential role of patient stress in rates of dental post-extraction complication

McDowall, Craig, Lydall, Emma Sian and Moore, Simon Christopher 2014. The potential role of patient stress in rates of dental post-extraction complication. Oral Surgery 7 (3) , pp. 162-167. 10.1111/ors.12074

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Abstract

Aim Stress, alcohol and tobacco use can detrimentally influence wound healing outcomes; however, there is uncertainty as to whether these observations generalise to dental practice. This study explored whether stress, alcohol and tobacco use influenced the complication rate experienced by patients following tooth extraction. Material and methods Patients attending an oral surgery clinic for a tooth extraction were recruited while they waited for their appointment. Participants were asked to complete a questionnaire containing instruments that measure perceived stress, experienced pain, and alcohol and tobacco use. Demographic information was collected. Participants were telephoned 2 weeks following their initial appointment and asked if they had experienced any complications relating to their treatment. Results Data were available from 68 patients, of whom 52 could be contacted by telephone. A Cox proportional-hazards regression yielded a significant positive effect of stress on the likelihood of a complication (P < 0.05). Participants with higher levels of alcohol consumption were less likely to develop a post-extraction complication (P < 0.001), as were younger participants (P < 0.01). Participants who experienced a complication also reported significantly higher post-extraction pain scores (P < 0.001). Conclusions These data suggest that stress and pain are positively associated, and alcohol consumption is negatively associated, with post-extraction complication rates. These results are discussed in relation to opportunities for novel behavioural interventions to reduce stress.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Subjects: R Medicine > RK Dentistry
Uncontrolled Keywords: complication; dental; extraction; pain
Publisher: Wiley-Blackwell
ISSN: 1752-2471
Last Modified: 28 Feb 2019 15:13
URI: http://orca.cf.ac.uk/id/eprint/53357

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