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Effect of visual exposure versus obstruction upon patient’s quantitative and qualitative stress parameters changes during minor oral surgery

Subramaniam, Pram Kumar and Mustafa Al-Ahmad, Basma Ezzat and Mustafa, Nazih Shaban and Mohd Izhan, Natasha Athirah and Ahmad Shukor, Nur Farah Izzati (2023) Effect of visual exposure versus obstruction upon patient’s quantitative and qualitative stress parameters changes during minor oral surgery. European Journal of Dentistry, 17 (3). pp. 895-901. ISSN 1305-7456 E-ISSN 1305-7464

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Abstract

Objectives Dental anxiety is ultimately related to the fear of pain, more evidently seen in surgical dental procedures. This study aimed at comparing the stress parameter differences between patients undergoing minor oral surgery (MOS) with their eyes covered (closed) versus uncovered (open) at our center. Materials and Methods Twenty-three MOS patients were draped with eyes covered, while another 23 MOS patients were draped with eyes uncovered. Stress parameters such as systolic and diastolic blood pressures (DBP), mean arterial pressure (MAP), heart rate, random blood glucose, and Spielberger State-Trait Anxiety Inventory (STAI)-6 questionnaire score were recorded accordingly in the different intervals; then statistically analyzed later. Results Closed eyes patients had significantly lower mean DBP and MAP (73.91 6.80/88.94 6.88mm Hg) as compared with open eyes patients intraoperatively. Though significant only in the postoperative phase, the closed eyes group had a relatively lower mean heart pulse rate than the open eyes group in all surgical intervals. Postoperatively, closed eyes patients had lower mean blood glucose level as compared with open eyes group. STAI mean score revealed a higher psychological stress for closed eyes patients versus open eyes patients. Conclusion Closed eyes patients displayed lower quantifiable physiological stress level as compared with patients undergoing MOS draped with eyes uncovered. However, in qualitative psychological context, closed eyes draped MOS patients responded poorly as compared with opened eyes draped patients under similar surgical stress.

Item Type: Article (Journal)
Additional Information: 5816/100583
Uncontrolled Keywords: stress parameters, visual, minor oral surgery, draping
Subjects: R Medicine > RK Dentistry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Dentistry
Kulliyyah of Dentistry > Department of Fundamental Dental and Medical Sciences
Kulliyyah of Dentistry > Department of Oral Maxillofacial Surgery and Oral Diagnosis
Depositing User: Dr Basma Al-Ahmad
Date Deposited: 13 Oct 2022 10:59
Last Modified: 22 Feb 2024 11:29
URI: http://irep.iium.edu.my/id/eprint/100583

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