Baba Farid University Dental Journal
  • Year: 2018
  • Volume: 8
  • Issue: 1

Pain perception and anxiety during periodontal flap surgery

  • Author:
  • Surbhi Kapoor1,, Vandana2, Supreet Kaur3, Pallavi Prashar4, Jyoti Gupta5, Nandini Bhaskar6
  • Total Page Count: 6
  • Page Number: 43 to 48

1M.D.S Student, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India

2Professor & Head, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India

3Reader, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India

4M.D.S Student, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India

5Senior Assistant Professor, Department of Periodontology & Oral Implantology, Dr Harvansh Singh Judge Institute Of Dental Sciences And Hospital, Panjab University, Chandigarh, India

6Assistant Professor, Department of Periodontology & Oral Implantology, Dr Harvansh Singh Judge Institute Of Dental Sciences And Hospital, Panjab University, Chandigarh, India

*Corresponding Author: Dr. Surbhi Kapoor, M.D.S Student Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India

Online published on 18 March, 2019.

Abstract

To evaluate and compare the analgesic effects of preoperatively administered 10 mg of ketorolac tromethamine on operative pain and dental anxiety levels during periodontal surgery.

A total of forty subjects with chronic generalized periodontitis requiring periodontal flap surgery were enrolled in the study. Subjects were divided randomly into two groups: Group A (n=20): received 10 mg ketorolac tromethamine 30 minutes before administration of local anesthesia; Group B (n=20): did not receive any tablets 30 minutes before administration of local anesthesia Before discharging the patients, they were asked to fill the dental anxiety questionnaires (according to Corah's dental anxiety scale and dental fear survey. The scores of the questionnaire ranged from 7–35. Patients were also asked to rate their subjective pain intensity using a visual analog scale (VAS).

It was found that the preoperative treatment with ketorolac significantly reduced pain intensity and anxiety scores during surgery in Group A compared to B. Also, the duration of surgery, amount of LA and number of times LA given was less in group A than B. ketorolac group did not present with any adverse reactions due to the preoperative medication.

Ten mg ketorolac tromethamine administered immediately before periodontal surgery was effecient in providing optimal response by the patient during the operative period.

Keywords

Anxiety, Chronic periodontitis, ketorolac