ANXIETY IN PATIENTS UNDERGOING ILIB AS A METHOD OF CONTROLLING DENTAL FEAR DUE TO IMPACTED TOOTH EXTRACTION
Palavras-chave:
Low-Intensity Light Therapy, Third Molar, Anxiety in Dental TreatmentResumo
The extraction of third molars is an invasive surgery that can cause fear and anxiety in patients. This emotional state can lead to physiological changes that can hinder the clinical procedure. Therefore, methods to control this have been investigated. One therapy that has beneficial effects for anxiety control is intravascular laser blood irradiation (ILIB). The aim of this study was to evaluate the effectiveness of ILIB in controlling anxiety in patients undergoing lower third molar extraction. A randomized clinical trial was conducted with 18 patients with indications for lower third molar extraction. Participants were allocated into two groups: a control group (n = 8) that underwent placebo treatment; and an ILIB group (n = 10), which was irradiated in the region near the radial artery with a red laser (660 nm), 100 mW, continuous mode, for 30 minutes. Anxiety was assessed before and after the ILIB session using the STAI-Y questionnaire. Patients undergoing ILIB showed a significant reduction in anxiety when comparing initial and final scores. ILIB demonstrated efficacy in controlling anxiety in the participants involved.
Referências
DANTAS, L.P et al. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Med Oral Patol Oral Cir Bucal, v. 22, p. e95-e101, 2017.
DELLOVO, G. E. et al. Effects of auriculotherapy and midazolam for anxiety control in patients undergoing third molar extraction. Int J Oral Maxillofac Surg, v. 46, n. 5, p. 669-74, 2019.
GADVE, V. R. et al. Evaluation of Anxiety, Pain, and Hemodynamic Changes during Surgical Removal of Lower Third Molar under Local Anesthesia. Ann Maxillofac Surg, v. 8, n. 2, p. 247-53, 2018.
GURRAM, P. et al. Effect of Heartfulness Meditation on Anxiety and Perceived Pain in Patients Undergoing Impacted Third Molar Surgery. J Oral Maxillofac Surg, v. 79, n. 10, p. 2060.e1-2060.e7, 2021.
HOSGOR, H., COSKUNSES, M. F., TOKUC, B. Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery. J Korean Assoc Oral Maxillofac Surg v. 47, n. 1, p. 15-19, 2021.
RANGEL, G. R. C, PINHEIRO, L. S, et al. Laser acupuncture and intravascular laser irradiation of blood for management of pediatric dental anxiety. J Oral Sci, v. 63, n. 4, p. 355-7, 2021.
ROY-BYRNE, P. Treatment-refractory anxiety; definition, risk factors, and treatment challenges. Dialogues Clin Neurosci. v. 17, p.2, n 191-206, 2015.
SILVEIRA, R. E. et al. Estimated prevalence of dental fear in adults: A systematic review and meta-analysis. J Dent, v. 108, n. 103632, 2021.
YILDIRIM, O.; TURKMENOGLU, K., MOLLAOGLU, N. Assessment of Relationship between Hemodynamic Changes and Anxiety in Patients During Lower Third Molar Surgery. J Coll Physicians Surg Pak. v. 32, n. 12, p. 1524-8, 2022.