Effect of conscious sedation on pain after wisdom tooth extraction

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Created On: 16/08/2021

Effect of conscious sedation on pain after wisdom tooth extraction

The study aimed to explore the impact of sedation on postsurgery pain and participant satisfaction in individuals undergoing extraction of impacted mandibular wisdom teeth with mucosal retention under the combination of conscious sedation and local anesthesia when compared to local anesthesia alone.

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Key take away

In people undergoing extraction of wisdom tooth, the pain levels were reduced in people receiving conscious sedation with local anesthesia compared to people receiving local anesthesia alone.

Background

Method

On the basis of anesthetic technique used, participants (aged 18-78 years) were segregated into two groups: (i) Experimental group: Received conscious sedation+ local anesthesia (n=69), and (ii) Control group: Received local anesthesia only (n=71).

Postsurgery pain was estimated via the Visual Analogue Scale (VAS). The association between age groups and VAS scores was determined in both groups. The satisfaction of the patient was determined via face-to-face or telephone interviews 14 days following operation in both groups.

Result

In all three measurements, the VAS scores were considerably reduced in the experimental group versus the control group. Regarding the responses in the satisfaction questionnaire, substantial differences were noted between the two groups.

About 68.97% of subjects in the experimental arm responded as “Absolutely yes”. In the experimental group, the VAS scores were remarkably greater in women compared to men in the estimations carried out on days two, seven, and 14.

Conclusion

Compared to local anesthesia alone, conscious sedation plus local anesthesia improves the level of pain in individuals undergoing wisdom tooth extraction.