Influence of Local Anesthesia Mucosal Injection Site and Individual Fac-tors on Patient Pain Levels in Dental Implant Surgery
Objective To investigate the effects of anesthesia injection sites in different locations of the oral mucosa during local anesthesia for dental implant surgery as well as individual factors on the pain level of patients.Methods 300 patients who underwent dental implant surgery at the Affiliated Stomatological Hospital of Guangxi Medical Uni-versity from September 2023 to January 2024 were unrandomly selected,and their gender,age,smoking and alcohol consumption were recorded.The Numerical Rating Scale(NRS)scores of pain values at each of the 540 anesthetic sites were also counted according to the location of the patients'missing teeth.Logistic regression analysis was used to compare the effects of different anesthetic injection sites as well as gender,age,smoking,and alcohol consumption on patients'pain levels.Results In dental implant surgery,the pain level of patients with different local anesthesia injec-tion sites were different,and the differences were statistically significant(all P<0.05).The NRS scores of patients in different age segments were different,and the differences were statistically significant(all P<0.05).The NRS score of 1.5(1,2)in women was higher than that in men,and the difference was statistically significant(Z=4.189,P<0.05).The pain NRS score of 1(1,2)was lower in smokers than in non-smokers,and the difference was statistically significant(Z=-2.019,P<0.05),and the pain scores of the patients who drank alcohol or not were compared,and the difference was not statistically significant(P>0.05).The results of multifactorial logistic regression analysis showed that oral mucosal anesthesia injection site,gender,age,and smoking factors were independent factors affecting patients'pain level(all P<0.05).Conclusion There were differences in pain perception during local anesthesia at different sites of the oral mu-cosa in implant surgery,with relatively higher pain scores in the lingual mucosa of the mandibular posterior region and the palatal mucosa of the maxillary posterior region,and also the factors of gender,age,and smoking affected the pa-tients'pain perception during local anesthesia.
Dental implantationOral local anesthesiaPainless anesthesiaNumerical rating scale
万方数据
维普
