Periodontal Cerrahi Sonrasının Vas ve Kaygı Envanteri ile Karşılaştırılması

Year 2025, Volume: 35 Issue: 4, 264 - 269, 21.10.2025

Tuğba Şahin

https://doi.org/10.17567/currresdentsci.1465384

Abstract

Amaç : Bu araştırmanın amacı periodontal cerrahi tiplerinin ameliyatlar sonrası anksiyete ve görsel analog skalası ile ilişkisini incelemektir.
Yöntemler : 18-65 yaş arasında Xxxx Üniversitesi Periodontoloji Kliniği’ne başvuran hastalar (42 hasta) endikasyonlarına göre üç gruba ayrılmıştır. Mukogingival-1 (koronale pozisyone flep, laterali kapalı tünel ve serbest diş eti grefti), flep ve mukogingival-2 (frenektomi, gingivektomi ve vestibüloplasti) yapılmasına karar verilen hastalara anlık (STAI-S) ve sürekli durumluluk kaygı envanteri (STAI-T) ile modifiye dental anksiyete skalası uygulanmıştır. Ameliyattan sonra 3. saat, 1. gün, 3. gün, 7. gün ve 14. gün ağrı, hassasiyet, yemek yemede güçlük ve konuşmada zorluk değerleri Vas skalası ile tespit edilmiştir. 8 hasta veriler takip edilirken çalışmadan ayrılmıştır. Araştırmada istatistiksel anlamlılık düzeyi p<0,05 olarak belirlenmiştir.
Bulgular : Katılımcıların STAI-S değerlendirmelerinde ameliyat türüne göre istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.05). Mukogingival cerrahi-1 grupları düşük STAI-S değerlendirmesinde yer alırken, flep cerrahisi hastaları yüksek STAI-S grubunda yer almıştır. Katılımcıların ameliyat türleri arasında modifiye dental anksiyete skorları açısından istatistiksel olarak anlamlı bir fark yoktur (p > 0.05). Katılımcılara uygulanan ameliyat türlerine göre sadece 7. günde yemek yeme güçlüğü skorları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.05).
Sonuç : Bu çalışma, durumluk kaygı ile periodontal cerrahi arasında bir korelasyon olduğunu ortaya koyarken, sürekli kaygı, ağrı veya hassasiyet ile herhangi bir ilişki gözlemlenmemiştir.

Keywords

ağız cerrahisi , dental anksiyete , görsel analog skalası

Ethical Statement

Etik kurul onayı Abant İzzet Baysal Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan (Tarih: 05.07.2022, Sayı: 2022/175) alınmıştır.

Supporting Institution

-

Project Number

-

Thanks

. Psikiyatrist Dr. Pınar Sivrikaya'ya desteği için teşekkür ederim.

Comparison of the Vas and Anxiety Inventory After Periodontal Surgery

Abstract

Objective: Oral surgery, though rarely life-threatening with a short recovery time, can be stressful due to its physical and psychological impacts. This study aimed to examine the relationships between periodontal surgery type and postoperative anxiety and visual analog scale (VAS) scores.
Methods: Patients (n=42) aged 19-65 years who visited the Periodontology Clinic were divided into three groups according to their indications. Patients who underwent mucogingival-1 (coronally advanced flap, laterally closed tunnel, and free gingival graft), mucogingival-2 (frenectomy, gingivectomy, and vestibuloplasty), and flap surgeries completed the State Anxiety Inventory (STAI-S) and Trait Anxiety Inventory (STAI-T), and Modified Dental Anxiety Scale (MDAS). At the 3rd hour and on the 1st, 3rd, 7th, and 14th days after surgery, pain, sensitivity, eating, and speaking difficulty were determined using the VAS. The statistical significance level was set at P<.05.
Results: There was a statistically significant difference in the STAI-S scores of the participants according to the type of surgery (P<.05). While the mucogingival surgery-1 group had a low STAI-S score, only the flap surgery group had a high STAI-S score. There was no statistically significant difference between the surgery groups in terms of MDAS scores (P>.05). A statistically significant difference between the participants’ levels of difficulty eating on the 7th day was noted according to the type of surgery (P<.05).
Conclusion: The study revealed a correlation between state anxiety and periodontal surgery, whereas no association with trait anxiety, pain, or sensitivity was observed. To improve patient care, it is essential to use these findings to customize preoperative counseling and develop effective postoperative pain management strategies.

Keywords

dental anxiety , oral surgery , visual anolog pain scale

Ethical Statement

Ethics committee approval was obtained from Bolu Abant Izzet Baysal University The Clinical Research Ethics Committee (Date: 05.07.2022, Number: 2022/175)

Supporting Institution

-

Project Number

-

Thanks

I would like to thank Psychiatrist Dr. Pınar Sivrikaya for her support.

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