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CC BY 4.0 · Eur J Dent 2023; 17(03): 895-901
DOI: 10.1055/s-0042-1757212
Original Article

Effect of Visual Exposure versus Obstruction upon Patient's Quantitative and Qualitative Stress Parameters Changes during Minor Oral Surgery

Pram Kumar Subramaniam
1   Department of Oral Maxillofacial Surgery and Oral Diagnosis, Faculty of Dentistry, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
,
Basma Ezzat Mustafa Al-Ahmad 
2   Department of Fundamental Dental Medical Sciences, Kulliyyah of Dentistry, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
,
Nazih Shaban Mustafa
1   Department of Oral Maxillofacial Surgery and Oral Diagnosis, Faculty of Dentistry, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
,
Natasha Athirah Mohd Izhan
3   O'Hara Orthodontics Specialist Dental Clinic, Kuantan, Pahang, Malaysia
,
Nur Farah Izzati Ahmad Shukor
4   Klinik Pergigian Mentakab, Pahang, Malaysia
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Abstract

Objectives Dental anxiety is ultimately related to the fear of pain, more evidently seen in surgical dental procedures. This study aimed at comparing the stress parameter differences between patients undergoing minor oral surgery (MOS) with their eyes covered (closed) versus uncovered (open) at our center.

Materials and Methods Twenty-three MOS patients were draped with eyes covered, while another 23 MOS patients were draped with eyes uncovered. Stress parameters such as systolic and diastolic blood pressures (DBP), mean arterial pressure (MAP), heart rate, random blood glucose, and Spielberger State-Trait Anxiety Inventory (STAI)-6 questionnaire score were recorded accordingly in the different intervals; then statistically analyzed later.

Results Closed eyes patients had significantly lower mean DBP and MAP (73.91 ± 6.80/88.94 ± 6.88 mm Hg) as compared with open eyes patients intraoperatively. Though significant only in the postoperative phase, the closed eyes group had a relatively lower mean heart pulse rate than the open eyes group in all surgical intervals. Postoperatively, closed eyes patients had lower mean blood glucose level as compared with open eyes group. STAI mean score revealed a higher psychological stress for closed eyes patients versus open eyes patients.

Conclusion Closed eyes patients displayed lower quantifiable physiological stress level as compared with patients undergoing MOS draped with eyes uncovered. However, in qualitative psychological context, closed eyes draped MOS patients responded poorly as compared with opened eyes draped patients under similar surgical stress.

Keywords

stress parameters - visual - minor oral surgery - draping


Publication History

Article published online:
11 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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