Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 516–521
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THE RELATIONSHIP BETWEEN DENTAL ANXIETY AND POSTOPERATIVE PAIN PERCEPTION AFTER SURGICAL EXTRACTION OF TOOTH: A PROSPECTIVE OBSERVATIONAL STUDY

College of Dentistry, Jazan University, Jazan. Saudi Arabia · College of Dentistry,Jazan University,Jazan.Saudi Arabia · Jazan. Saudi Arabia

Received: 2026-04-08 · Published: 2025-11-25

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Originally published in Bulletin of Stomatology and Maxillofacial Surgery, 2025 — https://doi.org/10.58240/1829006X-2025.21.10-516.

Original title
THE RELATIONSHIP BETWEEN DENTAL ANXIETY AND POSTOPERATIVE PAIN PERCEPTION AFTER SURGICAL EXTRACTION OF TOOTH: A PROSPECTIVE OBSERVATIONAL STUDY
Authors
Fareedi Al, Abdullah Muqri, Nouf Zaqan
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-11-25
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.10-516

Abstract

Background: Dental anxiety is commonly present in patients undergoing dental procedures, especially those involving the surgical extraction of third molars. This psychological factor can influence the pain perception and postoperative recovery in patients. The current study aimed to assess the correlation between preoperative dental anxiety and perception of postoperative pain in patients who had undergone surgical tooth extraction in our hospital. Methods:This prospective observation was conducted in the department of oral and maxillofacial surgery on 71 eligible patients who underwent surgical extraction of third molar teeth under local anesthesia. Data was collected regarding demographic profile, and preoperative dental anxiety was determined using the Modified Dental Anxiety Scale (MDAS), and the Visual Analog Scale (VAS) was used to estimate postoperative pain intensity for seven consecutive days. Results: Out of 71 cases, 57.7% were males and 42.3% were females. The results of dental anxiety preoperatively on the MDAS scale showed moderate anxiety was commonly prevalent in 50% cases, and severe anxiety was present in 13.6% of cases. Overall, female patients were found to have significantly higher dental anxiety and postoperative pain scores as compared to males (p = 0.03 and p = 0.002), respectively. Based on the age, it was found that the younger age group patients showed significantly higher VAS scores, although not statistically significant. Conclusion: The study concludes that preoperative dental anxiety is commonly found in patients undergoing dental operative procedures. Therefore, an assessment of anxiety preoperatively will lead to better application of psychological counseling to such patients, which can help in improved pain control, recovery, and overall experience following surgical tooth extraction.
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