Systemic Trans- and Postoperative Evaluations of Patients Undergoing Dental Implant Surgery
Identifieur interne : 000615 ( Pmc/Curation ); précédent : 000614; suivant : 000616Systemic Trans- and Postoperative Evaluations of Patients Undergoing Dental Implant Surgery
Auteurs : Marcelo Coelho Goiato ; Joel Ferreira Santiago Junior ; Eduardo Piza Pellizzer ; Amália Moreno ; Luiz Marcelo Ribeiro Villa ; Stefan Fiuza De Carvalho Dekon ; Paulo Sérgio Perri De Carvalho ; Daniela Micheline Dos SantosSource :
- Clinics [ 1807-5932 ] ; 2016.
Abstract
The aims of this study were to examine the trans- and postoperative systemic characteristics of patients undergoing dental implant surgery and to investigate the relationship between pre- and post- surgery anxiety levels.
Thirty-nine patients were analyzed in 3 call centers to determine anxiety levels, pain levels, and preoperative and postoperative histories using the State–Trait (STAI) questionnaire.
A total of 93 dental implants were installed, with a success rate of 100%. The most frequently reported systemic disease was hypertension. There was a significantly higher rate of effective clamping (torque) to the mandibular bone than to the maxillary bone. The association between postoperative surgical complications and longer operative time was not significant, but there was a significant correlation between the alteration of mouth opening and daily routine activities and a significant decrease in anxiety levels between the day of surgery and the postoperative time point (
A longer surgical time was associated with surgery-related complications and with a higher anxiety index on the preoperative evaluation.
Url:
DOI: 10.6061/clinics/2016(03)07
PubMed: 27074177
PubMed Central: 4785855
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Marcelo Coelho Goiato<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
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<affiliation><nlm:aff id="af2-cln_71p156">Departamento de Odontologia, Material e Prótese Dentária</nlm:aff>
<wicri:noCountry code="subfield">Material e Prótese Dentária</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af1-cln_71p156">Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</nlm:aff>
<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
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Le document en format XML
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<author><name sortKey="Junior, Joel Ferreira Santiago" sort="Junior, Joel Ferreira Santiago" uniqKey="Junior J" first="Joel Ferreira Santiago" last="Junior">Joel Ferreira Santiago Junior</name>
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<author><name sortKey="Pellizzer, Eduardo Piza" sort="Pellizzer, Eduardo Piza" uniqKey="Pellizzer E" first="Eduardo Piza" last="Pellizzer">Eduardo Piza Pellizzer</name>
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<author><name sortKey="Villa, Luiz Marcelo Ribeiro" sort="Villa, Luiz Marcelo Ribeiro" uniqKey="Villa L" first="Luiz Marcelo Ribeiro" last="Villa">Luiz Marcelo Ribeiro Villa</name>
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<wicri:noCountry code="subfield">Faculdade de Odontologia Pública</wicri:noCountry>
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<author><name sortKey="De Carvalho, Paulo Sergio Perri" sort="De Carvalho, Paulo Sergio Perri" uniqKey="De Carvalho P" first="Paulo Sérgio Perri" last="De Carvalho">Paulo Sérgio Perri De Carvalho</name>
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<affiliation><nlm:aff>NONE</nlm:aff>
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<author><name sortKey="Dos Santos, Daniela Micheline" sort="Dos Santos, Daniela Micheline" uniqKey="Dos Santos D" first="Daniela Micheline" last="Dos Santos">Daniela Micheline Dos Santos</name>
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<series><title level="j">Clinics</title>
<idno type="ISSN">1807-5932</idno>
<idno type="eISSN">1980-5322</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec sec-type="objective"><title>OBJECTIVE:</title>
<p>The aims of this study were to examine the trans- and postoperative systemic characteristics of patients undergoing dental implant surgery and to investigate the relationship between pre- and post- surgery anxiety levels.</p>
</sec>
<sec sec-type="material|methods"><title>MATERIAL AND METHODS:</title>
<p>Thirty-nine patients were analyzed in 3 call centers to determine anxiety levels, pain levels, and preoperative and postoperative histories using the State–Trait (STAI) questionnaire.</p>
</sec>
<sec sec-type="results"><title>RESULTS:</title>
<p>A total of 93 dental implants were installed, with a success rate of 100%. The most frequently reported systemic disease was hypertension. There was a significantly higher rate of effective clamping (torque) to the mandibular bone than to the maxillary bone. The association between postoperative surgical complications and longer operative time was not significant, but there was a significant correlation between the alteration of mouth opening and daily routine activities and a significant decrease in anxiety levels between the day of surgery and the postoperative time point (<italic>p</italic>
=0.006).</p>
</sec>
<sec sec-type="conclusions"><title>CONCLUSION:</title>
<p>A longer surgical time was associated with surgery-related complications and with a higher anxiety index on the preoperative evaluation.</p>
</sec>
</div>
</front>
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</author>
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</author>
<author><name sortKey="Katsoulis, J" uniqKey="Katsoulis J">J Katsoulis</name>
</author>
<author><name sortKey="Ramseier, Ca" uniqKey="Ramseier C">CA Ramseier</name>
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<author><name sortKey="Colombo, A" uniqKey="Colombo A">A Colombo</name>
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<author><name sortKey="Johren, P" uniqKey="Johren P">P Johren</name>
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</analytic>
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</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clinics (Sao Paulo)</journal-id>
<journal-id journal-id-type="iso-abbrev">Clinics (Sao Paulo)</journal-id>
<journal-title-group><journal-title>Clinics</journal-title>
</journal-title-group>
<issn pub-type="ppub">1807-5932</issn>
<issn pub-type="epub">1980-5322</issn>
<publisher><publisher-name>Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27074177</article-id>
<article-id pub-id-type="pmc">4785855</article-id>
<article-id pub-id-type="doi">10.6061/clinics/2016(03)07</article-id>
<article-id pub-id-type="publisher-id">cln_71p156</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Science</subject>
</subj-group>
</article-categories>
<title-group><article-title>Systemic Trans- and Postoperative Evaluations of Patients Undergoing Dental Implant Surgery</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Goiato</surname>
<given-names>Marcelo Coelho</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
<xref ref-type="corresp" rid="c1-cln_71p156">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Junior</surname>
<given-names>Joel Ferreira Santiago</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pellizzer</surname>
<given-names>Eduardo Piza</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moreno</surname>
<given-names>Amália</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Villa</surname>
<given-names>Luiz Marcelo Ribeiro</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Carvalho Dekon</surname>
<given-names>Stefan Fiuza</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Carvalho</surname>
<given-names>Paulo Sérgio Perri</given-names>
</name>
<xref ref-type="aff" rid="af2-cln_71p156">I</xref>
<xref ref-type="aff" rid="af2-cln_71p156">II</xref>
</contrib>
<contrib contrib-type="author"><name><surname>dos Santos</surname>
<given-names>Daniela Micheline</given-names>
</name>
<xref ref-type="aff" rid="af1-cln_71p156"></xref>
</contrib>
<aff id="af1-cln_71p156"><label></label>
Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública</aff>
<aff id="af2-cln_71p156"><label>I</label>
Departamento de Odontologia, Material e Prótese Dentária</aff>
<aff id="af3-cln_71p156"><label>II</label>
Departamento de Cirurgia e Clínica Integrada, Araçatuba/, SP, Brazil</aff>
</contrib-group>
<author-notes><corresp id="c1-cln_71p156">E-mail: <email>goiato@foa.unesp.br</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2016</year>
</pub-date>
<volume>71</volume>
<issue>3</issue>
<fpage>156</fpage>
<lpage>162</lpage>
<history><date date-type="received"><day>12</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>27</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>27</day>
<month>1</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 CLINICS</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec sec-type="objective"><title>OBJECTIVE:</title>
<p>The aims of this study were to examine the trans- and postoperative systemic characteristics of patients undergoing dental implant surgery and to investigate the relationship between pre- and post- surgery anxiety levels.</p>
</sec>
<sec sec-type="material|methods"><title>MATERIAL AND METHODS:</title>
<p>Thirty-nine patients were analyzed in 3 call centers to determine anxiety levels, pain levels, and preoperative and postoperative histories using the State–Trait (STAI) questionnaire.</p>
</sec>
<sec sec-type="results"><title>RESULTS:</title>
<p>A total of 93 dental implants were installed, with a success rate of 100%. The most frequently reported systemic disease was hypertension. There was a significantly higher rate of effective clamping (torque) to the mandibular bone than to the maxillary bone. The association between postoperative surgical complications and longer operative time was not significant, but there was a significant correlation between the alteration of mouth opening and daily routine activities and a significant decrease in anxiety levels between the day of surgery and the postoperative time point (<italic>p</italic>
=0.006).</p>
</sec>
<sec sec-type="conclusions"><title>CONCLUSION:</title>
<p>A longer surgical time was associated with surgery-related complications and with a higher anxiety index on the preoperative evaluation.</p>
</sec>
</abstract>
<kwd-group><kwd>Dental Implants</kwd>
<kwd>Anxiety</kwd>
<kwd>Alveolar Bone</kwd>
<kwd>Pain Perception</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="f1-cln_71p156" position="float"><label>Figure 1</label>
<caption><p>Number of implants installed in each quadrant (1 to 4): maxilla: 27 implants; mandible: 66 implants; total of 93 implants.</p>
</caption>
<graphic xlink:href="cln-71-03-156-g001"></graphic>
</fig>
<fig id="f2-cln_71p156" position="float"><label>Figure 2</label>
<caption><p>Number of implants installed according to bone quality: bone type I (n=15); bone type II (n=34); bone type III (n=30); bone type IV (n=7); and not reported (n=7).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g002"></graphic>
</fig>
<fig id="f3-cln_71p156" position="float"><label>Figure 3</label>
<caption><p>Correlation of the number of implants installed into the maxilla and the mandible with a clamping force (torque) <40 N or ≥40 N. (a, b: <italic>p</italic>
<0.001).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g003"></graphic>
</fig>
<fig id="f4-cln_71p156" position="float"><label>Figure 4</label>
<caption><p>Correlation of the amount of anesthetic used with the surgical time.</p>
</caption>
<graphic xlink:href="cln-71-03-156-g004"></graphic>
</fig>
<fig id="f5-cln_71p156" position="float"><label>Figure 5</label>
<caption><p>Box-plot graph showing the correlation of the average procedure time with normal surgery (uncomplicated, n=22) and surgery with complications (n=13) (<italic>p</italic>
=0.028).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g005"></graphic>
</fig>
<fig id="f6-cln_71p156" position="float"><label>Figure 6</label>
<caption><p>Box-plot graph of the STAI-State/Trait subscores (initial and final). Statistically significant results: a, c (<italic>p</italic>
=0.006) and b, d (<italic>p</italic>
=0.029).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g006"></graphic>
</fig>
<fig id="f7-cln_71p156" position="float"><label>Figure 7</label>
<caption><p>STAI-State subscores among females and males (initial and final time points) (<italic>p</italic>
=0.01).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g007"></graphic>
</fig>
<fig id="f8-cln_71p156" position="float"><label>Figure 8</label>
<caption><p>Box-plot graph of STAI-Trait subscores among females and males (initial and final time points).</p>
</caption>
<graphic xlink:href="cln-71-03-156-g008"></graphic>
</fig>
<table-wrap id="t1-cln_71p156" position="float"><label>Table 1</label>
<caption><p>Characteristics of the patients according to the clinical and demographic data (n=39).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th valign="middle" align="left" rowspan="1" colspan="1">Variables</th>
<th valign="middle" align="center" rowspan="1" colspan="1">Total (%)</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Gender</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Female</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">24 (60%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Male</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15 (40%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Overall average age (years)</td>
<td valign="top" align="center" rowspan="1" colspan="1">52.38</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Average age of females</td>
<td valign="top" align="center" rowspan="1" colspan="1">50.66</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Average age of males</td>
<td valign="top" align="center" rowspan="1" colspan="1">55.13</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Marital status</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Single</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4 (10.3%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Married</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">25 (64.1%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Divorced</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">5 (12.8%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Widowed</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1 (2.5%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Not declared</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4 (10.3%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Family income</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1"><5 times the minimum salary in Brazil</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11 (28.2%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">≥5 times the minimum salary in Brazil</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">7 (18%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Not declared</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">21 (53.8%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Main complaints</td>
<td valign="top" align="left" rowspan="1" colspan="1"></td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Functional</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">34 (87.2%)</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Aesthetic</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">5 (12.8%)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t2-cln_71p156" position="float"><label>Table 2</label>
<caption><p>Implant characteristics (n=93).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">Width/Length</th>
<th valign="top" align="left" rowspan="1" colspan="1">8.5 mm</th>
<th valign="top" align="left" rowspan="1" colspan="1">10 mm</th>
<th valign="top" align="left" rowspan="1" colspan="1">11.5 mm</th>
<th valign="top" align="left" rowspan="1" colspan="1">13 mm</th>
<th valign="top" align="left" rowspan="1" colspan="1">15 mm</th>
<th valign="top" align="left" rowspan="1" colspan="1">Total</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1"><bold>2.5 mm</bold>
</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1"><bold>3.75 mm</bold>
</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">10</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">11</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">21</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1"><bold>4 mm</bold>
</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">10</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">33</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">15</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">11</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">70</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1"><bold>5 mm</bold>
</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1"><bold>Total</bold>
</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">10</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">34</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">26</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">22</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1"><bold>93</bold>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t3-cln_71p156" position="float"><label>Table 3</label>
<caption><p>Main postoperative symptoms (n=39).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">Variable/Score</th>
<th valign="top" align="center" rowspan="1" colspan="1">A lot</th>
<th valign="top" align="center" rowspan="1" colspan="1">A little</th>
<th valign="top" align="center" rowspan="1" colspan="1">No change</th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Swelling</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">23</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">15</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Hematoma</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">4</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">34</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Hemorrhage</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">6</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">33</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Nausea</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">3</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">35</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Bad taste/Bad breath</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">3</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">7</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">29</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Diet impacted</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">1</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">8</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">30</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">Dehiscence</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">4</td>
<td valign="top" align="char" char="." rowspan="1" colspan="1">35</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="t4-cln_71p156" position="float"><label>Table 4</label>
<caption><p>Results of the STAI-State subscale and frequency of the responses to each STAI item (n=39).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th valign="middle" align="left" rowspan="1" colspan="1">Question</th>
<th valign="middle" colspan="4" align="center" rowspan="1">Before surgery</th>
<th valign="middle" colspan="4" align="center" rowspan="1">7 days after surgery</th>
<th valign="middle" align="center" rowspan="1" colspan="1"><italic>p</italic>
-value</th>
</tr>
<tr><th valign="middle" align="left" rowspan="1" colspan="1">STAI-State</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Absolutely not</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Slightly</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Somewhat</th>
<th valign="middle" align="left" rowspan="1" colspan="1">A great deal</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Absolutely not</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Slightly</th>
<th valign="middle" align="left" rowspan="1" colspan="1">Somewhat</th>
<th valign="middle" align="left" rowspan="1" colspan="1">A great deal</th>
<th valign="middle" align="left" rowspan="1" colspan="1"></th>
</tr>
</thead>
<tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">1. Calm</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">13 (33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">22(56.4)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p≤</italic>
0.001*</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">2. Secure</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">8(20.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19 (48.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">24(61.5)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.001<italic>*</italic>
</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">3. Tense</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">8 (20.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.28)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.5%)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.123</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">4. Sorry</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.0)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.869</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">5. Willing</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(30.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1 (2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.28)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">17(43.58)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.034<italic>*</italic>
</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">6. Disturbed</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">21(53.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(30.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4(10)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19(48.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.860</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">7. Worried about misfortunes</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">18(46.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4(10)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.131</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">8. Rested</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">10(25.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">17(43.58)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">9(23.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4(10)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">17(43.5)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.031<italic>*</italic>
</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">9. Anxious</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">11(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">10(33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4(10.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">21(53.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p=</italic>
0.009<italic>*</italic>
</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">10. At home</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">13(33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">17(43.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">7(17.9)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">9(23.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.036*</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">11. Confident</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">7(17.9)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19(48.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(28.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">5(12.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19(48.7)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.071</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">12. Nervous</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">18(46.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">6(15.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.503</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">13. Agitated</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">6(15.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">20(51.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6))</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.470</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">14. Bag of upset</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">21(5.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">13(33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">18(46.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19(48.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.912</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">15. Relaxed</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(30.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">9(23.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">4(10.2)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">17(43.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">13(33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">5(12.8)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.097</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">16. Satisfied</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">7(17.9)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">18(46.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">5(12.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">19(48.7)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.482</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">17. Preoccupied</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">21(53.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">13(33.3)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">25(64.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.548</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">18. Very confused</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">22(56.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">22(56.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.421</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">19. Happy</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">7(17.9)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">14(35.8)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">16(41.0)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">15(38.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">22(56.4)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.019</td>
</tr>
<tr><td valign="top" align="left" rowspan="1" colspan="1">20. Well</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">2(5.1))</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">3(7.6)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(30.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">22(56.4)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">0</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">1(2.5)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">12(30.7)</td>
<td valign="top" align="char" char="(" rowspan="1" colspan="1">26(66.6)</td>
<td valign="top" align="center" rowspan="1" colspan="1"><italic>p</italic>
=0.108</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn id="tfn1-cln_71p156"><p>STAI-State, State subscale of the self-administered questionnaire “State-Trait Anxiety Inventory” (STAI). Values within parentheses are percentages. The Wilcoxon test was performed. * Significant values, <italic>p</italic>
<0.05.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>
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