Description
Presentation Blocks: 03-23-2018 - Friday - 03:45 PM - 05:00 PM

Title: Postoperative Pain Trajectories After Dental Surgery

Authors:

Sharon Casey (Presenter)
New York University

Riyadh Alroomy, New York University
Abdulmajeed Alshahrani, New York University
Ramin Rahmani, New York University
Jennifer Gibbs, New York University

Abstract:

Objectives: To measure postoperative pain trajectories in dental surgery patients and to identify clinically relevant predictors.

Methods: In this ongoing prospective cohort study in apical or implant placement surgery subjects at NYU Dentistry, daily average pain intensity ratings are recorded during the postsurgical week. A straight line is fit to the daily pain rating, yielding two trajectory data points. The slope of the line describes the rate of pain resolution and the y-intercept describes the initial postsurgical pain intensity at time=0.

Results: To date, 32 subjects have been enrolled and postsurgical data collected on 21 patients (17 apico/4 implant). The mean initial pain intensity (y-intercept) was 3.2 (st. dev=2.7; range= (0-9.571), and 47% (8/17) of subjects experienced initial pain that was moderate or severe. The mean rate of change was -0.31 (standard deviation=0.53), suggesting that on average, pain intensity decreased after surgery. However, 18% (3/17) had positive slopes, indicating that pain was increasing. The most current results will be reported, including the role of important predictors, (surgery type, preoperative pain).

Conclusions: Careful postoperative pain monitoring and intervention when appropriate is important to pain management in surgical patients.

Acknowledgment: This study was funded by a Dean’s Award from NYU Dentistry.

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