Amin-ur Rahman, Tayyab-ur Rehman, Irfan Qureshi, Munaaf Hashim, Nauman Warris, Saad Mateen.
Pre Surgical Perception of Pain , Post Surgical Pain and its Management for Patients Undergoing Dental Implant Therapy.
J Pak Dent Assoc Jan ;21(1):05-11.

OBJECTIVE: Dental treatment including implant therapy is often regarded as painful, at times depriving patients from having dental implants. The aim of this study was to assess patient perception of pain prior to implant surgery to and their actual pain felt after implant placement in a private dental office in a Pakistani population. METHODOLOGY: Two hundred and eight Straumann dental implants were placed in seventy six patients. Patients were evaluated at two points, immediately prior to surgery (T1) and ten days postoperatively (T2). A combined word descriptor, graphical and visual analogue scale was used to assess patient response.We assessed some of the major factors that may increase the perception of pain, actual pain felt and suggest methodologies to make dental implant surgery a less painful procedure. RESULTS: Our results add to the literature on patients having high expectations of pain prior to implant placement and little or no pain post-operatively. Females exhibited both more pre surgical perception of pain and actual perceived pain post surgical. Similar to other studies old aged patients also showed less perception of pain pre surgical and lesser pain perceived post surgical. CONCLUSION: The perception that implant dentistry is a painful procedure should be addressed to increase the percentage of acceptance of this vital treatment modality. This study co relates perception of pain prior to implant placement ,to actual pain felt during and after the procedure, strengthening previous beliefs that, implant therapy should not be painful, thus increasing the overall acceptance of this treatment modality.

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