Pain perception and anxiety during periodontal flap surgery Dr. Kapoor Surbhi1,*, Dr. Vandana2, Dr. Kaur Supreet3, Dr. Prashar Pallavi4, Dr. Gupta Jyoti5, Dr. Bhaskar Nandini6 1M.D.S Student, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 2Professor & Head, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 3Reader, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 4M.D.S Student, Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 5Senior Assistant Professor, Department of Periodontology & Oral Implantology, Dr Harvansh Singh Judge Institute Of Dental Sciences And Hospital, Panjab University, Chandigarh, India 6Assistant Professor, Department of Periodontology & Oral Implantology, Dr Harvansh Singh Judge Institute Of Dental Sciences And Hospital, Panjab University, Chandigarh, India *Corresponding Author: Dr. Surbhi Kapoor, M.D.S Student Department of Periodontology & Oral Implantology, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
Online published on 18 March, 2019. Abstract Aim To evaluate and compare the analgesic effects of preoperatively administered 10 mg of ketorolac tromethamine on operative pain and dental anxiety levels during periodontal surgery. Materials and method A total of forty subjects with chronic generalized periodontitis requiring periodontal flap surgery were enrolled in the study. Subjects were divided randomly into two groups: Group A (n=20): received 10 mg ketorolac tromethamine 30 minutes before administration of local anesthesia; Group B (n=20): did not receive any tablets 30 minutes before administration of local anesthesia Before discharging the patients, they were asked to fill the dental anxiety questionnaires (according to Corah's dental anxiety scale and dental fear survey. The scores of the questionnaire ranged from 7–35. Patients were also asked to rate their subjective pain intensity using a visual analog scale (VAS). Results It was found that the preoperative treatment with ketorolac significantly reduced pain intensity and anxiety scores during surgery in Group A compared to B. Also, the duration of surgery, amount of LA and number of times LA given was less in group A than B. ketorolac group did not present with any adverse reactions due to the preoperative medication. Conclusion Ten mg ketorolac tromethamine administered immediately before periodontal surgery was effecient in providing optimal response by the patient during the operative period. Top Keywords Anxiety, Chronic periodontitis, ketorolac. Top |