Page 35 - Demo

Anxiety and pain related to mandibular block injections332oral contraceptives or regularity of menstruation make it impossible to draw definite conclusions for the data in our study.In the present study, a significant increase in sweat secretion occurred when the oral and maxillofacial surgeon entered the room. There was also a significant difference in the mean HR values in phase 2 when comparing patients whose oral and maxillofacial surgeon entered the operation room later and patients whose oral and maxillofacial surgeon was already present in the operation room. When the oral and maxillofacial surgeon entered the room at a later stage, the HR in phase 2 was significantly higher. To keep patients as relaxed as possible in the relax-phase, it is advisable that the oral and maxillofacial surgeon is already present in the operation room. The increase in mean HR may be a result of many factors not related to the local anesthesia, such as patient arousal due to people, especially the oral and maxillofacial surgeon, entering the room. Other factors, such as the handling or arranging of instruments prior to surgery, adjustment of the operation chair, or the draping of the patient might cause anxiety. A significant and sudden increase in HR occurred when patients sat down in the dental chair and when surgical drapes were put on.25A limitation of the study was that we encountered some problems in the precise measurement of the SpO2. We used a pulse oxygen meter with a two digit display. Therefore, the device was capable of displaying a SpO2 of 0-99%, but a displayed value of 99% was actually a value of 98.5-100%. The device was also not equipped with the option to view the gradient graph. Therefore, it was too difficult to distinguish the SpO2 between the four phases. Using a modified device with the option to view the gradient graph should solve this problem for future studies.After the patients filled out the questionnaires, they often commented on the amount of questions. Thus, it is possible that the patients lost interest, which may have resulted in participants rushing to complete the questionnaire. This could have resulted in poorly justified answers by the participants on the STAI-trait questionnaires; therefore, bias is possible. The predicting factors that influenced the experienced pain were the POMS subscale tension, depression, fatigue, the ATB, and STAI-state. The experienced injection pain most strongly correlated with expected injection pain. A mean score of 3.45 SD