Comparison of Pain between Tooth Extraction and Implant Surgery
Author(s): Salman Abolfazli, Ehsan Gravand*, Maryam Hedayatian, Ali Rohani and Kourosh Shakerian
Background and Objective: Despite the recent developments in pain diagnosis and management of pain mechanisms in dentistry, there is still a gap in understanding of the pain alleviation. The aim of the present study was to compare the pain level in patients with posterior teeth extraction and implant surgery.
Materials and Methods: In this cross-sectional study, a total of 27 candidates referred for tooth extraction and implant placement were selected randomly (simple) for the study. The patients underwent simple tooth extraction under local anesthesia using both lidocaine 2% and epinephrine 1:100,000. After teeth extraction, all patients received ibuprofen (400 mg) every 6 hrs. Two months after tooth extraction dental implant surgery was carried out. In order to reduce postoperative pain after implant surgery all patients received ibuprofen (400 mg) every 6 hrs. The level of pain was assessed by visual analogue scale immediately after procedure and in the interval time of 6 hrs, and 1, 3, and 7 days, respectively. Data were analyzed using paired sample t-test, paired Wilcoxon test, SPSS (Ver. 20).
Results: The level of postoperative pain after tooth extraction was more than implant surgery (p<0.05 except 7 days after tooth extraction and implant surgery).
Conclusion: This study showed that patients generally experience less pain after posterior implant surgery than simple tooth extraction.