Dental Anxiety and Cardiovascular Response Changes In Multiple Implant Surgery - An Observational Study

Objective: The aim of the study is to observe the level of anxiety and its relationship with cardiovascular changes in each implant in the patients with a high number of implants applied in a single session. Methods: In the prospective observational study, 100 patients, who had undergone 4 or more implant surgeries in the same session electively, were included in the study. Demographic data of each patient were recorded. After Corah Dental Anxiety Scale (C-DAS) was applied to the patients 10 minutes before the surgery, standard heart rate (HR), saturation, systolic (SAP), and diastolic (DAP) blood pressure monitorization were performed and the measured values were recorded during surgery and 30 minutes after the end of the procedure, and the surgery period were recorded. Results: It was determined that the mean age of the cases was 52.0 +/- 11.7 and the number of implants was 5.8 +/- 1.5, and the surgery periodwas 53.7 +/- 18 minutes. There was a positive correlation between HR and CDAS at all times and as the number of implants increased, SAP and DAP were added to this correlation (p <0.05). As the number of implants increased, HR, SAP and DAP also increased (p <0.05). As the surgery period increased, postoperative anxiety increased (p <0.05). Conclusion: It was found that anxiety levels of patients and accordingly the HR, SAP and DAP increased as the number of implants increased in the patients who underwent 4 or more implant surgeries in the same session.