Desconfortos associados às cirurgias de extração dentária através do Questionário de Autopercepção da Cirurgia Bucal Dentoalveolar

Abstract

The aim of this study is to evaluate the perioperative discomfort of patients undergoing tooth extraction procedures through the Oral and Maxillofacial Surgery Self-Perception

Questionnaire (QCirDental). The study was characterized as observational and cross- sectional. The sample was composed of 432patients who underwent dental extraction

procedures. Where performed test -retest reliability, split-half reliability and exploratory factor analysis. QCirDental was used to explore transoperative patient discomforts. Anxiety and postoperative pain were self- scored. The study demonstrated the reliability of the QCirDental questionnaire through test-retest (Cronbach’s Alpha .93) and split-half reliability analyses (Spearman's correlations with the total score of the QCirDental; First: r .92 p< .001; Second: r .92 p< .001). Three domains, namely Physical Feelings, General Perceptions, and Feeling of Loss, were identified through exploratory factor analysis. The Physical Feelings domain exhibited the strongest correlation (Spearman's rho ~.95, p< .001) with the overall questionnaire score implying that the questionnaire could be reduced to that set of 11 questions. The state of anxiety showed association with Physical Feelings and Feeling of Loss domains (Spearman's .29 p< .001 and; .1 p= .03). Surgical time (Physical Feelings and General Perceptions; Spearman's rho: rs .21 p< .001; rs .21 p< .001 respectively), surgical complexity (Physical Feelings and General Perceptions; Spearman's rho: rs .22 p< .001; rs .20 p< .001), and volume of local anesthesia Physical Feelings and General Perceptions; Spearman's rho: rs .23 p< .001; rs .1 p< .02) showed significant correlations with patient discomfort. This research advanced in the validation process of the QCirDental, confirming its reliability, validity, and stability as a measurement tool for oral surgical discomfort. Variables such as prolonged surgical time, volume of local anesthesia, self- declared anxiety, among others, were found to be related to the QCirDental questionnaire, thus presenting significant correlations with patient discomfort during these types of procedures.