Identification of Predictive Factors of Postoperative Pain After Oral Surgery From Phenotypic Parameters Easily Accessible Preoperatively (PHEDOPO)

University Hospital, Clermont-Ferrand148 enrolled

Overview

This project aims to study various predictive factors of postoperative pain after oral surgery among different parameters accessible preoperatively, in order to build a predictive model. It also aims to validate the external consistency of the Pain Sensitivity Questionnaire in an odontological context.

This project aims to study various predictive factors of postoperative pain after oral surgery among different phenotypic parameters accessible to preoperative interrogation (anxiety about dental care, personal perception of pain sensitivity, gender, eye color, hair color, blood group) in order to build a predictive model. It also aims to validate the external consistency of the Pain Sensitivity Questionnaire (PSQ) in an odontological context, by studying the relationship between the personal perception of pain sensitivity (measured by the PSQ) and anxiety about dental care (measured by the Corah Dental Anxiety Scale), as well as dramatization in the face of pain (measured by the Pain Catastrophizing Scale).

Study Type

INTERVENTIONAL

Allocation

Purpose

SCREENING

Masking

NONE

Enrollment

148

Conditions

Pain, Postoperative Anxiety, Dental

Interventions

QuestionnairesOTHER

Pain Sensitive Questionnaire (PSQ) Corah's Dental Anxiety Scale (CDAS) Pain Catastrophizing Scale (PCS) Gender Eye color Hair color Blood group

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patient, male or female, eligible for dental extraction under local anesthesia, * either a tooth on the arch, * either wisdom tooth(s) (2 homolateral wisdom teeth (maxilla + mandibular) or a mandibular wisdom tooth). * Fluent in speaking and reading French. * Able to give informed consent to research. * Affiliation to a Social Security scheme. Exclusion Criteria: * Pregnant or breastfeeding women. * Contraindication to paracetamol, NSAIDs, tramadol, or anesthetic agents local. * Patient uncooperative, unlikely or unable to comply with all procedures of the protocol. * Chronic use of opiates, in a therapeutic or illicit context. * Chronic depression on long-term antidepressants. * Stomatological pathology that may interfere with the conduct of the intervention or modify the results: insufficient mouth opening, pathologies of the temporal mandibular joints ... * Active medical pathology, or any medical condition judged by the investigator to be incompatible with the study. * Patient under guardianship, curatorship or safeguard of justice. * Refusal to participate.

Locations (1)

CHU de Clermont-Ferrand

Clermont-Ferrand, France

Outcomes

Primary Outcomes

Postoperative pain Day 1

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the morning of day 1

Postoperative pain Day 1

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the evening of day 1

Postoperative pain Day 2

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the morning of day 2

Postoperative pain Day 2

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the evening of day 2

Postoperative pain Day 3

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the morning of day 3

Postoperative pain Day 3

The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable"

Time frame: Information gathering on the evening of day 3

Postoperative pain Day 4

Data from ClinicalTrials.gov

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Secondary Outcomes

Explanatory variable 1: Pain Sensitive Questionnaire

The Pain Sensitivity Questionnaire (PSQ) is a self-administered questionnaire comprising 17 items, each rated from 0 to 10. items n° 3-6-7-10-11-12-14 evoke moderately painful situations (and their sum makes it possible to calculate a "minor" PSQ score), and items n° 1-2-4-8- 15-16-17 evoke clearly painful situations (and their sum makes it possible to calculate a "moderate" PSQ score). The sum of these two scores is the "total" PSQ score. As each response to each item ranges from 0 to 10, the minimum value for all scores is 0, and the maximal ones for the minor, the moderate and the total PSQ scores are respectively 7, 7 and 14. The higher the scores, the higher the sensitivity to pain.