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Avaliação de dor à pressão pós extração de terceiro molar incluso inferior
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Abstract(s)
Introdução: A dor pós-operatória é uma complicação frequente após a exodontia de terceiros molares inferiores. Embora na maioria dos casos tenda a desaparecer após alguns dias, uma pequena percentagem de pacientes pode apresentar dor persistente por um período prolongado. Identificar previamente esses pacientes é fundamental para ajustar estratégias analgésicas e melhorar a sua recuperação. A sensação referida pode ocorrer mesmo em indivíduos saudáveis e está potencialmente associada a uma maior sensibilidade à dor e a um risco acrescido de desconforto pós-operatório.
Objetivos: Avaliar se a presença de sensação referida à palpação muscular padronizada pode prever a intensidade e a duração da dor pós-operatória após a extração de terceiros molares inferiores inclusos.
Materiais e Métodos: Participaram 30 indivíduos saudáveis, divididos em grupo RS e grupo Não-RS. Foram aplicados questionários de avaliação de dor e realizada palpação padronizada do masseter para registo da sensação referida. Após a extração cirúrgica, os participantes registaram diariamente a intensidade da dor (máxima e média), frequência e número de dias de medicação.
Resultados e Discussão: O grupo RS apresentou valores superiores de dor média, frequência da dor e dias de medicação em comparação com o grupo Não-RS, sugerindo uma experiência dolorosa mais persistente. Estes resultados reforçam a importância da palpação padronizada como ferramenta útil para prever o risco de dor pós-operatória e permitir uma abordagem clínica mais individualizada.
Conclusões: A presença de sensação referida à palpação muscular antes da extração de terceiros molares inferiores está associada a maior intensidade e duração da dor pós-operatória. A avaliação prévia da sensibilidade muscular pode apoiar decisões terapêuticas mais eficazes e personalizadas para pacientes de risco.
Introduction: Postoperative pain is a common complication following the extraction of impacted mandibular third molars. Although it usually subsides within a few days, a small percentage of patients may experience persistent pain for a longer period. Early identification of these patients is essential to adjust analgesic strategies and improve recovery. Referred sensations can occur even in healthy individuals and may be associated with increased pain sensitivity and a higher risk of postoperative discomfort. Objectives: To evaluate whether the presence of referred sensation during standardized muscle palpation can predict the intensity and duration of postoperative pain after the extraction of impacted mandibular third molars. Materials and Methods: Thirty healthy individuals were divided into RS group and Non-RS group. Pain assessment questionnaires were administered, and standardized masseter palpation was performed to record referred sensation. After surgical extraction, participants recorded daily the intensity of pain (maximum and average), frequency, and number of medication days. Results and Discussion: The RS group showed higher values of mean pain, pain frequency, and medication days compared with the Non-RS group, suggesting a more persistent painful experience. These findings reinforce the usefulness of standardized palpation as a predictive tool for postoperative pain risk and support a more individualized clinical approach. Conclusions: The presence of referred sensation during muscle palpation prior to third molar extraction is associated with greater intensity and duration of postoperative pain. Preoperative assessment of muscle sensitivity may support more effective and personalized analgesic strategies for at-risk patients.
Introduction: Postoperative pain is a common complication following the extraction of impacted mandibular third molars. Although it usually subsides within a few days, a small percentage of patients may experience persistent pain for a longer period. Early identification of these patients is essential to adjust analgesic strategies and improve recovery. Referred sensations can occur even in healthy individuals and may be associated with increased pain sensitivity and a higher risk of postoperative discomfort. Objectives: To evaluate whether the presence of referred sensation during standardized muscle palpation can predict the intensity and duration of postoperative pain after the extraction of impacted mandibular third molars. Materials and Methods: Thirty healthy individuals were divided into RS group and Non-RS group. Pain assessment questionnaires were administered, and standardized masseter palpation was performed to record referred sensation. After surgical extraction, participants recorded daily the intensity of pain (maximum and average), frequency, and number of medication days. Results and Discussion: The RS group showed higher values of mean pain, pain frequency, and medication days compared with the Non-RS group, suggesting a more persistent painful experience. These findings reinforce the usefulness of standardized palpation as a predictive tool for postoperative pain risk and support a more individualized clinical approach. Conclusions: The presence of referred sensation during muscle palpation prior to third molar extraction is associated with greater intensity and duration of postoperative pain. Preoperative assessment of muscle sensitivity may support more effective and personalized analgesic strategies for at-risk patients.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Exodontia Dor Referida Palpação