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The relationship between resting arterial blood pressure and oral postsurgical pain

Clinical Oral Investigations volume 19, pages 1299–1305 (2015)Cite this article

Abstract

Objectives

This prospective study examined the relationship between resting blood pressure (BP; primary outcome), demographic features of patients, anatomical characteristics of the extracted teeth, surgery variables (secondary outcomes), and acute postsurgical pain in patients undergoing tooth extraction.

Materials and methods

Standardized surgery was performed under local anesthesia. A composite numerical index, referred to as “postoperative pain/analgesia score” (PPAS), was built out of two intermediate ones, indicating (i) the degree of spontaneous pain reported by the patient (postoperative pain score) and (ii) the amount of analgesic drug intake (postoperative analgesia score).

Results

A total of 293 patients with complete data sets were included in the analysis. Univariate analysis reveals that the intensity of postoperative pain is related to age, history of hypertension and previous oral surgery, number of extracted teeth, duration of surgery, and extraction of the third molar. On the other hand, there is no relationship with gender, anxiety, and operation duration. Multivariate analysis reveals that the intensity of acute postoperative pain is only associated with the location (upper/lower jaw, P = 0.004) and deepness of implantation of the extracted tooth (P < 0.0001), and mean resting BP (P = 0.031).

Conclusions

This large prospective study shows that patients with high resting BP had a lower oral postsurgical pain than those with low resting BP. This suggests that high resting BP is a protective factor against oral postsurgical pain.

Clinical relevance

The measurement of resting BP before surgery may be used in clinical practice to identify patients at risk of developing severe oral postsurgical pain.

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Acknowledgments

We thank Pr A Artola for helpful comments on this manuscript and A-M Gaydier for secretarial assistance.

Funding

This work was supported by funding from Institut National de la Santé et de la Recherche Médicale (INSERM), Université Clermont1 (France), and CHU Clermont-Ferrand (France).

Conflict of interest

The authors declare to have no conflict of interest related to this study.

Author information

Authors and Affiliations

  1. Clermont Université, Université d’Auvergne, Neuro-Dol, BP 10448, F-63000, Clermont-Ferrand and Inserm, U1107, F-63001, Clermont-Ferrand, France

    Christophe Deschaumes, Laurent Devoize, Yannick Sudrat, Martine Baudet-Pommel, Christian Dualé & Radhouane Dallel

  2. CHU Clermont-Ferrand, Service d’Odontologie, 63003, Clermont-Ferrand, France

    Christophe Deschaumes, Laurent Devoize, Yannick Sudrat, Martine Baudet-Pommel & Radhouane Dallel

  3. CHU Clermont-Ferrand, Inserm, CIC 50, 63003, Clermont-Ferrand, France

    Christian Dualé

  4. INSERM/UdA U1107, Neuro-Dol: Douleur Trigéminale et Migraine, Faculté de Chirurgie Dentaire, 2 rue de Braga, 63100 Clermont-Ferrand, France

    Radhouane Dallel

Authors
  1. Christophe Deschaumes
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  2. Laurent Devoize
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  3. Yannick Sudrat
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  4. Martine Baudet-Pommel
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  5. Christian Dualé
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  6. Radhouane Dallel
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Corresponding author

Correspondence to Radhouane Dallel.

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Deschaumes, C., Devoize, L., Sudrat, Y. et al. The relationship between resting arterial blood pressure and oral postsurgical pain. Clin Oral Invest 19, 1299–1305 (2015). https://doi.org/10.1007/s00784-014-1356-5

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  • DOI: https://doi.org/10.1007/s00784-014-1356-5

Keywords

  • Blood pressure
  • Tooth extraction
  • Hypertension
  • Hypoalgesia
  • Prediction