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Effects of Passiflora incarnata and Valeriana officinalis in the control of anxiety due to tooth extraction: a randomized controlled clinical trial

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Abstract

Objective

This study evaluated the efficacy of Valeriana officinalis L. and Passiflora incarnata L. to control anxiety, surgical discomfort, and changes in vital signs of patients undergoing extraction of two unilateral third molars.

Materials and methods

This study is a randomized, triple-blinded clinical trial. Fifty-four patients were allocated into three groups (Valeriana officinalis L., Passiflora incarnata L., and placebo). Anxiety levels were assessed using the State-Trace Anxiety Inventory (STAI) index, surgical discomfort using the QCirDental, and through the measurement of vital signs. The surgical times evaluated were before (T0), during (T1), and after surgery (T2).

Results

There was evidence that both Valeriana officinalis L. and Passiflora incarnata L., reduced STAY-S scores between T0 and T2 (p < .05), unlike placebo (p = .129). There was no change in surgical discomfort in all groups over time, and vital signs presented variable results.

Conclusion

Phytotherapy drugs showed a reduction in anxiety state compared to the placebo group during third molar extraction procedure. 

Clinical trial registration

klRBR-6kcxvrc, March 10, 2022.

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Data availability

No datasets were generated or analysed during the current study.

References

  1. Monnazzi MS, Prata DM, Vieira EH, Gabrielli MAC, Carlos E (2001) Emergencies and medical urgencies. How to proceed? RGO, Porto Alegre 49(1):7–11

    Google Scholar 

  2. Appukuttan DP (2016) Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent 8:35–50. https://doi.org/10.2147/CCIDE.S63626

    Article  PubMed  PubMed Central  Google Scholar 

  3. Zhang X, Wang B, Qiao SC, Gu YX, Shi JY, Lai HC (2019) A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery. Clin Implant Dent Relat Res 21(3):428–435. https://doi.org/10.1111/cid.12779

    Article  PubMed  Google Scholar 

  4. Dereci O, Saruhan N, Tekin G (2021) The comparison of dental anxiety between patients treated with impacted third molar surgery and conventional dental extraction. BioMed Res Int 7492852. https://doi.org/10.1155/2021/7492852

  5. Garip H, Abali O, Göker K, Göktürk U, Garip Y (2004) Anxiety and extraction of third molars in Turkish patients. Br J Oral Maxillofac Surg 42(6):551–554. https://doi.org/10.1016/j.bjoms.2004.08.001

    Article  PubMed  Google Scholar 

  6. Suleiman AR, Efunkoya AA, Omeje KU, Amole IO (2021) The effect of dental anxiety on surgical time of mandibular third molar disimpaction. Niger J Clin Pract 24(10):1430–1437. https://doi.org/10.4103/njcp.njcp_501_20

    Article  CAS  PubMed  Google Scholar 

  7. Dantas L-P, de Oliveira-Ribeiro A, de Almeida-Souza L-M, Groppo F-C (2017) Effects of Passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Med Oral Patol Oral Cir Bucal 22:e95–e101. https://doi.org/10.4317/medoral.21140

    Article  PubMed  Google Scholar 

  8. Aleluia CM, Procópio VC, Oliveira MTG, Furtado PGS, Giovannini JFG, Mendonça SMS (2015) Fhytotherapics in the Dentistry. Rev Odontol Univ Cid São Paulo 27(2):126–134

    Google Scholar 

  9. Brasil, Agência Nacional de Vigilância Sanitária (2016) Memento fitoterápico. 1st ed. Brasília, DF. Available at: https://www.gov.br/saude/pt-br/composicao/sectics/daf/pnpmf/publicacoes/memento-fitoterapico-da-farmacopeia-brasileira/view. Accessed 20 September 2023

  10. Brasil. Agência Nacional de Vigilância Sanitária (2021) Formulário de Fitoterápicos da Farmacopeia Brasileira. 2. ed. Brasília. Available at: https://www.gov.br/anvisa/pt-br. Accessed 20 September 2023

  11. Dhawan K, Kumar R, Kumar S, Sharma A (2001) Correct identification of Passiflora incarnata Linn., a promising herbal anxiolytic and sedative. J Med Food 4(3):137–144. https://doi.org/10.1089/109662001753165710

    Article  PubMed  Google Scholar 

  12. Fioravanti AC, Santos LF, Maissonette S, Cruz AP, Landeira-Fernandez J (2006) Evaluation of the factorial structure of the trait anxiety scale of the STAI. Aval Psicol 5(2):217–24 (Portuguese)

    Google Scholar 

  13. Bortoluzzi MC, Martins LD, Takahashi A, Ribeiro B, Martins L, Pinto MHB (2018) Desconfortos associados às cirurgias de extração dentária e construção de instrumento de medida (QCirDental). Parte I: impactos e consistência interna [Discomfort associated with dental extraction surgery and development of a questionnaire (QCirDental). Part I: Impacts and internal consistency]. Ciencia Saude Coletiva 23(1):267–276. https://doi.org/10.1590/1413-81232018231.16882015

    Article  PubMed  Google Scholar 

  14. Braga AA, D’Ottaviano LH, Braga FS, Morais SS (2011) Extraction of retained third molars under local anesthesia. Evaluation of anxiety, pain, hemodynamic and respiratory changes. R Fac Odontol Porto Alegre [Internet] 51:9–14. https://doi.org/10.22456/2177-0018.20097. (cited August 20, 2023)

    Article  Google Scholar 

  15. Kaviani N, Tavakoli M, Tabanmehr M, Havaei R (2013) The efficacy of passiflora incarnata linnaeus in reducing dental anxiety in patients undergoing periodontal treatment. J Dent (Shiraz, Iran) 14(2):68–72

    CAS  Google Scholar 

  16. Pell GJ, Gregory GT (1933) Impacted mandibular third molars: classification and modified techniques for removal. Dent Dig 39:330–338

    Google Scholar 

  17. Winter GB (1926) Principles of exodontia as applied to the impacted mandibular third molar: a complete treatise on the operative technic with clinical diagnoses and radiographic interpretations. St. Louis, Mo: Am Med Book Co vii:835

    Google Scholar 

  18. Pinheiro ML, Alcântara CE, de Moraes M, de Andrade ED (2014) Valeriana officinalis L. for conscious sedation of patients submitted to impacted lower third molar surgery: a randomized, double-blind, placebo-controlled split-mouth study. J Pharm Bioallied Sci 6(2):109–114. https://doi.org/10.4103/0975-7406.129176

    Article  PubMed  PubMed Central  Google Scholar 

  19. da Cunha RS, Amorim KS, Gercina AC, de Oliveira ACA, Dos Santos Menezes L, Groppo FC, Souza LMA (2021) Herbal medicines as anxiolytics prior to third molar surgical extraction. A randomized controlled clinical trial. Clin Oral Investig 25(3):1579–1586. https://doi.org/10.1007/s00784-020-03468-1

    Article  PubMed  Google Scholar 

  20. Farah GJ, Ferreira GZ, Danieletto-Zanna CF, Luppi CR, Jacomacci WP (2019) Assessment of Valeriana officinalis l. (Valerian) for conscious sedation of patients during the extraction of impacted mandibular third molars: a randomized, split-mouth, double-blind, crossover study. J Oral Maxillofac Surg: Off J Am Ass Oral Maxillofac Surg 77(9):1796.e1-1796.e8. https://doi.org/10.1016/j.joms.2019.05.003

    Article  Google Scholar 

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Acknowledgements

We would like to thank the Pharmacy School of UFPR for their contribution.

Funding

The following work was funded by CAPES program number: 40001016065P8.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study's conception and design. Material preparation, data collection and analysis were performed by Amalia Celsy Abregu Velasquez, Mayumi Tsuji, Lidiana dos Santos Cordeiro, Maria Fernanda Pivetta Petinati and Rafaela Scariot. The first draft of the manuscript was written by Amalia Celsy Abregu Velasquez and all authors, including Nelson Luis Barbosa Rebellato, Aline Monise Sebastiani and Delson João da Costa, participated in the Review & Editing, Formal analysis, validation and commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Rafaela Scariot.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Research Ethics Committee of the University Federal of Paraná (protocol #39827620.4.0000.0102 and # 4.511.8201) on, January 27, 2021. It was also approved in the REBEC platform (No. RBR-6KCXVRC).

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Velasquez, A.C.A., Tsuji, M., dos Santos Cordeiro, L. et al. Effects of Passiflora incarnata and Valeriana officinalis in the control of anxiety due to tooth extraction: a randomized controlled clinical trial. Oral Maxillofac Surg (2024). https://doi.org/10.1007/s10006-024-01259-6

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