Running title: Comparing the Pain Expected versus Pain Experienced in Patients undergoing Impacted Mandibular Third Molar Removal

Abstract

Aim: The aim of this study was to compare the pain expected versus pain experienced in patients undergoing impacted mandibular third molar removal.

Materials and Methods: 250 patients who were undergoing impacted mandibular molar removal were included in the study. Questionnaires were used to obtain demographic details and general information about dental appointment frequency, history of treatment, source of dental information. VAS and Wong Baker pain scale was used pre-operatively to assess pain expectation. Extraction was carried out under standard surgical protocol. VAS and Wong Baker scale was used again post-operatively to assess pain experienced.

Results: 80% of patients had a higher pain expectation when compared to the pain experienced. 15% had an equal pain expectation and experienced. 5% had a higher pain experience than pain expected.

Conclusion: Pain expectation of patients is higher than pain experienced. 80% of patients reported to have a lower pain experience. Pain expectation is higher in those with infrequent dental appointments, with less awareness of dental procedures. Social media is the highest source of dental information amongst patients.