The goal of this clinical trial is to evaluate the effects of computer-assisted local anesthesia and conventional local anesthesia on pain perception and dental anxiety during inferior alveolar block anesthesia in impacted mandibular third molar surgeries with bone retention. The study also aims to assess the impact of anesthesia techniques on physiological parameters during the procedure. The main questions it aims to answer are: Does computer-assisted local anesthesia reduce pain perception compared to conventional local anesthesia? What are the effects of both anesthesia techniques on dental anxiety and vital signs (systolic/diastolic blood pressure, pulse rate, oxygen saturation, and respiratory rate) during the procedure? Participants who meet the inclusion criteria will undergo impacted mandibular third molar extractions under two different anesthesia techniques: One group will receive computer-assisted local anesthesia. The other group will receive conventional local anesthesia. Anxiety and pain measurements will be recorded during the anesthesia administration and throughout the surgical procedure. Vital signs, including systolic and diastolic blood pressure, pulse rate, oxygen saturation, and respiratory rate, will be monitored and compared between the study groups. This study aims to provide insights into improving pain management and patient comfort during oral surgical procedures.
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Visual Analog Scale (VAS)
Timeframe: During surgery, at the following time points: Before local anesthesia injection, Immediately after surgery
Modified Dental Anxiety Scale (MDAS) Score
Timeframe: Before local anesthesia injection (Baseline), Immediately after surgery
Dental Fear Scale (DKS) Score
Timeframe: Before local anesthesia injection (Baseline), Immediately after surgery
State-Trait Anxiety Inventory (STAI) Score
Timeframe: Before local anesthesia injection (Baseline), Immediately after surgery
Amsterdam Preoperative Anxiety Scale (APAIS) Score
Timeframe: Before local anesthesia injection (Baseline), Immediately after surgery