Abstract
Introduction: Minor oral surgical procedures are routinely carried out under local anaesthesia. However, favourable conditions for the operator and patient are seldom achieved. The technique of anaesthesia in the form of “conscious sedation” has been developed to overcome the drawbacks of operating under local anaesthesia alone and to avoid the risks associated with general anaesthesia. The purpose of this study is to investigate the effect Objective: s of sedation on postoperative pain and patient satisfaction in patients undergoing closed reduction of maxillofacial trauma under conscious sedation with local anaesthesia versus local anaesthesia alone. Methods: The study included patients aged 18-78 years who presented to the Oral and Maxillofacial Surgery Department for closed reduction of maxillofacial trauma. Patients were divided into two groups based on the anesthetic technique used for the procedure: (i) local anaesthesia (Control group, n=5) and (ii) Conscious sedation + local anaesthesia (Experimental group, n=5). Postoperative pain was assessed using Visual Analogue Scale (VAS). Relationship between VAS scores and age groups was analyzed in both experimental and control groups. Patient satisfaction was assessed via face-to-face or telephone interviews 7 days after the procedure in both groups. The VAS scores were Results: signicantly lower in the experimental group compared to the control group in all three measurements (p<0.05). A signicant difference was found between the two groups with regard to their responses in the satisfaction questionnaire (p<0.0001), whereby 80% of the patients in the experimental group replied as “Absolutely yes”. The results indicated that Conclusion: the pain levels were lower in patients that underwent closed reduction of maxillofacial trauma under conscious sedation with local anaesthesia compared to patients that underwent local anaesthesia alone
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