Evaluation of stress and dental anxiety related to third molar surgery

This study aimed to evaluate cardiac activity changes during lower third molar surgery concerning gender and anxiety levels. Thirty healthy subjects who required lower third molar surgery filled out Norman Corah dental anxiety scale (DAS) before surgery. A patch ECG device (Savvy, Institute ''Jožef Stefan'', Ljubljana, Slovenia) was applied to the patient to evaluate heart rate (HR) and heart rhythm. These parameters were assessed in 8 different intervals. Periods of the highest mean HR values—incision and flap elevation compared to the period with minimal mean HR values—during suturing showed statistical significance difference (p<0.05). The most common outstanding ECG finding was sinus tachycardia, especially in anxious compared to non-anxious patients. Extraction difficulty score was correlated with the procedure duration time and with the abnormal ECG findings in the period of tooth extraction. Significant cardiac activity changes are detected during surgery. Physiological manifestations of anxiety may be evaluated successfully using a patch ECG device.

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Comparing Different Music Genres in Decreasing Dental Anxiety in Young Adults Who Underwent Third Molar Surgery in Turkey: Randomized Controlled Trial

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2019.11.029 ◽

2020 ◽

Vol 78 (4) ◽

pp. 546.e1-546.e7

Author(s):

Ilke Kupeli ◽

Yakup Gülnahar

Keyword(s):

Randomized Controlled Trial ◽

Young Adults ◽

Controlled Trial ◽

Dental Anxiety ◽

Third Molar ◽

Third Molar Surgery ◽

Randomized Controlled ◽

Music Genres

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Can Dental Anxiety During Impacted Third Molar Surgery Be Measured Biometrically? Clinical Study with the Galvanic Skin Response Technique

Meandros Medical And Dental Journal ◽

10.4274/meandros.galenos.2021.53386 ◽

2021 ◽

Vol 22 (1) ◽

pp. 18-27

Author(s):

Hasan Onur Şimşek ◽

Behiç Alp Aytekin

Keyword(s):

Clinical Study ◽

Galvanic Skin Response ◽

Dental Anxiety ◽

Third Molar ◽

Third Molar Surgery ◽

Impacted Third Molar ◽

Skin Response

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The Comparison of Dental Anxiety between Patients Treated with Impacted Third Molar Surgery and Conventional Dental Extraction

BioMed Research International ◽

10.1155/2021/7492852 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Omur Dereci ◽

Nesrin Saruhan ◽

Gorkem Tekin

Keyword(s):

Oral Surgery ◽

Dental Anxiety ◽

Third Molar ◽

Dental Extraction ◽

Third Molar Surgery ◽

Female Patients ◽

Impacted Third Molar ◽

Surgery Group ◽

Education Status ◽

Anxiety Levels

Background. The aim of the present study is to compare the dental anxiety levels between two outpatient clinics. Methods. Two hundred and seventy patients treated in two different clinics of minor oral surgery and dental extraction polyclinic in the Dental Faculty of Eskisehir Osmangazi University were included in the study. The impacted third molar surgery group and conventional dental extraction group consisted of 101 and 169 patients, respectively. The Modified Dental Anxiety Scale (MDAS) and Dental Fear Scale (DFS) were used to measure anxiety levels in patients treated in both clinics. Tests were made in an isolated room preoperatively. The differences in anxiety levels according to education status and gender were also evaluated. Results. The impacted third molar surgery group showed a significant increase in dental anxiety measured with DFS questionnaire ( p < 0.05 ). However, MDAS revealed that there was no difference between anxiety levels between the impacted third molar surgery and conventional dental extraction groups ( p > 0.05 ). There was also no difference in anxiety levels between patients with different education status ( p > 0.05 ). Female patients demonstrated higher levels of anxiety in both MDAS and DFS indexes ( p < 0.05 ). Conclusion. Dental anxiety may be higher in patients treated with impacted third molar surgery compared with conventional dental extraction. The education status of patients may not affect dental anxiety. Female patients may show increased levels of dental anxiety in conventional dental and impacted third molar extractions.

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