The role of memory on the dentally anxious patient's response to dental treatment

1991 ◽  
Vol 8 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Ruth Freeman
Keyword(s):  
Clinical Setting ◽  
Subjective Experience ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Vicious Circle ◽  
The Past ◽  
Dental Procedures ◽  
Susceptible Patient ◽  
Special Relevance

AbstractThe aetiology of dental anxiety is multifactorial. Psychologically traumatising events associated with dental treatment have been shown to be of particular importance. The present investigation examines the role of memory in relation to these traumatic episodes and investigates their influence on the patient's response to dental treatment.The study has shown that patients with dental anxiety have had more experience of “traumatic dental events” (p<0.001), relate the cause of their dental anxiety to specific dental procedures and report more fear of dental treatment than controls. The memories of such traumatic dental events are important indicators of anxiety in the clinical setting, with dentally anxious patients having significantly higher scores for dental anxiety (p<0.001) compared with controls. Furthermore, the memories of these events have a special relevance to the patient's subjective experience of dental anxiety in the here and now. The past event sensitises the susceptible patient and maintains and intensifies the anxiety through a feed-back mechanism, resulting in a vicious circle of anticipatory dental fear.

Association between Anxiety and Pain in Dental Treatment: A Systematic Review and Meta-analysis

2016 ◽  
Vol 96 (2) ◽  
pp. 153-162 ◽  
Author(s):  
C.-S. Lin ◽  
S.-Y. Wu ◽  
C.-A. Yi
Keyword(s):  
Dental Treatment ◽  
Meta Analysis ◽  
Dental Anxiety ◽  
Clinical Group ◽  
Anxiety Management ◽  
Dental Patients ◽  
Dental Procedures ◽  
Treatment Procedures ◽  
The Impact

Accumulating evidence has revealed that dental anxiety (DA), as a dispositional factor toward the dental situation, is associated with the state anxiety (SA) and pain related to dental procedures. However, conclusions from individual studies may be limited by the treatment procedures that patients received, the tools used to assess DA, or the treatment stages when anxiety or pain was assessed. It is unclear whether DA, at the study level, accounts for the variance in pretreatment SA. The impact of DA and SA on pain at different treatment stages has not been systematically investigated. To address these questions, we present novel meta-analytical evidence from 35 articles (encompassing 47 clinical groups) that investigated DA in a clinical group. Subgroup analyses revealed that the studies of surgical and nonsurgical procedures did not significantly differ in either DA or pretreatment SA. Furthermore, metaregressions revealed DA as a significant predictor that explained the variance in SA assessed before and during treatment but not after treatment. The findings suggest that patient DA has a significant impact on patient SA. Metaregressions revealed DA as a significant predictor that explained the variance in expected pain, pain during treatment and posttreatment pain. In contrast, pretreatment SA was a significant predictor that explained the variance in expected pain. The findings reveal that DA has a consistent impact on pain through the entire period of dental treatment. Altogether, the findings highlight the role of DA as an overall indicator for anxiety and pain, across different types of dental procedures or treatment stages. We conclude that anxiety should be assessed as a critical step not only in anxiety management for high-DA patients, but also in pain control for all dental patients.

scholarly journals A New Concept for the Treatment and Rehabilitation of Patients with Pathologic Comorbidities Using Cutting-Edge Digital Technologies in Dental Orthopaedics

2020 ◽  
Vol 14 (04) ◽  
pp. 533-538
Author(s):  
Alexey V. Yumashev ◽  
Maria V. Mikhailova ◽  
Igor V. Fomin ◽  
Jiaqi Li ◽  
Bowen Yang
Keyword(s):  
Statistical Analysis ◽  
Dental Treatment ◽  
Management Strategies ◽  
Digital Technologies ◽  
Statistical Probability ◽  
Dental Patients ◽  
Dental Examination ◽  
Dental Procedures ◽  
Probability Criterion

Abstract Objectives This article investigates the specific aspects of overactive or exaggerated vomiting reflexes affecting the procedure of dental examination and impression in patients with complete secondary adentia, who need orthopaedic dental treatment. Materials and Methods The prevailing manifestation degree of exaggerated vomiting reflex was diagnosed among patients with complete secondary adentia and exaggerated vomiting reflex. Statistical Analysis Exaggerated vomiting reflexes occur when a patient suffers from dentophobia, the term, which is otherwise known as the fear of dentists. The study was performed using methods of mathematical statistics, including the Pearson χ2 criterion and the statistical probability criterion (p). Results The role of an exaggerated vomiting reflex was revealed in the development of patients’ dentophobic experiences, and the nature of such experiences was established. Variations in dentophobic reactions were distinguished and management strategies were studied for patients with complete secondary adentia and exaggerated vomiting reflex. Conclusions These studies were aimed at preventing the development of vomiting reflex during dental procedures and at identifying an optimal strategy for stopping exaggerated vomiting reflex. The role of the vomiting reflex in the orthopaedic treatment of dental patients was determined.

Attitudes to Conscious Sedation in Patients Attending an Emergency Dental Clinic

2005 ◽  
Vol os12 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Edith M Allen ◽  
Nick M Girdler
Keyword(s):  
Conscious Sedation ◽  
Dental Treatment ◽  
Dental Health ◽  
Dental Anxiety ◽  
Dental Clinic ◽  
Dental Patients ◽  
The Past ◽  
Anxious Group ◽  
Dental Appointment ◽  
The Impact

Introduction Anxiety and fear in relation to dentistry are long-standing problems and the incidence of dental fear does not appear to be decreasing. It can result in poor dental health and wastage of clinical time. Conscious sedation is one method of allaying anxiety in dental patients and enables such patients to accept dental treatment. Aims, Materials and Methods A questionnaire survey was undertaken among patients attending an emergency dental clinic. Its aims were to assess the levels of dental anxiety in these subjects, the impact on their attendance for dental treatment, and their knowledge of and desire to have conscious sedation, should it be available. Results The results indicated that in the 72 patients who responded, levels of anxiety regarding dental treatment were high, with 49 (68%) claiming some nervousness or worse. Thirty-one (43%) cited fear/nervousness as a reason for delaying making a dental appointment. Twenty-seven (38%) were not aware of the existence of conscious sedation for dental treatment, of whom half reported that they were in the highly anxious group. Forty (56%) respondents said they would like to have sedation if it were available. Twenty-five (35%) claimed to have received sedation for dental treatment in the past. Conclusion It was concluded that the availability of dental sedation was currently not matching the needs and demands of several patients who took part in the survey. Increased availability of dental sedation could remove a barrier to dental care for many highly anxious dental patients.

scholarly journals Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis

2020 ◽  
Vol 9 (4) ◽  
pp. 1025 ◽  
Author(s):  
Nansi López-Valverde ◽  
Jorge Muriel Fernández ◽  
Antonio López-Valverde ◽  
Luis F. Valero Juan ◽  
Juan Manuel Ramírez ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Dental Treatment ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Adult Population ◽  
Dental Anxiety ◽  
Three Dimensional ◽  
Dental Procedures ◽  
Reduction Of Pain ◽  
To Receive

Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used, and in standard care situations. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area.

scholarly journals La construction de la mémoire coloniale en Érythrée: les Erythréens, les Métis, les Italiens. — The construction of memory in colonial Eritrea: Eritreans, Mestizos and Italians

2006 ◽  
Vol 34 (2) ◽  
pp. 493-507
Author(s):  
Gabriella D’Agostino
Keyword(s):  
Life Histories ◽  
Subjective Experience ◽  
Social Position ◽  
Social Selection ◽  
Colonial Discourse ◽  
The Past ◽  
The Social ◽  
Selection Of ◽  
Narrative Role

The construction of memory in colonial Eritrea: Eritreans, Mestizos and Italians. Focusing on some passages of life histories collected in Asmara and based on the ‘memory of Italy’, I study the representation of the past in order to reveal the shaping of the subjective experience by the colonial discourse in Eritrea. If the main aim of my essay is the understanding of the play of interactions between individuals and collectivity, one more important element I take into account is ‘memory’ seen as a “social selection of remembering” (Halbwachs). I try to connect the social position and narrative role of single members (of the Eritrean society) to the meaning it takes the ‘going back to the past’ for them as individuals belonging to a group (an Eritrean, a Mestizo, an Italian) in relation to the past and the present. The consequence is that the logic dominant/dominated is inadequate to explain the internal articulations of the colonial context and that the focus must be shifted on individual and collective systems of expectations and on the negotiations of meaning resulting from a “past always to be recovered” and a “present always to be rebuilt”.

scholarly journals La desmemoria en la historia oficial : reflexiones sobre la memoria y el olvido en el exilio español

2012 ◽  
Vol 17 ◽  
pp. 33-44
Author(s):  
José Antonio Mérida Donoso
Keyword(s):  
Social Identity ◽  
Social Science ◽  
Collective Memory ◽  
Subjective Experience ◽  
Recent Past ◽  
The Past

The concepts of (collective) memory and history are similar in that they both deal with the notion of identity, yet diverge in their methods and dwell on the past events in different ways. History has now started to be regarded as an objective - a doubtful, though desirable attribute - "human" or "social" science, while memory remains the space of subjective experience. This article presents a series of reflections on Spain's recent past, focusing on the role of literature in preserving the collective memory and constructing a social identity.

Preliminary Validation and Reliability of the Modified Child Dental Anxiety Scale

1998 ◽  
Vol 83 (3_suppl) ◽  
pp. 1179-1186 ◽  
Author(s):  
G. M. Humphris ◽  
H-M. Wong ◽  
G. T. R. Lee
Keyword(s):  
General Anaesthesia ◽  
Internal Consistency ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Initial Study ◽  
Anxiety Scale ◽  
Dental Procedures ◽  
Preliminary Validation ◽  
Fear Survey Schedule ◽  
Test Retest Reliability

An 8-question Modified Child Dental Anxiety Scale was developed to assess children's concerns about specific dental procedures. These dental situations include examination, scale and polish, injection, filling, extraction, and relative and general anaesthesia. A question about how the child felt generally when visiting the dentist was also included. Children ( n = 314) from two schools in Liverpool, ages 8 to 15 years, completed a questionnaire including the modified scale, Corah's Dental Anxiety Scale, the Dental Fear Survey Schedule for Children, and background questions (age, sex and previous dental experience). The internal consistency was favourable (α = .84) and test-retest reliability acceptable. This initial study suggests that the scale may be useful in trials to assess the benefits of interventions to assist children receive dental treatment.

scholarly journals ROLE OF LASERS IN MUCOSAL LESIONS

2015 ◽  
Vol 5 ◽  
Author(s):  
Neha Bansal ◽  
Richa Bansal
Keyword(s):  
Tissue Reaction ◽  
Stimulated Emission ◽  
The Past ◽  
Dental Procedures ◽  
Light Amplification ◽  
Mucosal Lesions ◽  
New Devices

Dentistry has changed tremendously over the past decade to the benefit of both the clinician and the patient. The search for new devices and technologies for dental procedures was always a challenge and in the last two decades much experience and knowledge have been gained.1New materials and technologies have improved the efficiency and predictability of dentistry for clinicians. One such technology that has become increasingly utilized in clinical dentistry is that of LASERS. The word LASER is actually an acronym that stands for “Light Amplification by Stimulated Emission of Radiation”. Better understanding of tissue reaction and refining of the technique are expected to improve the scope of lasers in clinical dentistry.

scholarly journals The role of volition in distance education: An exploration of its capacities

2010 ◽  
Vol 11 (1) ◽  
pp. 1 ◽  
Author(s):  
Markus Deimann ◽  
Theo Bastiaens
Keyword(s):  
Distance Education ◽  
Control Strategies ◽  
Future Research ◽  
Factorial Structure ◽  
Research And Practice ◽  
The Past ◽  
Emotion Control ◽  
German Speaking ◽  
Special Relevance

During the past two decades, volition, defined as the ability to stay task-focused and ward off distractions, has become of special relevance for educational research and practice. It describes how decreased motivation or negative emotions can be dealt with by applying action control strategies. However, despite its potential, an important area of education has neglected volitional considerations: distance education (DE). This seems paradoxical because by its very nature distance education requires a great deal of persistence and effort that is volitional. Consequently, the present paper introduces a conceptual framework built on volitional theories; it aims to augment traditional perspectives and to analyse major challenges to DE, such as dropout rates. The paper reports results from a longitudinal study (September 2007-July 2009) that was conducted to determine the factorial structure of the Volitional Persona Test (VPT), an online instrument to assess volitional competence, and to obtain detailed information on students’ volitional competence at a large DE university and at numerous traditional universities in German-speaking countries. It was demonstrated that the construct of volition can be subdivided into distinct factors, volitional self-efficacy, consequence control, emotion control, and meta-cognition, which may enable the development of support systems that are tailored to learners’ individual needs. Implications for future research are discussed.

scholarly journals Dental anxiety among migraine patients

2021 ◽  
Vol 14 (4) ◽  
pp. 498-503
Author(s):  
Yagoub Dhafer Alyami ◽  
◽  
Jana Khalid Farran ◽  
Jumanah Ateeq Alsubhi ◽  
Jehan Ahmed Omar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Control Group ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Validated Questionnaire ◽  
Dental Procedures ◽  
Patient Responses

In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from “not anxious” (scoring 1) to “extremely anxious” (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.

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