Inside the waiting room: process drama and dramatic distancing for involving children in research on dental anxiety

Objective: Mothers have very important roles in their children’s development. Their instinctive love develops strong emotional connections with their children, especially when their children have sensory impairments (SI). Feelings experienced by mothers, such as anxiety toward dental treatment, can affect their children’s emotions. Salivary alpha amylase (sAA) has been proposed as a biomarker of stress due to its sensitivity to changes in the body, such as dental anxiety. This study aimed to analyze the relationship between sAA levels in mothers and children with SI before dental treatment.Methods: Measurement of sAA from sixty pairs of children with SI and their mothers was taken together in the waiting room before the children’s dental treatment. Spearman’s analysis was used to find the correlation between their sAA levels.Results: In this study, sAA levels in mothers accompanying their children with SI correlated significantly with their children’s sAA levels (r=0.533; p<0.002).Conclusions: The correlation between dental anxiety in mothers and children with SI before dental treatment was found to be significant.Practical Implications: Anxiety toward dental care is a phenomenon that frequently arises in children. Mothers, the main influencers of their children’s development, are thought to be one cause of high anxiety in children. Children with special needs are at a higher risk for developing dental problems. Therefore, an understanding of these children’s levels of anxiety can be used by pediatric dentists to improve dental care.

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Dental anxiety in patients undergoing oral surgery and its effects on blood pressure and heart rate

Research Society and Development ◽

10.33448/rsd-v9i8.5536 ◽

2020 ◽

Vol 9 (8) ◽

pp. e316985536

Author(s):

Jaqueline Oliveira Barreto ◽

Julliana Cariry Palhano Freire ◽

Arthur Willian de Lima Brasil ◽

Cristian Statkievicz ◽

Francisley Ávila Souza ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Systolic Blood Pressure ◽

Oral Surgery ◽

Dental Anxiety ◽

Waiting Room ◽

Demographic Questionnaire ◽

Significant Difference ◽

Before And After ◽

Evaluation Anxiety

Objective: To assess dental anxiety in patients undergoing oral surgery, as well as its impact on blood pressure and heart rate. Material and Methods: A total of 233 patients answered a socio-demographic questionnaire and another one based on the Corah dental anxiety scale. Blood pressure and heart rate were assessed at three moments while: patients were in the waiting room, immediately before and after the procedure. Results: This study revealed a prevalence of anxiety of 77.3%. There was a statistically significant difference in mean systolic blood pressure and heart rate at the three moments of the evaluation. Anxiety was prevalent in the sample and was observed from the time in the waiting room until the time when local anesthesia was performed, causing variations in systolic blood pressure and heart rate, anxiety levels decreased after the end of the service. In conclusion, we observed that oral surgery is directly related to increased anxiety, and anxiety is mainly related to the change in heart rate.

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Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1192 ◽

2017 ◽

Vol 7 (2) ◽

pp. 91-96

Author(s):

Priyanka S Machale ◽

Vanitha U Shenoy ◽

Kunal Phodse

Keyword(s):

Dental Anxiety ◽

Age Groups ◽

Endodontic Treatment ◽

Waiting Room ◽

Female Patients ◽

Anxious Patient ◽

Minimum Score ◽

Unpleasant Feeling ◽

Anxiety Levels ◽

Student’S T

ABSTRACT Introduction Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment. Aim The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment. Materials and methods Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient. Statistical analysis Analysis was done using the Student’s t-test and Kruskal–Wallis test. Results There were significant differences in the level of anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively). Conclusion In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups. How to cite this article Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.

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Anxiety presented by children facing dental treatment

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720180003000033302 ◽

2018 ◽

Vol 66 (3) ◽

pp. 212-218

Author(s):

Cícera Alane de OLIVERA ◽

Tamara GAMA ◽

Evalena Lima CABRAL ◽

Camila Helena Machado da Costa FIGUEIREDO ◽

Gymenna Maria Tenório GUÊNES ◽

...

Keyword(s):

Dental Treatment ◽

Dental Anxiety ◽

Anxiety Scale ◽

Chi Square ◽

Waiting Room ◽

Exact Test ◽

Chi Square Test ◽

School Of Dentistry ◽

Level Of Significance ◽

Rotary Instrument

ABSTRACT Objective: To determine the profile of children from 6 to 12 years of age, in relation to anxiety towards dental treatment and evaluate the main factors that trigger anxiety in this population. Methods: The sample was composed of 200 children with an average age of 8.5 years who attended the Clinic of the School of Dentistry of the Federal University of Campina Grande and the Basic Healthcare Units of the municipality of Patos, Paraíba, Brazil between June 2015 and May 2016. Anxiety was assessed using the Dental Anxiety Scale and the Venham Picture Test. The Chi-Square test and Fisher’s exact test were used to explore the level of significance of the associations between the variables Results: Anxiety was observed in the majority of children (Dental Anxiety Scale - 89% and Venham Picture Test - 70.5%) and the predominant levels were low to moderate. The child´s age group was significantly associated with anxiety (p=0.014) by the Venham Picture Test, while gender did not present this correlation. Anxiety was influenced by all the factors studied: making the appointment, waiting room, rotary instrument and periodontal scaling. Conclusion: The majority of children presented anxiety and the trigger factors: making the appointment, waiting room, rotary instrument and periodontal scaling contributed considerably to its development.

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THE EFFECT OF THE POP-UP BOOK AKU DAN GIGIKU ON BLOOD PRESSURE IN CHILDREN AGED 4–6 YEARS

International Journal of Applied Pharmaceutics ◽

10.22159/ijap.2017.v9s2.45 ◽

2018 ◽

Vol 9 ◽

pp. 165

Author(s):

Kusuma P Adriani ◽

Margaretha Suharsini ◽

Eva Fauziah2 ◽

Meutia D Citrawuni

Keyword(s):

Blood Pressure ◽

Dental Treatment ◽

Dental Anxiety ◽

Intervention Strategy ◽

Intervention Group ◽

Control Group ◽

Physiological Changes ◽

Waiting Room ◽

Significant Difference ◽

And Control

Objective: This study aimed to evaluate the effectiveness of the pop-up book Aku dan gigiku as an intervention strategy in reducing anxiety in young children before dentaltreatment.Methods: 78 children aged 4–6 years were randomly divided into two groups: An intervention group with the pop-up book intervention and a control group without the pop-up book intervention. They were placed in a waiting room, and their blood pressure was measured. The experimental design of this clinical research was statistically analyzed using independent t-tests to compare decreased blood pressure between the intervention and control groups.Results: The result of the study revealed that there was a statistically significant difference in decreased blood pressure with the intervention of the pop-up book Aku dan gigiku. As dental anxiety leads to undesirable distresses, it generates physiological changes such as blood pressure. Interventions should thus be undertaken to reduce dentalanxiety, and the pop-up book is an example of an intervention medium as it educates children and presents interesting illustrations.Conclusion: The pop-up book Aku dan gigiku thus appears to be an effective method in reducing anxiety in children aged 4–6 years when used as an intervention strategy before dental treatment.

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HUBUNGAN SCORING DENTAL ANXIETY SCALE DENGAN PERUBAHAN TEKANAN DARAH PASIEN EKSTRAKSI GIGI DI PUSKESMAS BAHU

e-GIGI ◽

10.35790/eg.3.2.2015.9632 ◽

2015 ◽

Vol 3 (2) ◽

Author(s):

Frisly Tamunu ◽

Frans E. Wantania

Keyword(s):

Blood Pressure ◽

Health Center ◽

Tooth Extraction ◽

Dental Anxiety ◽

Anxiety Scale ◽

P Value ◽

Waiting Room ◽

Cross Sectional ◽

Purposive Sampling ◽

Spearman Test

Abstract: Anxiety is a feeling experienced by individuals when thinking that something unpleasant will happen. This study aimed to determine the relationship between dental anxiety scoring scale and changes in blood pressure. This was a descriptive analytical study with a cross sectional design conducted in health center Bahu. Population was all patients with tooth extraction performed on them. Samples were chosen by using purposive sampling method. Data were obtained by using questionnaire of dental anxiety scale and blood pressure measured in the waiting room and on the dental chair before tooth extraction. Data were analyzed statistically by using univariate and bivariate analyses with Spearman test. The results showed that before tooth extraction, there were patients with anxiety as well as patients with increased blood pressure. The age group 21-30 years and females were the majority that experienced anxiety. The correlation between DAS and changes in systolic blood pressure showed a P value of 0.066 and in diastolic blood pressure a P value of 0.705. Conclusion: There was no relationship between dental anxiety scoring scale and blood pressure changes among patients with tooth extraction in Public Health Center Bahu.Keywords: scoring dental anxiety scale, blood pressure, tooth extractionAbstrak: Kecemasan adalah perasaan yang dialami oleh individu ketika berpikir bahwa sesuatu yang tidak menyenangkan akan terjadi.. Penelitian ini bertujuan untuk mengetahui hubungan skoring dental anxiety scale (DAS) dengan perubahan tekanan darah. Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan potong lintang yang dilakukan di puskesmas Bahu. Populasi dan sampel ialah seluruh pasien yang berkunjung di Puskesmas Bahu yang melakukan tindakan ekstraksi gigi sesuai dengan kriteria inkslusi. Teknik pengambilan sampel menggunakan purposive sampling. Data diambil menggunakan kuesioner DAS dan pengukuran tekanan darah dilakukan saat menunggu dan saat berada di kursi dental sebelum tindakan ekstraksi gigi. Data diolah dengan menggunakan analisis univariat dan bivariat mengunakan uji Spearman. Hasil penelitian menunjukkan, pada tindakan ekstraksi gigi terdapat pasien yang mengalami kecemasan dan terdapat pasien yang mengalami peningkatan tekanan darah. Usia 21-30 tahun merupakan usia terbanyak yang mengalami kecemasan serta jenis kelamin perempuan paling banyak merasa cemas. Hubungan antara DAS dan perubahan tekanan darah sistol dari hasil uji statistik diperoleh nilai p = 0,066 dan diastol p = 0,705. Simpulan: Tidak terdapat hubungan antara DAS dan perubahan tekanan darah pasien ekstraksi gigi di Puskesmas Bahu.Kata kunci: DAS, tekanan darah, ekstraksi gigi

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Personality and Environmental Variables Associated with Dental Anxiety

Perceptual and Motor Skills ◽

10.2466/pms.1979.49.2.529 ◽

1979 ◽

Vol 49 (2) ◽

pp. 529-530 ◽

Cited By ~ 2

Author(s):

Juan N. Franco ◽

Don B. Croft

Keyword(s):

Environmental Variables ◽

Dental Anxiety ◽

Waiting Room ◽

Dental Patients

94 adult dental patients' anxiety was assessed. Scores on Spielberger, et al.'s inventory showed attractiveness of the waiting room, age. and Edwards' Harmavoidance were significantly related to anxiety.

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Anxiety and facial self-contacts: possible impact on COVID-19 transmission in dental practice

BMC Oral Health ◽

10.1186/s12903-021-01564-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

María Carrillo-Diaz ◽

Laura Lacomba-Trejo ◽

Antonio del Valle-González ◽

Martín Romero-Maroto ◽

María José González-Olmo

Keyword(s):

Trait Anxiety ◽

Dental Anxiety ◽

Dental Fear ◽

Microsoft Kinect ◽

Waiting Room ◽

Cross Sectional ◽

Dental Clinics ◽

Effective Interventions ◽

Cross Sectional Design ◽

Anxiety Subscale

Abstract Background The purpose was to analyse the associations between dental and trait anxiety, fear of COVID-19 and the duration and frequency of spontaneous hand-to-face contact (self-contact). Methods A cross-sectional design was carried out with 128 adult patients from four dental clinics in Madrid, during the confinement, from March 15 to May 15. The patients’ movements in the waiting room were monitored with Microsoft Kinect Software, also completed the Trait anxiety subscale of the STAI, the COVID-19 Fear and the S-DAI questionnaire. Results Associations were observed between the duration and frequency of facial, mask and eye contact with trait anxiety and dental fear was determined only by the frequency of this self-contact. Trait anxiety is associated with dental anxiety and with fear of COVID-19. Although facial self-contact is higher in women, it also rises in men as dental fear increases. Moreover, dental anxiety is a good predictor of trait anxiety and the incidence of facial self-contact. Conclusions Understanding the possible associations between biopsychosocial factors, such as trait anxiety, dental anxiety and self-contact is important. It may help to prevent the spread of COVID-19 in the population as well as enabling the formulation of effective interventions to improve oral health care through the implementation of dental care programmes.

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Using process drama to explore the causes of dental anxiety in primary-school children

European Archives of Paediatric Dentistry ◽

10.1007/s40368-021-00623-4 ◽

2021 ◽

Author(s):

J. F. Tahmassebi ◽

M. Malik ◽

N. Berg ◽

S. Pavitt ◽

K. Gray-Burrows ◽

...

Keyword(s):

Primary School ◽

School Children ◽

Primary Schools ◽

Dental Anxiety ◽

Role Playing ◽

Dental Fear ◽

Primary School Children ◽

Process Drama ◽

Key Concepts ◽

Fear And Anxiety

Abstract Background Drama and role play can be unlisted as methods to allow children to view problems from a range of different perspectives that may differ from their own experience. Application of drama technique to assess the cause of dental fear and anxiety in a school setting is novel. Aim The aim of this study was to engage primary school children in the core investigation via participatory arts methodologies, namely, process drama to gain understanding of the causes of dental anxiety. Design Sixty-three children, aged 7–10 years from three primary schools participated in this study. A 90-min drama workshop was carried in each school. The children were encouraged to identify the causes of dental anxiety using key concepts from process drama. The sessions were audio-recorded and transcribed. Results Four key concepts emerged: (1) fear of the unknown; (2) unpleasant sensory experience; (3) society’s perception and portrayal of the dentist; and (4) learnt negative associations with the dentist. Within each four key concepts, two sub-themes were identified. Conclusions Role-playing and use of drama are a novel application and can reveal a considerable amount of information from the child’s perspective on the cause of dental fear and anxiety.

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The effect of the waiting room's environment on level of anxiety experienced by children prior to dental treatment: a case control study

10.21203/rs.2.11573/v1 ◽

2019 ◽

Author(s):

Avia Fux-Noy ◽

Maayan Zohar ◽

Karin Herzog ◽

Aviv Shmueli ◽

Elinor Halperson ◽

...

Keyword(s):

Case Control Study ◽

Dental Treatment ◽

Dental Anxiety ◽

Wait Time ◽

Case Control ◽

Control Group ◽

Waiting Room ◽

Dental Visits ◽

Significant Difference ◽

Control Study

Abstract Background: One of the environmental factors that can cause anxiety prior to dental treatment includes the waiting room experience, specifically the amount of time spent awaiting treatment and the waiting room environment. The purpose of the study was to compare the effect of the waiting room's environment on the level of anxiety experienced by children in multisensory and traditional waiting rooms. Methods: Case control study. Test group waited for treatment in a multisensory waiting room, which consisted of a lighting column that children could touch and climb; as well as, rhythmic music played on loudspeakers. Control group waited for treatment in a traditional waiting room. Study participants were asked to answer the “Venham Picture Test”, a dental anxiety scale, while in the waiting room prior to entering the treatment room. Chi-squared, Fisher's Exact tests, and linear regression were utilized. Results: No significant difference in dental anxiety scores was found between the test and control groups. Dental anxiety was significantly higher in patients who had longer wait time prior to treatment. In addition, dental anxiety was significantly associated with visit purpose: children waiting for dental examination or those scheduled for dental treatment with conscious sedation were less anxious than children waiting for emergency treatment. Conclusions: These findings underscore the importance of a dental home and regular preventive dental visits. Children’s dental anxiety can be reduced by preventing emergency treatments, scheduling routine dental visits and decreasing waiting room wait time. Trial registration: TRN NCT03197129, date of registration June 20, 2017

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