Grados de ansiedad en la extracción de un tercer molar impactado. Diferencias de género / Anxiety Levels during Impacted Third Molar Extraction. Gender Differences

RESUMEN. Antecedentes: La ansiedad dental es común en los procedimientos de odontología y particularmente en los de cirugía oral Objetivo: Determinar el grado de ansiedad que se manifiesta ante la extracción quirúrgica de un tercer molar impactado y comparar los resultados de acuerdo a género. Métodos: El tipo de estudio es no experimental, con un diseño transversal, descriptivo y comparativo. La muestra estuvo conformada por 80 pacientes que acudieron a consulta odontológica de ambos géneros (28 varones y 52 mujeres) de entre 17 y 62 años de edad (media de 35.5 años). Resultados: Las mujeres tuvieron grados de ansiedad en un 56.3 % contra un 27.5 % de los hombres, lo que indica que la proporción de ansiedad es mayor estadísticamente significativa para el género femenino. Conclusiones: la ansiedad es una emoción muy frecuente en los pacientes odontológicos particularmente en los que acuden a cirugía oral y específicamente en las extracciones de terceros molares. Existen diferencias entre géneros ya que el género femenino es el que presenta grados de ansiedad extrema, aunque hay que señalar que se deben considerar los factores socioculturales los cuales pueden determinar el comportamiento de cada individuo. Por último, es muy importante que el odontólogo haga uso de todas las técnicas y destrezas para evitar grados de ansiedad que pudieran conducir a estados críticos durante el tratamiento dental.ABSTRACT. Background: Dental anxiety is common in dental procedure and particular in dental surgery. Purpose: to determine the level of anxiety that is manifested before surgical removed of an impacted third molar and compare the results between the different gender. Methods: the type of study is not experimental design is transversal, but descriptive and comparative analysis. The sample consisted of 80 patients attending dental office of both male and female sex (28 males and 52 females) aged between 17 and 62 years old (mean 35.5 years). Results: the results showed that women anxiety levels showed at 53.4 % against 24.7 % of men, indicating that the proportion of anxiety is significantly higher for women. Conclusions: anxiety is a common emotion in dental patients particularly those who come to oral surgery and specifically in the third molar extractions. There are differences between genders and the female is the one with degrees of extreme anxiety, although it should be noted to consider the sociocultural factors which can determine the behavior of each individual. Finally, it is very important that the dentist makes use of all the techniques and skills to avoid anxiety levels that could lead to critical states during dental treatment.

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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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Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

10.21203/rs.3.rs-19863/v2 ◽

2020 ◽

Author(s):

Matteo Melini ◽

Andrea Forni ◽

Francesco Cavallin ◽

Matteo Parotto ◽

Gastone Zanette

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Conscious Sedation ◽

Dental Treatment ◽

Meta Analysis ◽

Dental Anxiety ◽

Third Molar ◽

Future Research ◽

Third Molar Extraction ◽

Molar Extraction

Abstract Background: Dental anxiety is a condition associated with avoidance of dental treatment and increased medical and surgical risks. This systematic review aims to summarize available evidence on conscious sedation techniques used for the management of Dental anxiety in patients scheduled for third molar extraction surgery, to identify best approaches and knowledge gaps. Methods: A comprehensive search was conducted including MEDLINE/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov and the Cochrane Database of Systematic Reviews through March 2019. Only randomized controlled trials were included. PRISMA guidelines were followed. Risk of bias was appraised as reported in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen RCTs with a total of 1,788 patients were included. Some aspects limited the feasibility of a meaningful meta-analysis, thus a narrative synthesis was conducted. Conscious sedation was associated with improvement in Dental anxiety in six studies. One study reported lower cortisol levels with midazolam vs. placebo, while another study found significant variation in perioperative renin levels with remifentanil vs. placebo. Conclusions: This review found inconclusive and conflicting findings about the role of Conscious sedation in managing Dental anxiety during third molar extraction surgery. Relevant questions remain unanswered due to the lack of consistent, standardized outcome measures. Future research may benefit from addressing these limitations in study design.

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Anesthetic Management of a Patient With Hereditary Angioedema for Oral Surgery

Anesthesia Progress ◽

10.2344/anpr-65-04-01 ◽

2019 ◽

Vol 66 (1) ◽

pp. 30-32

Author(s):

Rumiko Hosokawa ◽

Masanori Tsukamoto ◽

Saki Nagano ◽

Takeshi Yokoyama

Keyword(s):

Hereditary Angioedema ◽

Tooth Extraction ◽

Dental Treatment ◽

Oral Surgery ◽

Anesthetic Management ◽

Treatment Options ◽

Third Molar ◽

Intravenous Sedation ◽

C1 Inhibitor ◽

Impacted Third Molar

Hereditary angioedema (HAE) is a rare genetic disease that results from deficiency or dysfunction of C1 inhibitor (C1-INH). This disease is characterized by sudden attacks of angioedema. When edema occurs in the pharynx or larynx, it can lead to serious airway compromise, including death. Physical and/or psychological stress can trigger an attack. Dental treatment, including tooth extraction, is also a recognized trigger. We report a case of a 20-year-old male with HAE who required impacted third molar extractions. C1-INH concentrate was administered 1 hour before surgery, which was completed under deep intravenous sedation. This report describes the anesthetic management of a patient with HAE and reviews treatment options and concerns.

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Anxiety Measurements among Dental Students undergoing Third Molar Removal

CODS Journal of Dentistry ◽

10.5005/cods-3-1-21 ◽

2011 ◽

Vol 3 (1) ◽

pp. 21-27

Author(s):

Channaveer Pattanshetti ◽

Rajendra Desai

Keyword(s):

Dental Anxiety ◽

Maxillofacial Surgery ◽

Third Molar ◽

Dental Students ◽

Oral And Maxillofacial Surgery ◽

Female Patients ◽

Third Molar Extraction ◽

Anxiety Levels ◽

The Difference ◽

Dental Offices

Abstract Background and objective This study was conducted to quantify the anxiety associated with third molar extraction in dental students. And to compare the anxiety levels between males and females, among impacted and non-impacted groups. Methods The study included 100 dental students who reported to Department of Oral and Maxillofacial Surgery, College of Dental Sciences, requiring mandibular third molar removal. Only those patients who met the inclusion and exclusion criteria were selected. The anxiety levels were evaluated based on the scores of the Corah's Dental Anxiety Scale. Results Results showed scores among female patients was higher than males; however the difference between male and female patients was statistically not significant. Among impacted and non-impacted groups score was higher among the impacted group, but the difference between impacted and non-impacted groups was statistically not significant too. Conclusion To conclude, maxillofacial surgeons should consider patients who visit dental offices for third molar impaction surgery as most prone to anxiety which could either result from conditioning or learned responses from their peers. Noteworthy, prior awareness of the patient's psychologic makeup and susceptibility to anxiety may be of value, thus enabling appropriate therapy and improved recovery postoperatively.

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ADMINISTRAÇÃO PROFILÁTICA DE AMOXICILINA EM CIRURGIAS DE TERCEIROS MOLARES RETIDOS EM PACIENTES SAUDÁVEIS: REVISÃO DE LITERATURA

Journal of Dentistry & Public Health ◽

10.17267/2596-3368dentistry.v7i1.802 ◽

2016 ◽

Vol 7 (1) ◽

Author(s):

Marlus Da Silva Pedrosa ◽

Flávia Ennes Dourado Ferro ◽

José Guilherme Férrer Pompeu ◽

Márcia Socorro Da Costa Borba

Keyword(s):

Clinical Practice ◽

Postoperative Complications ◽

Literature Review ◽

Antibiotic Prophylaxis ◽

Third Molar ◽

Dental Surgery ◽

Advantages And Disadvantages ◽

Impacted Third Molar ◽

Third Molar Extraction ◽

Molar Extraction

Background: Impacted third molar surgeries are common procedures in clinical practice of dentists and are associated with several trans and postoperative complications. As a result, antibiotic prophylaxis is quite common. Aim: To investigate the scientific evidences regarding the prophylactic prescription of amoxicillin in third molar surgeries in healthy patients. Methods: It was carried out a literature review in the electronic databases SciELO, PubMed, LILACS, and Oviatt Library from December of 2015 to January of 2016, using as descriptors: amoxicillin, antibiotic prophylaxis, dental surgery, and third molar. Results and Discussion: Prophylactic administration of amoxicillin for third molar extraction is controversial in terms of its effectiveness in preventing post-surgical complications given that the scientific evidences about its advantages and disadvantages are still limited. Conclusion: In third molar extraction of healthy patients, amoxicillin given prophylactically should be carefully prescribed.

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Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

10.21203/rs.3.rs-19863/v1 ◽

2020 ◽

Author(s):

Matteo Melini ◽

Andrea Forni ◽

Francesco Cavallin ◽

Matteo Parotto ◽

Gastone Zanette

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Conscious Sedation ◽

Dental Treatment ◽

Meta Analysis ◽

Dental Anxiety ◽

Third Molar ◽

Future Research ◽

Third Molar Extraction ◽

Molar Extraction

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A Comparative Study of the Efficacy of Methylprednisolone Administration Route on Postoperative Sequelae Following Impacted Third Molar Extraction

Indian Journal of Forensic Medicine & Toxicology ◽

10.37506/ijfmt.v15i2.14983 ◽

2021 ◽

Keyword(s):

Comparative Study ◽

Third Molar ◽

Administration Route ◽

Impacted Third Molar ◽

Third Molar Extraction ◽

Molar Extraction

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Influence factors of dental anxiety in patients with impacted third molar extractions and its correlation with postoperative pain: a prospective study

Medicina Oral Patología Oral y Cirugia Bucal ◽

10.4317/medoral.23293 ◽

2020 ◽

pp. e714-e719

Author(s):

JL. Xu ◽

R. Xia

Keyword(s):

Postoperative Pain ◽

Prospective Study ◽

Dental Anxiety ◽

Influence Factors ◽

Third Molar ◽

Impacted Third Molar ◽

A Prospective Study

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Attitudes to Conscious Sedation in Patients Attending an Emergency Dental Clinic

Primary Dental Care ◽

10.1308/1355761052894149 ◽

2005 ◽

Vol os12 (1) ◽

pp. 27-32 ◽

Cited By ~ 13

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.

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