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

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

Universitas Odontologica ◽

10.11144/javeriana.uo35-75.gaet ◽

2017 ◽

Vol 35 (75) ◽

Author(s):

Francisco Cázares de León ◽

Alberto José Lozano Laín ◽

Pedro Gutiérrez Lizardi ◽

Alfredo Salinas Noyola

Keyword(s):

Dental Treatment ◽

Oral Surgery ◽

Dental Anxiety ◽

Third Molar ◽

Sociocultural Factors ◽

Dental Surgery ◽

Dental Patients ◽

Impacted Third Molar ◽

Third Molar Extraction ◽

Anxiety Levels

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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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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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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ASSESSMENT OF SWELLING IN PATIENTS AFTER EXTRACTION OF IMPACTED THIRD MOLARS.

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.07.3771 ◽

2019 ◽

Vol 26 (07) ◽

pp. 1079-1083

Author(s):

Alvina Ali Shaikh ◽

Hassan Shahid ◽

Sadia Hassan

Keyword(s):

Oral Surgery ◽

Age Distribution ◽

Third Molar ◽

Cross Sectional Study ◽

Conventional Technique ◽

Third Molar Surgery ◽

College Hospital ◽

Cross Sectional ◽

Impacted Third Molar ◽

Surgical Extraction

Aims: To assess swelling after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Cross sectional study. Setting: Dental OPD of Isra Dental College, Isra University. Period: February to August 2017. Materials and Methods: A sample of 70 patients with impacted third molar was selected by non-probability purposive sampling. Patients were distributed in either conventional technique or by coma shaped incision groups. All procedure was carried out at the Department of Oral surgery, Isra Dental College Hospital. Post-operative measurement of swelling was measured on 1st, 3rd and 7th day respectively. Results: Mean ± SD was noted as 28.70 ± 3.89 years respectively. Age distribution was from 20 – 35 years. Gender distribution in group A was 11 (31.4%) males and 24 (68.6%) females while in group B was 17 (48.5%) males and 18 (51.5%) females respectively with X2 = 2.14 and p= 0.22. Swelling was measured after surgical extraction at day 1, day 3 and day 7. Conclusion: The results of this study showed that the swelling was to some extent reduced in the Coma incision in comparison to the standard Ward`s incision. Further research with newer flap designs like the comma design, which might lessen the post-operative problems, ought to be measured in the extraction of impacted third molar surgery.

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TRISMUS

The Professional Medical Journal ◽

10.29309/tpmj/2018.25.02.447 ◽

2018 ◽

Vol 25 (02) ◽

pp. 226-231

Author(s):

Alvina Ali Shaikh ◽

Salman Shafique ◽

Hassan Shahid

Keyword(s):

Tooth Extraction ◽

Oral Surgery ◽

Third Molar ◽

Third Molar Surgery ◽

Surgical Removal ◽

Exclusion Criteria ◽

Impacted Third Molar ◽

Group A ◽

Mandibular Teeth ◽

Teeth Extraction

Objectives: To compare trismus in surgical removal of impacted mandibularthird molar using comma incision and standard Wards incision. Study Design: Cross sectionalstudy. Setting: Dental OPD of Isra Dental College, Isra University. Period: 1st January to 30thJune 2016. Materials and Methods: A sample of 50 patients of impacted third molar wasselected by non-probability purposive sampling for tooth extraction either by conventionaltechnique or by coma shaped incision at the Department of Oral surgery, Isra Dental CollegeHospital. Patients were selected according to inclusion and exclusion criteria. Post-operativemeasurement of trismus was measured on 1st, 3rd and 7th day respectively. Results: Mean ±SD age in group A and B was noted as 28.5 ± 4.32 and 27.2 ± 4.39 years respectively. Maleand female in groups A and B were noted as 16 (64%) and 9 (36%), & 14 (56%) and 11 (44%)respectively. Right and left lower mandibular teeth extraction in groups A and B were noted 11and 14, & 10 and 15 respectively. Trismus was measured preoperatively and subsequently atday 1, day 3 and day 7. Conclusion: In conclusion, the Coma incision was preferable over theconventional method- the standard Ward`s incision because of lesser degree of trismus seen.Further research with newer flap designs and the comma design should be preferred by theclinicians for the extraction of impacted third molar surgery.

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