scholarly journals A case series analysing patients with dental anxiety: a patient-centred model based on psychological profiling

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1843
Author(s):  
Riccardo Tizzoni ◽  
Laura Veneroni ◽  
Alfonso D'Aloia ◽  
Marta Tizzoni ◽  
Carlo Alfredo Clerici
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Dental Anxiety ◽  
Case Series ◽  
Subjective Experiences ◽  
Patient Case ◽  
Care Experience ◽  
Dental Procedures ◽  
Wide Range ◽  
Behavioural Condition

Anxiety and distress can jeopardize dental care experience of patients and may affect the clinical result. Although a wide range of sedation and analgesia techniques are currently available to relieve distress and pain during dental procedures, operative models to choose the most effective sedation-analgesic strategies are lacking. This case series proposes a patient-centred model to optimize patients’ cooperation during dental care delivery. We describe how to achieve correct anaesthesia by using the least sedative procedure, accounting for the dental procedure needed and patient’s psychological profile. Five patients were considered as paradigmatic to show the balance between patients’ subjective experiences and the clinical procedures: a patient with low stress, good compliance (case 1); moderate stress and reduction in compliance (case 2); anxious patient (case 3); patient with acute anxiety and emotional distress (case 4); anguished patient (case 5). A multimodal treatment of emotional and behavioural condition and a patient-centred model approach contributed to achieve the best patient satisfaction in the five cases detailed here.

scholarly journals A case series analysing patients with dental anxiety: a patient-centered model based on psychological profiling

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1843
Author(s):  
Riccardo Tizzoni ◽  
Laura Veneroni ◽  
Alfonso D'Aloia ◽  
Marta Tizzoni ◽  
Carlo Alfredo Clerici
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Dental Anxiety ◽  
Case Series ◽  
Subjective Experiences ◽  
Patient Case ◽  
Patient Centered ◽  
Care Experience ◽  
Dental Procedures ◽  
Wide Range

Anxiety and distress can jeopardize dental care experience of patients and may affect the clinical result. Although a wide range of sedation and analgesia techniques are currently available to relieve distress and pain during dental procedures, operative models to choose the most effective sedation-analgesic strategies are still insufficient. This case series proposes a patient-centered model to optimize patients’ cooperation during dental care delivery. We describe how to achieve correct anaesthesia by using the least sedative procedure, accounting for the dental procedure needed and patient’s psychological profile. Five patients were considered as paradigmatic to show the balance between patients’ subjective experiences and the clinical procedures: a patient with low stress, good compliance (case 1); a patient with moderate stress and reduction in compliance (case 2); anxious patient (case 3); a patient with acute anxiety and emotional distress (case 4); anguished patient (case 5). A multimodal treatment of emotional and behavioural condition and a patient-centered model approach contributed to achieve the best patient satisfaction in the five cases detailed here.

scholarly journals Mobile Dental Delivery System: An Effective Protocol for Hygiene and Disinfection

2020 ◽  
Vol 17 (5) ◽  
pp. 1603 ◽  
Author(s):  
Damien Offner ◽  
Gabriel Fernandez De Grado ◽  
Marion Strub ◽  
Laure Belotti ◽  
Stéphanie Deboscker ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Microbiological Quality ◽  
Plate Count ◽  
Heterotrophic Plate Count ◽  
Dental Procedures ◽  
Dental Care Delivery ◽  
Dental Unit Waterlines ◽  
Over Time

Mobile dental delivery systems (MDDSs) are receiving growing interest for reaching isolated patients, as well as in dental care for fragile and hospitalized patients, with the advantage of being able to be used from room to room or during general anesthesia (GA) in an operating room. Therefore, ensuring the care safety is crucial. The aim of this study was to elaborate and assess an MDDS maintenance protocol, containing the management of dental unit waterlines and adapted to specific conditions such as dental care under GA. A step-by-step protocol was established and implemented for an MDDS used during dental care under GA in children. Samples of the output water were collected at J0, J+1, 3, 6, 12, and 24 months, and cultured to observe the microbiological quality of the water. All the results (heterotrophic plate count at 22 °C, at 37 °C, and specific pathogenic germs sought) showed an absence of contamination. The protocol presented was effective over time and allowed ensuring the safety of care to be ensured when using MDDS, even during dental procedures under GA. As a result, it could be implemented by any dental care delivery structure wanting to reinforce the safety of its practice.

scholarly journals Gambaran Kecemasan Anak Usia 6-12 Tahun terhadap Perawatan Gigi di SD Kristen Eben Haezar 2 Manado

e-GIGI ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Seily E. Sanger ◽  
Damajanty H.C. Pangemanan ◽  
Michael A. Leman
Keyword(s):  
Preventive Care ◽  
Dental Care ◽  
Dental Anxiety ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Care Experience ◽  
Low Level ◽  
Fear Survey Schedule ◽  
Cross Sectional Design ◽  
High Level

Abstract: Dental anxiety is a condition of fear to visit a dentist even for preventive care or therapy and uncertainity anxiety to dental care. This study was aimed to describe the anxiety of children 6-12 years old for the dental care at SD Kristen Eben Haezar 2 Manado. This was a descriptive study with a cross-sectional design. Samples were 44 students of 6-12 years old at SD Eben Haezar 2 Manado who had dental care experience, obtained by using total sampling. Data were obtained by filling the questionnaire of Children Dental Fear Survey Schedule-subscale (CFSS-DS). The results showed that most students with high levels of anxiety were at the age of 6-8 years (20.48%), while most students with low level of anxiety were at the age of 9-12 years old (47.74%). Of the 44 students, 27 students (61.36%) had low level of anxiety whereas 17 students (38.64%) had high level of anxiety. Based on gender, the percentages of students with high level and low level of anxiety were higher in females than in males. Conclusion: In general, students with low level of anxiety were at the age of 9-12 years old meanwhile students with high level of anxiety were at the age of 6-8 years. Either high or low level of anxiety was most found in females.Keywords: anxiety, children, dental care Abstrak: Kecemasan dental merupakan suatu ketakutan terhadap kunjungan ke dokter gigi untuk perawatan pencegahan ataupun terapi dan rasa cemas tidak beralasan terhadap perawatan gigi. Penelitian ini bertujuan untuk mendapatkan gambaran kecemasan anak usia 6-12 tahun terhadap perawatan gigi di SD Kristen Eben Haezar 2 Manado. Jenis penelitian deskriptif dengan desain potong lintang, mengunakan metode pengambilan sampel total. Terdapat 44 siswa aktif SD Kristen Eben Heazer 2 Manado berusia 6-12 tahun dan pernah mendapatkan perawatan gigi. Data diambil berdasarkan pengisian kuesioner Children Fear Survey Schedule-Dental Subscale (CFSS-DS). Hasil penelitian menunjukkan responden dengan tingkat kecemasan tinggi ditemukan paling banyak pada usia 6-8 tahun (20,48%), sedangkan yang dengan tingkat kecemasan rendah ditemukan pada usia 9-12 tahun (47,74%). Tingkat kecemasan rendah ditemukan pada 27 responden (61,36%) dan tingkat kecemasan tinggi ditemukan pada 17 reponden (38,64%). Berdasarkan jenis kelamin, responden dengan tingkat kecemasan tinggi maupun rendah lebih banyak ditemukan pada responden perempuan. Simpulan: Responden dengan tingkat kecemasan rendah lebih banyak didapatkan pada rentang usia 9-12 tahun sedangkan responden dengan tingkat kecemasan tinggi lebih banyak didapatkan pada rentang usia 6-8 tahun. Baik tingkat kecemasan tinggi maupun rendah lebih banyak ditemukan pada responden perempuan.Kata kunci: kecemasan, anak, perawatan gigi

scholarly journals Teledentistry: A Novel Tool in our Arsenal to Combat COVID-19

2020 ◽  
Vol 4 (4) ◽  
pp. 77-80
Author(s):  
Amar Bhochhibhoya ◽  
Rejina Shrestha
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Risk Groups ◽  
Physical Contact ◽  
Dental Practice ◽  
Current Crisis ◽  
Care Services ◽  
Dental Procedures ◽  
Rapid Spread ◽  
Dental Care Delivery

The prevailing havoc due to rapid spread of COVID-19 has led to an unprecedented impact on dental care delivery. With the postponement or cancellation of all routine dental work, other than emergency care, the dental economy has come to a grinding halt. Aerosols and droplets are generated in many dental procedures, so dental professionals are under an enormous risk of occupational exposure to COVID-19. With no clear forays for the restoration of normalcy, the current crisis poses unique challenges to commence and sustain dental practice. Teledentistry has emerged as a panacea to the delivery of health care, with modified approaches promoting a virtual method of consultations, avoiding direct physical contact. Teledentistry can aid in prescreening patients for COVID symptoms, inquiring about travel history or a recent COVID-19 test result, that helps in risk stratification and deferring dental care to protect vulnerable and high-risk groups. But, it is improvident to restrict the utility of teledentistry to this time of pandemic only. Proactive integration of teledentistry in dental practice will enhance the virtual care which will change the way in which dental care services are rendered in the future.

scholarly journals Assessment of Dental Anxiety and Hemodynamic Changes during Different Dental Procedures: A Report from Eastern Saudi Arabia

2022 ◽  
Author(s):  
Zainab Alghareeb ◽  
Kawther Alhaji ◽  
Bayan Alhaddad ◽  
Balgis Gaffar
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oxygen Saturation ◽  
Dental Care ◽  
Dental Anxiety ◽  
Close Monitoring ◽  
Dental Procedure ◽  
Hemodynamic Changes ◽  
Dental Procedures ◽  
Study Participants

Abstract Objectives This study aimed to investigate hemodynamic changes in healthy adult patients during different dental procedures and evaluate whether these changes were associated with patients' dental anxiety. Materials and Methods A convenience sample of 119 patients of both genders undergoing routine dental care participated in the study. Participants responded to the Arabic version of the modified dental anxiety scale (MDAS) and a self-structured questionnaire. Each patient had their blood pressure, heart rate, and oxygen saturation measured at three points: before, during, and after the dental procedure using an electronic sphygmomanometer. MDAS scores were categorized into no anxiety, mild, moderate or severe anxiety, while readings of heart rate and blood pressure were categorized into no change, increased or decreased and either “no change” or “increased” for oxygen saturation. Chi-square test was used to investigate the association between the study variables and a p value of < 0.05 was considered statistically significant. SPSS version 20 was used in the analysis. Results Mean ( ± standard deviation [SD]) of MDAS was 11.12 ( ±  3.9) an indicative of moderate dental anxiety. No changes in blood pressure, heart rate, or in oxygen saturation were observed on 39.5%, 54.6% and 97.5% among the study participants, respectively. Half of the participants avoided dental care, with dental anxiety being the main reason for that (26.1%). Pattern of dental visits was significantly associated with MDAS scores (p = 0.042). There were significant changes in blood pressure (p = 0.0003), heart rate (p = 0.01) but not in oxygen saturation (p = 0.33). Changes in blood pressure, heart rate, and oxygen saturation were not associated with dental anxiety p = 0.15, 0.10, and 0.99, respectively. Conclusion The results of this study indicate that the type of dental procedure may cause dental anxiety and cause hemodynamic changes. Therefore, close monitoring of patients with dental anxiety during the treatment is advised.

scholarly journals The use of audiovisual distraction eyeglasses as a resource in Pediatric dental care: a case series

2019 ◽  
Vol 67 ◽  
Author(s):  
Ítalo Bruno Silveira ALVES ◽  
Ana Flávia GRANVILLE-GARCIA ◽  
Ramon Targino FIRMINO ◽  
Monalisa Cesarino GOMES ◽  
Edja Maria Melo de Brito COSTA
Keyword(s):  
Heart Rate ◽  
Dental Care ◽  
Pain Perception ◽  
Case Series ◽  
Post Treatment ◽  
Atraumatic Restorative Treatment ◽  
State University ◽  
Care Experience ◽  
Restorative Treatment ◽  
Heart Rate Decrease

ABSTRACT Objective: This study aimed to report a case series on the use of audiovisual distraction eyeglasses in children during dental care. Methods: The influence of the distraction tool on the children’s heart rate frequency and dental care experience was further investigated. The study children had their heart rate recorded during three clinical appointments and underwent the following procedures: 1) anamnesis; 2) modified atraumatic restorative treatment with the child wearing audiovisual eyeglasses; and 3) modified atraumatic restorative treatment without the use of audiovisual eyeglasses. The interval between appointments was up to one week. The heart rate was measured using a pulse oximeter, and a post-treatment questionnaire was applied after the three appointments. The sample consisted of five children aged 4 to 7 years attending the Pediatric Dental Clinics of the State University of Paraíba. Results: While wearing the audiovisual eyeglasses, the children’s individual heart rates were lower in the second dental visit as compared to the first and third ones. The post-treatment questionnaire revealed a preference for the use of audiovisual distraction eyeglasses as the children felt more comfortable, pleased, and had a reduced pain perception and anxiety. Conclusion: The heart rate decrease observed herein suggests that audiovisual eyeglasses may contribute to reducing anxiety during dental care.

Is mix of care influenced by the provider environment? A comparison of four care pathways in oral health

2015 ◽  
Vol 39 (1) ◽  
pp. 51 ◽  
Author(s):  
Yevgeni Dudko ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Clinical Pathways ◽  
Dental Service ◽  
Dental Services ◽  
Government Sector ◽  
Dental Procedures ◽  
International Data ◽  
The Government ◽  
Public Clinics

Objective In Australia, access to dental care has been available through several different pathways: (1) private practice; (2) public clinics; (3) Aboriginal Medical Services (AMS)-based clinics; and (4) until recently, the Chronic Disease Dental Scheme (CDDS). The aim of the present study was to compare the types of dental services most commonly delivered in the various clinical pathways based on the hypothesis that disease-driven care should lead to similar mixes of dental care provided. Methods Data from a series of previously published sources was used to identify and compare the most commonly performed dental procedures in the different pathways. A comparison was also made with the available international data (US). Results There was a marked difference between service mixes provided through the four pathways. Patients obtaining dental care through AMS-based and public pathways had more extractions and less restorative and preventive care compared with private and CDDS pathways. Compared with the international data, dental service mixes in Australia were found to be not as evenly distributed. Value of care provided through private and CDDS pathways were two- to threefold higher than that of AMS-based and public pathways. Conclusion The data indicate that the original hypothesis that the disease-driven care should lead to similar mixes of provided dental care, is not supported. What is known about the topic? The pricing of dental care is a topic that gets substantial discussion in the private sector. However, its effect in the government sector is very limited in its consideration. This research is a bold first step in Australia to look at the influence of different modes of care delivery on the mix of care provided. What does this paper add? This research is a unique first effort to examine the influence of different modes of care delivery on the type of care provided. It clearly highlights that the pathway for care in the government sector do have very different care outcomes. What are the implications for practitioners? The implications are clear; practitioners need to be aware that care is provided in the context of the pathway in which the care is offered and this will influence the type of care provided. Care is not a single outcome and multiple factors influence the outcome for patients.

Prospective case series on the use of peripheral nerve stimulation for focal mononeuropathy treatment

2019 ◽  
Vol 9 (6) ◽  
pp. 551-558 ◽  
Author(s):  
Jessica Oswald ◽  
Varun Shahi ◽  
Krishnan V Chakravarthy
Keyword(s):  
Peripheral Nerve ◽  
Case Series ◽  
Suprascapular Nerve ◽  
Intercostal Nerve ◽  
Nerve Stimulator ◽  
Patient Case ◽  
Peripheral Nerve Stimulator ◽  
Pain Scores ◽  
Early Results ◽  
Prospective Case Series

Aim: This case series looks at outcomes in 39 patients implanted using the Bioness Stimrouter system on various isolated mononeuropathies. Patients & methods: A case series of 39 patients with a total of 42 implants were enrolled starting August 2017 at various pain management centers. Results: Of 39 patients studied, 78% of the participants noticed an improvement in their pain. There was a 71% reduction in pain scores with the average preprocedure score of 8 improving to 2 post-implant. Participants noted on average a 72% improvement in activity with the greatest observed in the brachial plexus (80%) and suprascapular nerve (80%) and smallest in the intercostal nerve (40%). Approximately 89% of those implanted with a peripheral nerve stimulator experienced a greater than 50% reduction in opioid consumption. Conclusion: Peripheral nerve stimulators are a new, minimally invasive neuromodulation modality that shows promising early results in our 39-patient case series.

scholarly journals COVID-19 in Dental Settings: Novel Risk Assessment Approach

2021 ◽  
Vol 18 (11) ◽  
pp. 6093
Author(s):  
Ali Alsaegh ◽  
Elena Belova ◽  
Yuriy Vasil’ev ◽  
Nadezhda Zabroda ◽  
Lyudmila Severova ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
Dental Care ◽  
Care Delivery ◽  
Oral Diseases ◽  
Infectious Risk ◽  
Care Workers ◽  
Assessment Approach ◽  
Public Health Authorities ◽  
Novel Coronavirus

The novel coronavirus (COVID-19) outbreak is a public health emergency of international concern, and this emergency led to postponing elective dental care procedures. The postponing aimed to protect the public from an unknown risk caused by COVID-19. At the beginning of the outbreak, for public health authorities, the aerosol-generating procedures and the close proximity between dental care workers and patients in dentistry represented sufficient justification for the delay of dental visits. Dental care is a priority, and for many years, studies have proven that the lack and delay of dental care can cause severe consequences for the oral health of the general population, which can cause a high global burden of oral diseases. Safety is necessary while resuming dental activities, and risk assessment is an efficient method for understanding and preventing the COVID-19 infectious threats facing the dental industry and affecting dental care workers and patients. In this study, for safe dental care delivery, we adapted risk assessment criteria and an approach and an occupational classification system. Based on those tools, we also recommend measures that can help to minimize infectious risk in dental settings.

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