Changes of dental anxiety and fear in adult patients applying conscious sedation

Dental anxiety is common within the population and can detrimentally affect the delivery of dental care for those patients affected. Non-pharmacological-based behaviour management techniques are available to the clinician but may not be sufficient or applicable for every patient. In such cases, intravenous conscious sedation with midazolam has been demonstrated to be safe, effective and well tolerated. The present article reviews the criteria and guidance which must be addressed by the dental team when establishing an intravenous conscious sedation service in a primary dental care setting. CPD/Clinical Relevance: General dental practitioners may wish to consider establishing a conscious sedation service in their practices to facilitate the care of nervous patients or those undergoing prolonged, unpleasant treatments such as surgical procedures. The present paper aims to highlight the considerations which require to be addressed in order to establish such a service for adult patients using intravenous midazolam.

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Dental Anxiety and Fear Levels, Patient Satisfaction, and Quality of Life in Patients Undergoing Orthodontic Treatment: Is There a Relationship?

10.5152/turkjorthod.2021.21177 ◽

2021 ◽

Vol 34 (4) ◽

pp. 234-241

Author(s):

Zeynep Çoban Büyükbayraktar ◽

◽

Cenk Doruk ◽

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Orthodontic Treatment ◽

Dental Anxiety ◽

Anxiety And Fear

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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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Adaptation and Validation of the Malay Version of the Index of Dental Anxiety and Fear (IDAF-4C+) for Malaysian Secondary School Children

Malaysian Journal of Medical Sciences ◽

10.21315/mjms2018.25.3.11 ◽

2018 ◽

Vol 25 (3) ◽

pp. 111-119

Author(s):

Izyan Hazwani Baharuddin ◽

◽

Wan Nor Arifin ◽

Kueh Yee Cheng ◽

Normastura Abd Rahman ◽

...

Keyword(s):

Secondary School ◽

School Children ◽

Dental Anxiety ◽

Anxiety And Fear

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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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Evaluation of Dental Anxiety and Fear in Patients who Admitted to the Faculty of Dentistry: Which Patients are More Risky in terms of Dental Anxiety.

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i6.8 ◽

1970 ◽

Vol 29 (6) ◽

Author(s):

Burkay YAKAR ◽

Türkkan Öztürk KAYGUSUZ ◽

Edibe PİRİNÇCİ

Keyword(s):

Dental Treatment ◽

Dental Health ◽

Dental Anxiety ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Post Hoc ◽

One Way Anova ◽

Anxiety And Fear ◽

Dental Appointments

Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants.Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. Weconducted the student t-test, One-way Anova and Tukey’s post hoc for the analysis of our data. The Pearson’s correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales.Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more.Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations.

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