Relationship between Child and Parental Dental Anxiety with Child's Psychological Functioning and Behavior during the Administration of Local Anesthesia

2016 ◽  
Vol 40 (6) ◽  
pp. 431-437 ◽  
Author(s):  
Vasiliki Boka ◽  
Konstantinos Arapostathis ◽  
Nikolaos Kotsanos ◽  
Vassilis Karagiannis ◽  
Cor van Loveren ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Psychological Functioning ◽  
Dental Treatment ◽  
Cooperative Behavior ◽  
Dental Anxiety ◽  
Social Subscale ◽  
The Mean ◽  
And Behavior ◽  
Dental Appointment ◽  
The Relationship

Objectives: The aims of this study were to determine: 1) the relationship between children's psychological functioning, dental anxiety and cooperative behavior before and during local anesthesia, 2) the relationship of parental dental anxiety with all the above child characteristics. Study design: There was a convenient sample of 100 children (4–12 years). Child dental anxiety and psychological functioning were measured using the “Children's Fear Survey Schedule” (CFSS-DS) and the “Strengths and Difficulties Questionnaire” (SDQ) respectively. Parental dental anxiety was measured using the “Modified Dental Anxiety Scale” (MDAS). All questionnaires were completed by parents. Before and during local anesthesia, the child behavior was scored by one experienced examiner, using the Venham scale. Non-parametric tests and correlations (Mann-Whitney, Spearman's rho) were used for the analysis. Results: The mean SDQ score was 10±5.6 for boys (n=60) and 8.3±4.8 for girls (n=40) (p=0.038), but there was no correlation with children's age. The mean CFSS-DS score was 33.1±11.86 and there was no correlation with age or gender. Children with higher levels in the pro-social subscale of the SDQ had significantly less anxiety and better behavior before local anesthesia. Higher mean CFSS-DS scores were significantly associated with uncooperative behavior during local anesthesia (p=0.04). There was no correlation between parents' and their children's dental anxiety, psychological functioning and behavior. 46% of the children had previous dental experience in the last 6 months. As time since the last dental treatment increased, an improvement was found in children's behavior during local anesthesia. Conclusions: Child psychological functioning was related to dental anxiety and behavior during dental appointment involving local anesthesia.

Attitudes to Conscious Sedation in Patients Attending an Emergency Dental Clinic

2005 ◽  
Vol os12 (1) ◽  
pp. 27-32 ◽  
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.

Skin Conductance, Marlowe-Crowne Defensiveness, and Dental Anxiety

1994 ◽  
Vol 79 (1) ◽  
pp. 611-622 ◽  
Author(s):  
Carmen Benjamins ◽  
Albert H. B. Schuurs ◽  
Johan Hoogstraten
Keyword(s):  
Skin Conductance ◽  
Dental Care ◽  
Electrodermal Activity ◽  
Dental Anxiety ◽  
Skin Conductance Level ◽  
Dental Patients ◽  
High Anxious ◽  
Skin Conductance Levels ◽  
Dental Appointment ◽  
The Relationship

The present study assesses the relationship between self-reported dental anxiety (Dental Anxiety Inventory, Dental Anxiety Scale, and Duration of Psychophysiological Fear Reactions), electrodermal activity (skin-conductance level and frequency of spontaneous responses), and Marlowe-Crowne defensiveness. All measurements were made twice. The first session was scheduled immediately before a semi-annual dental check-up (stress condition), and baseline measurements were made two months later without the prospect of a dental appointment. Subjects were male dental patients who regularly attended a university dental clinic and a clinic for Special Dental Care. The main findings were that the low anxious-high defensive-scoring (Marlowe-Crowne Denial subscale) university patients showed significantly higher skin-conductance levels and frequency of nonspecific fluctuations than the low anxious-low defensive-scoring subjects. Besides, the conductance values of the low anxious-high defensive-scoring subjects resembled those of the high anxious-low defensive-scoring patients of the clinic for Special Dental Care, the baseline frequency of nonspecific fluctuations excepted.

scholarly journals Assessment of dental anxiety and the prevalence of dental caries in a group of 6-9 years old children.

2020 ◽  
Vol 3 (2) ◽  
pp. 18-23
Author(s):  
Ramona Vlad ◽  
Oana Elena Stoica ◽  
Alexandra Mihaela Stoica ◽  
Monica Monea
Keyword(s):  
Personal Experience ◽  
Dental Treatment ◽  
Dental Health ◽  
Dental Anxiety ◽  
Negative Association ◽  
Dental Office ◽  
Dmft Index ◽  
The Mean ◽  
Children First ◽  
Dental Health Status

AbstractChildren`s dental anxiety is responsible for increasing dental health problems, as patients avoid seeking treatment. The aim of our study was to evaluate the level of dental anxiety and its correlation with dental health status in a group of children aged between 6-9 years.Material and Methods. Our study included 56 children: first, they completed a questionnaire and then the decay-missing-filled teeth index was measured (DMFT).Results. From a total of 59 children, 29 children had dental anxiety (51.78%) and the prevalence of caries was 69%. The mean and SD for the DMFT index was 1.76+/- 1.54 (2.04 +/- 1.98 for boys and 1.69 +/- 1.72 for girls, with p= 0.0391, p<0.05).In conclusion, the level of dental anxiety can be reduced by frequent visits to the dental office. A favorable personal experience might help children increasing their confidence for dental treatment. There was a significant negative association between the value of filled teeth and the level of child's anxiety.

Mandibular Block or Maxillary Infiltration

2012 ◽  
Vol 36 (3) ◽  
pp. 245-250 ◽  
Author(s):  
D Ram ◽  
E Amir ◽  
R Keren ◽  
J Shapira ◽  
E Davidovich
Keyword(s):  
Local Anesthesia ◽  
Adverse Reactions ◽  
Dental Treatment ◽  
Age Groups ◽  
Parent Report ◽  
Lower Lip ◽  
Dental Appointment ◽  
Previous Visit ◽  
Two Age Groups ◽  
Dental Appointments

Purpose: Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration. Methods: Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report. Results: More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit. Conclusions: Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.

Dental Anxiety Among Patients Undergoing Various Dental Treatments in a Nigerian Teaching Hospital

2005 ◽  
Vol 6 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Christopher I. Udoye ◽  
Adeleke O. Oginni ◽  
Fadekemi O. Oginni
Keyword(s):  
Teaching Hospital ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Contributory Factor ◽  
Age Group ◽  
Cultural Backgrounds ◽  
Root Canal Therapy ◽  
Study Population ◽  
The Mean

Abstract The aim of the present study is to evaluate the levels of dental anxiety among patients undergoing various dental treatments and to compare the anxiety levels with those of similar studies conducted with subjects from different socio-cultural backgrounds. Dental anxiety was evaluated by the administration of a questionnaire based on the Corah's Dental Anxiety Scale (DAS). Student t-test and analysis of variance (ANOVA) with Bonferoni correction was employed to compare the mean DAS scores. Females recorded higher total DAS scores than males (7.49 ± 2.96 and 7.16 ± 3.44, respectively). Patients in the 24-34 year age group showed the highest total DAS scores (8.25 ± 3.20) followed by the <24 year age group. The total DAS scores for age groups 35-39 and >50 years differ significantly from those of age groups <24 and 24-34 years. The highest DAS score was recorded for root canal therapy (9.30 ± 2.84) followed by extraction. The level of dental anxiety among this study population is lower than those reported elsewhere. The observed avoidance of dental treatment among Nigerians, despite the seemingly low mean DAS scores, may be related to dental anxiety. The authors are, however, of the opinion poor dental awareness may be a contributory factor. Citation Udoye CI, Oginni AO, Oginni FO. Dental Anxiety Among Patients Undergoing Various Dental Treatments in a Nigerian Teaching Hospital. J Contemp Dent Pract 2005 May;(6)2:091-098.

scholarly journals Dental anxiety and the effectiveness of local anesthesia

2020 ◽  
Vol 19 ◽  
pp. e208127
Author(s):  
Hadi Esmaeili ◽  
Mohammad Malekzadeh ◽  
Davood Esmaeili ◽  
Farid Nikeghbal
Keyword(s):  
Logistic Regression ◽  
Elementary Education ◽  
Regression Model ◽  
Local Anesthesia ◽  
Logistic Regression Model ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional

Aim: The successful anesthesia is an essential factor for dental treatment. This study aimed at determining the effectiveness of local anesthesia and it’s relationship with dental Anxiety. Methods: This cross-sectional study was carried out on 256 dental patients, in 2017. Dental Anesthesia was administered after completing the Modified Dental Anxiety Scale by the patients. The level of anesthesia was recorded in one of three states (successful, difficult, and failed). Collected data was analyzed using SPSS version 22 and tests of, Chi-square, independent t-test, analysis of variance, and logistic regression model.  Results: About 60.5% subjects had moderate-severe dental anxiety. The mean of dental anxiety significantly was lower in the successful anesthesia group (P<0.01). Patients with elementary education had a significantly higher level of dental anxiety (P<0.01). Dental anxiety was significantly higher in the age group of ≥59 years, compared to the other age groups, except for 49-58 years (P<0.05). Subjects with a significantly higher level of dental anxiety more delayed their visits to the dentist. The logistic regression model showed that the dental anxiety (high anxiety) and literacy level (elementary) were the most important predictors of failed or difficult anesthesia. Conclusion: Informing patients about dental treatment procedures, regular and periodic visits to the dentist, using psychotherapeutic techniques to reduce dental anxiety before anesthesia, could play an important role in the success of anesthesia.

Which Behaviors Do Attitudes Predict? Meta-Analyzing the Effects of Social Pressure and Perceived Difficulty

2005 ◽  
Vol 9 (3) ◽  
pp. 214-227 ◽  
Author(s):  
David S. Wallace ◽  
René M. Paulson ◽  
Charles G. Lord ◽  
Charles F. Bond
Keyword(s):  
Standard Deviation ◽  
Meta Analysis ◽  
Social Pressure ◽  
Perceived Difficulty ◽  
Theoretical Hypothesis ◽  
The Mean ◽  
Attitude Behavior ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
The Relationship

A meta-analysis of 797 studies and 1,001 effect sizes tested a theoretical hypothesis that situational constraints, such as perceived social pressure and perceived difficulty, weaken the relationship between attitudes and behavior. This hypothesis was confirmed for attitudes toward performing behaviors and for attitudes toward issues and social groups. Meta-analytic estimates of attitude-behavior correlations served to quantify these moderating effects. The present results indicated that the mean attitude-behavior correlation was .41 when people experienced a mean level of social pressure to perform a behavior of mean difficulty. The mean correlation was .30 when people experienced social pressure 1 standard deviation above the mean to perform a behavior that was 1 standard deviation more difficult than the mean. The results suggest a need for increased attention to the “behavior” side of the attitude-behavior equation. Attitudes predict some behaviors better than others.

scholarly journals Use of Virtual Reality (VR) as an Audio-Visual Distraction Tool in the Reduction of Dental Anxiety during Local Anesthesia

2021 ◽  
pp. 102-108
Author(s):  
Jalison Jacob Cheruvatoor ◽  
Lim Kaini ◽  
Mohamad Adib Bin Mohd Ali Hanafiah ◽  
Muhammad Azizuddin Bin Sihabubdin ◽  
Vinay Marla
Keyword(s):  
Virtual Reality ◽  
Local Anesthesia ◽  
Test Scores ◽  
Rating Scale ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Feedback Questionnaire

Aims: Dental anxiety is a relatively common problem and it leads to undesirable distresses, such as postponement or avoidance of dental treatment thereby resulting in poorer quality of treatment and reduced oral health related quality of life. Dental anxiety is especially seen in patients undergoing dental injections. To evaluate the effectiveness of audiovisual distraction in the reduction of dental anxiety during la injection. Study design:  Cross-sectional study. Place and duration of study: Patients visiting Penang International Dental College, Malaysia, between June 2017 and July 2018. Methodology: A total of 176 patients (88 female and 88 male) requiring endodontic therapy or tooth extraction were recruited for this study. A 14-question long questionnaire using Hamilton anxiety rating scale; and a separate feedback questionnaire was used to evaluate patients’ anxiety level and the severity of anxiety symptoms. Paired t-test was used to analyze the data. Results: There was a significant reduction in the anxiety scores (p<0.001) of the patients following the use of VR distraction during the la procedure. On an average, the pre-test scores were 1.932 points higher than post-test scores. Conclusion: Virtual reality could be used as a possible non-pharmacologic means of reducing dental anxiety in patients receiving local anesthesia.

A Novel Distraction Technique for Pain Management during Local Anesthesia Administration in Pediatric Patients

2013 ◽  
Vol 38 (1) ◽  
pp. 45-47 ◽  
Author(s):  
PS Kamath
Keyword(s):  
Local Anesthesia ◽  
Pediatric Patients ◽  
Control Method ◽  
Dental Treatment ◽  
Intervention Group ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Post Operative Pain ◽  
The Mean

Aim: The aim of this study was to assess the effect of an active and novel distraction technique WITAUL (Writing In The Air Using Leg) on the pain behavior observed and reported by children receiving local anesthesia injections prior to dental treatment. Study design: The study was conducted on 160 children (80 in control and 80 in intervention group) between the ages of 4 - 10 years. During the administration of anesthesia the children in the control group were made to relax by means of deep breathing and those in the intervention group were taught to use the WITAUL distraction technique. the behavior of the children aged 4 - 5 years was noted using the Modified Toddler-Preschooler Post operative Pain Scale (TPPPS) and that of children aged above 6 years was measured using the FACES Pain Scale-Revised (FPS-R). Results: The use of WITAUL was found to be statistically significant (p value &lt; 0.0001) compared to the control method in serving as a distraction and hence in managing pain during local anesthesia administration. The mean Modified TPPPS scores (4 - 5 year olds) for the WITAL group was 2.46 ±1.752 and that of the control was 5.64±2.328. The mean FPS-R scores (6 - 10 year olds) for the WITAUL group was 3±1.748 and that of the control group was 6.26±1.858. Conclusion: The WITAUL technique therefore appears to be a simple and effective method of distraction during local anesthesia administration in pediatric patients.

Indicators of Dental Anxiety in Children Just Prior to Treatment

2014 ◽  
Vol 39 (1) ◽  
pp. 12-17 ◽  
Author(s):  
M Majstorovic ◽  
DE Morse ◽  
D Do ◽  
LL Lim ◽  
NG Herman ◽  
...  
Keyword(s):  
New York ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Pediatric Dentistry ◽  
Parental Anxiety ◽  
New York University ◽  
Child Gender ◽  
Parental Characteristics ◽  
The Relationship ◽  
Child Age

Objectives: We evaluated the relationship between child dental anxiety and selected child and parental characteristics. Study design: Children and their parents were interviewed at the New York University, College of Dentistry, Pediatric Dentistry Clinic. The Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) evaluated child self-reported anxiety; the Modified Dental Anxiety Scale (MDAS) measured self-reported parental anxiety when the parent received dental treatment. Results: Ninety-three children and their parents completed the questionnaires. Mean CFSS-DS scores were higher for girls than boys (32.5 vs. 26.3, p=0.003) and for children whose accompanying parents had MDAS scores of 11+ vs. ≯11 (32.8 vs. 26.6, p=0.001). There was little difference in mean CFSS-DS scores among those aged 6-10 yrs. vs. 11-14 yrs. (30.1 vs. 29.3). Significant correlations were found between CFSS-DS and both gender (Spearman's rho, rs=0.31) and MDAS scores (rs=0.33), but not between CFSS-DS and child age (rs=-0.05). Controlling simultaneously for gender, MDAS score and child age, a high CFSS-DS score (38+ vs. ≯38) was positively associated with girls (ORadj=3.76, 95% CI: 1.13-12.54) and an MDAS score of ≤15 vs. ≯11 (ORadj=2.50, 0.73-8.54), but weakly and inversely associated with age (ORadj=0.80, 0.25-2.52). Conclusion: Child gender and parental anxiety are indicators of child dental anxiety.

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