scholarly journals Assessing the Attitudes and Clinical Practices of Ohio Dentists Treating Patients with Dental Anxiety

2016 ◽  
Author(s):  
Kristin A. Williams ◽  
Sarah Lambaria ◽  
Sara Askounes
Keyword(s):  
Gender Differences ◽  
Nitrous Oxide ◽  
Oral Health ◽  
Dental Anxiety ◽  
Mail Survey ◽  
Clinical Practices ◽  
Chi Square ◽  
Exact Test ◽  
Oral Health Disparities ◽  
General Dentists

Dental anxiety (DA) negatively affects patients’ oral and overall health. This study explored attitudes and clinical practices of licensed Ohio general dentists who treat patients with DA. Methods: An anonymous self-administered mail survey was sent to 500 general dentists licensed and practicing in Ohio. Responses to 21 pre-coded questions were analyzed. Frequencies were examined; cross-tabs, Chi-Square, and Fischer’s Exact Test were calculated for statements according to dentists’ gender. Alpha was set at p = 0.05. Results: Nearly all respondents treated anxious patients; males were more likely to find it challenging than females. Dentists were most familiar with distraction, although half found nitrous oxide to be an effective tool. Female dentists were more likely than males to be familiar with anxiolytics and find them effective. Conclusion: Overall, Ohio general dentists are most familiar with using distraction and nitrous oxide during appointments for anxious patients. Gender differences exist in attitudes towards anxiolytic use for patients with DA. Practice Implications: By identifying techniques that are comfortable for patient and practitioner, oral health disparities associated with DA may be reduced.

scholarly journals TREATMENT OF PATIENTS WITH DENTALANXIETY BY UNDERGRADUATE DENTAL SURGEON OF BIHAR: THERE ATTITUDE AND KNOWLEDGE TOWARD HANDLING PATIENT WITH DENTALANXIETY.

2020 ◽  
pp. 1-3
Author(s):  
Prakash Chandra Jha ◽  
Stuti Kumari ◽  
Kumar Anand ◽  
Abhishek Kumar ◽  
Soumen Mandal ◽  
...  
Keyword(s):  
Gender Differences ◽  
Health Disparities ◽  
Oral Health ◽  
Dental Anxiety ◽  
Mail Survey ◽  
Clinical Practices ◽  
Chi Square ◽  
Exact Test ◽  
Oral Health Disparities ◽  
General Dentists

Introduction: Dental anxiety negatively affects patients’ oral and overall health. This study explored attitudes and clinical practices of licensed Bihar general dentists who treat patients with dental anxiety. Methods: An anonymous self-administered mail survey was sent to 250 general dentists licensed and practicing in Bihar. Responses to 21 pre-coded questions were analysed. Frequencies were examined; cross-tabs, Chi-Square, and Fischer’s Exact Test were calculated for statements according to dentists’ gender. Alpha was set at p = 0.05. Results: Nearly all respondents treated anxious patients; males were more likely to find it challenging than females. Dentists were most familiar with distraction, although half found Tell-show-do to be an effective tool. Female dentists were more likely than males to be familiar with anxiolytics and find them effective. Conclusion: Overall, Bihar general dentists are most familiar with using distraction and Tell-show-do during appointments for anxious patients. Gender differences exist in attitudes towards anxiolytic use for patients with dental anxiety. Practice Implications: By identifying techniques that are comfortable for patient and practitioner, oral health disparities associated with dental anxiety may be reduced.

scholarly journals Anxiety of parents and children in dental care

2018 ◽  
Vol 66 (4) ◽  
pp. 321-329
Author(s):  
José Maria Chagas VIANA FILHO ◽  
Marayza Alves CLEMENTINO ◽  
Larissa Chaves Morais de LIMA ◽  
Ana Flávia Granville GARCIA ◽  
Margarida Maria Pontes de CARVALHO ◽  
...  
Keyword(s):  
Dental Care ◽  
Dental Anxiety ◽  
Study Data ◽  
Dental Procedure ◽  
Chi Square ◽  
Exact Test ◽  
Socioeconomic Variables ◽  
Parents And Children ◽  
Dental Appointment ◽  
Scale Data

ABSTRACT Objective: To verify the prevalence and association of parents’ and children’s anxiety concerning socioeconomic variables and child’s behavior during dental care. Methods: This was a quantitative, observational, transversal and descriptive study. Data collection was performed through a questionnaire aiming at sociodemographic data and dental experience as well as Venham Picture Test, Corah Dental Anxiety Scales and Frankl Anxiety Scale. Data were analyzed using descriptive and inferential statistics (Chi-square and Fisher’s exact test), α = 0.05. Results: The sample consisted of 7 to 9 year- old children (57.9%.), of whom 72.6% were submitted to invasive procedures. The prevalence of anxiety among children was 43.2% (n = 41). Regarding parents / guardians, the prevalence of anxiety was 88.4% (n = 84). A significant association was found between the dental appointment experience and the child’s anxiety (p = 0.050) using the VPT. A significant association between anxiety and the type of dental procedure (p = 0.017) as well as the child’s experience (p = 0.000) using the Frankl scale. Conclusion: There was no association between anxiety and socioeconomic variables. In the variables related to dental experiences, a significant association was found between the experience of the dental appointment and the anxiety of the child using the VPT scale. An association between anxiety and the type of procedure was observed, as well as dental appointment experience, using Frankl scale.

scholarly journals Anxiety presented by children facing dental treatment

2018 ◽  
Vol 66 (3) ◽  
pp. 212-218
Author(s):  
Cícera Alane de OLIVERA ◽  
Tamara GAMA ◽  
Evalena Lima CABRAL ◽  
Camila Helena Machado da Costa FIGUEIREDO ◽  
Gymenna Maria Tenório GUÊNES ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Anxiety Scale ◽  
Chi Square ◽  
Waiting Room ◽  
Exact Test ◽  
Chi Square Test ◽  
School Of Dentistry ◽  
Level Of Significance ◽  
Rotary Instrument

ABSTRACT Objective: To determine the profile of children from 6 to 12 years of age, in relation to anxiety towards dental treatment and evaluate the main factors that trigger anxiety in this population. Methods: The sample was composed of 200 children with an average age of 8.5 years who attended the Clinic of the School of Dentistry of the Federal University of Campina Grande and the Basic Healthcare Units of the municipality of Patos, Paraíba, Brazil between June 2015 and May 2016. Anxiety was assessed using the Dental Anxiety Scale and the Venham Picture Test. The Chi-Square test and Fisher’s exact test were used to explore the level of significance of the associations between the variables Results: Anxiety was observed in the majority of children (Dental Anxiety Scale - 89% and Venham Picture Test - 70.5%) and the predominant levels were low to moderate. The child´s age group was significantly associated with anxiety (p=0.014) by the Venham Picture Test, while gender did not present this correlation. Anxiety was influenced by all the factors studied: making the appointment, waiting room, rotary instrument and periodontal scaling. Conclusion: The majority of children presented anxiety and the trigger factors: making the appointment, waiting room, rotary instrument and periodontal scaling contributed considerably to its development.

scholarly journals Bio-sociodemographic and economic aspects and their connection to the oral health behavior of Brazilian and non-Brazilian academics

2019 ◽  
Vol 41 (1) ◽  
pp. 42649
Author(s):  
Ana Gesselena Da Silva Farias ◽  
Gabriela Silva Cruz ◽  
Juliana Costa Rodrigues ◽  
Francisco Cezanildo Silva Benedito ◽  
Daniel Freire de Sousa ◽  
...  
Keyword(s):  
Oral Health ◽  
Minimum Wage ◽  
Dental Care ◽  
Economic Aspects ◽  
Chi Square ◽  
Dental Floss ◽  
Exact Test ◽  
Chi Square Test ◽  
International University ◽  
Brazilian Students

The objective of this study is to characterize, relate and compare bio-sociodemographic and economic aspects, hygiene perception, habits and behaviors in the oral health of students recently admitted to an international university. This is a descriptive and quantitative study conducted with 101 Brazilian and non-Brazilian academics. For that purpose, a questionnaire was applied. The data were analyzed and submitted to Fisher’s exact test and Chi-square test. Male and Brazilian students predominated, followed by Guineans. Regarding the perception about oral health, 50.5% of Brazilian academics and 63.3% of non-Brazilian students considered it regular. Of the total participants, more than half of Brazilian and non-Brazilian students brushed their teeth 3 times a day. About dental floss, 98% of Brazilians know it and 76% of non-Brazilian didn’t use it. There was a significant association between the students with age lower than or equal to 18 years and the search for dental care, as well as income above one minimum wage and demand for this type of care. There were similarities and discrepancies between the behavior of Brazilian and non-Brazilian academics. Factors such as age lower than or equal to 18 years and income above one minimum wage positively influenced the search for dental care.

scholarly journals Use of Fluoride Dentifrices for Children: Evaluation of General and Pediatric Dentists' Recommendations

2020 ◽  
Author(s):  
Fernanda Souza Liévana ◽  
Ana Paula Dias Moreno ◽  
Marina Moscardini Vilela ◽  
José Tarcísio Lima Ferreira ◽  
Maria da Conceição Pereira Saraiva ◽  
...  
Keyword(s):  
Oral Health ◽  
Professional Training ◽  
Chi Square ◽  
Professional Performance ◽  
Health Area ◽  
Pediatric Dentists ◽  
Final Response ◽  
Fluoride Dentifrice ◽  
General Dentists ◽  
Educational Campaigns

Abstract Background: The aim of this study was to evaluate whether the recommendations of General Dentists (GD) and Pediatric Dentists (PD) on the use of fluoride dentifrice by children are in agreement with the recommendations given in dental association guidelines. Methods: A questionnaire with 11 questions was applied to GD and PD. Questions were about professional performance, as well as type and amount of dentifrices recommended according to the child's age. The way information was conveyed to patients and caregivers was also evaluated. The analysis of the associations between responses and professional training were performed using the Chi-square or Fisher's Exact tests. Results: 354 professionals filled out the questionnaire. The final response rates were 68% for GD and 85% for PD. GD had more recommendations that differ from those found in the guidelines than PD. Conclusion: There is still divergence between the guidelines recommended by dental associations with those of GD and PD. Therefore, it is necessary to conduct educational campaigns for all professionals in the oral health area.

scholarly journals EVALUATION OF ACCESS TO ORAL HEALTH AND THE NEED FOR TREATMENT IN ADOLESCENTS IN A FULL-TIME SCHOOL SYSTEM

2021 ◽  
Vol 9 (4) ◽  
pp. 153-163
Author(s):  
Priscilla Bittencourt de Almeida Figuereido ◽  
Suelly Maria Mendes Ribeiro ◽  
Marina Glaucia Alves Ramos ◽  
Miriam Almeida Alho ◽  
Arilson Lobo Figueiredo
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Epidemiological Survey ◽  
Full Time ◽  
Self Perception ◽  
Chi Square ◽  
Exact Test ◽  
Need For Treatment ◽  
Chi Square Test ◽  
Student’S T

This study evaluated the self-perception of adolescents' oral health and their oral conditions and the need for treatment in relation to dental caries. An epidemiological survey was carried out in the municipality of Belém, Pará, Brazil, in 2018. The sample consisted of 200 students, aged 11 to 16 years old, from a full-time public school. The data were collected through a questionnaire where their self-perception of their oral health was assessed and an intra-oral examination was carried out to assess oral health conditions in relation to dental caries, using the Dental Caries Index and need for treatment (ICDNT). The data analysis was based on the Chi-square test, and when the npq <5 restriction occurred, Fisher's exact test was applied. The comparison between quantitative variables was performed using the Student's t test. The average DMFT index was 3.57, with only 17% of the studied population free of caries. The carious component was the one with the greatest significance (3.14) and the need for treatment with the highest prevalence was the restoration of one face (47.5%). A percentage of 88.5% of the adolescents evaluated answered that they did not take a toothbrush to school. The studied sample had a moderate prevalence of caries compared to the parameters recommended by the WHO, but above the standard obtained in the national survey carried out in 2010. Therefore, it is necessary to implement measures aimed at improving the quality of oral health of these adolescents and a full-time system would be a ideal for implementing good habits and routines for the adolescent’s oral health.

scholarly journals A validation study of data in the National Tonsil Surgery Register in Sweden: high agreement with medical records ensures that data can be used to monitor clinical practices and outcomes

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Filip Lundström ◽  
Erik Odhagen ◽  
Fredrik Alm ◽  
Claes Hemlin ◽  
Pia Nerfeldt ◽  
...  
Keyword(s):  
Medical Records ◽  
Permutation Test ◽  
Criterion Validity ◽  
Sign Test ◽  
Clinical Practices ◽  
Chi Square ◽  
Perfect Agreement ◽  
Exact Test ◽  
Chi Square Test ◽  
Tonsil Surgery

Abstract Background The ambition of the National Tonsil Surgery Register in Sweden (NTSRS) is to improve otorhinolaryngological care by monitoring trends in the clinical practices, complications, and outcomes of tonsil surgery. The NTSRS collects data from both surgeons and patients and provides the participating clinics with daily updated data on a publicly available website. On the website, national and local results can be compared and monitored. The use of NTSRS data necessitates that the data is valid, but the NTSRS has not yet been validated. With approximately half of the registered patients responding to the postoperative questionnaires, an analysis of responders and non-responders is also necessary. The aim of this study was to assess the criterion validity of NTSRS data. Another aim was to compare the characteristics and rates of complications between postoperative questionnaire responders and non-responders. Methods Data in the NTSRS were compared with data in electronic medical records. The 200 most recent surgeries, up to 31 Dec 2019, in each of 11 surgical units were included. Criterion validity was analysed in terms of observed agreement, Cohens kappa, Gwet’s AC1, and positive and negative agreement. The sign test was used to analyse systematic differences between the NTSRS and the medical records. Comparisons of rates between groups were made with Fisher’s exact test, the chi-square test, and Fisher’s non-parametric permutation test. Results A total of 1991 registrations were included in the study. All variables showed very high observed agreement ranging from 0.91 to 1.00, and all variables had AC1 values corresponding to almost perfect agreement. The analysis of questionnaire responders and non-responders showed no statistically significant differences regarding age, indication, or type of surgery. The proportion of women was higher in the responder group. The rate of reoperation due to bleeding was higher in the responder group, but there were no differences regarding other complications. Conclusions The results of this study show that data in the NTSRS have criterion validity. The NTSRS is thus well suited for monitoring the clinical practices and outcomes of tonsil surgery. The quality of the data also implies that the registry can be used in both clinical improvement projects and research.

Venous Thromboembolism and High Grade Gliomas

1993 ◽  
Vol 70 (03) ◽  
pp. 393-396 ◽  
Author(s):  
Mandeep S Dhami ◽  
Robert D Bona ◽  
John A Calogero ◽  
Richard M Hellman
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
Medical Center ◽  
Significant Risk ◽  
Bleeding Complications ◽  
Fisher Exact Test ◽  
High Grade ◽  
Chi Square ◽  
Exact Test ◽  
High Grade Gliomas

SummaryA retrospective study was done to determine the incidence of and the risk factors predisposing to clinical venous thromboembolism (VTE) in patients treated for high grade gliomas. Medical records of 68 consecutive patients diagnosed and treated at Saint Francis Hospital and Medical Center from January 1986 to June 1991 were reviewed. The follow up was to time of death or at least 6 months (up to December 1991). All clinically suspected episodes of VTE were confirmed by objective tests. Sixteen episodes of VTE were detected in 13 patients for an overall episode rate of 23.5%. Administration of chemotherapy (p = 0.027, two tailed Fisher exact test) and presence of paresis (p = 0.031, two tailed Fisher exact test) were statistically significant risk factors for the development of VTE. Thrombotic events were more likely to occur in the paretic limb and this difference was statistically significant (p = 0.00049, chi square test, with Yates correction). No major bleeding complications were seen in the nine episodes treated with long term anticoagulation.We conclude that venous thromboembolic complications are frequently encountered in patients being treated for high grade gliomas and the presence of paresis and the administration of chemotherapy increases the risk of such complications.

Oral Health Condition and Dental Anxiety Among Students

2012 ◽  
Vol 3 (3) ◽  
pp. 295-298
Author(s):  
Ema Aleksic ◽  
◽  
jasmina milic ◽  
Maja Lalic ◽  
Adam Malesevic ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Anxiety ◽  
Health Condition

Use of SAMe-TT₂R₂ Score to Predict the Quality of Anticoagulation Control in Patients with Atrial Fibrillation Receiving Warfarin in Thailand

2020 ◽  
Vol 103 (6) ◽  
pp. 548-552
Keyword(s):  
Atrial Fibrillation ◽  
Therapeutic Range ◽  
Statistical Significance ◽  
Discrimination Performance ◽  
Poor Quality ◽  
Chi Square ◽  
Exact Test ◽  
Time In Therapeutic Range ◽  
Anticoagulation Control

Objective: To predict the quality of anticoagulation control in patients with atrial fibrillation (AF) receiving warfarin in Thailand. Materials and Methods: The present study retrospectively recruited Thai AF patients receiving warfarin for three months or longer between June 2012 and December 2017 in Central Chest Institute of Thailand. The patients were classified into those with SAMe-TT₂R₂ of 2 or less, and 3 or more. The Chi-square test or Fisher’s exact test was used to compare the proportion of the patients with poor time in therapeutic range (TTR) between the two groups of SAMe-TT₂R₂ score. The discrimination performance of SAMe-TT₂R₂ score was demonstrated with c-statistics. Results: Ninety AF patients were enrolled. An average age was 69.89±10.04 years. Most patients were persistent AF. An average CHA₂DS₂-VASc, SAMe-TT₂R₂, and HAS-BLED score were 3.68±1.51, 3.26±0.88, and 1.98±0.85, respectively. The present study showed the increased proportion of AF patients with poor TTR with higher SAMe-TT₂R₂ score. The AF patients with SAMe-TT₂R₂ score of 3 or more had a larger proportion of patients with poor TTR than those with SAMe-TT₂R₂ score of 2 or less with statistical significance when TTR was below 70% (p=0.03) and 65% (p=0.04), respectively. The discrimination performance of SAMe-TT₂R₂ score was demonstrated with c-statistics of 0.60, 0.59, and 0.55 when TTR was below 70%, 65% and 60%, respectively. Conclusion: Thai AF patients receiving warfarin had a larger proportion of patients with poor TTR when the SAMe-TT₂R₂ score was higher. The score of 3 or more could predict poor quality of anticoagulation control in those patients. Keywords: Time in therapeutic range, Poor quality of anticoagulation control, Warfarin, SAMe-TT₂R₂, Labile INR

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