scholarly journals Evaluation of the relationship among dental fear, scaling root planning  and periodontal status using periodontitis stages: a retrospective study

2020 ◽  
Author(s):  
Yeungyeung Liu ◽  
Caimei Zhang ◽  
Jingyi Wu ◽  
Huimin Yu ◽  
Duoling Xu ◽  
...  

Abstract Background: The present study used the new classification of periodontitis and validated questionnaires to assess the relationship among dental fear, scaling and root planning (SRP) pain and periodontal status for clinical evaluation. Methods: One hundred and twenty periodontitis patients were enrolled for retrospective analysis and staging according to the new classification of periodontitis. All patients included in this study from July 2018 to January 2020 were divided into periodontitis stages. Scaling and root planning (SRP) was performed and Visual analogue scale (VAS) was determined for every patient immediately after SRP. Application of questionnaires including Corah’s Dental Anxiety Scales (DAS), Dental Fear Survey (DFS), and the short-form Dental Anxiety Inventory (S-DAI) were implemented from the first attendance and consequent visits after 6 months. All patient demographic data were collected including age, gender, marital status and education level. The scores of each dental fear scale and combination scales were also recorded. Patients were further subdivided into two categories based on DAS scores (low dental fear group: DAS<13; high dental fear group: DAS≥13). Statistical analysis was performed using t-test, chi-square, pearson and spearman correlative analysis to evaluate the relationship and differences among dental fear, SRP pain and periodontal status. Results: Compared to pre-SRP treatment, dental fear level of DFS and combination scales were significantly decreased in the post-treatment period for all the periodontitis stages. There was no statistically significant difference between the pre-treatment and post-treatment periods on S-DAI and DAS in stage I and II; meanwhile, there were statistically significant differences between pre-treatment and post-treatment periods on S-DAI and DAS in stage III and IV. The correlation among periodontitis stages, VAS and dental fear level assessed via DAS, DFS and S-DAI, was statistically significant. In the categories divided according to DAS scale, the proportion of high periodontitis stages was significantly increased in high dental fear group (DAS≥13). Conclusion: SRP can reduce dental fear level in all periodontitis stages, especially in stage III and IV. Correlations exists among periodontal status, dental fear and SRP pain. High dental fear is associated with poor periodontal status.

2020 ◽  
Author(s):  
Yeungyeung Liu ◽  
Caimei Zhang ◽  
Jingyi Wu ◽  
Huimin Yu ◽  
Duoling Xu ◽  
...  

Abstract Background: The present study used the new classification of periodontitis and validated questionnaires to assess the relationship among dental fear, SRP pain and periodontal status for clinical evaluation.Methods: An amount of 120 periodontitis patients were retrospective analyzed and staged according to the new classification of periodontitis. Scaling and root planning (SRP) was performed and Visual analogue scales (VAS) applied immediately after SRP treatment. Application of questionnaires including Corah’s Dental Anxiety Scales (DAS), Dental Fear Survey (DFS), and the short-form Dental Anxiety Inventory (S-DAI) were adopted at the time of first attendance and consequent visit after 6 months to assess dental fear level. The scores of each dental fear scale and combination scales were recorded. Patients were divided into two categories according to DAS value (low dental fear group: DAS<13; high dental fear group: DAS≥13). The statistical analysis was performed by t-test, chi-square, pearson and spearman correlative analysis to evaluated the relationship and differences among dental fear, SRP pain and periodontal status.Results: Compared to pre-SRP treatment, dental fear level of DFS and combination scales were significantly decreased in post-treatment in all periodontitis stage. There were no statistical significance on dental fear level of S-DAI and DFS between patients pre and post-treatment in periodontitis stage I and II, while statistical significance were shown in stage III and IV. Correlation were statistical significance among dental fear level assessed by DAS, DFS and S-DAI, VAS and periodontitis stages. Significant differences of patient amount were shown between two categories according to DAS.Conclusions: SRP can reduce dental fear level in all periodontitis stages, especially stage III and IV. Correlations exist among periodontal status, dental fear and SRP pain. High dental fear relates to poor periodontal status.


2019 ◽  
Vol 6 (10) ◽  
pp. 284-287
Author(s):  
Can Özükoç

Objective: Molar incisor hypomineralization (MIH), a quite common condition in pediatric dentistry, whose treatment might seem complicated, manifests itself with severe dental anxiety and fear that can cause behavioral problems. Although dental fear is seen in almost all cases, it is believed that dental fear will increase as the severity of MIH increases. This study evaluates the relationship between MIH severity and dental fear. Material and Methods: Children Fear Survey Schedule-Dental Subscale (CFSS-DS) was used to measure dental fear in 58 (51.79%) children whose teeth suffered from mild, moderate or severe MIH and 54 (48.21%) children with healthy teeth. Scores between 1 (not afraid at all) and 5 (very afraid) were given according to the responses. Each question was evaluated separately in order to obtain the total score. Results: Children with severe MIH who participated in the study were proved to be more afraid of the dentists, drill sounds, injections, placement of instruments in the mouth, choking and going to the hospital; and there was a statistically significant difference (p<0.05). Conclusion: Although it was observed that the severity of MIH and dental fear are correlated and dental fear increases with the increase in the MIH severity, further studies in this subject are necessary.


2021 ◽  
Vol 13 ◽  
Author(s):  
Yu Duan ◽  
Xuanfeng Qin ◽  
Qinqzhu An ◽  
Yikui Liu ◽  
Jian Li ◽  
...  

Background and Purpose: The aim of this study was to compare the different subtypes of anterior choroidal artery (AChoA) aneurysm based on a new classification and to analyze the risk factors according to individual endovascular treatment (EVT).Methods: In the new classification, AChoA aneurysms are classified into independent type (I type) and dependent type (II type) based on the relationship between the AChoA and the aneurysm. II type aneurysms have three subtypes, IIa (neck), IIb (body), and IIc (direct). We retrospectively analyzed 52 cases of AChoA aneurysm treated in our center between 2015 to 2019. There were 13 (25.0%) I type aneurysms, 24 (46.2%) IIa aneurysms, 15 (28.8%) IIb aneurysms, and no IIc type; 28 cases had a subarachnoid hemorrhage. According to our preoperative EVT plan for the different subtypes: II type should achieve Raymond-Roy Occlusion Class 1 (RROC 1) where possible. To protect the AChoA, it is best to preserve the neck of the IIa type aneurysms (RROC 2), and RROC 3 is enough for IIb type.Results: Ten asymptomatic cases with minimal aneurysms were treated conservatively. Of the other cases, 42 were treated with individualized EVT (26 with a simple coil, 6 with balloon-assisted coiling, 7 with stent-assisted coiling, and 3 by flow diverter. Different subtypes had different RROC (Z = 14.026, P = 0.001). IIb type aneurysms (χ2 = 7.54, P = 0.023) were one of the factors related to temporary or permanent AChoA injury during surgery. Overall, two patients (IIa = 1, IIb = 1) developed contralateral hemiparesis.Conclusions: The new classification diagram clearly shows the features of all types of AChoA aneurysm and makes EVT planning more explicit. The II type (particularly IIb) was a potential risk factor for AChoA injury.


Author(s):  
Lívia Maria Lopes de OLIVEIRA ◽  
Lívia Mirelle BARBOSA

ABSTRACT Periodontal disease and type 2 diabetes mellitus are considered chronic diseases that at their core have a deep relationship with inflammation. It is assumed that there is a bidirectional relationship between periodontal disease and type 2 diabetes mellitus. It is estimated that approximately 10% of the world’s population is affected by periodontal disease, in its most severe form, almost the same percentage estimated for people with diabetes, which is considered a 21st century emergency. The World Workshop for the Classification of Periodontal and Peri-implant Diseases and Conditions took place from September 9-11, 2017. The aim of this study is to analyze the results of this workshop with regard to the relationship between periodontal diseases/conditions and diabetes mellitus, in addition to conducting an integrative review on the topic. A literature review was conducted, using the Medline electronic databases via Pubmed, Scientific Electronic Library Online, Scientific and Technical Literature of Latin America and the Caribbean and Virtual Health Library. A new classification of periodontal disease included tools for individual assessment of the patient and recognizing risk factors that might negatively interfere in response to treatment. The occurrence of metabolic lack of control in periodontal patients with type 2 diabetes mellitus is now considered a factor of great importance for the assessment of individual susceptibility to the progression of periodontitis. Diabetes is believed to promote a hyper inflammatory response to bacterial challenge by modifying the tissue response of periodontal tissues.


2020 ◽  
Author(s):  
Patrick E. Savage ◽  
Emily Merritt ◽  
Tom Rzeszutek ◽  
Steven Brown

Classification of organisms and languages has long provided the foundation for studying biological and cultural history, but there is still no accepted scheme for classifying songs cross-culturally. The best candidate, Lomax and Grauer’s “Cantometrics” coding scheme, did not spawn a large following due, in part, to concerns about its reliability. We present here a new classification scheme, called “CantoCore”, that is inspired by Cantometrics but that emphasizes its “core” structural characters rather than the more subjective characters of performance style. Using both schemes to classify the 30 songs from the Cantometrics Consensus Tape, we found that CantoCore appeared to be approximately 80% more reliable than Cantometrics. Nevertheless, Cantometrics still demonstrated significant reliability for all but its instrumental characters. Future multidisciplinary applications of CantoCore and Cantometrics to the cross-cultural study of musical similarity, musical evolution, musical universals, and the relationship between music and culture will provide the true test of each scheme’s value.


2009 ◽  
Vol 3 (2) ◽  
pp. 29-33 ◽  
Author(s):  
Ravi Gupta ◽  
Manish Jain ◽  
Purav Mehta ◽  
Anmol Mathur ◽  
D Prabu ◽  
...  

ABSTRACT Aims and Objective The aim of the study was to investigate the relationship between dental anxiety and regularity of dental attendance. Methods A survey was carried out among 25-30 years old 150 inhabitants of Udaipur in order to study between regularity of dental attendance and dental anxiety, dental upbringing of respondents, dental behaviors of the parents, education, sex, socioeconomic status, and interaction between these independent variables, on the others. Data were analyzed with Chi square and Multiple Logistic Regression analysis. Results Education, dental upbringing, regular dental attendance, socioeconomic status and interaction between education and anxiety were found to be importance for the prediction of regularity of dental attendance. Conclusion it has to concluded that other factor must be included to achieve and improvement of the classification of irregular attenders. Dental anxiety, although of importance, can not account for adequate differentiation between regular and irregular attenders.


Foods ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1627
Author(s):  
Vicente Ferreira ◽  
Arancha de-la-Fuente-Blanco ◽  
María-Pilar Sáenz-Navajas

Although perceptual interactions are usually mentioned and blamed for the difficulties in understanding the relationship between odorant composition and aromatic sensory properties, they are poorly defined and categorised. Furthermore, old classifications refer mainly to effects on the odour intensity of the mixture of dissimilar non-blending odours and do not consider odour blending, which is one of the most relevant and influential perceptual interactions. Beginning with the results from classical studies about odour interaction, a new and simple systematic is proposed in which odour interactions are classified into four categories: competitive, cooperative, destructive and creative. The first categories are most frequent and display a mild level of interaction, being characterised mostly by analytical processing. The last two are less frequent and activate (or deactivate) configurational processes of object recognition with deep effects on the quality and intensity of the perception. These interactions can be systematically applied to interpret the formation of sensory descriptors from the odorant composition, suggesting that qualitatively the system works. However, there is a lack of quantitative data to work with odour intensities reliably, and a pressing need to systematise the effects of creative interactions.


2020 ◽  
Vol 53 (4) ◽  
pp. 175
Author(s):  
Lisa Prihastari ◽  
Rima Ardhani Iswara ◽  
Ghina Al Afiani ◽  
Fajar Ramadhan ◽  
Mega Octaviani ◽  
...  

Background: The anxiety associated with dental visits is one of the obstacles preventing dentists from improving oral health and is also a significant predictor of dental visit evasion, which is frequently observed in Indonesia. Purpose: To identify the level of dental fear and anxiety in the population of Jakarta, Indonesia and establish the relationship with sociodemographic factors. Methods: A cross-sectional method was used with a sample size of 1811 respondents aged 17–65 years old who were asked to complete the validated Indonesian versions of modified dental anxiety scale (MDAS) and dental fear scale (DFS) questionnaires. The data obtained was then analysed using nonparametric and chi-square tests. Results: The prevalence of subjects with moderate to high dental anxiety and fear was 16.3% (295 respondents) and 36.1% (654 respondents), respectively. The primary sources of dental fear and anxiety were dental drilling and anaesthesia before tooth extraction. The results of the nonparametric and chi-square tests show that both are significantly related to gender, age, educational status, income level, insurance and history of dental visits (p = < 0.05). Conclusion: Several sociodemographic factors are associated with dental fears and anxiety among the participants in Jakarta, Indonesia.


Author(s):  
Shafaq Noori

Background: Dental anxiety is an affecting condition that aid normal persons to protect themselves in opposition to multiplicity of threats and pressure. The study aimed to assess the prevalence of dental anxiety in pre and post dental treatment. Methods: A total of 210 patients were selected who are first and/ or second visited for any dental complain. The selected patients were divided into two groups. Group I: pre-treatment Group II: post-treatment. In pretreatment 42.8 % male and 3.2% female was selected for the study. While 20.9 % male and 23.8 % female were selected for study in post-treatment. Corah’s Dental Anxiety Scale (DAS) is used to assess the anxiety among the study population. Anxiety level is categorized into moderate, high and severe anxiety score. Results: The research found significant results in moderate, high and severe anxiety score in pre treatment group while severe anxiety score was observed in post-treatment group. Significant mean differences were observed in pre and post treatment anxiety group when compared with control while no changes were observed between pre and post treatment. A strong but negative correlation was observed in 15-20 years (male) with anxiety score in pretreatment group while negative strong correlation was observed in (female) 20-30 years anxiety post treatment group. A strong negative correlation was observed in unmarried / married male and female in pretreatment group. While positive strong correlation was observed in married female in post-treatment group. Conclusion: The results of this study are not representative of dental anxiety subjects during pre and post treatment. The prevalence of dental anxiety is obvious in married female however; it may be controlled by the positive attitude and behavior of dentists.


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