scholarly journals Avaliação e manejo da ansiedade e fobia odontológica: a psicologia na formação do cirurgião-dentista

2020 ◽  
Vol 61 (2) ◽  
pp. 80-94
Author(s):  
Guilherme Borsato Gomes ◽  
Cecília Luiz Pereira Stabile ◽  
Vanessa Santiago Ximenes
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Health Condition ◽  
Traumatic Experiences ◽  
Vicious Cycle ◽  
Delayed Treatment ◽  
Use Of Resources ◽  
Dental Professional ◽  
Fear And Anxiety

Dental fear and anxiety arise from several factors, among them, exposure to previous traumatic experiences with needles, injections and instruments that can cause discomfort. Anxious patients tend to reschedule appointments, avoid treatments and are only available for visits at the dentist when painful symptoms appear, so delayed treatment tends to be more invasive and cause even more emotional damage to the patient, consequently aggravate this feeling and, in turn, create a vicious cycle in which avoiding treatment only makes the oral health condition even worse. It is up to professionals of Dentistry to identify anxiety in patients and make use of resources to manage this anxiety in order to enable an effective dental treatment with less emotional damage to the patient. The aim of this study is to evaluate, by means of a integrative literature review, the importance of the study of Psychology by the dental professional and to expose the techniques for coping with dental anxiety, based on scientific evidences.

scholarly journals Awareness on Smoking and Alcohol Use and Its Association With Increased Levels of Dental Fear and Anxiety - A Survey Among Dental College Students

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 614-622
Author(s):  
Harini P ◽  
Keerthi Sasanka L ◽  
Jothi Priya A
Keyword(s):  
Oral Health ◽  
Alcohol Use ◽  
Ordinal Data ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Dental Fear ◽  
Lifestyle Modifications ◽  
Dental Practitioners ◽  
Fear And Anxiety

Lifestyle modifications, work pressure, stress may lead to adverse habits like smoking, drinking and tobacco chewing. These habits may lead to poor oral health. Not only poor oral health may also lead to dental fear and dental anxiety. Self-administered questionnaires were designed based on knowledge, attitude and practice. The questionnaire was distributed through an online platform. The study population included people belonging to the age group of 18-24 age groups. The participants were explained about the purpose of the study in detail. The questions were carefully studied and the participants marked the corresponding answers. The data were collected and statistically analysed using SPSS software. Results were collected as an ordinal data and reported that smoking and alcohol causes increased dental fear which leads to poor oral health and some anxiety management techniques should be employed by dental practitioners to make the procedures in a simple way. For a satisfactory dental treatment and good oral health status, the state of mind of the patient is very important and it is influenced by many factors, including smoking and alcohol use. The aim of the study is to evaluate whether students are aware that the increased level of dental fear and anxiety is associated with smoking and alcohol use.

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

scholarly journals Dental Phobia among Pregnant Women: Considerations for Healthcare Professionals

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Muhanad Alhareky
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Healthcare Professionals ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
First Trimester ◽  
Considerable Proportion ◽  
Cross Sectional ◽  
Dental Phobia

Objective. To report the prevalence of dental phobia and associated factors among pregnant women. Materials and Methods. This cross-sectional study included pregnant women visiting hospitals in Dhahran, Khobar, and Dammam in Saudi Arabia. The Modified Dental Anxiety Scale (MDAS) was used to assess dental anxiety and phobia. The score of MDAS ranges from 5 to 25, and a cutoff value of 19 was used to identify participants with dental phobia. Results. The study analyzed data of 825 participants with mean age of 29.08 ± 5.18 years. The prevalence of dental phobia was 16.1%. About 46.9% of the sample believed that dental treatment should be avoided during pregnancy, and the importance of regular dental checkup was recognized by 16.4% of the participants. Dental phobia was associated with the perception of the health of teeth (P 0.004) and gums (P 0.016). Multiple logistic regression showed that being under the age of 30 years (OR 0.63, P 0.019) and updating knowledge about oral health (OR 0.49, P 0.006) were significantly associated with reduced likelihood of dental phobia. However, having bad dental experience (OR 2.13, P 0.001) and being in first trimester of pregnancy (OR 1.57, P 0.033) were significantly associated with increased odds of dental phobia. Conclusions. A considerable proportion of pregnant women reported dental phobia. The bad dental experience was associated with increased dental phobia. However, reduced likelihood of dental phobia was associated with updating oral health knowledge. Healthcare professionals may consider these factors to reduce dental phobia and improve oral health of pregnant women.

2079 – Oral health condition and hygienic habits among adult patients with respect to their level of dental anxiety

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
U. Kanaffa-Kilijańska ◽  
U. Kaczmarek ◽  
B. Kilijańska ◽  
D. Frydecka
Keyword(s):  
Oral Health ◽  
Dental Anxiety ◽  
Health Condition ◽  
Adult Patients

scholarly journals Experiential learning for children's dental anxiety: a cluster randomized trial

2020 ◽  
Author(s):  
Minmin Zhu ◽  
Hongbing Yu ◽  
Bo Xie ◽  
Hongwen Li ◽  
Qian He ◽  
...  
Keyword(s):  
Oral Health ◽  
Experiential Learning ◽  
Randomized Trial ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Cluster Randomized Trial ◽  
Oral Health Promotion ◽  
Mixed Effect ◽  
Cluster Randomized ◽  
Children’S Dental Anxiety

Abstract Background: Dental anxiety (DA) has an impact on the quality of dental treatment and may have long-lasting implications for children. A recent study introducing experiential learning (EL) into children’s oral health promotion resulted in better oral hygiene. The purpose of the study is to evaluate whether EL can reduce children's DA. Methods: In September 2018, we recruited 988 children aged 7-8 years from 24 classes to participate in a cluster-randomized trial. Classes were randomly assigned to EL (in which children received a lively presentation on oral health and participated in a role play in a simulated dental clinic in the classroom) or the Tell-Show-Do (TSD) group (in which children received a conventional TSD behavior management). The primary outcome was the prevalence of high DA after the procedure of pit and fissure sealant (PFS), assessed by a modified Children's Fear Survey Schedule-Dental Subscale. Secondary outcomes were changes in blood pressures (BP) and pulse rates (PR) before and after the PFS procedure. The intervention effects were estimated by means of mixed effect models, which included covariates of gender and school (and baseline value for BP and PR only), and a random cluster effect.Results: In 396 children of the EL group who received the PFS treatment, the prevalence of high DA (score ≥ 38) was 18.5%, compared with 24.3% in 391 children of the TSD group (OR=0.65; 95% confidence interval, 0.46-0.93; P=0.019). The increases in BP and PR after the PFS were also significantly less in the EL group. Conclusion: School-based experiential learning intervention before a dental visit is feasible and effective in reducing children’s dental anxiety during PFS.Trial registration: The trial was registered in Chinese Clinical Trial Registry on 5 January 2020 (No.: ChiCTR2000028878, retrospectively registered), http://www.chictr.org.cn/edit.aspx?pid=47970&htm=4.

scholarly journals The Anesthetic Management for a Patient With Trisomy 13

2017 ◽  
Vol 64 (3) ◽  
pp. 162-164 ◽  
Author(s):  
Masanori Tsukamoto ◽  
Takashi Hitosugi ◽  
Kanako Esaki ◽  
Takeshi Yokoyama
Keyword(s):  
Mental Retardation ◽  
Oral Health ◽  
Dental Treatment ◽  
Anesthetic Management ◽  
Well Being ◽  
Health Condition ◽  
Trisomy 13 ◽  
Central Apnea ◽  
Related Quality ◽  
Ventricular Septal Defect Closure

Trisomy 13 is a chromosomal disorder that occurs in complete or partial mosaic forms. It is characterized by central apnea, mental retardation, seizure and congenital heart disease. The survival of the patients with trisomy 13 is the majority dying before one month. Trisomy 13 is the worst life prognosis among all trisomy syndromes. It is reported the cause of death is central apnea. Special needs patients with mental retardation are recognized to have poorer oral health condition. Oral health related quality of life reflects daily activity and well-being. Dental treatment under general anesthesia is sometimes an option for such patients. This patient had received ventricular septal defect closure surgery at 2-year-old. In addition, he had mental retardation and seizure. Dental treatment had been completed without any cerebral and cardiovascular events under non-invasive monitoring with not only cardiac electric velocimetry, but also epileptogenic activity. In addition, postoperative respiratory condition was maintained stable in room air.

scholarly journals Factors Responsible for Delayed Presentation at the Dental Clinic of the Federal Medical Centre, Birnin Kebbi, Nigeria

2019 ◽  
Vol 2 (1) ◽  
pp. 12-20 ◽  
Author(s):  
W. Olawole ◽  
K. Kanmodi
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Treatment Options ◽  
Clinical Problem ◽  
Healthcare Services ◽  
Medical Centre ◽  
University Education ◽  
Delayed Presentation ◽  
Dental Clinic

Abstract Background: It is a very sad experience, as a clinician, to see a patient presenting very late at a dental office with complicated oral health-related problems when the initial causal problem is very cheap, easy, and simple to treat. This study aims to determine the factors causing delay in seeking dental treatment among the patients visiting the dental clinic of the Fedearal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria. Methodology: This study was questionnaire-based survey of 172 non-paediatric patients attending the dental clinic of the Federal Medical Centre, Birnin Kebbi, Nigeria. Data was obtained on their socio-demographic characteristics and the reasons behind their late presentation. Data analysis was done using the SPSS Version 20 Software. Results: Most of the participating patients were males (57.6%), Muslims (73.8%) and of age 16 – 35 years (65.1%). Also, 66.9% of them were from the Hausa tribe, 62.8% were married, and 40.1% had polytechnic/university education. The reasons indicated by the respondents for their delay in seeking early oral healthcare services at our dental clinic were diverse. However, the three most commonly given reason were: busy work schedules, dental anxiety, and preference for traditional treatment options. Conclusion: This study provides evidence of delayed presentation among patients visiting the dental clinic of the Federal Medical Centre situated in the Birnin Kebbi metropolis. This study also identified the reasons for such delays. This study also corroborates other studies in ascertaining that delayed dental visit is a public health and clinical problem in the Nigerian setting. Hence, there is an imminent need to ensure that the public are educated on oral health issues.

scholarly journals Reliability and validity of Serbian version of children's dental fear questionnaire

2015 ◽  
Vol 72 (7) ◽  
pp. 602-607 ◽  
Author(s):  
Maja Lalic ◽  
Ema Aleksic ◽  
Jasmina Milic ◽  
Adam Malesevic ◽  
Bojan Jovicic
Keyword(s):  
Oral Health ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Reliability And Validity ◽  
Oral Health Status ◽  
Dental Fear ◽  
Old Patients ◽  
Psychometric Instrument ◽  
Dental Attendance ◽  
Serbian Version

Background/Aim. Dental anxiety leads to avoidance of dental treatment and could lead to impaired oral health. The aim of this study was to determine the reliability of the Serbian version of Children?s Fear Survey Schedule Dental Subscale (CFSS-DS) and the relations between dental anxiety and oral health status in a sample of Serbian schoolchildren. Methods. The CFSS-DS scale was translated into Serbian and administered to 231 (12-year old) patients of the Pediatric Dental Department, Public Health Center Cukarica, Belgrade. The number of healthy, decayed, missing and filled teeth (DMFT score) in children was determined by a clinical exam. Results. The average CFSS-DS score was 26.47 ? 10.33. The girls reported higher anxiety than the boys (p < 0.05). Most common fears were drilling, choking, going to the hospital and anesthesia. Lower CFSS-DS scores were recorded in children with all healthy teeth (p < 0.05). Children with higher CFSS-DS scores mostly visit the dentist due to pain or parental insistence, and those with lower anxiety scores more often visited dentist due to regular check-ups or non-invasive treatments (p < 0.01). A high value of the Cronbach's coefficient of internal consistency (? = 0.88) was found in the entire scale. Conclusion. The Serbian version of CFSS-DS questionnaire is reliable and valid psychometric instrument for evaluation of dental fear in Serbian children. Dental anxiety negatively affects dental attendance and oral health of the examined schoolchildren.

Management of pain and anxiety

2018 ◽  
Author(s):  
M.T. Hosey ◽  
G.J. Roberts
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Strong Relationship ◽  
Older Children ◽  
Behaviour Management ◽  
General Anxiety ◽  
Anxiety Control ◽  
Operative Care ◽  
Fear And Anxiety ◽  
Good Behaviour

Pain and anxiety are natural physiological and psychological responses. Pain is a direct response to an adverse stimulus that has occurred; anxiety is the unpleasant feeling, the worry that something unpleasant might occur. Pain and anxiety are often intertwined, especially in the dental setting. The best way to manage child dental anxiety is to avoid its occurrence in the first place through prevention of dental disease, good behaviour management, pain-free operative care, and treatment planning that is tailored to the needs and developmental stage of each individual child. These issues are detailed in the previous chapters. This chapter specifically focuses on pharmacological pain and anxiety control and explores the roles of conscious sedation and general anaesthesia (GA) as adjuncts to behaviour management. A child’s perception of pain is subjective and varies widely, particularly with age. Infants up to about 2 years of age are believed to be unable to distinguish between pressure and pain. Older children begin to have some understanding of ‘hurt’ and begin to distinguish it from pressure or ‘a heavy push’. It is not always possible to identify which children are amenable to explanation and will respond by being cooperative when challenged with local anaesthesia (LA) and dental treatment in the form of drilling or extractions. Children over 10 years of age are much more likely to be able to think abstractly and participate more actively in the decision to use LA, sedation, or GA. As children enter their teenage years they are rapidly becoming more and more like adults and are able to determine more directly, sometimes emphatically, whether or not a particular method of pain control will be used. The response is further determined by the child’s coping ability influenced by family values, level of general anxiety and intelligence. There is a strong relationship between the perception of pain experienced and the degree of anxiety perceived by the patient. Painful procedures cause fear and anxiety; fear and anxiety intensify pain. This circle of cause and effect is central to the management of all patients. Good behaviour management reduces anxiety, which in turn reduces the perceived intensity of pain, which further reduces the experience of anxiety.

Dental Anxiety, Fear and Anxiety of Performing Dental Treatments among Dental Students during Clinical Studies

2020 ◽  
Vol 44 (6) ◽  
pp. 407-411
Author(s):  
Sigalit Blumer ◽  
Benjamin Peretz ◽  
Native Yukler ◽  
Sagit Nissan
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Clinical Stage ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Cross Sectional ◽  
Study Population ◽  
Fear And Anxiety ◽  
First Time

Purpose: Dental student’s dental anxiety may negatively affect patient’s attitude towards dental treatment. We evaluated dental anxiety among dental students in different clinical stage of their studies. We assessed the student’s anxiety prior to treating patients. Study design: A cross-sectional study. Fourth to sixth-year dental students completed questionnaires containing: 1) Dental Anxiety Scale (DAS); 2) Dental Fear Survey (DFS); and 3) visual analogue scale questions relating to the student’s anxiety when performing dental treatments in children and adults. Results: 124 dental students completed the questionnaires (mean age, 26.4±3.1 years, 59.7% women). Average DAS in the study population was 7.55±2.15 with similar scores observed across the years. Average DFS score was highest among fourth-year students (1.62±0.65) and lowest among sixth year students (1.36±0.32). DFS scores decreased as the students progressed through the clinical years (p=0.059). The students’ average anxiety scores prior to treating children were significantly higher than the anxiety scores prior to treating adults (3.82±2.42 vs. 2.67±1.9, p&lt;0.001). Fifth-year students had significantly higher anxiety scores prior to treating children and adults compared to fourth and sixth-year students. Conclusion: Dental anxiety among dental students is relatively low and decreases gradually as they progress through the clinical years. Anxiety prior to treating patients, particularly children, is at its highest just before starting to treat patients for the first time. As dental students are future healthcare providers, it is important that they learn techniques to help them manage their own dental anxiety and fear as well as deal with anxiety related to treating patients.

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