scholarly journals Anxiety In A Dental And Maxillofacial Surgery Consulting Room: Does Previous Experience Matter?

2019 ◽  
Vol 2 (2) ◽  
pp. 165-170
Author(s):  
Wasiu Olalekan Olawole ◽  
Kehinde Kazeem Kanmodi ◽  
Abdulwarith Akinshipo ◽  
Abdulrazzaq Olanrewaju Taiwo
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Maxillofacial Surgery ◽  
Previous Experience ◽  
P Values ◽  
Pain Experience ◽  
Dental Visits ◽  
Dental Practitioners ◽  
History Of ◽  
History Of Pain

AbstractObjectivesTo explore the associations between previous dental visits and dental anxiety among patients presenting at the dental and maxillofacial surgery clinic of Department of Dental and Maxillofacial Surgery, Federal Medical Centre, Birnin Kebbi, Nigeria.Materials and methodsThis study was a cross-sectional study conducted among 172 patients. Study instrument was a 9-item structured questionnaire, which obtained information about the participants regarding their: demographic profile; previous dental experience; and dental anxiety status in a dental and maxillofacial surgery consulting room. Data collected were analyzed using the SPSS Version 20 Software. Associations between variables were evaluated using Chi-square statistics using a p < 0.05 to determine the level of statistical significance.ResultsRoughly, six-tenth (57.6%) of the participants were males. The observed prevalence of dental anxiety among the participants was 47.7%. A history of pain experience during past dental treatment as well as a history of past dental visit were found to have statistically significant relationships with participants’ dental anxiety status (p-values < 0.05). However, the frequency of previous dental visits, a history of past dental treatment, and a history of use of intraoral injections in the course of past dental treatment were found to have no statistically significant relationship with participants’ status of dental anxiety (p-values > 0.05). Finally, the prevalence of dental anxiety among the groups of female folks with “a history of previous visit to a dentist” and “a history of pain experience in the past dental treatment” were found to be significantly higher than that observed among similar groups among the male folks (p-values < 0.05).ConclusionPrevious experience of pain plays a major role of influence over dental anxiety experience among patients. Hence, dental practitioners need to pay more attention towards dental anxiety management among patients, especially women.

scholarly journals Dental Anxiety: Etiology and Treatment Options

2015 ◽  
Vol 62 (4) ◽  
pp. 174-183 ◽  
Author(s):  
Milica Jovanović-Medojević ◽  
Jelena Nešković ◽  
Aleksandar Medojević
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Treatment Options ◽  
Health Problems ◽  
Dental Procedure ◽  
Dental Visits ◽  
Individual Approach ◽  
Adequate Therapy ◽  
Dental Practitioners ◽  
The Right

Summary Dental anxiety might be the cause of serious health problems. Avoiding dental visits can lead to complications with functional, esthetic and sociological consequences. In order to have a simple and efficient dental procedure, it is very important to diagnose dental anxiety and to react adequately. The aim of this paper is using available literature to present most frequent causes, consequences as well as treatment options for dental anxiety. Treating dental anxiety and choosing the right treatment is not always easy, however, it is important for dental practitioners to be able to assess patient’s behavior, possible causes of such behavior and select adequate therapy methods. Individual approach is very important as well as timely recognition and gradation of dental anxiety in order to apply adequate and successful dental treatment.

scholarly journals Exploring Dentist Opinions on the Provision of Intravenous Sedation in Primary Dental Care for UK Armed Forces Personnel

2019 ◽  
Vol 185 (7-8) ◽  
pp. e1187-e1192
Author(s):  
Dave Edwards ◽  
Richard Ramsey ◽  
John Breeze ◽  
Mark Dermont
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Armed Forces ◽  
Operational Experience ◽  
Aeromedical Evacuation ◽  
Routine Treatment ◽  
Dental Practitioners ◽  
The Uk ◽  
Military Patients

Abstract Introduction: Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states that serving UK AF personnel requiring sedation to tolerate routine dental treatment are to have their Joint Medical Employment Standard (JMES) reviewed to restrict their deployability and employability. This article explores current sedation delivery, dentist opinion, and adherence to policy. Materials and Methods: The total number and type of intravenous (IV) sedation appointments over a 6-month period was assessed using surgical logbooks. Questionnaires were sent to all dentists in primary care responsible for treating military patients to ascertain their attitudes toward the requirement for sedation in support of recruitment and deployability. Ten-year retrospective data analyses were used to identify current trends in sedation use in the UK AF. Results: Responses were received from 117/137 (85%) dentists. All of the responding Civilian Dental Practitioners felt that there was a requirement for IV sedation in contrast to the Royal Navy (RN), where over a quarter (28%) disagreed. The majority, 48 (81%), of Army dentists felt that military patients unable to tolerate routine treatment under local anesthesia alone should not deploy on operations, compared with 7 (63%) of their civilian counterparts. Overall, 72 (62%) respondents felt that patients unable to tolerate routine treatment without sedation should not be recruited. Conclusions: Civilian Dental Practitioners in the sample indicated that they were less likely to recommend a patient for JMES review, less likely to prevent patients from deploying and less likely to believe that individuals requiring sedation for routine treatment should not be recruited into the UK AF. These attitudes are contrary to current Defence direction and could increase the risk of UK AF personnel experiencing morbidity on deployment requiring aeromedical evacuation. Over the longer term, civilianization of Defence dentistry is likely to reduce collective operational experience and Defence must ensure that clinicians understand the management of anxious patients in the military context and their responsibilities in relation to JMES. Furthermore, policy limiting the recruitment of personnel with significant dental anxiety is not being robustly adhered to. Based on the number of dental procedures undertaken under IV sedation in the UK AF, consistent application of this policy would not affect recruitment at an organizational level, but would limit the risk of deploying these personnel. Further work is required to understand dental anxiety within the UK Armed Forces so that the operational morbidity risks can be quantified and provision appropriately planned.

Outcomes Associated with Restored and Unrestored Deciduous Molar Teeth

2002 ◽  
Vol os9 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Keith M Milsom ◽  
Martin Tickle ◽  
David King ◽  
Paula Kearney-Mitchell ◽  
Anthony S Blinkhorn
Keyword(s):  
Dental Treatment ◽  
Working Party ◽  
British Society ◽  
North West ◽  
The North ◽  
Dental Practitioners ◽  
History Of ◽  
Molar Teeth ◽  
Deciduous Molar ◽  
Deciduous Molars

Introduction Most dental treatment for children in the United Kingdom (UK) is provided by general dental practitioners (GDPs) working in the National Health Service (NHS). A working party of the British Society of Paediatric Dentistry, in a special publication from the Dental Practice Board, has suggested that failure to provide restorative care for the deciduous dentition is unacceptable, yet GDPs are filling fewer teeth in young children. The study aimed to evaluate the health outcomes obtained from restoring carious deciduous molar teeth. Method The dental records of 677 children cared for by 50 GDPs in the north west of England were analysed. Results The results showed that 18.8% of deciduous molars with unrestored caries and 17.0% with a history of restorative care went on to be extracted because of pain or sepsis. Conclusion The results suggest that the risk of carious deciduous molars being extracted is similar whether these teeth receive restorative care or not.

scholarly journals Reliability and Validity of the Modified Dental Anxiety Scale in Turkish Patients

2005 ◽  
Vol 33 (2) ◽  
pp. 252-259 ◽  
Author(s):  
D İlgüy ◽  
M İlgüy ◽  
S Dinçer ◽  
G Bayirli
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Reliability And Validity ◽  
Anxiety Scale ◽  
Predictive Values ◽  
History Of ◽  
Sensitivity Specificity ◽  
Turkish Patients

We aimed to determine dental anxiety among Turkish patients and assess the sensitivity, specificity, positive/negative predictive values and reliability of the Modified Dental Anxiety Scale (MDAS) and Corah's Dental Anxiety Scale (DAS). Patients referred to our clinic for dental treatment who had a history of dental anxiety were included in the study. 294 randomly selected patients (mean age 38.8 years) completed a questionnaire combining Corah's DAS and MDAS. They were retested 15 days later. The prevalence of dental anxiety was found to be 9.9% (29/294) for Corah's DAS at the cut-off point ≥ 15 and 8.8% (26/294) for the MDAS at the cut-off point ≥ 19. Both dental anxiety scales gave acceptable sensitivity, specificity, positive and negative predictive values at these cut-off points.

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.

scholarly journals Epidemiological Survey of Dental Fear and Anxiety in Children Living in Transylvania

2014 ◽  
Vol 60 (4) ◽  
pp. 151-156
Author(s):  
Réka Gyergyay ◽  
Melinda Székely ◽  
Krisztina Mártha
Keyword(s):  
Dental Treatment ◽  
Pearson Correlation ◽  
Dental Anxiety ◽  
Epidemiological Survey ◽  
Dental Fear ◽  
T Test ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Fear And Anxiety ◽  
One Way Anova

Abstract Aims The objectives of the present survey were: 1) a systematic epidemiological investigation of dental fear and anxiety among children living in the central part of Romania and 2) to identify the most fearful aspects of dental care perceived by these children. Methods In this cross-sectional study 406 schoolchildren, 170 males and 263 females, aged 11-18 yearsfrom two cities, Tirgu Mureş and Sfintu Gheorghe were assessed. The subjects’ dental fear was evaluated with the Romanian versions of Corah’s Dental Anxiety Scale (MDAS) and Kleinknecht’s Dental Fear Survey (DFS), the anxiety level with Spielberger`s State and Trait Anxiety Inventory (STAI-S, STAI-T) and their opinion about dentists with Getz’s Dental Beliefs Scale (DBS). Questionnaires were completed anonymously at school. The study was approved by theResearch Ethics Committeeof the University of Medicine and Pharmacy Tirgu Mureş. For statistical analysis t-test, one-way ANOVA and Pearson’s correlation test were used by SPSS/PC statistics v. 17.0. Results The mean (±SD) scores of the surveyed subjects (mean age 15.69±2.06 years) were high: MDAS 10.65 (±4.5), DFS 38.68 (±15.1), DBS 36.93 (±11.9), STAI-S 37.90 (±10.9) and STAI-T 41.04 (±9.9), respectively. There was a strong positive Pearson-correlation between MDAS and DFS scores (r=0.73; p≤0.01) and a somewhat lower correlation between these scales and the general anxiety scores. Except for DBS, statistically significantly higher scores were found in females for every questionnaire (t-test, p≤0.05). The 11-year-old group presented the lowest scores in every case, while the peak was around 14 years. Age was a statistically significant factor only in case of DBS, STAI-S and STAI-T (one-way ANOVA, p<0.05). Drilling and injection were considered the most fearful moments of a dental treatment. Subjects claimed dental practitioners working under time pressure and communication deficiencies. Conclusions Having their special features, our findings were consistent with the local and international data. The subjects claim lack of time and communication deficiencies with the dentists. Identifying the reasons of dental fear and anxiety, might lead to solutions of avoidance or control.

scholarly journals Magnification of fear and intention of avoidance in non-experienced versus experienced dental treatment in adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Li-Ling Chen ◽  
Long-Ting Wu ◽  
Shue-Fen Yang ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Prior Experience ◽  
Dental Anxiety ◽  
Root Canal Treatment ◽  
Wisdom Tooth ◽  
Dental Visits ◽  
High Degree ◽  
Experienced Treatment ◽  
Anxiety And Fear

Abstract Background Dental fear is associated with the experience of prior dental treatment and avoidance of dental visits. It remains unclear if individuals show an intention of avoidance (IA) towards treatments that they have not received (i.e., non-experienced dental treatment). The study aims to investigated (a) if individuals showed an increased fear and IA to non-experienced, compared to experienced dental treatment, and (b) if fear and IA to non-experienced treatment is associated with dental anxiety. Methods Fear/IA of 12 common conditions of dental treatment of 402 adults were investigated. If subjects have experienced the condition, fear and IA were assessed based on subjects’ prior experience (i.e., ExpFear/ExpIA). If they have not experienced the condition, fear and IA were assessed based on their anticipation (i.e., NExpFear/NExpIA). Trait dental anxiety was assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Results (A) NExpFear and NExpIA were significantly higher than ExpFear and ExpIA, respectively. (B) The IDAF-4C+ scores are positively correlated with NExpFear/NExpIA and negatively correlated with the magnification of fear (i.e., the discrepancy in the fear/IA of non-experienced vs. experienced conditions). (C) The condition ‘extraction of a wisdom tooth’ and ‘root canal treatment’ showed the highest ratings on NExpFear. Conclusions Individuals may develop a high degree of fear and IA of the treatment they have not received. Trait dental anxiety plays a key role in the fear of non-experienced treatment.

scholarly journals The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil

2009 ◽  
Vol 25 (4) ◽  
pp. 743-750 ◽  
Author(s):  
Michelle Marie T. Oliveira ◽  
Viviane Colares
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Family Income ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Pain ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Cross Sectional ◽  
History Of

The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.

scholarly journals Dog-Assisted Therapy and Dental Anxiety: A Pilot Study

Animals ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. 512
Author(s):  
Cruz-Fierro ◽  
Vanegas-Farfano ◽  
González-Ramírez
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Procedure ◽  
Therapy Dog ◽  
Dental Procedures ◽  
Before And After ◽  
History Of ◽  
Three Stages

Animal-assisted therapy aimed at improving individuals’ mental or physical health has been widely reported. However, the data on how a therapy dog could help control anxiety during dental procedures is scarce. The objective of this work was to evaluate the effect of dog-assisted therapy on people with a history of dental anxiety while receiving preventive dental treatment. Twelve adults participated (women: n = 11 (91.7%) and men: n = 1 (8.3%), mean age = 31.25 years, D.E. = 5.78). The Corah Dental Anxiety Scale was applied, the patient’s mood was assessed with a Likert scale before and after receiving the dental treatment, and their blood pressure was recorded for each of the three stages of treatment. A therapy dog accompanied the participants during the dental procedure. The main results indicated that a decrease in discomfort was perceived during the intervention, and there was also an improvement in the patient’s evaluation of the experience. The results are based on the decrease in patients’ blood pressure when taken in the middle of the dental treatment.

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