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 The “business” of dentistry: Consumers’ (patients’) criteria in the selection and evaluation of dental services

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0253517
Author(s):  
Laura Gray ◽  
Lisa McNeill ◽  
Weiming Yi ◽  
Anastasia Zvonereva ◽  
Paul Brunton ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Treatment Options ◽  
Clinical Effectiveness ◽  
Healthcare Services ◽  
Geographic Region ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Services ◽  
Dental Practitioners ◽  
Chi Square Analysis

The dimensions of patient-centred care include not only clinical effectiveness and patient safety, but, importantly, the preferences of patients as consumers of healthcare services. A total of 249 participants were included in the study, with a balanced population proportional representation by age, gender, ethnicity and geographic region of New Zealand. An online questionnaire was used to identify participants’ decision-making process, and what factors and barriers for participants to seek dental treatment. Cross-tabulations, Spearman correlation analysis and Pearson Chi-Square analysis were used for the statistical analyses. Three most common reasons for visit were check-up (77%), clean (57%) and relief of pain 36%). A desire to treat a perceived problem was the most common encouraging factor to seek dental care. Cost was the most common barrier to seeking dental services. The majority of participants attended a private practice (84%), with convenience of location and referral from professionals the most likely to influence their choice. Participants felt the most important trait a dental practitioner could demonstrate was to discuss treatment options with them before any treatment. Dental check-up, teeth cleaning and relief of pain were the most common reasons for patients to choose dental services. Cost and ethnicity of the consumers had a significant impact on how dental services were perceived and sought. Dental practitioners may need to reorientate how they express value of oral health practice, not just in regard to communication with patients, but also with government funding agencies.

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.

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.

The Influence of an Oral Health Education Program Provided in a Community Dental Clinic on the Prevalence of Caries Among 12-14 Year-Old Children

2009 ◽  
Vol 33 (3) ◽  
pp. 259-264 ◽  
Author(s):  
Moti Moskovitz ◽  
Wassim Abud ◽  
Diana Ram
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Education Program ◽  
Dental Treatment ◽  
Intervention Group ◽  
Control Group ◽  
Dental Clinic ◽  
Health Education Program ◽  
Oral Health Education ◽  
Significant Difference

Objectives: To evaluate the effectiveness of an oral health education program when given in a public dental clinic, by assessing caries and restorations. Methods: This was done by assessing changes in caries prevalence in the mouth of children aged 12 to 14 year- old. Data was obtained from files of patients treated in the Dental Volunteers for Israel (DVI) clinic in Jerusalem. Children must prove understanding and also application of what they learned in the educational program in order to receive restorative dental treatment. Results: 280 children were included in the intervention group. The control group constituted 173 children who had never had any restorative treatment in the DVI clinic. The extent of caries surfaces differed greatly between the intervention and the control groups. 35.2% of the control group, and as many as 64% of the intervention group had low caries (DMFS< 3). The situation is reversed when comparing the difference in the restored teeth surfaces between the two groups- 56.6% of the control group had no restorations and 66.2% of the children in the intervention group had treated teeth. DMFS scores reveal fewer differences between the two groups. The mean carious surface was 1.8 times greater in the control group, and the restored surfaces were 2.1 times greater for the intervention children. Nevertheless when comparing DMFS means between control and intervention groups t-test result shows no statistical significant difference for the slightly lower DMFS levels in the intervention group. Conclusions: This study shows that even a comprehensive preventive program given by professional personnel,followed by free dental treatment, is not enough to improve dental health status for children from a lower socioeconomic class. Still, a consideration of the ethical responsibility of the profession to educate children about oral diseases and their prevention should be carried out, irrespective of the implementation of the knowledge.

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 A dataset for dental anxiety and psychological distress in 1550 patients visiting dental clinics

2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Alexander Zinke ◽  
Christin Bohl ◽  
Hendrik Berth
Keyword(s):  
Psychological Distress ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Brief Symptom Inventory ◽  
Anxiety Scale ◽  
Dental Clinic ◽  
Symptom Inventory ◽  
Dental Patients ◽  
Dental Clinics ◽  
Gender And Age

Abstract Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.

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 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.

Prevalence Of Dental Anxiety Among University Students And Affect On Dental Attendance

2020 ◽  
Author(s):  
Dominique Reid ◽  
Kemisha Kerr ◽  
Xavier Carty ◽  
Jeffrey D’Ornellas ◽  
Brittney Gervais ◽  
...  
Keyword(s):  
Oral Health ◽  
University Students ◽  
Dental Care ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Attendance ◽  
Caribbean Population ◽  
Socio Demographic Factors ◽  
The University ◽  
Self Administered Questionnaire

Objective: To investigate the prevalence of dental anxiety in an adult Caribbean population and explore its relationship to socio-demographic factors and dental attendance. Methods: An anonymous self-administered questionnaire was distributed to students attending The University of The West Indies, in Trinidad. The questionnaire included demographic items, self-rated oral health and dental attendance and the Modified Dental Anxiety Scale (MDAS). This self-reported instrument has five questions about anxiety to dental treatment rated on a 5- point scale (1=not anxious to 5=extremely anxious). Results: 197 university students participated in the study. 51.3% were male. 76% were 18-24 years-old. Overall, 62.4% of participants reported a low level of dental anxiety (MDAS 5-14), 22.3% moderate dental anxiety (MDAS 15-18) and 15.2% severe dental anxiety (MDAS 19+). Over a quarter of participants reported that they would be extremely anxious if they were to have a tooth drilled or about to have a local anaesthetic injection (27.4% and 26.9% respectively). Higher mean anxiety scores were reported by female participants those who had difficulty finding dental care or had avoided going to the dentist due to fear of treatment (t-test p<0.05) and those with lower self-rated oral health (ANOVA p<0.05), Conclusions: Among this sample of university students, the majority of participants reported low levels of dental anxiety. Higher dental anxiety levels were associated with gender, difficulty finding dental care, avoiding dental visits due to fear and lower self-rated oral health.

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