scholarly journals DENTAL FEAR

2018 ◽  
Vol 25 (06) ◽  
pp. 959-965
Author(s):  
Zainab Fatima ◽  
Aysha Rashid ◽  
Farakh Abdullah ◽  
Bushra Rasheed

Objectives: Anxiety towards dental procedures is common problem thatmay be experienced by dental patients all over the world. This study focused on evaluatingthe prevalence of dental anxiety and its relationship with age, gender, religion, residence,previous traumatic experience and family history in patients coming to dental department ofLahore General Hospital, Pakistan. Study Design: Cross-sectional study. Setting: Departmentof Dentistry of Lahore General Hospital, Pakistan. Period: 1st Jan 2017 to 29th Feb 2017.Material and Methods: A total of 110 patients, aged 10- 85 years were selected for the study.A questionnaire comprising the Modified Dental Anxiety Scale (MDAS) and Dental ConcernAssessment was used to measure the level of dental anxiety and concern towards dentalprocedure was used. Data was analyzed using SPSS version 20. Results: The mean anxietyscore of the 110 patients was 10.43 (SD=5.4). The prevalence of dental anxiety among thestudy population was 37.9%. Based on severity of dental anxiety, 13.6% and 24.3% werefound to be moderately and highly anxious, respectively. Independent sample t-test showedmales were “slightly anxious” than females on items of MDAS such as use of drill and injection.Correlational analyses show significant positive relationship between residence, family history,dental concern and dental anxiety. Linear regression revealed that residence (rural) emergedas significant predictor of MDAS in patients with dental anxiety (P>0.05) accounting for 76%of variance. Conclusion: Female patients, patients belonging to rural areas and family historywere associated with increased MDAS score.

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jiali Yu ◽  
Rui Jiang ◽  
Er-Min Nie ◽  
Chun-Yuan Zhang ◽  
Xiang Li

Background. Anxious people appear to exaggerate the severity of aversive experiences such as anxiety and pain. Anxiety towards dental procedures is a common difficulty that may be experienced by dental patients all over the world. The goal of the study is to find out the prevalence of dental anxiety and its associated factors in Chinese adult patients. Methods. A cross-sectional study was conducted on 183 dental adult patients whose age ranged from 18 to 70 years. Demographic details, first and most recent dental visits with experience, the MDAS, and the Visual Analogue Scale for Anxiety (VAS-A) were obtained. Data were analyzed by frequency analysis, chi-square test, and Spearman correlation test. Results. Most of the respondents were female (68.9%) and 30–45 years age group. The mean total score for dental anxiety on the MDAS was 13.63 (3.1). 80.3% of participants suffered from moderate or high dental anxiety. Age must show a strong association with dental anxiety among the participants ( p = 0.011 ). The first dental visit experience, the frequency of the dental visit, most recent dental experience, length of time since the most recent dental visit, and postponement of the dental visit are strongly associated with the MDAS score ( p = 0.001 ). Conclusions. The MDAS score exhibits that Chinese adult patients have significant dental anxiety and phobia. Identifying patients with dental anxiety as soon as possible is essential to providing better dental care.


2020 ◽  
Vol 10 (3) ◽  
pp. 1143 ◽  
Author(s):  
Cristiano Scandurra ◽  
Roberta Gasparro ◽  
Pasquale Dolce ◽  
Vincenzo Bochicchio ◽  
Benedetta Muzii ◽  
...  

The aim of this monocentric cross-sectional study was to evaluate the psychometric characteristics of the Italian version of the Level of Exposure-Dental Experiences Questionnaire (LOE-DEQ) in an Italian sample of 253 dental patients ranging from 18–80 years of age. The LOE-DEQ assesses 16 potential dental distressing experiences and 7 general traumatic life events through 4 subscales: (1) dentists’ behaviour and patients’ emotions (DBPE); (2) distressing dental procedures (DDP); (3) other distressing dental events (ODDE); and (4) general traumatic events (GTE). Confirmatory factor analysis showed that the original 4-factor model had adequate fit to the data obtained from the Italian sample. Criterion validity was partially confirmed as only DBPE and DDP positively correlated with dental anxiety. Similarly, convergent validity was also partially confirmed as DBPE, DDP, and ODDE correlated with negative beliefs towards the dentist and the dental treatment. Discriminant validity was fully confirmed, as all correlations were below 0.60. Finally, DDP was the factor most associated with high dental anxiety. This study offers evidence of the reliability and validity of the LOE-DEQ in the Italian context, providing Italian researchers and dentists with a tool to assess dental and general distressing experiences in dental patients.


2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Hairui Zhang ◽  
Ran Ren ◽  
Jinlin Liu ◽  
Ying Mao ◽  
Guowei Pan ◽  
...  

Background. Patients with chronic liver disease (CLD) have extrahepatic manifestations and impaired health-related quality of life (HRQOL), and hepatitis C virus (HCV) infection is a leading cause of CLD, cirrhosis, and hepatocellular carcinoma (HCC). This study is aimed at assessing HRQOL in patients with HCV infection in the rural areas and identifying factors associated with impairment of HRQOL. Methods. A cross-sectional study was conducted in a county of Liaoning Province in northeast China. HRQOL of patients with HCV infection was assessed using the chronic liver disease questionnaire (CLDQ) and EuroQol-5 dimensions (EQ-5D). Data were transformed to score comparisons of six major CLDQ domains, EQ index, and visual analog scale (VAS). Results. A total of 397 (93.4%) subjects, including 67 healthy subjects (HSs), 314 patients with chronic hepatitis C (CHC), and 16 patients with liver cirrhosis (LC) completed the study. The overall quartile CLDQ scores for HSs, patients with CHC, and patients with LC were 6.4 (6.0, 6.7), 5.8 (4.6, 6.4), and 4.1 (3.0, 6.0), respectively. The quartile scores of EQ index for the three groups were 1.0 (1.0, 1.0), 1.0 (0.8, 1.0), and 0.9 (0.6, 1.0), respectively. The median scores of EQ VAS for the three groups were 85.0, 60.0, and 60.0, respectively. Female sex, patients with family history of hepatitis, other comorbid chronic diseases, drinking, and disease duration≥10 years were associated with significant improvement in overall CLDQ scores, and family history of hepatitis and other comorbid chronic diseases were considered predictive factors for EQ index and VAS, respectively. Conclusions. Compared with HSs, HCV infection had a greater negative impact on HRQOL in patients with CHC and LC. The significant factors associated with HRQOL include female sex, patients with a family history of hepatitis, other comorbid chronic diseases, drinking, and disease duration≥10 years. Patients with HCV infection in the rural areas should be paid careful attention regarding their HRQOL with proper health education and disease management.


Author(s):  
Dr. Srividhya. S ◽  
Dr. Saraswathi Gopal

Aim and Objective: Anxiety exhibited by patients towards dental procedures are common problems experienced by many across the world. This study focuses on evaluating the dental anxiety among patients attending the outpatient clinics of Meenakshi Ammal Dental College and Hospital and its association with their age, gender, educational level. A total of 200 patients, aged 21–50 years were included in the study. A questionnaire comprising the Corah’s Dental Anxiety Scale was used to assess the level of dental anxiety. The data obtained was analyzed using SPSS software.  Results:. Independent t-test did not show significant variation among the age groups with respect to overall anxiety score (P≥ 0.05), however, it was reduced with increasing age. There was no significant difference was found by independent t-test between male and female groups and regarding previous dental visit (P ≥0.05). Regarding education level, there was no statistical difference between the groups (P > 0.05) Younger patients, female patients were associated with increased anxiety scores. The present study was done for better patient management and proper treatment plan development for dentally anxious patients


2017 ◽  
Vol 6 ◽  
Author(s):  
Afolabi Oyapero ◽  
Ogunbanjo B Ogunbiyi

Aim: Dental anxiety is a subjective state of feelings that is associated with impending danger even when the stimulus or threat is not immediately present or readily identifiable. It has been ranked fifth among commonly feared situations. In Nigeria however, limited studies have been conducted in this field thus far with only one identified study using the Modified Dental Anxiety Scale. The aim of this study therefore was to assess the level of dental anxiety in dental patients attending the Lagos State University Teaching Hospital, Ikeja (LASUTH) using the Modified Dental Anxiety Scale (MDAS).Materials and Methods: This cross-sectional study was conducted at LASUTH. A structured interviewer administered questionnaire was used for data collection.Results: The prevalence of dental anxiety was 20.5% while the prevalence of extreme anxiety of 4.1%. Having a local anaesthetic (MDAS≥15 =24.6%) and having a tooth drilled (MDAS≥15=21.3%) were most associated with dental anxiety. The best predictors for dental anxiety from this study were, in descending order, age, education, marital status and gender.Conclusion: A rapid screening tool such as the MDAS could be routinely applied on prospective dental patients to determine their level of anxiety. Appropriate non-pharmacologic and pharmacologic strategies could then be targeted at vulnerable respondents to make their dental experience as pleasant as possible.


2021 ◽  
Vol 14 (4) ◽  
pp. 498-503
Author(s):  
Yagoub Dhafer Alyami ◽  
◽  
Jana Khalid Farran ◽  
Jumanah Ateeq Alsubhi ◽  
Jehan Ahmed Omar ◽  
...  

In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from “not anxious” (scoring 1) to “extremely anxious” (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hiba Kassem El Hajj ◽  
Youssef Fares ◽  
Linda Abou-Abbas

Abstract Background Dental fear is a prevalent problem that can lead to poor dental health. The Kleinknecht’s Dental Fear Survey (DFS) is one of the used scales to assess dental fear. The present study aims to evaluate the psychometric properties of the Lebanese Arabic version of the DFS (DFS-A) and to determine the optimal cut-off to identify dental fear as well as the correlates of dental fear in a group of Lebanese adults dental patients. Methods A cross-sectional study was conducted among a group of 442 dental patients (18–65 years) recruited at 29 dental clinics from March to June 2019. Patients completed a questionnaire including questions about demographic characteristics, previous bad dental experience, trauma’s experience period, the sensation of nausea during dental treatment, the DFS-A scale, the Lebanese Arabic version of the Modified Dental Anxiety Scale (MDAS-A), and a general question about dental fear. Results DFS-A revealed evidence of adequate psychometric properties. DFS-A scale demonstrated high internal consistency (cronbach’s alpha = 0.93). Test–retest reliability assessment demonstrated strong reproducibility of the DFS-A scale score (ICC = 0.92 with 95% CI (0.83–0.96), p value < 0.0001 (N = 30). Confirmatory factor analysis revealed a three-factor structure of the DFS-A reflecting fear associated with specific dental stimuli and procedures, patterns of dental avoidance and anticipatory anxiety, and physiologic arousal during dental treatment. A significant correlation was found between DFS-A and the MDAS-A indicating a good convergent validity. The optimal cut-off point to identify patients with and without dental fear is 41. Considering this cut-off score, the prevalence of dental fear in our sample was reported at 33.8%. Multivariable analysis showed that having previous scary and painful dental experiences, a sensation of nausea during treatment, and having dental anxiety were identified as predictors of dental fear. Conclusion The adapted Arabic version of the DFS (DFS-A) is a valid tool to evaluate dental fear among Lebanese adult patients.


2020 ◽  
Author(s):  
Teferi Gebru Gebremeskel ◽  
Desta Tukue ◽  
Lemlem Gebremariam ◽  
Hirut Teame

Abstract Background: The study aimed to assess the satisfaction of service delivery and the associated status among women who gave birth to Adigrat general hospital, Ethiopia, 2018. Methods: Institutional based cross-sectional study design was conducted in Adigrat hospital from February to March 2018. Interviews with interviewed using structured questionnaires of 302 systematic women who were born at general hospital. The information is submitted to EPI-info version 7.2 and exported to SPSS version 20 for analysis. Summary statistics and logistic regression analyses were performed. OR with two-sided 95% CI and P-value<0.05 were used to identify the factors associated with the service satisfaction. Result: Maternal satisfaction in labor and delivery was70.2%. Women living in rural areas were 98.8% times less likely to be satisfied with service delivery than those living in urban area (AOR: 0.012, 95%CI (0.002, 0.065). women who plan to give birth at the hospital have more than forty times more than their referrals for maternity service (AOR: 40.43, 95%CI (2.75, 595.23)).Conclusion: The overall share of mothers who were satisfied with the service they provided was appropriate. As a city resident and the reason for delivering in the hospital are related to service satisfaction. Therefore the staff of the hospital has a continuing education and personal relationship. The care giver must fully understand the value of their care and provided care that is in line with those expectations.


2018 ◽  
Vol 16 (1) ◽  
pp. 27-31
Author(s):  
Sudeep Acharya ◽  
Sandhya Joshi ◽  
Amita Pradhan

Background: Evidences on dental anxiety scale are essential in dental practice for better service delivery. The main objective of this study was to determine the anxiety level of patients undergoing oral surgical procedures and explore its associated factors.Methods: This was a cross sectional study enrolling 142 patients. Semi structured questionnaire based on Corah’s dental anxiety scale was prepared and administered to gather information. Descriptive statistics, chi- square test and independent t- test were used to analyze the data.Results: Sixty nine percent were feeling relaxed in waiting area. Nine patients (6.3%) were afraid of persons in white attire. About 17% reported that they were afraid of sound of dental apparatus. Many participant (81%) expected better outcomes of their dental procedures. When waiting for their procedure at the waiting area, about 50% stated to sense restlessness. Nearly 56% felt unease while waiting at dental chair. Nearly 70 % of cases had less than 7 dental anxiety scale score indicating low anxiety to dental procedures, 23.2% showed moderate anxiety with score of 7 to 9 and 7% showed high anxiety by scoring 10 or more out of score of 15.Average dental anxiety scale scores did not vary as per age differences. The anxiety scores for both sexes were alike.Conclusions: Even though anxiety level was low among the cases undergoing oral surgical procedure, being in waiting area and dental chair raises their apprehension.


Author(s):  
Rama Mahmoud AlYamany ◽  
Najla Haif Alqahtani ◽  
Luluh Mohammed Alrumi ◽  
Yara Yousef Alhabeeb ◽  
Nouf Ali Alshamrani ◽  
...  

Introduction: Dental anxiety among dental students is an important issue that needs to be examined more thoroughly by the research community. Dental anxiety among dental students could have implications for their future practice, as it may adversely affect their ability to render quality dental care. Materials and Methods: This was a cross sectional study conducted among the dental students in Riyadh using an online survey. Dental universities in Riyadh were contacted and participants were requested to fill up the survey. 500 students from all six years of dentistry were utilized in this study. Results: overall 21.6% of clinical students reported that dental education did not reduce their dental phobia at all, whereas 40.4% reported definitely yes. Among various dental procedures that may cause anxiety among patients, root canal treatment (RCT) was accounted for the greatest number of responses (28.6%) in ‘high anxiety’. Conclusion: There is a need to intervene and use certain measures to reduce the dental phobia or anxiety among pre-clinical dental students and not wait until they reach clinical levels.


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