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dental anxiety

Gowri Sivaramakrishnan, Kannan Sridharan
BACKGROUND: Local anaesthetics play a key role in reducing pain and anxiety during dental treatment. However the disadvantage of using syringe and needle technique in the maxilla, proximal to the apices of the teeth is that it is painful and also leads to collateral anaesthesia. Hence this systematic review aims to identify whether computer assisted local anaesthetic delivery system could produce predictable results similar to conventional syringe needle technique and also eliminate the disadvantages...
2016: Open Dentistry Journal
Cameron L Randall, John R Shaffer, Daniel W McNeil, Richard J Crout, Robert J Weyant, Mary L Marazita
OBJECTIVES: Dental fear is a prevalent problem that impacts dental treatment-seeking behavior and thus oral, systemic, and psychological health. Among other important predictors, fear of pain has been shown to be a critical component of dental fear. While learning history (id est, past experience) is known to shape development and maintenance of dental fear and fear of pain, minimal work has addressed genetic etiological variables for these healthcare-related anxieties. With the aim of coming to a more complete conceptualization of dental fear, this study assessed the heritability of dental fear and fear of pain and elucidated the role of genetics in the relation between the constructs...
October 11, 2016: Community Dentistry and Oral Epidemiology
Ulrike Halsband, Thomas Gerhard Wolf
Visiting the dentist is often accompanied by apprehension or anxiety. People, who suffer from specific dental phobia, a disproportional fear of dental procedures show psychological and physiological symptoms which make dental treatments difficult or impossible. For such purposes, hypnosis is often used in dental practice as an alternative for a number of treatments adjuvant or instead of sedation or general anesthetic, as medication is often associated with risks and side effects. This is the first study to address the effects of a brief dental hypnosis on the fear processing structures of the brain in dental phobics using functional magnetic resonance imaging (fMRI)...
October 6, 2016: Journal of Physiology, Paris
Anne E Münster Halvari, Hallgeir Halvari, Geoffrey C Williams, Edward L Deci
OBJECTIVE: To test the hypothesis that a Self-Determination Theory (SDT) intervention designed to promote oral health care competence in an autonomy-supportive way would predict change in caries competence relative to standard care. Further, to test the SDT process path-model hypotheses with: (1) the intervention and individual differences in Relative Autonomous Locus of Causality (RALOC) predicting increases in caries competence, which in turn would positively predict dental attendance; (2) RALOC negatively predicting dental anxiety, which would negatively predict dental attendance; (3) RALOC and caries disease referred to the dentist after an autonomy-supportive clinical exam directly positively predicting dental attendance; and (4) the intervention moderating the link between RALOC and dental attendance...
October 7, 2016: Psychology & Health
Joe Hulin, Sarah R Baker, Zoe Marshman, Sondos Albadri, Helen D Rodd
BACKGROUND: Decision aids are tools used to help individuals faced with difficult healthcare decisions. They help patients further understand the treatment options available and encourage the sharing of information between patients and clinicians. AIM: To develop a decision aid for young patients faced with the decision to undergo dental treatment with inhalation sedation, intravenous sedation, or general anaesthesia (GA). DESIGN: Qualitative interviews with dental patients (aged 10-16 years), and their parents/guardians were used to inform the content of a draft decision aid...
September 29, 2016: International Journal of Paediatric Dentistry
Julie Chartrand, Jocelyne Tourigny, Johnna Maccormick
AIMS: To examine the effect of a pre-operative DVD on parents' knowledge, participation and anxiety and on children's distress, pain, analgesic requirements and length of recovery after same-day surgery. BACKGROUND: Very few parents are adequately prepared to participate in their child's care at the time of a same-day surgery. An educational DVD was developed to educate parents on how to actively support their child in the recovery room. DESIGN: Single-blind, post-test randomized controlled trial...
September 28, 2016: Journal of Advanced Nursing
Nagendran Jayavel Pandiyan, Amitha Hedge
INTRODUCTION: Child's behavior on dental visit depends on variables such as age, parental behavior, parental anxiety, medical/dental history, and dental procedures. Behavioral-screening questionnaire, such as the Strengths and Difficulties Questionnaire (SDQ), can be used to preassess the child's mental health status which further predicts child behavioral pattern in dental clinics. AIM: To measure emotional status among children of 3-14 years age group attending dental clinics...
October 2016: Journal of the Indian Society of Pedodontics and Preventive Dentistry
Sharat C Pani, Ghazi S AlAnazi, Abdulrahman AlBaragash, Mohammad AlMosaihel
AIMS AND OBJECTIVES: Parents play an important role in the dental behavior of a child patient. This study aimed to assess the effect of parental presence on the behavior of the child and objectively measure the behavior using pulse oximetry. MATERIALS AND METHODS: The study was registered with the clinical trials registry of the National Institutes of Health (NCT02619981). The children were divided into three groups, those who had no accompanying parent, those accompanied by their fathers, and those accompanied by their mothers...
August 2016: Journal of International Society of Preventive & Community Dentistry
Monisha Billings, Bruce A Dye, Timothy Iafolla, Alan N Baer, Margaret Grisius, Ilias Alevizos
BACKGROUND: Xerostomia is a chief complaint of patients with Sjögren's syndrome (SS). However, newer proposals for SS classification remove xerostomia and hyposalivation from the criteria list. Given these developments and the importance of patient-centered research outcomes, we sought to evaluate the utility of patient-reported xerostomia with implications for classification criteria, and clinical trials targeting SS treatment modalities. METHODS: A nested case-control study was designed within The National Institute of Dental and Craniofacial Research/National Institutes of Health (NIDCR/NIH) SS Cohort - one of the largest SS cohorts in the US...
September 9, 2016: EBioMedicine
E N Anisimova, S T Sokhov, N Yu Letunova, I V Orekhova, M V Gromovik, E A Erilin, N A Ryazantsev
The paper presents basic principles of local anesthesia selection in patients with concomitant somatic diseases. These principles are history taking; analysis of drugs interaction with local anesthetic and sedation agents; determination of the functional status of the patient; patient anxiety correction; dental care with monitoring of hemodynamics parameters. It was found that adhering to this algorithm promotes prevention of urgent conditions in patients in outpatient dentistry.
2016: Stomatologii︠a︡
Karthik Venkataraghavan, Jolly Shah, Manpreet Kaur, Krishna Trivedi, Shalin Shah, Mira Virda
INTRODUCTION: The contemporary parents are more active and participate in the decision making during dental treatment. AIM: To assess the parents' acceptance towards behavior management techniques commonly used in the pediatric dentistry in different dental situation. MATERIALS AND METHODS: Fifty-one parents participated in the study. Children's dental fear was assessed by the parents before attending power point presentation using Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS)...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
Kattakayam Annamary, Gajula Shivashankarappa Prathima, Renganathan Sajeev, Gurusamy Kayalvizhi, Venkatesan Ramesh, Govindasamy Ezhumalai
INTRODUCTION: Dental setting plays an important role in child's behavior and cooperation to the planned dental treatment. Adding attractive colours to the dental environment and by incorporating colourful equipments can make the child feel good and be at ease. This study tries to convey the relationship between colours and dental anxiety among children. AIM: To evaluate the colour preference to emotions in relation to children's age, gender and anxiety level. MATERIALS AND METHODS: A total of 382 children aged 6-12 years were randomly selected from schools in and around Puducherry...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
Tuba Talo Yildirim
INTRODUCTION: Dental fear is one of the most common problems in dentistry, for both the patient and for the dentist. This issue can have an important effect on an individual's dental health. AIM: The aim of this paper was to report on the prevalence of dental anxiety and to explore if high levels of anxiety are associated with sociodemographic factors, oral health status, and level of oral health awareness. MATERIALS AND METHODS: The sample for this cross-sectional study included 294 patients (154 males and 140 females)...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
Esther Murray, Yvonne Kutzer, Joanne Lusher
Since dentists play an important role in the emergence and maintenance of dental anxiety in patients, it is imperative to understand how dentists themselves evaluate their work with anxious patients and how they perceive their environment. Semi-structured interviews explored the working lives of six dentists. Interpretative phenomenological analysis revealed four superordinate themes: Negotiating identities, Control, Perceptions of dentistry and being a dentist and Stress related to treating dentally anxious patients Warranting investigation in other settings, specialist dentists experienced conflicts between being a helper and inflictor of pain, as well as dealing with conflicting views concerning their status as a dentist...
September 8, 2016: Journal of Health Psychology
Arndt Guentsch, Christiane Stier, Gregor F Raschke, André Peisker, Mina D Fahmy, Harald Kuepper, Ina Schueler
OBJECTIVE: Does dental anxiety have an effect on dental and periodontal health? METHODS: Survey data was collected from n = 200 adults (53 % females, average age 49 years) in a cross-sectional study. Dental anxiety was measured with the modified dental anxiety scale (MDAS, score 1-5, the greater the score, the greater the anxiety). Clinical parameters including probing depth (PD), clinical attachment level (CAL), plaque index (SLI), and bleeding on probing (BoP) as well as the DMFT index were recorded and statistically analyzed...
September 5, 2016: Clinical Oral Investigations
Fathima Peerbhay, Ahmed Mahgoub Elsheikhomer
The purpose of this study was to compare the effectiveness and recovery times of 0.3 and 0.5 mg/kg intranasal midazolam (INM) administered with a mucosal atomizer device (MAD) in a pediatric emergency dental hospital clinic. One hundred eighteen children aged from 4 to 6 years were randomly administered either 0.3 or 0.5 mg/kg INM via an MAD in a triple-blinded randomized controlled trial. Sedation was achieved to some degree in 100% of the sample. The pulse rate and oxygen saturation were within the normal range in 99% of the patients...
2016: Anesthesia Progress
Sung-Eun Yang, Yong-Gyu Park, Kyungdo Han, Sin-Young Kim
Dental pain and tooth loss are global public health concerns. However, there have been no large cross-sectional epidemiologic studies of a representative sample of an entire country's populations. The purpose of this study was to evaluate the relationships between dental pain and tooth loss with health-related quality of life (HRQOL) using a well characterized, nationally representative, population-based study.This study analyzed data of 3924, representing 21,836,566 adults from the 2012 Korea National Health and Nutrition Examination Survey...
August 2016: Medicine (Baltimore)
M H J Hollander, J Schortinghuis, A Vissink
Anxiety is an undesirable psychological phenomenon. Patients are usually anxious when subjected to third molar surgery, but the pattern of anxiety is unknown. The aim of this study was to assess the intensity and course of anxiety during third molar surgery. This study included 48 consecutive patients (mean age 25±6 years) who had a third molar removed surgically under local anaesthesia. The heart rate was monitored continuously during treatment as a measure of anxiety. Preoperative anxiety was scored with the Modified Dental Anxiety Scale...
August 26, 2016: International Journal of Oral and Maxillofacial Surgery
Gulser Kilinç, Aynur Akay, Ece Eden, Nilgün Sevinç, Hülya Ellidokuz
This study evaluated the dental anxiety levels of preschool children at a kindergarten and at a dental clinic. The anxiety levels of ninety 4-6-year-old (4.99 ± 0.81) preschool children were evaluated according to pulse rates, the facial image scale (FIS), the Venham picture test (VPT), and the Frankl behavior rating scale. The children's mothers were asked to complete the state-trait anxiety inventory (STAI) forms 1 and 2 (STAI 2 and STAI 2). The sample t-test, Mann-Whitney U test, and Pearson's correlation test were used...
2016: Brazilian Oral Research
Kedarnath Nakkalahalli Seshappa, Shruthi Rangaswamy
Deaths during dental treatment or as a result of dental treatment are rare, but the unfortunate fact is that such deaths do occur. Unexpected death of a patient can be emotionally draining and even harrowing to his or her relatives. The death of a patient may bring an enormous feeling of anxiety both at the personal and professional level, stress, profound grief, damage to self-esteem, loss of self-confidence, reputation, and specter of litigation on a dental surgeon. No dentist can be guaranteed to be free of such an incident during the course of his or her practice...
May 2016: Journal of Forensic Dental Sciences
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