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Journal of Oral Science Oct 2021Injection phobia and dental anxiety can, in severe cases, lead to avoidance of necessary treatment. The aim of this pilot study was to investigate self-reported...
Injection phobia and dental anxiety can, in severe cases, lead to avoidance of necessary treatment. The aim of this pilot study was to investigate self-reported injection phobia and dental anxiety among individuals with tattoos and/or piercings. The Injection Phobia Scale-Anxiety (IPSA) short form and the Modified Dental Anxiety Scale (MDAS) questionnaires were applied. Both the total IPSA and MDAS scores were significantly higher for individuals with tattoos in comparison with a control group (P < 0.001), suggesting a need for anxiety-reducing measures and facilitated treatment for this group of patients.
Topics: Dental Anxiety; Humans; Phobic Disorders; Pilot Projects; Self Report; Surveys and Questionnaires; Tattooing
PubMed: 34433739
DOI: 10.2334/josnusd.21-0136 -
The Journal of Clinical Pediatric... Jul 2023The aim of this study was to evaluate the relationship between personal traits, dental anxiety level and dental appearance of the individuals.
OBJECTIVE
The aim of this study was to evaluate the relationship between personal traits, dental anxiety level and dental appearance of the individuals.
STUDY DESIGN
The study included 431 individuals who completed State Trait Anxiety Inventory-Trait Form (STAI-T) and Corah's Dental Anxiety Scale (CDAS) questionnaires during their first appointment at the orthodontic clinic. The Index of Complexity, Outcome and Need (ICON) index scoring was performed using intraoral frontal photographs by an orthodontist. According to the STAI-T scores, three anxiety groups were formed: mild, moderate, and severe. The Kruskal-Wallis H test was used for intergroup comparisons. Spearman's correlation analysis was performed to evaluate the relationship between STAI-T, CDAS, and ICON scores.
RESULTS
It was found that 38.28% of the participants had mild, 34.1% had severe, and 27.62% had moderate anxiety levels. CDAS score was significantly lower in the mild anxiety group ( ≤ 0.0001) compared to the groups showing moderate and severe anxiety. There was no significant difference between the moderate and severe anxiety groups. ICON score was significantly higher in the severe anxiety group ( ≤ 0.0001) than the other groups. It was also significantly higher in the moderate anxiety group ( ≤ 0.0001) than in the mild anxiety group. There was a significant positive correlation between STAI-T and both CDAS and ICON scores. There was no significant correlation between CDAS and ICON scores.
CONCLUSION
Dental appearance had a significant effect on the general anxiety of individuals. Improving the dental appearance with orthodontic treatments can have positive effects on reducing anxiety. The low level of dental anxiety in individuals with a high need for treatment will facilitate the work of the orthodontist in the procedures to be applied.
Topics: Humans; Anxiety; Dental Care; Surveys and Questionnaires; Dental Anxiety
PubMed: 37408345
DOI: 10.22514/jocpd.2023.018 -
SAAD Digest Jan 2015Dental anxiety is well documented within dental literature, and is a condition with which dentists and dental care professionals alike will be familiar. Its consequences... (Review)
Review
Dental anxiety is well documented within dental literature, and is a condition with which dentists and dental care professionals alike will be familiar. Its consequences may extend beyond dental implications alone, but can also have the potential to affect a patient's quality of life. It is important that as a dental profession we are aware of the methods which can be used to manage various forms of dental anxiety, and to refer to specialist services as appropriate. This paper focusses on detailing both the evidence-based behavioural and pharmacological strategies that may be employed for both dentally anxious adults and children.
Topics: Anesthesia, Dental; Conscious Sedation; Dental Anxiety; Dental Care; Dentist-Patient Relations; Humans; Oral Health; Quality of Life
PubMed: 25895236
DOI: No ID Found -
International Journal of Environmental... Jun 2022This study aimed to investigate the association between dental anxiety (DA) and oral-health-related quality of life (OHRQoL) among rural community-dwelling older...
This study aimed to investigate the association between dental anxiety (DA) and oral-health-related quality of life (OHRQoL) among rural community-dwelling older adults. A cross-sectional descriptive study was conducted among 390 rural community-dwelling older adults attending outpatient clinics of the Damanhur National Medical Institute during the year 2021. Three instruments were used: a demographic and clinical data structured interview schedule, Modified Dental Anxiety Scale (MDAS), and the Oral Health Impact Profile (OHIP-5) questionnaire. All statistical analyses were considered significant at a -value of ≤0.001. : The main results showed that the prevalence of DA among participants was 90.5%, and 66.9% of the studied elderly population were either extremely (phobic) or very anxious. Moreover, a significant association was found between older adults' DA and their OHRQoL ( ˂ 0.001). It was concluded that DA represents a common problem among rural community-dwelling older adults and is a predictor for poor OHRQoL. Raising community awareness about the importance of oral health and implementing measures to avoid DA through specialized community campaigns is recommended, particularly in rural areas.
Topics: Aged; Cross-Sectional Studies; Dental Anxiety; Humans; Independent Living; Oral Health; Quality of Life; Surveys and Questionnaires
PubMed: 35805302
DOI: 10.3390/ijerph19137643 -
Journal of Dental Research Nov 2022Dental care-related fear and anxiety (DFA) is prevalent, affects oral health care utilization, and is related to poor oral health and decreased quality of life. In... (Meta-Analysis)
Meta-Analysis
Dental care-related fear and anxiety (DFA) is prevalent, affects oral health care utilization, and is related to poor oral health and decreased quality of life. In addition to learned and cultural factors, genetics is hypothesized to contribute to DFA. Therefore, we performed a genome-wide association study to identify genetic variants contributing to DFA. Adult and adolescent participants were from 4 cohorts (3 from the US-based Center for Oral Health Research in Appalachia, = 1,144, 1,164, and 535, and the UK-based Avon Longitudinal Study of Parents and Children [ALSPAC], = 2,078). Two self-report instruments were used to assess DFA: the Dental Fear Survey (US cohorts) and Corah's Dental Anxiety Scale (ALSPAC). Genome-wide scans were performed for the DFA total scores and subscale scores (avoidance, physiological arousal, fear of dental treatment-specific stimuli), adjusting for age, sex, educational attainment, recruitment site, and genetic ancestry. Results across cohorts were combined using meta-analysis. Heritability estimates for DFA total and subscale scores were similar across cohorts and ranged from 23% to 59%. The meta-analysis revealed 3 significant ( < 5E-8) associations between genetic loci and 2 DFA subscales: physiological arousal and avoidance. Nearby genes included ( = 3.05E-8), ( = 4.40E-8), and ( = 7.72E-9). Of these, , which was associated with the avoidance subscale, mediates neurotensin function, and its deficiency may lead to altered fear memory in mice. Gene enrichment analyses indicated that loci associated with the DFA total score and physiological arousal subscale score were enriched for genes associated with severe and persistent mental health (e.g., schizophrenia) and neurocognitive (e.g., autism) disorders. Heritability analysis indicated that DFA is partly explained by genetic factors, and our association results suggested shared genetic underpinnings with other psychological conditions.
Topics: Dental Anxiety; Genome-Wide Association Study; Longitudinal Studies; Neurotensin; Quality of Life; Humans; Adolescent; Adult
PubMed: 35771046
DOI: 10.1177/00220345221105226 -
Primary Dental Journal Feb 2019In this article we will seek to provide an overview of dental anxiety and fear, including its most extreme manifestation, dental phobia. We will explore the prevalence... (Review)
Review
In this article we will seek to provide an overview of dental anxiety and fear, including its most extreme manifestation, dental phobia. We will explore the prevalence of different levels of dental anxiety and outline some broad principles for the management of dental anxiety based on an approach which suggests that management should be proportionate to the level of anxiety.
Topics: Dental Anxiety; Fear; Humans; Prevalence
PubMed: 30835665
DOI: No ID Found -
Dental Clinics of North America Oct 2021Adolescence, the period from 11 to 21 years of age, bridges the chasm between childhood and adulthood. Adolescence can be challenging as bodies, cognition, and... (Review)
Review
Adolescence, the period from 11 to 21 years of age, bridges the chasm between childhood and adulthood. Adolescence can be challenging as bodies, cognition, and personality go through major transformations, but it is also a time of great joy as confident adults with a clear identity develop. Dentists need to be knowledgeable about the developmental characteristics of this group because some of the cognitive and emotional changes make adolescents vulnerable to new fears. Dentists must tailor behavior guidance to this developing psyche in a way that respects independence and promotes confidence to foster lifelong positive views of dentistry.
Topics: Adolescent; Adult; Child; Dental Anxiety; Humans
PubMed: 34503664
DOI: 10.1016/j.cden.2021.07.002 -
Nederlands Tijdschrift Voor... Nov 2022Fear of dental treatment is a common phenomenon. Every oral health care provider will have to treat a patient with this fear one day. Adequate diagnostics are essential...
Fear of dental treatment is a common phenomenon. Every oral health care provider will have to treat a patient with this fear one day. Adequate diagnostics are essential for a correct assessment of the level of fear and how an anxious patient can best be helped. In cases of mild fear, lowering the state anxiety by teaching the patient coping skills, will suffice. In cases of extreme fear, reducing disposition anxiety (the core of the anxiety disorder) comes first, since this will not only reduce fear during the treatment, but will also halt avoidance behavior, which in the end will have a positive effect on the oral health care of the patient.
Topics: Humans; Dental Anxiety; Dental Care; Oral Health; Fear; Anxiety
PubMed: 36345675
DOI: 10.5177/ntvt.2022.11.22038 -
The Journal of Contemporary Dental... Nov 2021To assess various dental anxiety scales used in children and to know the effectiveness of different projective dental anxiety scales used in pediatric dentistry. (Meta-Analysis)
Meta-Analysis
AIM
To assess various dental anxiety scales used in children and to know the effectiveness of different projective dental anxiety scales used in pediatric dentistry.
BACKGROUND
Dental anxiety poses a significant problem in child patient management and is considered to be the main barrier for successful completion of the dental treatment.
REVIEW RESULTS
This systematic review and meta-analysis has been registered at the International prospective register of systematic reviews-PROSPERO-CRD42021247586. The systematic review was conducted in accordance with the Preferred Reporting Items in Systematic Review and Meta-Analysis (PRISMA) guidelines. Electronic databases [PubMed (MEDLINE), COCHRANE Library, EMBASE, EBSCO host, and Google Scholar database] were searched for corresponding references up to 2021. Observational cross-sectional studies comparing two different dental anxiety scales were selected for this systematic review. Search strategy generated 500 articles out of which 13 studies included in qualitative synthesis and only 7 studies were taken for quantitative synthesis. Among these seven studies, five studies compared FIS and VPT scales, two studies compared RMS, FIS, and VPT scales. Results of meta-analysis showed that an overall mean difference of dental anxiety between VPT and FIS scales was 0.11 (95% CI: 0.26-0.48), RMS and FIS scales was 0.05 (95% CI: 0.40-0.50), RMS and VPT was 0.27 (95% CI: 0.80-0.27) in the investigated population.
CONCLUSION
No statistically significant difference was noted in all comparisons suggesting that all these scales are at par in assessing anxiety levels in pediatric population.
CLINICAL SIGNIFICANCE
The projective scales Raghavendra, madhuriu, sujata pictorial scale (RMS), Facial image scale (FIS), and Venham's picture test (VPT) can be a pragmatic tool in assessing children's dental anxiety.
Topics: Child; Cross-Sectional Studies; Dental Anxiety; Humans; Pediatric Dentistry
PubMed: 35343462
DOI: No ID Found -
BMC Oral Health Sep 2023Tooth extraction is a common procedure performed by oral and maxillofacial surgeons or dentists, often resulting in dental fear and anxiety. The use of relaxing music,... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Tooth extraction is a common procedure performed by oral and maxillofacial surgeons or dentists, often resulting in dental fear and anxiety. The use of relaxing music, audiovisuals, and virtual reality (VR) technologies has been employed to reduce dental anxiety. This network meta-analysis (NMA) aimed to assess the comparative effectiveness of relaxing music, audiovisuals, and VR in reducing dental anxiety associated with tooth extraction.
METHODS
Four electronic databases were searched up to March 8, 2023, to identify randomized controlled trials (RCTs) evaluating different multimedia interventions, including the application of using relaxing music, audiovisuals, and VR technologies for dental anxiety. Studies utilizing various anxiety scales for tooth extraction were considered eligible. The pooled standard mean difference (SMD) and 95% confidence interval (CI) of anxiety scale scores were analyzed using Bayesian NMA.
RESULTS
A total of 11 RCTs were included in this NMA. The Bayesian NMA results demonstrated that relaxing music (SMD = -0.64, 95% CI: -1.04, -0.25) and VR (SMD = -0.54, 95% CI: -1.08, -0.02) were associated with a reduction in dental anxiety, while audiovisuals (SMD = -0.34, 95% CI: -0.97, 0.33) required further consideration. Ranking probabilities indicated that relaxing music might be the most acceptable method for individuals with dental anxiety. The frequentist NMA yielded consistent rankings in a sensitivity analysis.
CONCLUSIONS
Relaxing music shows the greatest potential for reducing dental anxiety related to tooth extraction when compared to other multimedia interventions.
Topics: Humans; Dental Anxiety; Music; Music Therapy; Network Meta-Analysis; Tooth Extraction
PubMed: 37735362
DOI: 10.1186/s12903-023-03407-y