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BMC Oral Health Jun 2018The aim is to investigate the prevalence of dental anxiety and its association with pain and other related factors in adult patients with irreversible pulpitis.
BACKGROUND
The aim is to investigate the prevalence of dental anxiety and its association with pain and other related factors in adult patients with irreversible pulpitis.
METHODS
One hundred and thirty patients with irreversible pulpitis were included in this cross-sectional study. Participants were asked to fill out an information table and a battery of questionnaires to assess their level of dental anxiety, pain at their first and most recent dental experience, and pain intensity before/during the present endodontic treatment. The level of anxiety that participants displayed during the present treatment was also evaluated by the dentists using an anxiety rating scale. Data were analyzed by t-test, ANOVA, and Spearman correlation tests.
RESULTS
83.1% of participants suffered from moderate or high dental anxiety, and 16.2% met criteria for specific phobia. Subjects who had higher MDAS scores were more likely to postpone their dental visits (P < 0.05). Subjects who had bad experiences at their most recent dental visit were more anxious (P < 0.05). Pain at the most recent dental visit (P < 0.01) or before the present dental visit (P < 0.05) was important factor correlating with dental anxiety among participants. Notably, 36.2% of participants displayed moderate or severe anxiety during this present visit for endodontic treatment based on dentist's judgement.
CONCLUSIONS
A high percentage of people with irreversible pulpitis suffer from dental anxiety. Pain at the most recent dental visit and during endodontic treatment have strongly positive association with dental anxiety. Effective pain control in endodontics is beneficial to manage the anxiety.
Topics: Adolescent; Adult; Aged; China; Cross-Sectional Studies; Dental Anxiety; Dental Health Services; Emergency Medical Services; Female; Humans; Male; Middle Aged; Pain; Prevalence; Pulpitis; Young Adult
PubMed: 29879974
DOI: 10.1186/s12903-018-0563-x -
The Journal of Clinical Pediatric... Sep 2023Dental Anxiety constitutes a series of signs of sympathetic hyperfunction that arises during a dental visit. Orthodontic pain is a common reaction in children and adults... (Review)
Review
Dental Anxiety constitutes a series of signs of sympathetic hyperfunction that arises during a dental visit. Orthodontic pain is a common reaction in children and adults that can increase dental anxiety and affect orthodontic outcomes. Both malocclusion and orthodontic pain negatively affect quality of life. Dental anxiety and orthodontic pain have different contributing factors, and the prevalence of malocclusion and dental anxiety varies. Different methods have been proposed for the classification of the dental anxiety scales and orthodontic pain as a first approach in the treatment process. The objective of this literature review was to discuss the effect of orthodontic pain on dental anxietyand to explore ways to address dental anxietyin children and adultsto reduce negative effects on quality of life. This review not only analyses the prevalence and etiology of dental anxiety, the characteristics and influencing factors of orthodontic pain; but also introduces how dental anxiety and orthodontic pain are diagnosed, and proposes some treatment options. The occurrence of malocclusion has recently risen in children and adults, and the negative effects of orthodontic pain and dental anxiety have been explored in literature. Therefore, this review attempts to provide a critical analysis of dental anxiety and orthodontic pain, to attract the attention of orthodontists and provide a framework for further exploration of effective treatment solutions.
Topics: Adult; Child; Humans; Dental Anxiety; Quality of Life; Malocclusion; Pain
PubMed: 37732433
DOI: 10.22514/jocpd.2023.051 -
BMC Oral Health Jan 2019This study aimed to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief...
BACKGROUND
This study aimed 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 therefore identifying a correlation between these groups as well as their gender and age.
METHODS
An adult sample of N = 1549 patients (865 females, 779 males) was examined over the course of three years using the Brief Symptom Inventory-18 to evaluate psychological distress and the Dental Anxiety Scale to determine anxiety before dental treatment. Evaluations were conducted according to age and gender.
RESULTS
There was no correlation between different age groups of the sample the Dental Anxiety Scale. Anxiety, depression and GSI were more frequent in patients below the age of 46 than above. Women were more susceptible to signs of Anxiety and Somatization and scored higher on the Dental Anxiety Scale and the Global Severity Index than male patients. There was a significant positive correlation between scores of the BSI-18 categories: Somatization, Anxiety and Depression and the DAS for dental patients.
CONCLUSIONS
This study showed that a relationship between dental anxiety and psychological distress exists. It would be an improvement to use a short questionnaire like the Dental Anxiety Scale to evaluate a patient before his first treatment so that more appropriate treatments can be pursued.
Topics: Adult; Anxiety; Cross-Sectional Studies; Dental Anxiety; Depression; Female; Humans; Male; Stress, Psychological; Surveys and Questionnaires
PubMed: 30704466
DOI: 10.1186/s12903-019-0719-3 -
The Primary Care Companion For CNS... Oct 2021
Topics: COVID-19; Dental Anxiety; Dentists; Dreams; Humans; Pandemics; SARS-CoV-2; Stress Disorders, Post-Traumatic
PubMed: 34674401
DOI: 10.4088/PCC.21cr03104 -
Clinical and Experimental Dental... Dec 2023The aim of this study is to evaluate the behavioral patterns and anxiety levels of pediatric patients in dental clinics, discern their behavioral expectations, and...
AIM
The aim of this study is to evaluate the behavioral patterns and anxiety levels of pediatric patients in dental clinics, discern their behavioral expectations, and investigate the associations between these factors and the patient's age and gender.
METHODS
In this cross-sectional study, 150 pediatric patients visiting Sharjah Thumbay Dental Hospital for treatment were recruited over a study period of 23 weeks (February 12, 2022 to July 23, 2022). The patient's age ranged from 2 to 14 years. Guardians were informed about the study and their written consent was taken.
EXCLUSION CRITERIA
Children over 14 years old, children whose guardians refused to participate in the study, and medically compromised children. Frankl's behavior rating scale, Categorical rating scale, and Venham anxiety and behavioral rating scales were used to evaluate the pediatric patient's behavior and anxiety at the end of the dental visit, the evaluation was done by the same trained dental student for all the patients.
RESULTS
When the Mann-Whitney U test was used for gender, no significant differences were observed in behavior and anxiety between male and female patients across all scales employed in this study. Conversely, when examining various age groups for behavior and anxiety using the Kruskal-Wallis test, significant findings emerged across nearly all scales. In the categorical rating scale, the age group of 11-14 years exhibited the most notable results in subscales of crying (p = .034), cooperativeness (p = .002), and apprehensiveness (p = .003).
CONCLUSION
The pediatric patients who took part in this study exhibited heightened anxiety when attending dental clinics. This study underscores the importance of understanding child behavior and utilizing effective communication with children and their guardians. Dental professionals should consider implementing strategies to manage child behavior during visits. Further research is required to develop sufficient strategies tailored to different pediatric populations, aiming to enhance dental care outcomes for pediatric patients.
Topics: Humans; Child; Male; Female; Adolescent; Child, Preschool; Cross-Sectional Studies; Dental Clinics; Dental Anxiety; Child Behavior; Surveys and Questionnaires
PubMed: 37840231
DOI: 10.1002/cre2.795 -
Community Dental Health Aug 2022To investigate the relationships between dental anxiety, Facebook intrusion, and shame.
OBJECTIVE
To investigate the relationships between dental anxiety, Facebook intrusion, and shame.
METHODS
A sample of 498 adults aged 16-69 years completed an online questionnaire comprising the Modified Dental Anxiety Scale, the Facebook Intrusion Scale, and the Shame scale from the Test of Self-Conscious Affect.
RESULTS
Dental anxiety was positively associated with Facebook intrusion. There were also indirect effects of dental anxiety on Facebook intrusion through shame.
CONCLUSIONS
The results highlight the problem of dental anxiety in the context of Facebook intrusion risk. The findings may be applicable in Internet dependency prevention and treatment, focused on help in coping with the anxiety related to doctors' appointments.
Topics: Adult; Anxiety; Dental Anxiety; Emotions; Humans; Risk Factors; Social Media; Surveys and Questionnaires
PubMed: 35605103
DOI: 10.1922/CDH_00034Sobol04 -
BMC Oral Health Mar 2011So far, there are few studies considering the development of dental anxiety and dental attendance patterns across time in the general population of Norwegian adults....
BACKGROUND
So far, there are few studies considering the development of dental anxiety and dental attendance patterns across time in the general population of Norwegian adults. This study aimed to 1) determine the frequency of dental anxiety and regular dental attendance among 25-year-olds in Norway in 1997 and 2007, 2) to study the development (time trend) of dental anxiety and the socio-behavioral distribution of dental anxiety from 1997 to 2007.
METHOD
Random samples of 1,190 and 8,000 25-yr-olds were drawn from the populations of three counties in Western Norway in 1997 and 2007, respectively. The eligible participants received questionnaires by mail including questions on socio-demographics, dental anxiety (DAS) and dental attendance.
RESULTS
In 1997, 11.5% males versus 23% females reported high dental anxiety (DAS ≥ 13). Corresponding figures in 2007 were 11.3% and 19.8%. The proportions who had attended yearly for a dental check-up during the past 5 years fell from 62% in 1997 (men 56.9% and women 66.4%) to 44.6% (men 38.1% and women 48.6%) in 2007. After controlling for potential confounding factors, the 25-year-olds were 1.4 times more likely to report dental anxiety in 1997 compared to 2007. The decrease was largely attributable to a lower mean DAS score among higher educated females in 2007 than in 1997. The discrepancy in dental anxiety between regular and non-regular dental attendees had decreased, largely attributable to a decline in dental anxiety among irregular dental attendees.
CONCLUSION
The study showed reduced dental anxiety and dental attendance among 25 year-olds in Norway from 1997 to 2007. This study points to the importance of controlling for possible changes in socio-demographic distributions when different cohorts are compared.
Topics: Adult; Dental Anxiety; Dental Care; Educational Status; Female; Health Behavior; Humans; Income; Logistic Models; Male; Manifest Anxiety Scale; Norway; Odds Ratio; Sampling Studies; Social Class; Surveys and Questionnaires
PubMed: 21426538
DOI: 10.1186/1472-6831-11-10 -
Medical Principles and Practice :... 2014The aim of this review was to explore the peer-reviewed literature to answer the question: 'Why are people afraid of the dentist?' (Review)
Review
OBJECTIVE
The aim of this review was to explore the peer-reviewed literature to answer the question: 'Why are people afraid of the dentist?'
METHOD
Relevant literature was identified by searching the following on-line databases: PubMed, PsycInfo, the Cochrane Library and Google Scholar. Publications were extracted if they explored the causes and consequences of dental fear, dental anxiety or dental phobia.
RESULTS
The research evidence suggests that the causes of dental fear, dental anxiety or dental phobia are related to exogenous factors such as direct learning from traumatic experiences, vicarious learning through significant others and the media, and endogenous factors such as inheritance and personality traits. Each individual aetiological factor is supported by the evidence provided.
CONCLUSIONS
The evidence suggests that the aetiology of dental fear, anxiety or phobia is complex and multifactorial. The findings show that there are clear practical implications indicated by the existing research in this area: a better understanding of dental fear, anxiety and phobia may prevent treatment avoidance.
Topics: Age Factors; Cognition; Conditioning, Psychological; Dental Anxiety; Dentist-Patient Relations; Fear; Humans; Personality
PubMed: 24356305
DOI: 10.1159/000357223 -
Brazilian Oral Research 2023Maternal mental health affects their children's oral health. This study assessed the associations between maternal mental health and dental anxiety level, dental caries...
Maternal mental health affects their children's oral health. This study assessed the associations between maternal mental health and dental anxiety level, dental caries experience, oral hygiene, and gingival status among 6- to 12-year-old children in Nigeria. This was a cross-sectional study that recruited mother-child dyad participants through a household survey conducted in Ile-Ife, Nigeria. Data collected included the independent (maternal mental health risk, depressive symptoms, and child's dental anxiety), and dependent (caries experience, oral hygiene status, and gingival health status) variables. Multivariate logistic regression analysis was conducted to determine the associations between dependent and independent variables after adjusting for confounders (mothers' age, child's age, sex, and socioeconomic status). Statistical significance was set at p < 0.05. Of the 1411 mothers recruited, 1248 (88.4%) had low mental health risk, and 896 (63.5%) had mild depressive symptoms. As for the children, 53 (3.8%) had caries, 745 (52.8%) had moderate to high dental anxiety, 953 (63.0%) had gingivitis and 36 (2.6%) had poor oral hygiene. The maternal mental health risk was not significantly associated with the child's caries experience (AOR: 1.012; 95%CI: 0.860-1.190; p = 0.886), poor oral hygiene (AOR:1.037; 95%CI: 0.975-1.104; p=0.250), and moderate/severe gingivitis (AOR:0.887; 95%CI: 0.764-1.030; p = 0.115). Maternal depression status was not significantly associated with the child's caries experience (AOR: 0.910; 95%CI: 0.802-1.033; p = 0.145), poor oral hygiene (AOR: 1.016; 95%CI: 0.976-1.057; p = 0.439), and moderate/severe gingivitis (AOR: 0.963; 95%CI: 0.861-1.077; p = 0.509). Maternal mental health risk and depression do not seem to be risk factors for schoolchildren's oral health in Nigeria. Further studies are needed to understand these findings.
Topics: Female; Child; Humans; Oral Health; Dental Caries; Dental Anxiety; Mental Health; Nigeria; Cross-Sectional Studies; Child Health; Gingivitis
PubMed: 37820250
DOI: 10.1590/1807-3107bor-2023.vol37.0091 -
Community Dental Health Dec 2012Treating children can be difficult for both dentist and child. In some cases treatment fails and those children are referred to a specialist paediatric dentist.... (Comparative Study)
Comparative Study
OBJECTIVE
Treating children can be difficult for both dentist and child. In some cases treatment fails and those children are referred to a specialist paediatric dentist. Different factors can be put forward for referral of children, such as factors relating to the child, dentist and parent. Possible child-related factors can be dental anxiety and the child's temperament. A possible parental factor is the parental rearing style. The objective of this study was to assess the possible associations between dental anxiety, parental rearing style and referral status of children.
METHODS
Parents of 120 non-referred and 335 referred paediatric dental patients were asked to fill out the Child Rearing Practices Report (CRPR) and the Child Fear Survey Schedule Dental Subscale (CFSS-DS) on behalf of their children.
RESULTS
The questionnaires were filled out by 115 (96%) parents of primary schoolchildren and by 331 (99%) parents of referred children. Referred children were younger than non-referred children, t(442) = 6.9, p < 0.01, and had significantly more dental anxiety, t(430) = -8.7, p < 0.01. No differences existed between parents of referred children and parents of non-referred children on parental rearing-style. No differences existed between fearful and non-fearful children on parental rearing-style and also no correlation existed between children's dental anxiety and their parent's rearing style. However, non-referred children with parents using an authoritarian parenting style were more anxious than the other non-referred children.
CONCLUSIONS
In the present study, referral status and dental anxiety of 4-12 year old children were not associated with parental rearing style.
Topics: Age Factors; Authoritarianism; Behavior Control; Child; Child Behavior; Child Rearing; Child, Preschool; Dental Anxiety; Female; Humans; Male; Pediatric Dentistry; Permissiveness; Referral and Consultation; Sex Factors; Temperament
PubMed: 23488211
DOI: No ID Found