Dental anxiety and pain related to ART

Leal, Soraya Coelho; Abreu, Danielle Matos de Menezes; Frencken, Jo E.

doi:10.1590/s1678-77572009000700015

Cited by 51 publications

(47 citation statements)

References 19 publications

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“…The pain variable was associated with the type of treatment, irrespective of the order in which they were performed, showing that the children that received conventional treatment experienced more pain than those who received ART, which supports the findings of other papers (LEAL; ABREU; FRENCKEN, 2009;GOUD et al 2012;MOTTA et al, 2013;GEETHA PRYA et al, 2014). ART is considered to be one of the examples of the new paradigm -Minimally Invasive Dental Care -used to control decay and in the promotion of healthcare (SERPA et al, 2017).…”

Section: Discussionsupporting

confidence: 83%

“…Studies indicated that the use of manual instruments without the need for anesthesia during ART would make this technique more comfortable and more acceptable in the dental environment (LEAL; ABREU; FRENCKEN, 2009;AGUILAR et al, 2012); however, despite presenting low pain levels, ART did have a longer average procedure time, resulting in the mouth being kept open for a longer period of time during the first session, probably influencing the previous anxiety levels in the subsequent session. GEETHA PRYA et al (2014) reported that the children submitted to protracted treatment during the caries removal procedure, presented scores of 3 and 4 on the FIS scale and they preferred the drill due to the shorter caries removal time.…”

Section: Discussionmentioning

confidence: 99%

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Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

Tavares¹,

Zanin²,

Flório³

2018

Biosci. J.

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ABSTRACT:The aim of this study was to assess previous anxiety and pain perceived by children while receiving atraumatic restorative treatment (ART) and conventional restorative treatment (CT). Seventy-nine children, aged between 5 and 8, who had at least two decayed deciduous molars, were selected. Each child agreed to the two kinds of treatment dispensed, one for each tooth and one for each treatment appointment, at random. The sample was distributed into two groups: Group 1 (G1) -children were submitted to CT in the first appointment and to ART in the second appointment -and; Group 2 (G2) -children were submitted to ART in the first appointment and to CT in the next appointment. The children reported dental anxiety before receiving the treatment and intensity of pain after the procedures, using the Facial Image Scale (FIS) and the Wong-Baker FACES ® Pain Rating Scale, respectively. The heart rate was also measured before and during the procedures. The results demonstrated that anxiety (heart rate and FIS scale) exhibited a statistical difference in G1 (p <0.05), however, there was no difference between the groups when ART was performed first (p >0.05). Children subjected to CT experienced higher levels of pain than those who were subjected to ART, regardless of the order of treatment (p <0.001). It was concluded, therefore, that ART possibly caused lower levels of pain in 5 to 8-year-old children when compared to CT, however, it did not reduce prior anxiety levels in the second session, using CT.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

Tavares¹,

Zanin²,

Flório³

2018

Biosci. J.

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“…130 Similarly, while one review of the literature on ART suggests 'that it is a suitable approach to be used in children, the elderly, special needs patients, or patients who demonstrate fear and anxiety towards dental treatment' (p. e672), 131 another review concludes that the association between different restorative procedures and dental anxiety, pain and discomfort is contradictory and requires further investigation. 132 For people who feel anxiety in relation to the noise, vibration, discomfort or pain of a standard rotary drill, air abrasion offers another worthwhile alternative. In addition, it reduces the need for anaesthesia, which is a source of concern for many anxious children and adults.…”

Section: Alternative Methods For Tooth Preparationmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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“…Elimination of anxiety triggers, namely, the B4S^rule (sights, sounds, sensations, and smells) [2] is important for all patients undergoing restorative dental procedures. The sight of a drill and a local anesthetic needle syringe, along with a high-pitched sound and high-frequency vibration of the dental turbine, are the significant sources for dental anxiety, which drive the expectation of dental pain [3][4][5]. Lasers have been shown to produce 400 times less vibration, than does a burr preparation [6], and achieve an improved patient experience, as evidenced by a number of pediatric studies.…”

Section: Introductionmentioning

confidence: 99%

Review of possible predictors for pain perception with class 1–5 cavity preparations using Er,Cr:YSGG laser: a retrospective clinical in vivo study

Polonsky¹,

Gutknecht²,

Franzen

2017

Laser Dent Sci

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Aim The study recorded 400 responses from 301 patients, aged 6-93, who all had carious lesions prepared with the erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) 2780-nm laser system. Different parameters, including gender, delivery method, power settings, tooth position, class type of cavity preparation, and patients' age, were compared and analyzed for possible predictive values in anticipating the patients' pain experience. Methods Class 1-5 cavity preparations were made using the Er,Cr:YSGG laser. All carious lesions fit ICDAS code 4-5 classifications. Power setting of 3.75 W was used for posterior teeth class 1-4 preparations and 2.5 W for all primary teeth, permanent anterior teeth, and all class 5 preparations. Nonanxious patients, who agreed to start cavity preparation without a local anesthetic, were instructed to stop the procedure and ask for an anesthetic injection, should they perceive a level of pain greater than their tolerance level. Anxious patients were not included in this study. Pain perception using the visual analog scale (VAS) along with the percentage of patients who needed a local anesthesia injection were recorded. The data was then analyzed using one-way ANOVA test, at significance level of α = 0.05, and Tukey pair-wise comparison, at 95% confidence interval. Results Eighty-five percent of cavity preparations were pain free; 15% of the preparations were found to have a degree of pain associated with them. However, only 6% requested a local anesthetic injection. There was no significant difference found between the two methods of delivery: gold handpiece (HP) vs. turbo HP. No significant differences were observed between males and females, regarding pain perception (13% vs. 18%, respectively). Posterior teeth were significantly more sensitive to laser cavity preparation, compared to anterior teeth, as indicated by the VAS pain scores (P value = 0.0001). Regarding anterior teeth, class 5 was significantly more sensitive to laser cavity preparations, when compared to class 1. In posterior teeth, there were no statistically significant differences between class 1 and 5, although pain perception was the most prevalent in class 2 preparations. Using higher-power settings (3.75 W vs. 2.5 W) for cavity preparation, the resulting pain response was significantly higher, as indicated by the VAS pain scores (P value = 0.0001). As the patients' age increases, the frequency of those experiencing pain decreases, with the exception of a sudden spike for the cohort aged 26-35, who proved to be the most sensitive to laser cavity preparation; this group was significantly different from all other age groups (P value = 0.0001). Conclusions The Er,Cr:YSGG laser system is an effective method for pain-free cavity preparations for 85% of the general patient population, who do not suffer from dental anxiety. Certain patient selection criteria, including age, power settings, and class type of cavity preparation, are important in achieving an overall positive and pain-free expedience.

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Dental anxiety and pain related to ART

Cited by 51 publications

References 19 publications

Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

Pain and anxiety in children receiving atraumatic and conventional restorative dental treatment - a randomized clinical study

Management of fear and anxiety in the dental clinic: a review

Review of possible predictors for pain perception with class 1–5 cavity preparations using Er,Cr:YSGG laser: a retrospective clinical in vivo study

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