An Overview of Dental Anxiety and the Non-Pharmacological Management of Dental Anxiety

Hare, Jennifer; Bruj-Milasan, Geanina; Newton, Tim

doi:10.1177/205016841800700409

Cited by 20 publications

(18 citation statements)

References 21 publications

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“…It has been suggested by Hare et al [32] that severe cases of dental anxiety should be referred for CBT treatment, while milder cases should be managed in general dental practice. However, most studies on dental anxiety treatment are based on interdisciplinary treatment performed in special clinics [27].…”

Section: Introductionmentioning

confidence: 99%

Dentist‐administered cognitive behavioural therapy versus four habits/midazolam: An RCT study of dental anxiety treatment in primary dental care

Hauge

Storå²,

Vassend

et al. 2021

European J Oral Sciences

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The study aimed to test the effectiveness of cognitive behavioural therapy (CBT) administered by a general dental practitioner (GDP) in a general dental practice. In a two‐arm parallel randomised controlled trial, the experimental group received a short dentist‐administered CBT‐intervention (D‐CBT). A best‐practice control group (FHM) received dental treatment during sedation with midazolam combined with an evidence‐based communication model (The Four Habits Model). Ninety‐six patients with self‐reported dental anxiety were allocated to the treatment arms at a 1:1 ratio. Modified Dental Anxiety Scale (MDAS) scores spanned from 12 to 25, and 82 patients (85%) had a score of 19 or more, indicating severe dental anxiety. In both treatment arms, scores on MDAS and Index of Dental Anxiety and Fear (IDAF‐4C) decreased significantly, but no differences were found between treatment arms. Mean reductions were: MDAS scores: −6.6 (SD = 0.5); IDAF‐4C scores: −1.0 (SD = 1.1). In conclusion, local GDPs in general dental practices with proper competence have the ability for early detection of dental anxiety and, with the use of a manual‐based D‐CBT or FHM treatment, GDPs could offer efficient first‐line treatment suitable for dental anxiety of varying severities.

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Section: Introductionmentioning

confidence: 99%

Dentist‐administered cognitive behavioural therapy versus four habits/midazolam: An RCT study of dental anxiety treatment in primary dental care

Hauge

Storå²,

Vassend

et al. 2021

European J Oral Sciences

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“…In fact, this technique of physical restraint should rarely be used because of the risk of emotional harm and ethical concerns. 13,14,32,35 In such cases, paediatric dentists should use other non-pharmacological methods 13,15,31,36 more often integrated with contemporary approaches, such as minimal intervention 16,17 (with minimal perceived or negative stimuli by the patient) and postponement of the dental procedure 13 to allow the child to adjust to the use of desensitisation techniques and CBT, 12 for example.…”

Section: Itemsmentioning

confidence: 99%

“…Nevertheless, protective stabilisation is still recommended by the American Academy of Pediatric Dentistry 2019-2020 Guidelines under a few conditions, 13,14 whereas it is banned in the UK. 15 Therefore, the teaching and practice of more advanced behaviour management techniques (sedation, general anaesthesia, and protective stabilisation) does not reach a global consensus.…”

Section: Introductionmentioning

confidence: 99%

“…At the same time, hostile non‐pharmacological techniques such as hand over mouth, voice control, and protective stabilisation (clinical holding or physical restraint) have been reduced or abandoned, depending on the country and context. Nevertheless, protective stabilisation is still recommended by the American Academy of Pediatric Dentistry 2019‐2020 Guidelines under a few conditions, whereas it is banned in the UK . Therefore, the teaching and practice of more advanced behaviour management techniques (sedation, general anaesthesia, and protective stabilisation) does not reach a global consensus.…”

Section: Introductionmentioning

confidence: 99%

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A curriculum for behaviour and oral healthcare management for dentally anxious children—Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

Costa

Bendo

Daher

et al. 2020

Int J Paed Dentistry

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Background: Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. Aim: To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. Design: A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. Results: Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological | 557 COSTA eT Al.

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“…About 36% of the adult population presents with a mild anxiety level for dental treatments [ 11 ]. The prevalence of DA ranges between 4% and 20% of the worldwide adult population, with peaks of 30% in the younger population [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Translation and Validation of Italian Version of Index of Dental Anxiety and Fear (IDAF-4C+): A Cross-Sectional Study

et al. 2021

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Dental anxiety (DA) is defined as unreasonable apprehension toward dental procedures. About 4–20% of the worldwide adult population presents DA, with peaks of 30% in the younger population. Managing patients with dental anxiety and fear with a reliable and valid instrument is necessary to understand the multidimensional dimensions of dental fear. This work aimed to validate the Index of Dental Anxiety and Fear (IDAF-4C+) into Italian. Two hundred and eighty dental students attending an Italian university were enrolled. The IDAF-4C+ was translated by experts and a native English translator, blinded to the original version. The Modified Dental Anxiety Scale (MDAS) was used to assess the validity of IDAF-4C+. Spearman correlation coefficients and Exploratory Factorial Analysis (EFA) were used. Reliability was evaluated by Cronbach’s alpha. The reliability of the Italian version of IDAF-4C+ was good (Cronbach’s alpha = 0.88). Correlation between IDAF-4C+ and MDAS ranged between 0.42 to 0.68. From EFA, one factor explained 58.76% of the common variance. Women showed a higher level of dental fear. The Italian IDAF-4C+ is a valid and reliable tool to assess DA in any clinical context. This instrument allows for a proper understanding and management of DA, and therefore a better patient oral health-related quality of life and compliance with the dentist’s instructions.

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An Overview of Dental Anxiety and the Non-Pharmacological Management of Dental Anxiety

Cited by 20 publications

References 21 publications

Dentist‐administered cognitive behavioural therapy versus four habits/midazolam: An RCT study of dental anxiety treatment in primary dental care

Dentist‐administered cognitive behavioural therapy versus four habits/midazolam: An RCT study of dental anxiety treatment in primary dental care

A curriculum for behaviour and oral healthcare management for dentally anxious children—Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

Translation and Validation of Italian Version of Index of Dental Anxiety and Fear (IDAF-4C+): A Cross-Sectional Study

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