Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry

Gil-Abando, Gabriela; Medina, Paula; Signorini, Carolina; Casañas, Elisabeth; Navarrete, Natalia; Corcuera, Marta Muñoz

doi:10.3390/ijerph191711141

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Since they are concerned with measuring the presence of specific dental fears and anxiety caused by certain events in the dental office, these scales are extremely suitable for comparison with other scales that measure anxiety caused by the current event. Among them, the most famous and most frequently used is the revised form of the CDAS (DASR), with universal application in children and adults, composed of 4 particles 9 . The presence of DA before oral surgery, which is established during a dental examination, can have a significant impact on the level of general anxiety, that is, anxiety as a relatively stable personality trait 10 .…”

Section: Resultsmentioning

confidence: 99%

Assessment of preoperative and postoperative anxiety in adults during extraction of impacted third permanent molars

Selimović,

Bajrić

2023

Balkan J Dent Med

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Background: Dental fear and anxiety (DFA) is ubiquitous among the adult population. The anxiety component of DFA is more strongly expressed in adults, and includes a physiological and psychological component, and is more often analyzed in research. Oral-surgical interventions represent a significant source of stress for the appearance of anxiety in subjects. The research aim was to analyze the presence of anxiety with the use of the revised Corah Dental Anxiety Scale (DASR) and the Spielberger State-Trait Anxiety Inventory (STAI) in adult patients during the treatment of extraction of impacted third permanent molars by oral surgery. Material and Methods: The study included adult patients of both sexes, who were previously scheduled for oral-surgical removal of third permanent molars. Anxiety levels were assessed preoperatively and postoperatively as follows: 1st measurement (day of examination)-DASR, and STAI (X1 and X2); 2nd measurement (immediately before the intervention)-STAI (X1 and X2); 3rd measurement (day after the intervention)-STAI (X1 and X2). Results: Preoperatively, the presence of high levels of general anxiety, situational anxiety, and dental anxiety was determined. The levels were decreased before the planned surgery and were significantly reduced in the postoperative period. The STAI scale could be used to assess the presence of situational anxiety in the dental office on an equal footing with other known measuring instruments (e.g. DASR). Conclusions: Adequate therapy should be considered to prevent preoperative anxiety, which would increase the satisfaction of patients and therapists while reducing complications related to this type of intervention.

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Section: Resultsmentioning

confidence: 99%

Assessment of preoperative and postoperative anxiety in adults during extraction of impacted third permanent molars

Selimović,

Bajrić

2023

Balkan J Dent Med

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“…Corah’s DAS is one of the most popular psychological scales used to diagnose DA. The DAS has been translated into multiple languages because of its reliability and cross-cultural validity [ 18 , 19 ]. Its advantages are its brevity, simplicity, being easy to complete, and its cost-effectiveness for research [ 15 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

Zhang,

Li,

Zhang

2024

BMC Oral Health

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Background Anxiety is common preceding tooth extraction; hence, it is crucial to identify patients with dental anxiety (DA) and to manage DA. This study assessed the level of DA and influencing factors in tooth extraction patients in a dental hospital in China and changes in their blood pressure (BP) and heart rate (HR) during the tooth-extraction procedure. Methods The study was a cohort study. The Dental Anxiety Scale (DAS) was used to assess the level of DA of 120 patients before tooth extraction. A Demographics and Oral Health Self-Assessment Form was used to assess factors influencing DA. The correlations of DAS scores with HR and BP were measured. The effects of local anesthesia and general anesthesia on HR and BP were also compared using a Datex-Ohmeda anesthesia monitor to detect HR and BP continuously before and after anesthesia. Independent sample t-tests, OLS multiple regression model and one-way analysis of variance were applied to analysis the results. Results Based on the DAS score, 12.5% of the participants were identified as suffering from DA. DA was related to age, gender, and the self-assessment of oral health. The DAS score was correlated with increased BP (P < 0.05). BP showed an overall upward trend after local anesthesia, while it was generally stable after general anesthesia. The systolic BP at 4 and 5 min and the HR at 2 and 4 min increased remarkably (P < 0.05) after local anesthesia compared with those before anesthesia. The HR and BP of patients under local anesthesia were generally higher than those of patients under general anesthesia were during the operation. Conclusions The prevalence of DA in adults was 12.5% in this study population. DA was related to gender, age, and the self-assessment of oral health. The score of DAS was correlated with BP. Compare to local anesthesia, general anesthesia can make the vital signs of tooth extraction patients more stable.

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Patient perceptions and experiences of dental fear of different dental specialties: a mixed-method study

Taqi,

Zaidi,

Javaid

et al. 2023

BMC Oral Health

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Objective The primary objective of this study was to validate an Urdu translation of Kleinknecht’s Dental Fear Survey (DFS) for use in Pakistan and to explore which items contribute the most to the variance in dental fear scores based on patient perceptions and lived experiences during dental care. Methodology This mixed-method study was conducted at Dow Dental Hospital from February 2022 to June 2022. For quantitative analysis, a total of 273 participants were enrolled through convenience sampling. After obtaining signed consent, participants were asked to self-report their dental fear. In-depth interviews with 25 patients displaying moderate to high dental fear were conducted to clarify the elements of dental fear scores through the lens of individual perceptions and experiences. Results The prevalence of moderate dental fear was significantly higher among female participants than males. The mean dental fear score was higher among females (39.47 ± 14.23) as compared to males (30.83 ± 10.50). Most of the female participants reported an increase in breathing rate and heartbeat during dental treatment. The highest mean fear score was reported by participants who underwent oral surgical treatment (42.98 ± 14.21), followed by participants who received restorative care (36.20 ± 12.60). Approaching the dentist’s office was the significant factor that contributed the most to the variance in dental fear scores. Four themes were generated through the content analysis of the interviews: physical reactions to dental procedures, perceptions and fears about surgical and restorative procedures, and gender and environmental factors in dental fear and interaction with dentists. Conclusion The Urdu translation of DFS is a reliable and valid instrument for assessing dental fears in Pakistan based on the findings of this study. Patients perceive surgical and restorative procedures as unpleasant and threatening. It was noted that “the heart beats faster” and “the breathing rate increases.“ were the top two physiological responses.

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Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry

Cited by 3 publications

References 21 publications

Assessment of preoperative and postoperative anxiety in adults during extraction of impacted third permanent molars

Assessment of preoperative and postoperative anxiety in adults during extraction of impacted third permanent molars

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

Patient perceptions and experiences of dental fear of different dental specialties: a mixed-method study

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