Assessment of pre and postoperative anxiety in patients 
undergoing ambulatory oral surgery in primary care

Reyes-Gilabert, E; Romero, Luis Gabriel Luque; Bejarano-Avila, G; Garcia-Palma, A; Mayordomo, Ángel Rollón; Infante-Cossio, Pedro

doi:10.4317/medoral.21929

Cited by 14 publications

(17 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, the results of this study showed that the degree of pain on the first day after teeth extractions was positively correlated with the degree of DA, which was consistent with previous studies ( 22 , 23 ). The reason may be related to the psychological preparation for pain in these patients.…”

Section: Discussionsupporting

confidence: 92%

“…At present, it is mainly evaluated by questionnaire survey. The commonly used DA assessment scales are the Corah's Dental Anxiety Scale (DAS) ( 4 ), the Modified Dental Anxiety Scale (MDAS) ( 5 ), the State-Trait Anxiety Inventory Scale (STAIS) ( 6 ), the Dental Fear Survey (DFS) ( 7 ) and the Amsterdam Preoperative Anxiety and Information Scale (APAIS) ( 8 ). However, there are differences in the reliability, validity and evaluation items for each scales.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence factors of dental anxiety in patients with impacted third molar extractions and its correlation with postoperative pain: a prospective study

Xu¹,

Xiao²

2020

Med Oral

View full text Add to dashboard Cite

Background To explore the prevalence of dental anxiety (DA) in patients with third molar extractions and its influence factors and the correlation between DA levels and postoperative pain. Material and Methods A prospective and descriptive clinical study was performed. All patients who underwent the impacted third molar extraction from October 2017 to February 2019 were enrolled. DA levels were assessed by virtue of the modified dental anxiety scale (MDAS) and pain was assessed with a visual analog scale (VAS). Results A total of 150 patients were investigated and 136 valid questionnaires were retrieved, with an effective rate of 90.7%. The independent sample t-test and ANOVA results showed that the anxiety level of patients with the third molar extractions was statistically different in gender, teeth extraction experience and self-assessment oral health status. Multiple linear regression analysis with DA as a dependent variable showed that gender and teeth extraction experience were independent factors influencing DA in patients with third molar extractions. Pearson's test showed that there was a significant correlation between DA level in patients and the postoperative pain on the first day (r=0.542, p =0.000). Conclusions For patients (females, poor oral hygiene and no teeth extraction experience), surgeon should pay more attention to DA of such patients and take measures to reduce the anxiety when removing the third molars. Furthermore, surgeon can recommend oral administration ibuprofen sustained release capsules after surgery. Key words: Dental anxiety, modified dental anxiety scale, visual analogue scale, postoperative pain.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Influence factors of dental anxiety in patients with impacted third molar extractions and its correlation with postoperative pain: a prospective study

Xu¹,

Xiao²

2020

Med Oral

View full text Add to dashboard Cite

show abstract

“…Children with a high level of preoperative anxiety are more likely to develop maladaptive behavior postoperatively. 1 First dental experience of children is always critical in sculpting positive attitude toward dentistry and also in completion of anticipated treatment.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children

Chandrasekhar

Vinay

et al. 2019

International Journal of Clinical Pediatric Dentistry

View full text Add to dashboard Cite

Background: Children with high level of preoperative anxiety during their visit to dental office are more likely to develop maladaptive behavior postoperatively. First dental experience is always critical in molding child's attitude toward dentistry. Various behavior management methods are being employed during dental treatment to complete anticipated treatment in children. Aim: The aim of the study was to evaluate the effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. Materials and methods: A total of 45 children of age 6-10 years with moderate-to-severe anxiety were allocated into three groups: group Icognitive behavioral play therapy (CBT), group II-audiovisual (AV) distraction, and group III-tell-show-do technique (control group). Children in the CBT group were allowed to play with building blocks, asked to draw a picture and then showed a modeling video of co-operative child undergoing dental treatment. Children in group II were subjected to passive distraction with audiovisual aids, whereas group III (control) children were managed with the conventional TSD technique. Baseline and postintervention objective and subjective anxiety scores were measured with a pulse oximeter and facial image scale (FIS), respectively. Results: A statistically significant reduction in the subjective and objective anxiety scores is observed in all the three groups (p = 0.001) in both intragroup and intergroup comparisons. On intergroup comparison, the reduction in subjective and objective anxiety scores was higher in CBT (p = 0.0) than in AV distraction and TSD groups (p = 0.05). Conclusion:Active distraction with cognitive behavioral play therapy is found to be more effective in reducing the preoperative anxiety in children compared to audiovisual distraction and tell-show-do technique. Clinical significance: Identification and management of preoperative anxiety in children is most critical for successful dental treatment. Active distraction is an effective psychological approach for behavior management in anxious children.

show abstract

“…Anxiety during dental treatment is common and has been defined as an organic response characterized by apprehension and increased surveillance in situations of uncertain danger or potential threats to the integrity of the organism [ 1 ]. It has been described that impacted lower third molar (LTMo) extraction may be significantly more difficult in anxious patients, given their increase in heart rate and blood pressure [ 2 3 4 ], and dental anxiety may be a significant predictor of pain during and after dental treatment [ 1 5 6 7 ]. Lin et al (2016) [ 1 ] concluded that anxiety should be assessed as a critical step not only for anxiety management, but also for better pain control during dental treatments, and understanding this emotional state is important for the comfort of both patients and dentists [ 8 9 ].…”

Section: Introductionmentioning

confidence: 99%

Single-channel electroencephalography and its associations with anxiety and pain during oral surgery: a preliminary report

Jabur

Gonçalves

Faria

et al. 2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

Background This study aimed to assess the course of anxiety and pain during lower third molar (LTMo) surgery and explore the role of mobile and single-channel electroencephalography under clinical and surgical conditions. Methods The State-Trait Anxiety Inventory (STAI), Corah's Dental Anxiety Scale (DAS), and Interval Scale of Anxiety Response (ISAR) were used. The patient self-rated anxiety (PSA), the pain felt during and after surgery, EEG, heart rate (HR), and blood pressure (BP) were assessed. Results The Attention (ATT) and Meditation (MED) algorithms and indicators evaluated in this study showed several associations. ATT showed interactions and an association with STAI-S, pain during surgery, PSA level, HR, and surgical duration. MED showed an interaction and association with DAS, STAI-S, and pain due to anesthesia. Preclinical anxiety parameters may influence clinical perceptions and biological parameters during LTMo surgeries. High STAI-Trait and PSA scores were associated with postoperative pain, whereas high STAI-State scores were associated with more pain during anesthesia and surgery, as well as DAS, which was also associated with patient interference during surgery due to anxiety. Conclusions The findings suggest that single-channel EEG is promising for evaluating brain responses associated with systemic reactions related to anxiety, surgical stress, and pain during oral surgery.

show abstract

Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care

Cited by 14 publications

References 22 publications

Influence factors of dental anxiety in patients with impacted third molar extractions and its correlation with postoperative pain: a prospective study

Influence factors of dental anxiety in patients with impacted third molar extractions and its correlation with postoperative pain: a prospective study

Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children

Single-channel electroencephalography and its associations with anxiety and pain during oral surgery: a preliminary report

Contact Info

Product

Resources

About