Dental anxiety in adult patients treated by dental students: A systematic review

Goh, Elizabeth Zhixin; Beech, Nicholas; Johnson, Nigel R.

doi:10.1002/jdd.12173

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…Females presented with a higher mean MDAS both pre and posttreatment compared with males. This finding is similar to other previous studies [2,5,17,21]. Those patients with unpleasant, unsatisfied and unhappy previous dental experience showed significant difference in comparison to those who experienced comfortable or interesting previous dental experience.…”

Section: Discussionsupporting

confidence: 91%

The variables associated with dental anxiety and their management in primary care dental clinics in Bahrain: a cross-sectional study

et al. 2022

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Background 20–80% of adults presenting to a dental clinic experience anxiety. Negative past dental experiences and environmental factors such as the waiting area of a dental clinic or sound of a drill are commonly considered triggering factors for anxiety. Anxiety management strategies are considered a part of routine dental procedure, due to increased prevalence and compromised patient care. Hence the aim of the present study is to identify the prevalence and variables associated with dental anxiety and their management in patients visiting the primary care dental clinics in Bahrain. Method Four hundred and eighty participants were included. A 3-part questionnaire deciphered the demographic characteristics of the participants, the dental procedure undertaken, the level of anxiety, and the management strategy used by the dentist. The pre and post-treatment MDAS scores were recorded. Paired t test, ANOVA and Wilcoxon signed rank test was used to test the level of significance between the variables and the mean MDAS scores. The p ≤ 0.05 was considered statistically significant. Results The prevalence of dental anxiety was 23.7% with moderate anxiety, and 11.4% with high anxiety. Females presented with a higher mean MDAS both pre and post-treatment compared with males. A statistically significant difference between the pre and post-treatment MDAS scores were observed in educated patients less than 50 years of age. Those with unpleasant previous dental experience showed statistically significant difference. Analyses of anxiety management techniques showed that single techniques worked better than combination techniques. Rest and breaks combined with any other technique of choice showed significant reduction in the MDAS scores post treatment. Conclusion To conclude, all patients attending the dental clinic present with some level of anxiety that necessitates the dentist to use anxiety management strategies. Non-pharmacological methods that are non-invasive must be the first choice. Rests and breaks, with any technique of choice provides the best possible anxiety management. It is possible to achieve the desired anxiety reduction in single visit to complete the planned dental intervention, other than in patients who are dental phobic.

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Section: Discussionsupporting

confidence: 91%

The variables associated with dental anxiety and their management in primary care dental clinics in Bahrain: a cross-sectional study

et al. 2022

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“…Before coming to the office, the parents have to prepare the child for treatment by following the advice of the dentist. In this way—with parental preparation at home and the application of methods of shaping behavior in the office—the child is gradually prepared for any planned procedure without the development of dental fear and anxiety [ 10 , 35 ]. With this research, we have shown that dental anxiety is high in the area of southeast Europe.…”

Section: Discussionmentioning

confidence: 99%

“…If anxiety is not diagnosed in time, a “vicious circle of dental anxiety” occurs. Dental fear and anxiety lead to the neglect of oral health, resulting in a worsening of the problem, and this leads to longer and more painful treatment that increases fear in the patient and leads to re-avoidance of the office and the entire dental team [ 9 , 10 ]. In a study by Mueller et al [ 11 ] from 2022, dental anxiety and negative dental experiences significantly reduced the participants’ perception of dental self-efficacy, as well as dental self-examination.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Children’s and Parents’ Dental Anxiety: A Cross-Sectional Study on the Six European Countries

et al. 2022

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Background: The purpose of this study is to investigate the relationship between children’s and parents’ dental anxiety. Methods: 731 children of different ages and their parents from six European countries participated in this study. Dental anxiety was investigated through an online questionnaire, which consisted of general questions and the Corah Dental Anxiety Scale (CDAS), which is a questionnaire that measures respondents’ reactions on a 5-point scale for four different situations. Results: CDAS results were calculated for all children and their parents. A total of 12.5% of children from Croatia, 26.67% from Macedonia, 10.94% from Bosnia and Herzegovina, 20.31% from Montenegro, 23.08% from Slovenia and 16.10% from Serbia showed a high level of anxiety. The correlation between dental anxiety of parents and children was 0.4 (p < 0.01). Conclusions: Parents with negative experience from a dental office can have a bad effect on their child’s behaviour, which results in the creation of a non-active patient. Due to the clear and existing cause-and-effect relationship of dental anxiety in children and parents, it is extremely important to educate parents about the proper psychological approach to children in order to promote positive experiences from dental offices, as well as to emphasize the importance of regular visits to the dentist.

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“…28 Another investigation by Gosh et al indicated this by showing that dental neglect was strongly significantly associated with dental anxiety. 29 Reduced interest in adequately taking care of their children's teeth, by reduced follow up for periodontal and restorative management modalities, was also significantly associated with the practice of parenteral neglect and reduced compliance to their dental treatment plans. 30 Among studies in the literature, some had reported that these parents were characterized by frequent exposure to emergency pain-relieving modalities, reduced show-up at dental clinics, decreased interest in alleviating their dental education and reduced oral hygiene self-practices.…”

Section: Etiologymentioning

confidence: 99%

Epidemiology, etiology, types and outcomes of dental neglect in children

Alsaadi¹,

Assiri

Alhedbany

et al. 2021

Int J Community Med Public Health

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Dental neglect is a common condition among children and it can be associated with several adverse events as dental caries, dental pain and inflammation, infections, trauma, bleeding and other complications that might result from inadequate administration of adequate prevention and treatment modalities. However, many children and parents are not adequately aware of these events and the potential diseases that might be associated secondary to them. Dental neglect is a common condition that might affect children of different age groups and might also extend to adult groups and is affected by the demographics and socioeconomic characteristics of the affected populations. Furthermore, the etiology of dental neglect is variable and parenteral, child and clinical care should all be integrated to achieve better oral health. Many adverse events have been reported as dental caries and other periodontal diseases that might have a significant impact on the affected teeth and the succeeding permanent ones, which might impact the quality of life in the affected children. Accordingly, dental neglect should be given full care to enhance the outcomes of oral health in children.

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Dental anxiety in adult patients treated by dental students: A systematic review

Cited by 12 publications

References 17 publications

The variables associated with dental anxiety and their management in primary care dental clinics in Bahrain: a cross-sectional study

The variables associated with dental anxiety and their management in primary care dental clinics in Bahrain: a cross-sectional study

Relationship between Children’s and Parents’ Dental Anxiety: A Cross-Sectional Study on the Six European Countries

Epidemiology, etiology, types and outcomes of dental neglect in children

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