Fear and anxiety of COVID-19 in dental patients during the COVID-19 pandemic: A cross-sectional survey in Turkey

Daltaban, Özlem; Aytekin, Zeliha

doi:10.17219/dmp/150075

Cited by 8 publications

(5 citation statements)

References 39 publications

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“…A survey conducted in Turkey showed that 73% of participants feared dental treatment because of the possibility of contracting the virus in the dental office. 29 Moreover, the literature reports that the likelihood of treatment discontinuation is 6 times higher in people with a high level of fear of coronavirus and 8 times higher in the elderly. 14 Almost 25% of respondents changed their treatment date during the periods of increased infection rate due to the possibility of infection.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on patients’ anxiety levels related to dental appointments in Poland

Łazarz-Półkoszek,

Orczykowska,

Gala

et al. 2023

Dent. Med. Probl.

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Background. The reasons for the fear of coronavirus disease 2019 infection are the ease of the transmission of the virus, the severe course of the disease and possible complications, as well as treatment difficulties. The dental office is a place of increased risk. Despite the applied epidemiological protection measures and the hygienic regimen, a dental visit may cause anxiety and generate stress.Objectives. The aim of the study was to determine the level of fear of coronavirus infection in dental patients during the COVID-19 pandemic, taking into account the patients' age, gender and education, the number of people in the household, and the reason for the appointment. In addition, the patients assessed the epidemiological comfort provided during their visit to the dental clinic. Material and methods.The survey was conducted among 100 adults who visited the University Dental Clinic (UKS) in Cracow, Poland, for dental treatment. The patients completed 2 questionnaires: "Assessment of the level of anxiety associated with COVID-19"; and "Impact of the COVID-19 pandemic on the need of dental treatment and the level of epidemiological safety of patients". The results were statistically analyzed and interpreted.Results. The level of anxiety assessed with the questionnaire was moderate, and there were no statistically significant differences with regard to the age, gender and education of the respondents or the number of people in the same household. The main reason for reporting to the clinic was the desire to start and continue treatment. Most of the respondents believed that wearing a mask and measuring the temperature protect against infection, but 27% assessed the security measures as insufficient. Nearly half feared impeded access to dental services, and more than half were afraid of increased costs of treatment.Conclusions. Despite the safety measures taken in place, patients felt anxious about dental appointments during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on patients’ anxiety levels related to dental appointments in Poland

Łazarz-Półkoszek,

Orczykowska,

Gala

et al. 2023

Dent. Med. Probl.

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“…COVID-19 triggers hypercoagulation and causes neurological damage, and, in severe cases, leads to death. Fever, cough, runny nose, nasal congestion, anosmia, dysgeusia/hypogeusia, diarrhea, and nausea/vomiting are the most typical symptoms [ 24 , 25 ]. Fatigue, eye discomfort (conjunctival discharge), and arrhythmias are other clinical signs.…”

Section: Introductionmentioning

confidence: 99%

The Association between COVID-19 Related Anxiety, Stress, Depression, Temporomandibular Disorders, and Headaches from Childhood to Adulthood: A Systematic Review

et al. 2023

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Objective: The coronavirus belongs to the family of Coronaviridae, which are not branched single-stranded RNA viruses. COVID-19 creates respiratory problems and infections ranging from mild to severe. The virus features mechanisms that serve to delay the cellular immune response. The host’s response is responsible for the pathological process that leads to tissue destruction. Temporomandibular disorders are manifested by painful jaw musculature and jaw joint areas, clicks, or creaks when opening or closing the mouth. All these symptoms can be disabling and occur during chewing and when the patient yawns or even speaks. The pandemic situation has exacerbated anxieties and amplified the vulnerability of individuals. Therefore, from this mechanism, how the COVID-19 pandemic may have increased the incidence of temporomandibular disorders is perceived. The purpose of this review is to evaluate whether COVID-19-related anxiety has caused an increase in temporomandibular dysfunction symptoms in adults to children. Methods: PubMed, Web of Science, Lilacs, and Scopus were systematically searched, until 30 July 2022, to identify studies presenting: the connection between COVID-19 with temporomandibular disorders. Results: From 198 papers, 4 studies were included. Literature studies have shown that the state of uncertainty and anxiety has led to an increase in the incidence of this type of disorder, although not all studies agree. Seventy-three studies were identified after viewing all four search engines; at the end of the screening phase, only four were considered that met the PECO, the planned inclusion, and the exclusion criteria. All studies showed a statistically significant correlation between temporomandibular disorders and COVID-19 with a p < 0.05. Conclusions: All studies agreed that there is an association between COVID-19 and increased incidence of temporomandibular disorders.

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“…6 Fear for dental treatment can also be affected or compounded by some situations that can impact on the psychological well-being of the patient such as the COVID-19 pandemic. Studies 8,9 have shown that the pandemic added to the anxiety and fear of visiting the dental clinic, due to the fear of meeting people and increasing their risk of contracting the disease. However, this study plans to focus on a normal situation where there is no external nor additional situation such as the pandemic.…”

Section: Introductionmentioning

confidence: 99%

A study protocol for a single-centred randomized trial to investigate the effect of pre-treatment communication methods on dental anxiety among adult dental patients

2023

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Objective: Optimal oral health is an essential component of good quality of life. However, this may be hindered by dental anxiety (DA), thereby, affecting the utilization of dental services. DA could be alleviated by pre-treatment information; however, the method of delivering this information is yet to be explored. It is, therefore, necessary to assess the modes of presenting pre-treatment information to ascertain the one with significant effect on DA. This will improve treatment outcomes and quality of life for individuals. Hence, the primary objective is to assess the effect of audiovisual and written forms of pre-treatment information on DA, while the secondary objective will compare the subjective and objective methods of assessing DA with psychometric anxiety scale (Index of Dental Anxiety and Fear (IDAF)-4C+) and salivary alpha-amylase respectively. Study design: Single-centred, single-blind, parallel-group, four-arm randomized clinical trial. Methods: The study will compare the effects of audiovisual and written forms of pre-treatment information on DA among adults. Patients 18 years and above scheduled for dental treatment will be screened for eligibility. Written informed consent will be sought before participation. Participants will be allocated randomly using block randomization, to the groups; G1: audiovisual and G2: a written form of pre-treatment information. At the visit, participants will complete the DA questionnaires (IDAF-4C+, Modified Dental Anxiety Scale and Visual Analogue Scale). Physiological anxiety-related changes of salivary alpha-amylase will be measured using a point-of-care kit (iPro oral fluid collector) at baseline, and 10 min after intervention. Furthermore, blood pressure will be taken at baseline and 20 min into the treatment. The mean changes of physiologic anxiety levels and 95% confidence intervals will be compared between the methods of pre-treatment information. Discussion: This study hopes to establish pre-treatment information as a method for reducing DA among the populace. Also, to assess the relationship between questionnaire-based and physiologic methods of assessing DA.

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Fear and anxiety of COVID-19 in dental patients during the COVID-19 pandemic: A cross-sectional survey in Turkey

Abstract: The authors thank the study participants for their contribution and especially acknowledge the clinical staff for their assistance.

Cited by 8 publications

References 39 publications

Impact of the COVID-19 pandemic on patients’ anxiety levels related to dental appointments in Poland

Impact of the COVID-19 pandemic on patients’ anxiety levels related to dental appointments in Poland

The Association between COVID-19 Related Anxiety, Stress, Depression, Temporomandibular Disorders, and Headaches from Childhood to Adulthood: A Systematic Review

A study protocol for a single-centred randomized trial to investigate the effect of pre-treatment communication methods on dental anxiety among adult dental patients

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