Four Dimensions of Fear of Dental Injections

Milgrom, Peter; Coldwell, Susan E.; Getz, Tracy; Weinstein, Philip; Ramsay, Douglas S.

doi:10.14219/jada.archive.1997.0301

Cited by 217 publications

(177 citation statements)

References 10 publications

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“…Whereas Milgrom et al 25 gave excel lent clinical recommendations on how to handle patients with specifi c types of fear of dental injections, the present study suggests that a number of these patients report that they do feel more pain, which could be an explanation for their fears but also vice versa (their fear leads to a increased pain percep tion). Indeed, a number of recent stud ies are aimed at improving the prediction of pain experienced during dental pro cedures, eg a study by Klages et al 18 where trait anxiety combined with pain sensitivity 30 was most predictive for the amount of experienced pain.…”

Section: Discussioncontrasting

confidence: 67%

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Highly anxious dental patients report more pain during dental injections

Wijk

Makkes²

2008

Br Dent J

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Section: Discussioncontrasting

confidence: 67%

“…25 For the present study, three items were used to assess previous expe rience with dental injections in terms of confidence in the injection, pain felt during injections and anxiety related to injections. All answer scales were trans formed in such a way that a higher score indicates more confidence, pain and anxiety.…”

Section: Experience With Dental Injectionsmentioning

confidence: 99%

Highly anxious dental patients report more pain during dental injections

Wijk

Makkes²

2008

Br Dent J

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“…In this context, fear of blood and needles represents an important individual and public health concern as it is a documented deterrent to procedures such as routine blood work [22,38], insulin injections and finger sticks for diabetes management [13,39], dental care [7,25], vaccinations [21,32,38], and blood donation [38]. A severe form of this fear -termed blood-injection-injury phobia -is characterized by an intense fear of blood, injections, medical care, and injury; such fear is recognized as excessive and unreasonable by the individual [1].…”

Section: Introductionmentioning

confidence: 99%

Initial validation of a virtual blood draw exposure paradigm for fear of blood and needles

Trost

Jones

Guck

et al. 2017

Journal of Anxiety Disorders

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Fear of blood, injections, and needles commonly prevents or delays individuals' receipt of health care, such as vaccines or blood draws. Innovative methods are needed to overcome these fears and reduce anxiety related to activities of this nature. The present study describes initial testing of an arm illusion paradigm that may prove useful during early phases of graded exposure for people with blood and needle fear. Seventy-four undergraduate students aged 18-29 years were tested. In line with study aims, results indicated that the virtual blood draw paradigm promoted strong perceptions of arm ownership and elicited significant changes in physiological indices (blood pressure, heart rate, electrodermal activity, respiratory rate) in response to key procedure elements (e.g., needle insertion). Further, bivariate correlations indicated that individual differences in self-reported blood and needle fear collected prior to the illusion paradigm were significantly associated with presyncopal symptoms reported following the procedure. In regression analyses, self-reported measures of blood and needle fear explained unique variance in presyncopal symptoms even after controlling for general state anxiety. These findings provide initial support for the virtual blood draw paradigm as a promising tool to help provide graded exposure to medical procedures involving needles and blood draw.

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“…2 Fear and anxiety associated with local anaesthesia injection can be a major impediment to dental care because it frequently causes patients to delay or even avoid treatment. 3 To minimise the pain on injection, the use of topical anaesthesia, low-pressure injection, 4 narrow sharp needles, 5 a slow injection rate 6 and solutions that are warmed 7 and buffered 8 have been suggested. Nevertheless, a totally painless injection is impossible to achieve under all circumstances.…”

Section: Introductionmentioning

confidence: 99%