Pain Perception and Anxiety During Scaling in Periodontally Healthy Subjects

Güzeldemir, Esra; Toygar, Hilal Uslu; Cilasun, Ulkem

doi:10.1902/jop.2008.080152

Cited by 49 publications

(60 citation statements)

References 48 publications

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“…Women reported more dental anxiety than did men, as shown in previous studies (3,23,26). It could be attributed to the fact that men refuse to report symptoms they consider weak or unmasculine and tend to silently cope with anxiety.…”

Section: Discussionsupporting

confidence: 78%

“…Please use the numbers from the scale for the first three questions. Therefore, in our study, the patients were asked to complete a questionnaire consisting of only these seven questions, as was done previously by Chung et al and Guzeldemir et al (3,21). The anxiety questionnaire scores ranged from 7 to 35 (Fig.…”

Section: Dental Anxiety Questionnaire Sheetmentioning

confidence: 99%

“…Pain is not simply determined by the intensity of nociceptive stimulation (3). Pain is as much a cognitive and emotional construct as it is a physiological experience (4).…”

Section: Introductionmentioning

confidence: 99%

“…Dental anxiety was described by Klingberg and Broberg as a state of apprehension that something dreadful is going to happen in relation to dental treatment or certain aspects of dental treatment (3).…”

Section: Introductionmentioning

confidence: 99%

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Relationship between dental anxiety and pain perception during scaling

2011

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Dental pain, anxiety and fear are important factors that prevent patients from seeking dental care. In this study, we aimed to evaluate the pain perception of patients during scaling and its relationship with dental anxiety. One hundred dental patients participated in the study. Pain levels after scaling were assessed with a Visual Analog Scale (VAS) and an Anxiety Questionnaire consisting of seven questions. The mean VAS score for the entire study group was 17.3 ± 13.8 with no statistically significant differences between gender and different age groups. The mean anxiety score was 11.66 ± 4.17. This was significantly higher in women (P = 0.005), but there were no statistically significant differences between different age groups. There was a statistically significant correlation between VAS and total anxiety score (P < 0.001) as well as each question, except for questions number 3 and 4 in men. Patients were found to experience only limited pain during scaling. They were anxious because they expected pain, women being more anxious than men. Hence, dentists should seek to alleviate or reduce pain and anxiety related to treatment not only to successfully complete the treatment, but also to sustain and carry the patients into successful maintenance and patient recall. (J Oral Sci 53, 341-348, 2011)

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Section: Discussionsupporting

confidence: 78%

Section: Dental Anxiety Questionnaire Sheetmentioning

confidence: 99%

“…Pain is not simply determined by the intensity of nociceptive stimulation (3). Pain is as much a cognitive and emotional construct as it is a physiological experience (4).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between dental anxiety and pain perception during scaling

2011

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“…12 Dental anxiety was found to have a direct relationship with pain perception. 13 Rhudy and Meagher 14 suggested that the pain reactivity is modulated by emotional stress. In addition, Loggia et al 15 revealed changes in pain pathways on neuroimaging techniques with a negative emotional state.…”

mentioning

confidence: 99%

Salivary Cortisol, Salivary Alpha Amylase, and the Dental Anxiety Scale

Sadi¹,

Finkelman²,

Rosenberg

2013

Anesthesia Progress

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The aim of this study was to investigate the correlation between dental anxiety, salivary cortisol, and salivary alpha amylase (sAA) levels. Furthermore, the aim was to look into individual differences such as age, race, gender, any existing pain, or traumatic dental experience and their effect on dental anxiety. This study followed a cross-sectional design and included a convenience sample of 46. Every patient was asked to complete the Dental Anxiety Scale (DAS) and a basic demographic/dental history questionnaire. A saliva sample, utilizing the method of passive drooling, was then collected in 2-mL cryovials. Samples were analyzed for salivary cortisol and sAA levels by Salimetrics. Significant associations were observed between DAS scores and presence of pain and history of traumatic dental experience. However, no significant correlations were observed between DAS, cortisol, and sAA levels. Our study reconfirms that dental anxiety is associated with presence of pain and a history of traumatic dental experience. On the other hand, our study was the first to our knowledge to test the correlation between the DAS and sAA; nevertheless, our results failed to show any significant correlation between dental anxiety, cortisol, and sAA levels.

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