Preoperative dental anxiety and mood changes during nitrous oxide inhalation

Zacny, James P.; Hurst, Rebecca; Graham, Lou; Janiszewski, Debra

doi:10.14219/jada.archive.2002.0026

Cited by 27 publications

(18 citation statements)

References 11 publications

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“…The mean recorded levels for the IHS groups were 45-48% (Table 2). These levels were not dissimilar to other studies (Berge 5 46.9%, Zacny et al 15 38.3-40.6%) and a number of authors have used 50% N 2 O. [16][17][18] A greater number of surgical procedures were carried out in the mildly anxious IHS group -approximately double that of the other two groups (Fig.…”

Section: Discussionsupporting

confidence: 62%

“…Zacny et al 15 also documented a reduction in anxiety levels of a group of 46 patients receiving 38-40% N 2 O. Possibly, the lack of amnesic effect of nitrous oxide helps patients to remember the sense of wellbeing it gives them which decreases anxiety and increases cooperation for future procedures.…”

Section: Discussionmentioning

confidence: 96%

“…It is difficult to compare the three groups directly owing to the variables within them. Standardising the groups would not be possible without a randomised controlled trial but this is hardly ethical when treating moderate to severely anxious patients who require sedation, a sentiment echoed by Zacny et al 15 This was also well demonstrated in Venchard et al's work when they were unable to randomise surgical patients into an IHS group and had to abandon this part of their study because the patients had been unable to have their surgical treatment completed. 20 This evaluation effectively demonstrates that it is entirely possible to treat patients surgically with IHS alone, providing they are adequately assessed and selected pre-operatively.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Investigation of inhalational conscious sedation as a tool for reducing anxiety in adults undergoing exodontia

Hierons¹,

Dorman²,

Wilson

et al. 2012

Br Dent J

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Investigation of inhalational conscious sedation as a tool for reducing anxiety in adults undergoing exodontia

Hierons¹,

Dorman²,

Wilson

et al. 2012

Br Dent J

View full text Add to dashboard Cite

“…Therefore, the possible score ranges from 4 to 20 (7,8). Anxiety is considered low when scores are equal to or less than 6, moderate with scores between 7 and 12, and high with scores equal to or greater than 13 (9). The procedure was carried out by the same surgeon and anesthetist.…”

Section: Methodsmentioning

confidence: 99%

Hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation

González-Lemonnier¹,

Bovaira-Forner²,

Peñarrocha-Diago³

et al. 2011

Med Oral

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Purpose: This study was conducted to determine the hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation, and whether preoperative anxiety, gender or age influence these parameters. Patients and Methods: A prospective study carried out between May 2004 and February 2007, on 102 patients treated with dental implants under local anesthesia and conscious intravenous sedation. Patients completed a questionnaire prior to surgery to evaluate preoperative dental anxiety using Corah's scale. The hemodynamic and ventilatory changes were evaluated by monitoring systolic pressure (SP), diastolic pressure (DP), heart rate (HR) and oxygen saturation (SaO2). These values were collected at 5 points during surgery; before commencing the operation (baseline value), during local anesthetic injection, at the moment of incision and raising of a mucoperiosteal flap, during implant placement, and finally at suturing. Intravenous conscious sedation was administered between baseline value and injection of the local anesthetic. Results: The highest SP and DP were recorded at baseline and at suturing. The highest HR was recorded at the moment of incision and raising of the mucoperiosteal flap; the lowest SaO2 was recorded at local anesthetic injection. There was no relationship between hemodynamic and ventilatory values and preoperative anxiety or gender. A greater age was associated with higher SP and lower SaO2, these differences being statistically significant. Conclusions: Most of the cardiovascular and ventilatory changes induced by the implant surgery with intravenous conscious sedation were within normal ranges. The results indicate that midazolam with fentanyl do not produce important hemodynamic and ventilatory changes, being a good association for intravenous conscious sedation in dental implant surgery.

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“…Assessment tools such as the Dental Anxiety Scale (DAS), Dental Anxiety Inventory, and Spielberger's State-Trait Anxiety Inventory are commonly used for research purposes in screening dentally anxious patients. [2][3][4][7][8][9][10][11] These measures have been shown to have high validity and reliability, but they are seldom used clinically due to the perceived time constraints and sensitive survey contents. Clinicians are also reluctant to administer the surveys to patients because of the surveys' emphasis on negative dental experiences.…”

mentioning

confidence: 99%

Behavior‐Associated Self‐Report Items in Patient Charts As Predictors of Dental Appointment Avoidance

Lin

2009

Journal of Dental Education

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Dentally anxious patients with long-term avoidance behavior may experience treatment complications and induce stress in the dentist. Since dental anxiety scales are seldom used clinically, it is valuable to investigate the strength of behavior-associated items in the current patient chart in predicting canceled or missed appointments. Charts from a sample of patients (N=357) who visited the UCLA Dental Center January 2006 to June 2006 were examined for self-reports of depression, moodiness, nervousness, and anxiety. Multivariate regression indicated that reported feelings of depression, moodiness, and prior appointment avoidance due to fear were strong predictors for canceled or missed appointments. Reported anxiety or nervousness did not predict missed appointments. Although studies have shown that anxious patients who have completed behavioral-cognitive therapy were more likely to maintain regular dental care, the lack of prediction from anxiety or nervousness implies that dental anxiety may not play a direct role in patient compliance with attending dental appointments. By examining the relation of additional temperaments to appointment avoidance, a self-report questionnaire can be developed to identify patients with emotional distress and tailor interventions to decrease missed appointments.Mr. Lin is a dental student at the School of Dentistry, University of California, Los Angeles. Direct correspondence and requests for reprints to him at the

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Preoperative dental anxiety and mood changes during nitrous oxide inhalation

Cited by 27 publications

References 11 publications

Investigation of inhalational conscious sedation as a tool for reducing anxiety in adults undergoing exodontia

Investigation of inhalational conscious sedation as a tool for reducing anxiety in adults undergoing exodontia

Hemodynamic and ventilatory changes during implant surgery with intravenous conscious sedation

Behavior‐Associated Self‐Report Items in Patient Charts As Predictors of Dental Appointment Avoidance

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