Respiratory Rate as a Physiological Response to Dental Anxiety

Susilo, Cahyanti Wydiastuti; Fauziah, Eva

doi:10.2991/idsm-17.2018.6

Cited by 2 publications

(4 citation statements)

References 21 publications

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“…Therefore, the respiratory rate has been established to indicate a change in anxiety. 36 Oxygen saturation directly correlates with the changes in respiratory rate; an increase in respiratory rate leads to a decrease in blood oxygen saturation values. 12,36 This explains the reason for the fluctuation in the oxygen saturation levels.…”

Section: Discussionmentioning

confidence: 99%

“…36 Oxygen saturation directly correlates with the changes in respiratory rate; an increase in respiratory rate leads to a decrease in blood oxygen saturation values. 12,36 This explains the reason for the fluctuation in the oxygen saturation levels. A decrease in oxygen saturation level within normal physiologic limits was observed from baseline (T0) to dental examination (T1), and an improvement was recorded on introducing the distraction tools (T2) in Groups 1 and 2 in both the appointments (Tables 1 and 3).…”

Section: Discussionmentioning

confidence: 99%

“…The Amygdala, a part of the limbic system, plays a significant role in processing negative emotions; thus, the brain center controls any change in respiration in response to fear or anxiety. Therefore, the respiratory rate has been established to indicate a change in anxiety 36 . Oxygen saturation directly correlates with the changes in respiratory rate; an increase in respiratory rate leads to a decrease in blood oxygen saturation values 12,36 .…”

Section: Discussionmentioning

confidence: 99%

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Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Mehrotra,

Shetty,

Rai

et al. 2023

Special Care in Dentistry

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Background and AimIntellectual disability, is a neurodevelopmental disorder that typically manifests early in childhood and consists of both intellectual and adaptive functioning deficits in conceptual, social, and practical domains. It can be categorized into mild, moderate, severe, and profound based on its severity. Cognitive impairment may be observed predominantly in children with intellectual disabilities. Marked deficits in areas of learning, planning, communication, social participation, and personal independence in children with mild intellectual disabilities make behavior guidance and communication a challenge during dental treatments. The aim was to evaluate and compare the use of two different distraction tools, audio, and virtual reality (VR) on the dental anxiety of children with mild intellectual disability during dental treatment.MethodsTwenty children diagnosed with mild intellectual disability were equally divided into two groups. A cross‐over study design consisting of two appointments 1 month apart was employed. In the first appointment, audio and VR distractions were provided to participants in Groups 1 and 2, respectively, and the distraction tools provided to the participants were interchanged in the second appointment. A trained observer recorded physiological parameters (pulse rate and oxygen saturation) and observational parameters (Venham's anxiety rating scale) during both appointments at three‐time intervals. Statistical intra‐group and inter‐group comparison analyses were performed using Friedman's and Mann–Whitney U tests.ResultsA decrease in pulse, increase in oxygen saturation levels, and a decrease in Venham's Anxiety Rating Scores (statistically significant p < .05 / highly significant p < .01) was observed on introducing the distraction techniques in Groups 1 and 2 in both appointments. A statistically non‐significant difference (p > .05) in physiological and observational parameters was observed between Groups 1 and 2 in both appointments.ConclusionAudio and VR distraction techniques can be employed for behavior guidance in children with mild intellectual disability during restorative dental procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Mehrotra,

Shetty,

Rai

et al. 2023

Special Care in Dentistry

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“…A psychological experiment reported a strong correlation between PWTT and stress [ 25 ]. Patients with dental phobia may exhibit increased respiratory rate, HR, vasoconstriction, and BP [ 26 ]. These reactions are caused by the activation of the sympathetic nervous system and hormone release, such as epinephrine, which increases PWTT variability.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Variability in Pulse Wave Transit Time Using Pulse Oximetry: A Retrospective Study

Budiman

Wakita

Ito

et al. 2022

JCM

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Pulse wave transit time (PWTT) is the time difference between the occurrence of an R-wave on an electrocardiogram and the detection of pulsatile signals on a pulse oximeter, which reflects changes in blood pressure (BP) corresponding to the vessel wall compliance. However, the factors affecting PWTT variability have not been determined. Thus, we investigated the BP changes associated with variations in PWTT and identified the clinical characteristics associated with these variations. Data related to 605 cases of dental procedures performed under intravenous conscious sedation from April 2020 to November 2021 were collected, and 485 cases were enrolled. Heart rate, systolic blood pressure before and after local anesthesia (LA) administration, and crest and trough PWTT waves during LA administration were recorded. Thereafter, PWTT variability was calculated; cases were divided into two groups: large PWTT variability (LPV, n = 357) and small PWTT variability (SPV, n = 128). The index of large PWTT variability could not detect changes in BP. Logistic regression analysis revealed that factors, such as LA use, age, hypertension, and dental treatment phobia were associated with PWTT variability. The use of epinephrine more than 36.25 µg in each LA resulted in PWTT variability of more than 15 ms.

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Respiratory Rate as a Physiological Response to Dental Anxiety

Cited by 2 publications

References 21 publications

Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Factors Associated with Variability in Pulse Wave Transit Time Using Pulse Oximetry: A Retrospective Study

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