The Anxious or Fearful Dental Patient

Logan, Henrietta L.; Marek, Cindy L.

doi:10.1016/b978-0-323-03697-9.50017-x

Cited by 4 publications

(6 citation statements)

References 128 publications

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“…Patient-dentist communication plays a very important role for the motivation of the patient to maintain good oral hygiene, in turn improving the self-rated oral health status and literacy regarding oral health. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

Correlation of perceived self-rated oral health status with various dental health and awareness factors

Kotha

Chaudhary

Terkawi

et al. 2017

J Int Soc Prevent Communit Dent

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Aims and Objectives:Self-rated oral health is the key element that has a greater effect on quality of life and found to be authentic and logical to consider this as an indicator for overall oral health status. The aim was to investigate and identify the impact of various social and clinical factors on the perceived self-rated oral health status (PSR-OHS).Materials and Methods:A self-administered questionnaire was distributed 600 patients seeking information for age, gender, nationality, educational level, and their last dental visit followed by 15 questions related to social factors (patient self-rated oral health, patient-dentist communication, literacy level of the patient, and dental neglect) followed by estimating the clinical oral health status (decayed, missing, and filled teeth [DMFT] scores as per WHO norms).Results:The results were estimated by a single five-point-response-scale question dichotomized into poor and good self-rated oral health. The average mean age for participation in the study is 32.5 years and found to be highly significant (P < 0.01) with inverse relation indicating that younger patients give better PSR-OHS. There were no significant differences in PSR-OHS among other demographic factors. Patients visiting the dentist recently found to be confident about their PSR-OHS and are statistically significant. Pearson correlating scores of social factors and the DMFT scores most concerned in the present study have a significant relation with self-rated oral health status.Conclusions:PSR-OHS is governed by various dental health and awareness factors. It can be used as an important tool by a clinician to assess the clinical examination results which helps to achieve more effective time and patient management.

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Section: Introductionmentioning

confidence: 99%

Correlation of perceived self-rated oral health status with various dental health and awareness factors

Kotha

Chaudhary

Terkawi

et al. 2017

J Int Soc Prevent Communit Dent

View full text Add to dashboard Cite

show abstract

“…This means that should a patient begin to show high levels of stress or fear during a treatment session, it may be advisable to halt treatment and set mutual and more realistic goals for future appointments. 117 It is recommended that the treatment sequence commence with techniques that are the least fear-evoking, painful and traumatic. 117 The initial treatment phase should be restricted to procedures designed to increase the patient's ability to tolerate treatment and desensitize the patient to the dental environment, helping to build trust with the dental professional.…”

Section: Treatment Planningmentioning

confidence: 99%

“…117 It is recommended that the treatment sequence commence with techniques that are the least fear-evoking, painful and traumatic. 117 The initial treatment phase should be restricted to procedures designed to increase the patient's ability to tolerate treatment and desensitize the patient to the dental environment, helping to build trust with the dental professional. One example is the common practice of undertaking tooth cleaning coupled with oral medication and other effective pain control.…”

Section: Treatment Planningmentioning

confidence: 99%

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Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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“…21–24 Effective patient–dentist communication increases utilization of dental services by lessening dental anxiety and, as a result, increasing patient perceptions of provider competence. 25 Conversely, deficient communication skills, on either side of the patient– provider equation, are likely to increase dental anxiety and overall dissatisfaction with care.…”

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confidence: 99%

Health Literacy: A Pathway to Better Oral Health

et al. 2014

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Objectives We examined whether health literacy was associated with self-rated oral health status and whether the relationship was mediated by patient–dentist communication and dental care patterns. Methods We tested a path model with data collected from 2 waves of telephone surveys (baseline, 2009–2010; follow-up, 2011) of individuals residing in 36 rural census tracts in northern Florida (final sample size n = 1799). Results Higher levels of health literacy were associated with better self-rated oral health status (B = 0.091; P < .001). In addition, higher levels of health literacy were associated with better patient–dentist communication, which in turn corresponded with patterns of regular dental care and better self-rated oral health (B = 0.003; P = .01). Conclusions Our study showed that, beyond the often-reported effects of gender, race, education, financial status, and access to dental care, it is also important to consider the influence of health literacy and quality of patient–dentist communication on oral health status. Improved patient–dentist communication is needed as an initial step in improving the population’s oral health.

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The Anxious or Fearful Dental Patient

Cited by 4 publications

References 128 publications

Correlation of perceived self-rated oral health status with various dental health and awareness factors

Correlation of perceived self-rated oral health status with various dental health and awareness factors

Management of fear and anxiety in the dental clinic: a review

Health Literacy: A Pathway to Better Oral Health

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