The Level of Anxiety and Pain Perception of Endodontic Patients

Perković, Ivana; Perić, Marina; Knežević, Martina; Krmek, Silvana Jukić

doi:10.15644/asc48/4/3

Cited by 32 publications

(38 citation statements)

References 18 publications

(53 reference statements)

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“…The association between DA and pain perception of participants has also been reported in other studies . Studies showed that DA was associated with the increased intensity of expected pain, resulting in a vicious cycle of pain and anxiety . However, these results were inconsistent and little was known about the relation between DA and pain perception of patients during oral implant surgery.…”

Section: Discussionmentioning

confidence: 99%

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A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Xiao

Wang

Qiao

et al. 2019

Clin Implant Dent Rel Res

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Background Accumulating evidence has revealed that dental anxiety (DA) is associated with pain and patient satisfaction related to dental procedures. However, relevant reports are limited and inconsistent in oral implant patients. Purpose The purpose of this study was to investigate the prevalence of dental anxiety, pain perception, and analyze their interrelationship in Chinese patients with oral implant surgery. Materials and Methods A cross‐sectional study was performed according to the strengthening the reporting of observational studies in epidemiology (STROBE) guideline. Consecutive patients who received oral implant surgeries during February‐March of 2018 in Shanghai Ninth People's Hospital were recruited. The modified dental anxiety scale and visual analog scale were used to evaluate the level of the patient's DA and pain perception. Multivariate logistic regression was applied to analyze the influence of DA on pain perception of patients during oral implant surgery. Results The prevalences of moderate and high preoperative DA were 66.6% and 11.9% in Chinese patients with oral implant surgery, respectively. Seven points eight percent of patients experienced pain perception during surgery. The result of multiple logistic regression showed that there was no significant influence of moderate preoperative DA (OR = 2.0, 95%CI: 0.5‐8.2) on pain perception. However, a significant influence of high preoperative DA (OR = 6.4, 95%CI: 1.3‐30.8) was found on pain perception of patients with oral implant surgery. Significant influences of moderate perioperative DA (OR = 5.0, 95%CI: 1.1‐22.9) and high perioperative DA (OR = 8.7, 95%CI: 1.1‐69.9) were also found on pain perception of patients during oral implant surgery. Conclusions The results of the study indicated that DA was very common in Chinese patients with oral implant surgery. DA may increase pain perception of patients during oral implant surgery.

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Section: Discussionmentioning

confidence: 99%

“…5,[27][28][29][30] Studies showed that DA was associated with the increased intensity of expected pain, resulting in a vicious cycle of pain and anxiety. 31…”

Section: Discussionmentioning

confidence: 99%

A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Xiao

Wang

Qiao

et al. 2019

Clin Implant Dent Rel Res

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show abstract

“…It can be avoided or minimized by establishing good dentist-patient relationship based on confidence or by implementation of good introduction about upcoming dental intervention [16]. Also, in the age of information systems, patient frequently firstly consults newspapers and Internet what could also result in additional negative outcomes due to incorrect information [17]. It is therefore necessary for a dentist to provide proper information, attract sympathy of patients and gain their trust.…”

Section: Discussionmentioning

confidence: 99%

“…Time spent in the waiting room proportionally increases the level of anxiety. Despite relatively frequent occurrence of dental anxiety, dentists often do not have enough understanding and knowledge about the psychological approach to such persons [17]. However, due to increasingly serious legislation treatment of this phenomenon, and the threat of lawsuits, it is necessary to develop special techniques of communication [17].…”

Section: Discussionmentioning

confidence: 99%

Dental anxiety and the status of first permanent molars in 11 and 15 years old children

Kapuran¹,

Janković²,

Davidović³

et al. 2017

Stomatoloski Glasnik Srbije

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Summary Introduction Fear of dental procedures is one of the main reasons for oral health neglect. The first permanent molars are functionally very important. Dental anxiety may compromise their health as well as the health of all other teeth. The aim of the study was to determine dental anxiety level and the status of first permanent molars in healthy school aged children. Methods This study included 105 students, 11 and 15 years of age, from two elementary schools in Foca (Bosnia and Herzegovina). Dental Anxiety Scale (DAS), questionnaire was used to determine the level of dental fear in patients. The status of first permanent molars was recorded using Klein-Palmer DMFT (decayed, missing, filling teeth) system. The number of healthy first permanent molars (with or without sealant) was registered as well. Results More than one third of respondents involved in this study (33.3%), suffered from severe dental anxiety (DAS = 13–20 points). Statistically significant difference in answers to questions was not observed between respondents of different age but higher level of the fear was registered in girls compared to boys (p < 0.05). Less than 50% of all examined first permanent molars were healthy and sealed fissures were recorded in 9.4% of them. The percentage of decayed molars was about 11%, 7% extracted and 35% filled. Conclusion Application of prophylactic measures is beneficial for dental health preservation. They are pain free and can be used to minimize fear by establishing dentist-patient relationship based on confidence.

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“…To know the patient´s degree of anxiety could help the dentist to decide whether to use anxiolytic premedication and/ Introduction Root canal treatment is often accompanied by negative connotations (Pak & White 2011) caused by the unfounded perception of the patient, either by previous traumatic experiences or by negative behaviours learned from relatives and acquaintances (Van Wijk & Hoogstraten 2006). Often patients who need root canal treatment are overwhelmed by two main concerns, the duration of the procedure and pain (Perkovi c et al 2014). Elimination of pain enhances the confidence of patients.…”

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confidence: 99%

Association between dental anxiety and intraoperative pain during root canal treatment: a cross‐sectional study

et al. 2019

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Aim To investigate whether dental anxiety influences the intraoperative pain felt by patients during root canal treatment. Methodology In a cross‐sectional design, 180 patients (90 men and 90 women) were included. Pre‐operative anxiety levels were assessed using the short‐form Dental Anxiety Inventory (S‐DAI). Pain during root canal treatment was evaluated using a 10‐cm visual analogue scale (VAS) that ranked the level of pain between ‘Absence of pain’ and ‘Unbearable pain’. The minimal sample size was determined using the software of the National Center for Advancing Translational Sciences (NIH, UK). Multivariate logistic regression analysis was used to identify relationships between variables. Results Mean pain level during root canal treatment was 2.2 ± 2.1. The mean anxiety S‐DAI score was 27.2 ± 12.5. Fifty percent of men had mild anxiety levels, while in 70% of women anxiety was moderate or high (P = 0.017). Anxiety correlated positively with intraoperative pain (R = 0.406). Multivariate logistic regression analysis revealed that anxiety was significantly associated with intraoperative pain felt by patients (OR = 4.0; 95% C.I. = 1.7–9.3; P = 0.001). Conclusions Anxious patients were more than twice as likely to feel moderate or intense intraoperative pain during root canal treatment. To know the patient´s degree of anxiety could help the dentist to decide whether to use anxiolytic premedication and/or supplemental local anaesthesia to assure better control of pain during root canal treatment.

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The Level of Anxiety and Pain Perception of Endodontic Patients

Cited by 32 publications

References 18 publications

A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Dental anxiety and the status of first permanent molars in 11 and 15 years old children

Association between dental anxiety and intraoperative pain during root canal treatment: a cross‐sectional study

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