Tag Archives | dental anxiety

Anxiety in Dental Patients Before and After Tooth Extraction

An interesting article titled “Assessment of general pre and post operative anxiety in patients undergoing tooth extraction a prospective study,” appears in the British Journal of Oral and Maxillofacial Surgery and written by Pia López-Jornet and et al. (vol. 52, pp. 18-23, 2014). The article sought to explore the amount of anxiety and fear before, immediately after, and one week after dental extraction. The researchers included 70 patients in their study. It is known that fear and anxiety in dentistry is usually associated with poor oral health and poor oral health related quality of life. Some studies have shown that those with lower socioeconomic status and with less education have more anxiety but others have shown those with more education have more anxiety. The researchers believe that oral surgery is stressful for patients and that anxiety fluctuates over time. They feel dental anxiety can be assessed with self-reported scales including the Spielberger’s State-Trait Anxiety Inventor (STAI), the Modified Dental Anxiety Scale (MDAS), and the Dental Fear Survey (DFS). The patients included in the study were healthy, with no serious medical conditions or blood dyscrasias. Patients who presented with acute infections were excluded, as well as those with psycho-organic or behavioural disorders, or those with language or cognitive problems. The teeth were extracted under normal conditions (local […]

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Dental Anxiety Associates with Pain During Dental Procedures

It is well known by dentists that some patients experience dental anxiety, with some patients have worse dental anxiety than others. In a review article titled “Dental Anxiety Is Considerably Associated With Pain Experience During Dental Procedures,” by Mike T. John, appearing in J Evid Base Dent Pract, 2013, issue 13, pp. 29-30, the issue of dental anxiety in dental patients is explored. The study reviews a study titled “Predictors of pain associated with routine procedures performed in general dental practice,” by Tickle M, Milsom K, Crawford FI, and Aggarwal VR, in Community Dent Oral Epidemiol, 2012 Aug;40(4):343-50. In the original study 508 patients who visit 38 different dentists in England participate. Dental anxiety was measured with the Corah Dental Anxiety Scale which resulted in a score between 4 and 20. This score was grouped into 4 different variables representing anxiety. The dental patients were asked to rate their intensity of pain on a scale of 0 to 10 during the procedure, after the procedure, and later after the procedure (not immediate). The researchers performed logistic regression and found that very anxious patients had a fivefold increased odds of experiencing pain during the dental procedure compared to patients who had […]

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ADA Straight From the Mouth

The ADA (American Dental Association) has a video podcast series called Straight from the Mouth. The second video is titled “Overcoming Dental Anxiety.” http://ada.org/straightfromthemouth.aspx The press release from the ADA on this podcast was posted in September 28, 2009. http://ada.org/3241.aspx. However, it still says on the Straight from the Mouth Video Podcast that many other videos are coming soon. It seems like the ADA may have decided not to have these podcasts come out or they just haven’t posted them. If anyone has any information let me know. The podcast is hosted by two dentists Ruchi Nijjar Sahota and Eric Grove. It seems appropriate to younger audiences and is upbeat. The video is important for many of those who suffer from dental anxiety. It discusses needles, drills, and water used for dental procedures. Needles of course are used to anesthetize nerves to prevent pain during extractions, root canals, and filling cavities. The dentists chime in to suggest the viewer asks for a gel to be applied and/or to keep the dental instruments out of your vision to help with fear of needles. Regarding fear of drills, there is a discussion of bringing your MP3 player to help drown out the […]

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