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Search Results: 1 - 10 of 4912 matches for " dental fear "
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Dental Anxiety in Adults in Bulgaria
Donka G. Kirova , Dimitar T. Atanasov , Christinka K. Lalabonova , Susana Janevska
Folia Medica , 2010, DOI: 10.2478/v10153-010-0047-5
Abstract: The anxiety experienced by some patients before or during dental visits poses a problem for patients and the dental practitioners alike. Some people consider them a stressful experience which manifests itself as anxiety, fear and even phobia and results in avoidance of proper dental care. The dental anxiety, dental fear and dental phobia stand out against the background of general anxiety. The aim of the present study was to investigate dental anxiety in Bulgaria by means of a self-assessment scale. Material and methods: The self-assessment Dental Anxiety Scale (DAS), developed by N Corah, was used in the form of a questionnaire containing questions about the gender, age, education and occupation of respondents. Subjects were 746 adults aged 18-82 years living in urban areas. Individual and group interviews were conducted directly with them. Results: The respondents with moderate dental anxiety were the most of all subjects (35.5%, DAS score: 9-12 points), followed by the anxiety-free subjects (34.6%, 4-8 points). The third most numerous group was the high anxiety group (18.2%, 13-14 points), followed by the subjects with severe anxiety (11.7%, 15-20 points). The mean score was 10.26±0.14. We found a statistically significant correlation between anxiety, age (P < 0.05), education (P < 0.05) and type of labour (manual or mental labour) (P < 0.01). No significant difference was found between anxiety and sex (P > 0.05). Conclusions: The percentage of people scoring high on dental anxiety (DAS 13-20) in Bulgaria (29.9%) is considerably higher than that in some European and North American countries. The present study is the first in Bulgaria on dental anxiety. Further studies are needed to reveal other factors related to dental anxiety.
Assessment of anxiety frequency and its trigger factors in patients referred to general dental offices in the city of Hamedan in 2005
Farhadinasab A.,Shekofteh Rad A.,Mani Kashani Kh.
Journal of Dental Medicine , 2008,
Abstract: "nBackground and Aim: Oral health is a sign of overall health. Sometimes fear of dental office deprives patients from receiving proper care. This problem decreases the self-esteem of dentists and can also reduce health indices. Understanding anxiety factors may help solve this problem. The purpose of this study was to assess anxiety in patients undergoing treatment in dental offices in the city of Hamedan. "nMaterials and Methods: In this analytic cross sectional study patients above 9 years old and referred to general dental offices in Hamedan were randomly selected and surveyed with questionnaires in two stages. The first questionnaire included 17 standard items based on Dental Anxiety Scale (DAS) and screened anxious patients. Then 400 anxious patients were evaluated with a questionnaire of 64 items based on Corah scale. Data were analyzed by SPSS 13 with multivariate analysis of variance. P<0.05 was considered as the level of significance. "nResults: Factors related to dental office environment with 31.1%, those related to personal imaginations with 19.4% and factor concerning office management and dental treatment each with 19.1% frequency showed to be most related to anxiety in patients. Improper rest-rooms (46.3%), blood stains in the environment (44.5%) and dirty dentist's gowns (43.8%) were reported to be the most prominent environmental factors. Among the factors originated from personal imaginations, the risk of disease transmission was accounted for the most justifiable source of anxiety (67.3%). Regarding factors concerning office management, dentist's nervous behavior (47.8%) and his carelessness to the patient (46.8%) were considered as the most significant anxiety sources. Extraction, injection and root canal therapy (48.3%, 44.5%, 44.3%) were the treatment related factors of higher importance respectively. Previous painful treatment experience (47.3%) and poor oral hygiene of the dentist (34.5%) were reported to be among the other justifiable anxiety sources. In all mentioned situations, variations in anxiety factors were significantly higher in women. "nConclusion: This study showed that the main cause of anxiety in patients undergoing treatment in dental offices in Hamedan is their personal imagination which is by far more obvious in women than men.
Fatores determinantes de experiência dolorosa durante atendimento odontológico
Costa, Ruth Suzanne Maximo da;Ribeiro, Suelen do Nascimento;Cabral, Etenildo Dantas;
Revista Dor , 2012, DOI: 10.1590/S1806-00132012000400011
Abstract: background and objectives: pain is usually associated to dental care and several factors may influence its perception because it is a complex process. so, our study aimed at identifying factors established by the scientific literature as determinants of this painful experience. contents: pain during dental treatment is more associated to invasive procedures, tooth extractions and surgeries, but it may also be associated to noninvasive procedures. local anesthesia is referred to as a painful procedure generating anxiety. although some patient-related factors may influence pain perception, few studies have analyzed such factors, with the exception to anxiety. there are controversies with regard to the role of patient's sociodemographic variables. with regard to children, studies have shown that dentists do not believe in pain referred by children and tend not to use available methods to control pain. conclusion: anxiety is determinant for pain during dental care and pain is related to local anesthetic procedures. there are evidences that dentists' attitudes are determinants for pain.
A consulta no setting odontopediátrico: A percep??o subjectiva do medo
Reis,Fátima; Dias,Maria do Rosário; Leal,Isabel;
Análise Psicológica , 2008,
Abstract: recent investigations suggest that the child?s subjective perception regarding the act of visiting the dentist has a more determining impact on dental care fear and anguish than the type of dental care procedure s/he may experience during the appointment or the pathology s/he may be suffering from. projective techniques are of special interest for purposes of better understanding child dental fear, particularly child?s anguishes and fears. the present study assesses: (i) child dental fear and child?s behavior during the visit to the dentist. one hundred and sixty six school children (aged between 5-12 y.o.) were tested after visiting the dentist. dental fear was assessed using the children?s dental fear picture test (cdfp), each child falling under one of three categories: ?fearful?, ?not fearful? or ?uncertain?. furthermore, an analysis was conducted on relation to age and the number of previous visits to the dentist. dental fear and behaviour during the visit to the dentist should be considered as different entities. this study points toward the need of developing ludic-pedagogical instruments for use in medical settings involving children.
O tratamento odontológico como gerador de ansiedade
Possobon, Rosana de Fátima;Carrascoza, Karina Camillo;Moraes, Antonio Bento Alves de;Costa Jr, áderson Luiz;
Psicologia em Estudo , 2007, DOI: 10.1590/S1413-73722007000300018
Abstract: dental treatment causes anxiety in patients and professionals. in the case of patients, the clinical aspects, mainly invasive factors, such as local anesthesia, and, in the case of professionals, their behavior may produce anxiety with their evasive answers. the need to deal with the patient?s anxiety requires complex procedures of the dentists. coupled to the dentist?s own anxiety for technical preciseness and permanent clinical knowledge acquisitions, the dentist?s routine turns into a physically and emotionally stressing procedure. such a situation may worsen when the professional training of the dentist is somewhat deficient in knowledge acquisition on the doctor-patient relationship and in behavior management techniques.
Ansiedade ao tratamento odontológico em atendimento de urgência
Kanegane,Kazue; Penha,Sibele Sarti; Borsatti,Maria Aparecida; Rocha,Rodney Garcia;
Revista de Saúde Pública , 2003, DOI: 10.1590/S0034-89102003000600015
Abstract: objective: the purpose of the study was to assess the frequency of dental anxiety and/or fear among patients in an emergency dental service. methods: research was based on interviews with 252 patients, aged 18 years old and over, attended at an emergency dentistry service of s?o paulo, brazil, from august to november, 2001. two methods were used to measure dental anxiety: the modified dental anxiety scale (mdas) and the gatchel fear scale. the study group answered questions concerning major complaint, how much time had elapsed since their last visit to the dentist and since the initial symptoms leading to the current visit to the emergency service, level of education, family income and previous traumas. statistical analysis (c2 and fisher exact test) was performed to evaluate these characteristics. results: it was found that 28.17% of this sample was dentally anxious, according to the mdas, and 14.29%, felt fear related to dental treatment according to the gatchel fear scale. women were more anxious than men at a statistically significant rate (mdas). the time elapsed since the onset of initial symptoms was more than 7 days for 44.44% of the participants. a large proportion of anxious women returned to treatment during the last year. a previous traumatic experience with dental was identified in 46.48% of the dentally anxious patients. no significant relation between level of education or income and dental anxiety was found. conclusions: dentally anxious patients frequent attend emergency care. females are more likely to report high dental anxiety than males. previous experience seems to be an important factor contributing to avoidance of dental care.
Dental anxiety and pain related to ART
Leal, Soraya Coelho;Abreu, Danielle Matos de Menezes;Frencken, Jo E.;
Journal of Applied Oral Science , 2009, DOI: 10.1590/S1678-77572009000700015
Abstract: atraumatic restorative treatment (art) is considered to be well accepted, both by children and by adult patients. the objective of this review is to present and discuss the evidence regarding the acceptability of art, from the patient's perspective. aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. conclusions: the art approach has been shown to cause less discomfort than other conventional approaches and is, therefore, considered a very promising "atraumatic" management approach for cavitated carious lesions in children, anxious adults and possibly, for dental-phobic patients.
Comportamiento del ni?o en el consultorio Odontológico
Kade de Souki,Amira; Salazar V,Carmen Rosa; Pérez Estrada,Alba; Nevado de Duarte,Fátima;
Acta Odontológica Venezolana , 1999,
Abstract: this paper establishes as it main objective to explain the child's behavior in the dental office on the basis of innate conditionings and others that provide from the social environment. according to this purpose, expressions of collaboration, aggressiveness and fear were observed in 90 children that ranged from 3 and 8 years of age, and were correlated with intrinsic characteristics and to others that provide from the social environment. the chi square test was applied to the null hypothesis (ho) and the values obtained allowed the verification of the connection between the variables of gender, age, physical and environmental characteristics of the dental offices and parental perception of the first dental experiencie of the child, with the fear observed in the dental office. it was concluded that the subjects observed expressed their fear to the dental procedures through the behavioral of fear and lack of collaboration.
Fear assessment in brazilian children: the relevance of dental fear
Moraes, Antonio Bento Alves de;Ambrosano, Gláucia Maria Bovi;Possobon, Rosana de Fátima;Costa Junior, áderson Luiz;
Psicologia: Teoria e Pesquisa , 2004, DOI: 10.1590/S0102-37722004000300011
Abstract: fear frequently interferes with dental treatment procedures, producing delays and poor technical quality results. patients exhibit avoidance and escape behaviors that may be related to aversive childhood experiences in dental treatment situations. the aim of this study was to identify the most frequent children's fears, including dental ones, using an adaptation of the fssc-r. this instrument was used to assess 549 children divided in three groups: (g1) private school children, (g2) public school children and (g3) public school children who were surveyed during dental treatment. results indicated higher dental fear scores for females when compared with male children. considering all groups studied, "injection" was the 5th higher fear for the group g3, 8th for the group g1 and 14th for the group g2. family relationship items such as "parents fighting", "parents yelling at you", "hearing my parents argue", were considered frequent fears, suggesting that family conflicts may contribute to children's emotional problems.
Reliability and factor analysis of children′s fear survey schedule-dental subscale in Indian subjects
Singh P,Pandey R,Nagar A,Dutt K
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2010,
Abstract: Context: Fear to visit a dentist is a common observation even in adults; however, among children it becomes one of the most important issues for a dentist. Psychographic analysis of the factors that add to fear level of the children can be accessed through Children fear survey schedule-dental subscale (CFSS-DS); however, its varied applicability in different environmental situations has been tested through this paper. Aims: The aim of present study is to evaluate the reliability and factor structure of the Indian version of the CFSS-DS. Materials and Methods: The routine patients attending Outpatient Department of Pedodontics with Preventive Dentistry, Faculty of Dental Sciences, Lucknow, India (n=197, aged 7-12 years old) were evaluated for children′s fear survey schedule-dental subscale which was filled by parents on behalf of the child. Statistical Analysis: Reliability analysis (alpha) was performed to assess the internal consistency of the Indian translation of the scale. Factor analysis (principle components, varimax rotation) was employed to assess the factor structure. Results: Children fear survey scale-dental subscale was found to be equally reliable (Cronbach alpha = 0.92) and applicable among Indian subjects. However, factorization revealed emergence of 1) hospital, injections and hospital personnel, 2) drilling and interaction with unknown, 3) dental care personnel and practices. Conclusion: The present study extended the universal applicability of children fear survey schedule -dental subscale, while at the same time it was able to highlight different facets of problem in different environments.
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