2019, Number 1
<< Back Next >>
Rev Cubana Estomatol 2019; 56 (1)
Assessment of patient anxiety during dental care
Scandiuzzi FS, Noca SHT, Alves BNA, Diógenes HA, Guilherme CK, Dutra MR, Fonseca-Silva T
Language: Portugués
References: 30
Page: 33-*43
PDF size: 553.30 Kb.
ABSTRACT
Introduction: Anxiety is an emotional state related to the unfamiliar situations commonly associated with dental care.
Objective: Evaluate the anxiety status of patients during dental care.
Methods: An analytical cross-sectional study was conducted of a convenience sample composed of 300 patients attending a dental care reference center in the southern region of the state of Ceará in Brazil. Information was collected about age, sex, perception of oral health, toothache, previous dental treatment and psychological aspects. Anxiety status was evaluated with the Modified Dental Anxiety Scale. The study was approved by the local Research Ethics Committee with protocol number 1.759.075.
Results: Of the 300 patients selected for the study, 222 were women (74.0 %) and 78 were men (26.0 %); mean age was 32.7 years. Regarding anxiety, 22.7 % (n= 68) of the patients studied had anxiety symptoms. Bivariate analysis revealed a statistically significant relationship between anxiety and women (p= 0.004) and patients with a history of unpleasant experiences at the dentist (p= 0.015).
Conclusions: Prevalence of anxiety is higher among women. Previous unpleasant experiences or suffering at the dentist may be important factors associated to dental anxiety.
REFERENCES
Khan S, Hamedy R, Lei Y, Ogawa RS, White SN. Anxiety Related to Nonsurgical Root Canal Treatment: A Systematic Review. J Endod. 2016;42(12):1726-36.
Suhani RD, Suhani MF, Badea ME. Dental anxiety and fear among a young population with hearing impairment. Clujul Med. 2016;89(1):143-9
Kakkar M, Wahi A, Thakkar R, Vohra I, Shukla AK. Prevalence of dental anxiety in 1014 years old children and its implications. J Dent Anesth Pain Med. 2016;16(3):199-202.
Gaffar BO, Alagl AS, Al-Ansari AA. The prevalence, causes, and relativity of dental anxiety in adult patients to irregular dental visits. Saudi Med J. 2014 Jun;35(6):598603.
Haliti F, Juric H. The Relationship Between Dental Trauma, Anxiety and Aggression Behavior in 7 to 14 Year old Children in Kosovo. Acta Stomatol Croat. 2017;51(1):3-12.
Abrahamsson KH, Berggren U, Hallberg L, Carlsson SG. Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study. Scand J Caring Sci. 2002;16(2):188-96.
Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016;8:35-50.
Pereira LHMC, Ramos DLP, Crosato E. Ansiedade e dor em odontologia: enfoque psicofisiopatológico. Rev Assoc Paul Cir Dent. 1995;49(4):285-90.
Carlsson V, Hakeberg M, Wide Boman U. Associations between dental anxiety, sense of coherence, oral health-related quality of life and health behavior-a national Swedish cross-sectional survey. BMC Oral Health. 2015;15:100.
Wang MC, Vinall-Collier K, Csikar J, Douglas G. A qualitative study of patients' views of techniques to reduce dental anxiety. J Dent. 2017;66:45-51.
Bottan ER, Oglio JD, Araujo SM. Ansiedade ao tratamento odontológico em estudantes do ensino fundamental. Pesq Bras Odontoped Clin Integr. 2007;7(3):241-6.
Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013;58(4):390-407.
Liddell A, Locker D. Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol. 1997;25(4):314-318.
Locker D. Psychosocial consequences of dental fear and anxiety. Community Dent Oral Epidemiol. 2003;31(2):144-51.
Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dent Health. 1995;12(3):143-50.
Humphris G, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health. 2009;9(20):1-8.
Hu LW, Gorenstein C, Fuentes D. Portuguese version of Corah's Dental Anxiety Scale: transcultural adaptation and reliability analysis. Depress Anxiety. 2007;24(7):467-71.
Deogade SC, Suresan V. Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school. Ind Psychiatry J. 2016;25(2):202-9.
Humphris G, King K. The prevalence of dental anxiety across previous distressing experiences. J Anxiety Disord. 2011;25(2):232-6.
Battle DE. Diagnostic and Statistical Manual of Mental Disorders (DSM). Codas. 2013;25(2):191-2.
Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. J Int Soc Prev Community Dent. 2017;7(2):100-4.
Armfield JM, Slade GD, Spencer AJ. Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol. 2009;37(3):220-30.
Baxter AJ, Scott KM, Ferrari AJ, Norman RE, Vos T, Whiteford HA. Challenging the myth of an "epidemic" of common mental disorders: trends in the global prevalence of anxiety and depression between 1990 and 2010. Depress Anxiety. 2014;31(6):506-16.
Remes O, Brayne C, van der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav. 2016;6(7):e00497.
Canuto A, Weber K, Baertschi M, Andreas S, Volkert J, Dehoust MC, et al. Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country. Am J Geriatr Psychiatry. 2018 Feb;26(2):174-85.
McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res. 2011;45(8):1027-35.
Shim YS, Kim AH, Jeon EY, An SY. Dental fear anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med. 2015 Jun;15(2):53-61.
Prina AM, Ferri CP, Guerra M, Brayne C, Prince M. Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study. Br J Psychiatry. 2011;199(6):485-91.
Lin CS, Wu SY, Yi CA. Association between Anxiety and Pain in Dental Treatment: A Systematic Review and Meta-analysis. J Dent Res. 2017;96(2):153-62.
Goettems ML, Zborowski EJ, Costa FD, Costa VP, Torriani DD. Nonpharmacologic Intervention on the Prevention of Pain and Anxiety During Pediatric Dental Care: A Systematic Review. Acad Pediatr. 2017;17(2):110-9.