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1

Jongh, Ad, and Marlies E. A. Stouthard. "Anxiety about dental hygienist treatment." Community Dentistry and Oral Epidemiology 21, no. 2 (April 1993): 91–95. http://dx.doi.org/10.1111/j.1600-0528.1993.tb00728.x.

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2

Dailey, Yvonne-Marie, Alex N. Crawford, Gerry Humphris, and Michael A. Lennon. "Factors Affecting Dental Attendance following Treatment for Dental Anxiety in Primary Dental Care." Primary Dental Care os8, no. 2 (April 2001): 51–56. http://dx.doi.org/10.1308/135576101322647881.

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Aim To explore factors affecting patients’ dental attendance behaviour following referral from a dental anxiety clinic to a general dental practitioner. Design A four-year follow up of patients who completed a course of treatment for dental anxiety by conducting semi-structured interviews, face-to-face or by telephone, with confirmation of dental attendance from the dental records. Subjects Forty-one patients who had completed a course of treatment for dental anxiety, in a specially designed community clinic. Mean time since last dental visit before treatment was 7.8 years (range 0.5–29). Results Twenty-three patients were successfully followed up and 11 (47%) were receiving regular asymptomatic dental care. The dental anxiety scores of those who subsequently became asymptomatic attenders were significantly lower at follow-up than the patients who became symptomatic attenders (P=0.01). Effective dentist-patient communication was a common theme of the interviews. Conclusions At four-year follow-up, dental anxiety was substantially lower in those who subsequently became asymptomatic attenders than those who became symptomatic attenders. A positive dentist-patient relationship had developed with the asymptomatic attenders.
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Jovanović-Medojević, Milica, Jelena Nešković, and Aleksandar Medojević. "Dental Anxiety: Etiology and Treatment Options." Stomatoloski glasnik Srbije 62, no. 4 (December 1, 2015): 174–83. http://dx.doi.org/10.1515/sdj-2015-0018.

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Summary Dental anxiety might be the cause of serious health problems. Avoiding dental visits can lead to complications with functional, esthetic and sociological consequences. In order to have a simple and efficient dental procedure, it is very important to diagnose dental anxiety and to react adequately. The aim of this paper is using available literature to present most frequent causes, consequences as well as treatment options for dental anxiety. Treating dental anxiety and choosing the right treatment is not always easy, however, it is important for dental practitioners to be able to assess patient’s behavior, possible causes of such behavior and select adequate therapy methods. Individual approach is very important as well as timely recognition and gradation of dental anxiety in order to apply adequate and successful dental treatment.
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Hakeberg, Magnus, and Luciette Cunha. "Dental anxiety and pain related to dental hygienist treatment." Acta Odontologica Scandinavica 66, no. 6 (January 2008): 374–79. http://dx.doi.org/10.1080/00016350802415175.

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Dikshit, Parajeeta, Senchhema Limbu, and Kreepa Bhattarai. "Evaluation of Dental Anxiety in Parents Accompanying their Children for Dental Treatment." Orthodontic Journal of Nepal 3, no. 1 (December 6, 2013): 47–52. http://dx.doi.org/10.3126/ojn.v3i1.9282.

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Objective: To evaluate the anxiety level of parents accompanying their children for the dental treatment. Materials & Method: Dental Anxiety Scale-Revised (DAS-R) questionnaire was filled by 101 subjects (53 females and 48 males) visiting the dental department for their children’s dental treatment. Result: 62.4 % parents accompanying their children had no or low anxiety levels and 9.9% and 5.9% showed high to severe anxiety levels respectively. There was no statistical significant difference seen between the anxiety levels in male and female parents. Conclusion: 37.6 % parents accompanying their children to the dentist showed moderate to severe anxiety levels with no significant difference seen in the overall anxiety levels of mothers and fathers. DOI: http://dx.doi.org/10.3126/ojn.v3i1.9282 Orthodontic Journal of Nepal, Vol.3, No.1, 2013: 47-52
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OLIVERA, Cícera Alane de, Tamara GAMA, Evalena Lima CABRAL, Camila Helena Machado da Costa FIGUEIREDO, Gymenna Maria Tenório GUÊNES, and Elizandra Silva da PENHA. "Anxiety presented by children facing dental treatment." RGO - Revista Gaúcha de Odontologia 66, no. 3 (September 2018): 212–18. http://dx.doi.org/10.1590/1981-863720180003000033302.

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ABSTRACT Objective: To determine the profile of children from 6 to 12 years of age, in relation to anxiety towards dental treatment and evaluate the main factors that trigger anxiety in this population. Methods: The sample was composed of 200 children with an average age of 8.5 years who attended the Clinic of the School of Dentistry of the Federal University of Campina Grande and the Basic Healthcare Units of the municipality of Patos, Paraíba, Brazil between June 2015 and May 2016. Anxiety was assessed using the Dental Anxiety Scale and the Venham Picture Test. The Chi-Square test and Fisher’s exact test were used to explore the level of significance of the associations between the variables Results: Anxiety was observed in the majority of children (Dental Anxiety Scale - 89% and Venham Picture Test - 70.5%) and the predominant levels were low to moderate. The child´s age group was significantly associated with anxiety (p=0.014) by the Venham Picture Test, while gender did not present this correlation. Anxiety was influenced by all the factors studied: making the appointment, waiting room, rotary instrument and periodontal scaling. Conclusion: The majority of children presented anxiety and the trigger factors: making the appointment, waiting room, rotary instrument and periodontal scaling contributed considerably to its development.
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Settineri, Salvatore, Domenico Mallamace, Maria Rosaria A. Muscatello, Rocco Zoccali, and Carmela Mento. "Dental anxiety, psychiatry and dental treatment: How are they linked?" Open Journal of Psychiatry 03, no. 01 (2013): 168–72. http://dx.doi.org/10.4236/ojpsych.2013.31a012.

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8

Blumer, Sigalit, Benjamin Peretz, Native Yukler, and Sagit Nissan. "Dental Anxiety, Fear and Anxiety of Performing Dental Treatments among Dental Students during Clinical Studies." Journal of Clinical Pediatric Dentistry 44, no. 6 (December 1, 2020): 407–11. http://dx.doi.org/10.17796/1053-4625-44.6.3.

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Purpose: Dental student’s dental anxiety may negatively affect patient’s attitude towards dental treatment. We evaluated dental anxiety among dental students in different clinical stage of their studies. We assessed the student’s anxiety prior to treating patients. Study design: A cross-sectional study. Fourth to sixth-year dental students completed questionnaires containing: 1) Dental Anxiety Scale (DAS); 2) Dental Fear Survey (DFS); and 3) visual analogue scale questions relating to the student’s anxiety when performing dental treatments in children and adults. Results: 124 dental students completed the questionnaires (mean age, 26.4±3.1 years, 59.7% women). Average DAS in the study population was 7.55±2.15 with similar scores observed across the years. Average DFS score was highest among fourth-year students (1.62±0.65) and lowest among sixth year students (1.36±0.32). DFS scores decreased as the students progressed through the clinical years (p=0.059). The students’ average anxiety scores prior to treating children were significantly higher than the anxiety scores prior to treating adults (3.82±2.42 vs. 2.67±1.9, p<0.001). Fifth-year students had significantly higher anxiety scores prior to treating children and adults compared to fourth and sixth-year students. Conclusion: Dental anxiety among dental students is relatively low and decreases gradually as they progress through the clinical years. Anxiety prior to treating patients, particularly children, is at its highest just before starting to treat patients for the first time. As dental students are future healthcare providers, it is important that they learn techniques to help them manage their own dental anxiety and fear as well as deal with anxiety related to treating patients.
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Okawa, Keiko, Tatsuya Ichinohe, and Yuzuru Kaneko. "Anxiety May Enhance Pain during Dental Treatment." Bulletin of Tokyo Dental College 46, no. 3 (2005): 51–58. http://dx.doi.org/10.2209/tdcpublication.46.51.

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10

Peretz, Benjamin, and Joshua Moshonov. "Dental anxiety among patients undergoing endodontic treatment." Journal of Endodontics 24, no. 6 (June 1998): 435–37. http://dx.doi.org/10.1016/s0099-2399(98)80028-9.

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11

Kumar, Santhosh. "RELATIONSHIP BETWEEN DENTAL ANXIETY AND PAIN EXPERIENCE DURING DENTAL EXTRACTIONS." Asian Journal of Pharmaceutical and Clinical Research 10, no. 3 (March 1, 2017): 458. http://dx.doi.org/10.22159/ajpcr.2017.v10i3.16518.

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ABSTRACTObjective: To assess the effects of anxiety on pain experienced during dental extractions.Methods: A prospective study was conducted during the academic year July-September 2016, randomly among 60 dental patients who visited theoutpatient Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai, for single tooth extraction. Anxietywas measured using the Hamilton anxiety rating scale. The pain was measured using the pain visual analog scale (VAS) for the level of pain perceivedduring extraction. Data collected were analyzed with Statistical Package for Social Sciences for Windows, Version 16.0 (SPSS Inc., Chicago, IL, USA)and results obtained.Results: From regression analysis, R2=0.605 which meant that the independent variable (anxiety) explained 60.50% of the variability of the dependentvariable (pain) with significant t-value. There was a statistically significant correlation between VAS and total anxiety score (p<0.05). This stronglysuggests that an increase in pain level is associated with an increase in anxiety level.Conclusion: Pre-operative dental anxiety is a major predictor of pain experienced by patients during dental extractions. Hence, it is an important toreduce anxiety before treatment to reduce pain during the treatment. Pharmacologic modalities like sedation can be used for reducing anxiety andpain related to the treatment in indicated patients.Keywords: Dental anxiety, Sedation, Anesthesia, Pain, Tooth extraction.
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Blomqvist, My, Göran Dahllöf, and Susanne Bejerot. "Experiences of Dental Care and Dental Anxiety in Adults with Autism Spectrum Disorder." Autism Research and Treatment 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/238764.

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Dental anxiety is associated with previous distressing dental experiences, such as lack of understanding of the dentist intentions, perceptions of uncontrollability and experiences of pain during dental treatment. People with autism spectrum disorder (ASD) are impaired in building flexible predictions and expectations, which is very much needed during a dental visit. The aims of the study were to investigate if people with ASD have more negative dental experiences and a higher level of dental anxiety compared to a matched control group. Forty-seven adults with ASD and of normal intellectual performance, and 69 age- and sex-matched typically developing controls completed questionnaires on previous dental experiences and dental anxiety, the Dental Anxiety Scale, and the Dental Beliefs Survey. The ASD group experienced pain during dental treatments more often than the controls and 22% had repeatedly experienced being forced to dental treatment they were not prepared for, compared to 3% of the controls. A higher level of dental anxiety was reported by the ASD group. Dental treatment and methods for supporting the communication with patients with ASD need to be developed, in order to reduce the negative dental experiences and dental anxiety in people with ASD.
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Swetah, CS Vane, and Mahesh Ramakrishnan. "Dental Anxiety among Children Regarding Different Dental Treatment-Modified Child Dental Anxiety Scale (MCDAS)-A Cross Sectional Study." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 3668. http://dx.doi.org/10.5958/0976-5506.2019.04159.7.

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14

Osokina, O. I., А. А. Udod, В. В. Ivnev, S. G. Ushenin, G. G. Putyatin, T. V. Nesterenko, and L. A. Stetcenko. "BIOSUGGESTIVE THERAPY IN THE TREATMENT OF DENTAL PHOBIA." Medical Science of Ukraine (MSU) 13, no. 1-2 (November 30, 2017): 74–81. http://dx.doi.org/10.32345/2664-4738.1-2.2017.10.

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Relevance. Fear of dental treatment - dentofobia - is an obsessive fear of visiting a dental office, a fear of the personality of the dentist and dental equipment. The fear of treatment at the dentist is the main reason that patients delay visits to a dentist, refuse treatment or self-medication using. Many people with dentofobia seek help only in urgent cases, for example, with severe pain syndrome or with an abscess. Objective: the estimation of influence of the method of biosuggestive therapy on the emotional state of patients in the dental profile by a dynamic evaluation of neurotic symptoms before and after a visit to the dentist. Material and methods. 92 respondents were examined: 43 men (46,7 %) and 49 women (53,3 %), aged from 25 to 62 years, who applied for dental care. Modification scale of the dental anxiety (MDAS) was used for self-assessment of anxiety level. The Hamilton scale (HAM-A) was used for an objective assessment of the severity of anxiety symptoms and the level of anxiety. The method of biosuggestive therapy was used for the psychocorrection of anxiety. This method based on a combination of verbal and non-verbal suggestion in a light trance state. We used not only suggestion, but also other techniques: the contact of the palm of the therapist with the respondent's body, induction, the corresponding setting of the voice, etc. The results were statistically processed. Results. According MDAS scale, clinically significant anxiety before a visit to the dentist was found in 82,6±4,0 % of patients. The anxious-hypochondriacal (38,1±7,5 %) and anxious-depressive (33,3±7,3 %) syndromes dominated. According the HAM-A scale, anxiety-phobic symptoms, sleep disorders, autonomic disorders and somatoform dysfunctions predominated in the structure of neurotic symptoms with the primary involvement of the digestive system and the urinary system. The level of neurotic symptoms in women was more than in men (according the scale of HAM-A, 50±0,5 points and 38±0,8 points, respectively, p<0,05). After biosuggestion therapy, 92,9±4,0 % of patients noted subjective improvement in their emotional state and decrease of anxiety’s level. According to the scale of HAM-A, in the main group showed a significant decrease in the severity of neurotic symptoms by 57,7±7,5 % of the baseline, while in the comparison group it was only 29,1±7,4 %, p<0,001. Conclusion. The method of biosuggestion therapy is effective and expedient for the normalization of emotional state of patients before a visit to a dentist.
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15

Munayco Pantoja DDS, Evelyn R., Manuel A. Mattos-Vela DDS, MSc, PhD, Gilmer Torres Ramos DDS, MSc, PhD, and Daniel J. Blanco Victorio DDS, MSc. "Relationship Between Anxiety, Dental Fear of Parents and Collaboration of Children to Dental Treatment." Odovtos - International Journal of Dental Sciences 20, no. 3 (August 31, 2018): 97–107. http://dx.doi.org/10.15517/ijds.2018.33332.

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In the clinical history of a child, it is not taken into account any scale that evaluates the anxiety and fear experienced during dental treatment. This would help to define the way to approach the patient and perform a successful treatment. The objective of this study was to determine the relationship between anxiety, dental fear and collaboration of parents and children towards dental treatment. A descriptive and transversal study was carried out. The study’s sample was collected from 177 children of both sexes from 3 to 6-year-old, who visited a health institute for a dental appointment, and also their respective parents. A data collection form was prepared for each patient, which included four evaluation scales: the dental fear questionnaire, the Corah anxiety scale, the Children’s Fear Scale and the Venham graphic test. At the end of the treatment, the child's behavior was evaluated using the Frankl scale. In regard to fear, parents presented little or no (55.9%) and children, under fear (87.6%) in a greater percentage. In reference to anxiety, parents presented low anxiety (57%); children, in their majority, were not anxious (64.4%), and their behavior was positive (71.2%). As a result, anxiety caused by the dental treatment in children and parents is not related; nonetheless, fear is. In addition, there is no relationship between anxiety and fear that parents may experience with regard to the child's collaboration. However, the child's collaboration is related to the fear and anxiety that they may experience during dental treatment.
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16

Vermaire, J. H., Ad de Jongh, and Irene H. A. Aartman. "Dental anxiety and quality of life: the effect of dental treatment." Community Dentistry and Oral Epidemiology 36, no. 5 (October 2008): 409–16. http://dx.doi.org/10.1111/j.1600-0528.2007.00416.x.

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17

Krueger, Tillmann H. C., Heinz-Werner Heller, Berthold P. Hauffa, Philip Haake, Mike S. Exton, and Manfred Schedlowski. "The Dental Anxiety Scale and Effects of Dental Fear on Salivary Cortisol." Perceptual and Motor Skills 100, no. 1 (February 2005): 109–17. http://dx.doi.org/10.2466/pms.100.1.109-117.

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Only a few studies have investigated use of the Dental Anxiety Scale in dental fear-induced neuroendocrine changes. The present study examined 19 female patients, each at two timepoints across an educational and a treatment session within a periodontitis therapy. Subjective measures included a visual analogue scale, the STAI State scale, and the Dental Anxiety Scale. Salivary cortisol was measured in parallel across all four timepoints. Although patients were significantly more aroused and anxious prior to the treatment session, salivary cortisol remained unchanged. However, patients with high Dental Anxiety were significantly more aroused and anxious and showed significantly higher salivary cortisol during the educational session than those with low scores on Dental Anxiety. In conclusion, the Dental Anxiety Scale differentiated mean neuroendocrine change between patients scoring low and high for Dental Anxiety and its use as an accurate tool to identify patients with high dental anxiety should be further studied predictively.
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Coulthard, Paul. "Medical Management of Dental Anxiety." Primary Dental Journal 7, no. 4 (May 2018): 40–44. http://dx.doi.org/10.1177/205016841800700410.

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The use of medical management techniques for the management of anxiety is fundamental to the practice of dentistry. Around 7% of the population are likely to need these techniques for general dental care and a higher proportion for more invasive treatment such as oral surgery. This paper highlights the current expectation of effective and safe practice of conscious sedation techniques in light of recent updated guidance from several UK institutions.
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Heitkemper, Thomas, Christopher Layne, and David M. Sullivan. "Brief Treatment of Children's Dental Pain and Anxiety." Perceptual and Motor Skills 76, no. 1 (February 1993): 192–94. http://dx.doi.org/10.2466/pms.1993.76.1.192.

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Pain interferes with children's dental care, but anxiety and pain are often confounded. We tested a classical-conditioning model of dental pain with 45 8-to 11-yr.-old children but found little support for it. Instead, different treatments for pain were effective in reducing the children's expectations of discomfort. Expected discomfort may be the most important part of dental pain, so expectations might well be the focus of such treatments.
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Rodolfa, Emil R., William Kraft, and Robert R. Reilley. "Etiology and Treatment of Dental Anxiety and Phobia." American Journal of Clinical Hypnosis 33, no. 1 (July 1990): 22–28. http://dx.doi.org/10.1080/00029157.1990.10402897.

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21

Heaton, Lisa J., Charles R. Carlson, Timothy A. Smith, Ruth A. Baer, and Reny de Leeuw. "Predicting anxiety during dental treatment using patients'self-reports." Journal of the American Dental Association 138, no. 2 (February 2007): 188–95. http://dx.doi.org/10.14219/jada.archive.2007.0135.

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22

BENJAMINS, CARMEN. "ANXIETY AND BLOOD PRESSURE PRIOR TO DENTAL TREATMENT." Psychological Reports 67, no. 6 (1990): 371. http://dx.doi.org/10.2466/pr0.67.6.371-377.

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23

Sullivan, Michael J. L., and Nancy R. Neish. "Catastrophizing, anxiety and pain during dental hygiene treatment." Community Dentistry and Oral Epidemiology 26, no. 5 (October 1998): 344–49. http://dx.doi.org/10.1111/j.1600-0528.1998.tb01971.x.

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Vassend, Olav. "Anxiety, pain and discomfort associated with dental treatment." Behaviour Research and Therapy 31, no. 7 (September 1993): 659–66. http://dx.doi.org/10.1016/0005-7967(93)90119-f.

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Ackerman, Cheryl A., and Norman S. Endler. "The interaction model of anxiety and dental treatment." Journal of Research in Personality 19, no. 1 (March 1985): 78–88. http://dx.doi.org/10.1016/0092-6566(85)90039-x.

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26

Benjamins, Carmen, Albert H. B. Schuurs, Henk Asscheman, and Johan Hoogstraten. "Anxiety and Blood Pressure Prior to Dental Treatment." Psychological Reports 67, no. 2 (October 1990): 371–77. http://dx.doi.org/10.2466/pr0.1990.67.2.371.

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27

Nauman, Muhammad, Rabia Mehboob, Komal Sikandar, Areeba Ishtiaq Ahmed, Mahrukh Afzal, and Zain Akram. "Dental Anxiety, Smoking and Snuff Use among Dental Patients." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 2122–25. http://dx.doi.org/10.53350/pjmhs211562122.

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Background and Aims: Dental anxiety often causes psychological problems including the fear that have a negative impact on dental treatment. Periodontal health and dental deteriorating might be caused by the patient’s interference with dental fear. The current study aims to evaluate dental anxiety, smoking and snuff use in dental patients. Methods:One hundred eighty consecutive dental patients with meanage ±SD 31.45±13.75 were investigated for dental anxiety, smoking, and snuff use.The evaluation of dental anxiety was measured with the specific question “Do youfeel any type of anxiety while visiting the dentist?” and their answers were givenas follows: “Absolutely not”, “Somehow” and “Extreme fear”. Tobacco use wasinvestigated with the question “Do you smoke or take snuff?” with the alternatereplies “Absolutely not”, “regularly on a daily basis” and “occasionally. Chi-squaretest and multiple regression analysis were carried out in statistical analysisusing SPSS version 20. Results:Among one hundred eighty dental patients, higher dental anxiety was reported in 32 (17.8%) being common among women (71.9%) than men (28.1%). General mood and social situation was reported negative in 9 and 36 patients respectively. It was observed that tobacco use on routine a basis was more common among men (8.5%) than women (1.5%). Age played key a role in dental fears among patients. Patients of young age feel more anxious than mature or older aged patients. Higher dental anxiety and fear was observed in those dental patients who used snuff on a regular basis compared to occasional and no users at all while controlling for age, social status, and general mood. It was observed that chain smokers feel more anxious compared to occasional or no smoking at all, when smoking was added to the model and asked the participants about their visits to the dentists. Conclusion: Our study findings were common vulnerability factors among dental patients related to dental anxiety or fear, smoking, and snuff use. The reason for patients' anxiety was found to be the fear of pain which was more common among women compared to men. Also, Regular tobacco users felt more anxious than occasional or no users at all. Hence, dentists should focus on anxiety alleviation among patients while treatment and follow-up call for maintenance. Keywords: Dental anxiety, Tobacco use, Dental fear
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Lalabonova, Christina K. "Dental Investigations. Impact Of Dental Anxiety On The Decision To Have Implant Treatment / Влияние Стоматологической Тревожности На Выбор Имплантологического Лечения." Folia Medica 57, no. 2 (June 1, 2015): 116–21. http://dx.doi.org/10.1515/folmed-2015-0029.

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Abstract INTRODUCTION: Dental implants are increasingly used in modern dentistry as anchors for prosthetic restorations. Anxiety is a complex phenomenon which can become a risk factor for suppression of many functions of the body. Aim: The aim of this study was to investigate the effect dental anxiety exerts on the choice of method of treatment by patients wanting to have dental implants. Materials and methods: The study included 174 patients that were referred to us for dental implants placement because of partial or total loss of teeth. Their dental anxiety was measured using the Dental Anxiety Scale (DAS) proposed by Norman Corah. The patients decided to have or refused to have treatment with dental implants either because they had dental anxiety or gave other reasons. Results: Distribution of patients by level of anxiety was as follows: 33% were anxiety free, in 34% the dental anxiety was moderate, 25% had severe anxiety, and 8% experienced an extremely severe anxiety. Dental fear was given as a reason for refusal of treatment by 24.1% of the patients wanting to have dental implants. Of the patients wanting to have dental implants, 40.8% decided to proceed with the treatment; these patients exhibited low dental anxiety. Conclusion: The decision to have dental treatment with implants is affected by the patient’s level of dental anxiety. Only those with low level of dental anxiety decide to proceed with such a treatment. The mild anxiety some patients experience is beneficial as it eliminates a risk factor that may hinder the process of osseointegration.
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Blumer, Sigalit, Diana Ram, Liora Costa, and Benjamin Peretz. "Dental Anxiety among Israeli Postgraduate Pediatric Dental Students and their Instructors." Journal of Clinical Pediatric Dentistry 43, no. 3 (January 1, 2019): 161–66. http://dx.doi.org/10.17796/1053-4625-43.3.3.

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Objective: To measure the dental anxiety levels of post-graduate pediatric dental students (PGS) and their instructors, and their ranking of the most anxiety provoking situations in the dental situation; to investigate gender differences with regard to dental anxiety. Study design: Twenty-four PGS and 31 of their instructors completed a three-section questionnaire on sociodemographic information, dental anxiety scale (DAS) and dental fear survey (DFS). Results: The overall mean DAS and DFS scores were similar for both groups. The scores of the PGS were significantly higher on the DFS for perspiration when dental work was done (p = 0.032), the smell of the dentist's office (p = 0.009), and seeing the dentist enter the treatment room (p = 0.005). The total DAS score was significantly higher among females than among males (8.03 ± 3.08 and 6.63 ± 1.77, p = 0.037), and for item on waiting for the dentist to scrape the teeth, (p = 0.05). The DAS and DFS scores were strongly correlated (r = 0.768, p = 0.000). The highest DAS score was for the item on anticipation of dental treatment before arrival to the clinic and waiting for the drilling. The response pattern for both groups was similar. Conclusions: Overall dental anxiety of PGS and their instructors was similar. Female PGS and instructors had higher dental anxiety levels than males.
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Udoye, Christopher I., Adeleke O. Oginni, and Fadekemi O. Oginni. "Dental Anxiety Among Patients Undergoing Various Dental Treatments in a Nigerian Teaching Hospital." Journal of Contemporary Dental Practice 6, no. 2 (2005): 91–98. http://dx.doi.org/10.5005/jcdp-6-2-91.

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Abstract The aim of the present study is to evaluate the levels of dental anxiety among patients undergoing various dental treatments and to compare the anxiety levels with those of similar studies conducted with subjects from different socio-cultural backgrounds. Dental anxiety was evaluated by the administration of a questionnaire based on the Corah's Dental Anxiety Scale (DAS). Student t-test and analysis of variance (ANOVA) with Bonferoni correction was employed to compare the mean DAS scores. Females recorded higher total DAS scores than males (7.49 ± 2.96 and 7.16 ± 3.44, respectively). Patients in the 24-34 year age group showed the highest total DAS scores (8.25 ± 3.20) followed by the <24 year age group. The total DAS scores for age groups 35-39 and >50 years differ significantly from those of age groups <24 and 24-34 years. The highest DAS score was recorded for root canal therapy (9.30 ± 2.84) followed by extraction. The level of dental anxiety among this study population is lower than those reported elsewhere. The observed avoidance of dental treatment among Nigerians, despite the seemingly low mean DAS scores, may be related to dental anxiety. The authors are, however, of the opinion poor dental awareness may be a contributory factor. Citation Udoye CI, Oginni AO, Oginni FO. Dental Anxiety Among Patients Undergoing Various Dental Treatments in a Nigerian Teaching Hospital. J Contemp Dent Pract 2005 May;(6)2:091-098.
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Skripsa, Tira Hamdillah, Haniifa Yusiani Mumtaz, Ira Anggar Kusuma, and Yoghi Bagus Prabowo. "Hubungan pengetahuan serta dukungan keluarga dengan dental anxiety pada usia dewasa muda Relationship of knowledge and family support with dental anxiety in young adulthood." Jurnal Kedokteran Gigi Universitas Padjadjaran 33, no. 2 (August 31, 2021): 153. http://dx.doi.org/10.24198/jkg.v33i2.33253.

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Pendahuluan: Dental anxiety merupakan respon psikologis dan fisiologis terhadap tindakan perawatan gigi. Penyebab timbulnya dental anxiety diantaranya adalah pengetahuan dan dukungan keluarga, kurangnya pengetahuan mengenai kesehatan gigi dan mulut dapat menjadi pemicu munculnya anxiety, sedangkan dukungan keluarga dipercaya dapat meningkatkan semangat individu, tingkat keberhasilan dalam perawatan, serta mengurangi anxiety. Tujuan penelitian ini untuk menganalisis hubungan pengetahuan serta dukungan keluarga dengan dental anxiety pada usia dewasa muda. Metode: Jenis penelitian observasional analitik dengan desain cross-sectional. Populasi penelitian golongan usia dewasa adalah mahasiswa Universitas Diponegoro program studi kesehatan dan non kesehatan berjumlah 603 mahasiswa. Berdasarkan perhitungan besar sampel menggunakan rumus lameshow, didapatkan jumlah sampel 234 dengan teknik consecutive sampling. Instrumen penelitian menggunakan kuesioner pengetahuan dan dukungan keluarga, serta kuesioner Modified Dental Anxiety Scale dengan skala ordinal. Data dianalisis menggunakan uji Mann-Whitney. Hasil: Mild anxiety lebih banyak dialami responden dengan pengetahuan kurang baik. Persentase mild anxiety hampir sama bagi responden yang mendapat dukungan (56,9%) atau tidak (61,2%). Hasil analisis menunjukkan terdapat hubungan yang signifikan antara pengetahuan dengan dental anxiety (p=0,012) dan tidak terdapat hubungan yang signifikan dukungan keluarga dengan dental anxiety (p=0,471). Simpulan: Terdapat hubungan antara pengetahuan dengan dental anxiety dan tidak terdapat hubungan antara dukungan keluarga dengan dental anxiety. Kata kunci: Dental anxiety; pengetahuan; dewasa muda ABSTRACTIntroduction: Dental anxiety is a psychological and physiological response to dental treatment. The causes of dental anxiety include family knowledge and support, lack of knowledge about dental and oral health can trigger anxiety, while family support is believed to increase individual enthusiasm and success rates in treatment, thus reducing anxiety. The purpose of this study was to determine the relationship between knowledge and family support with dental anxiety in young adulthood. Methods: This research was analytic observational with a cross-sectional design. The research population was the young adult age group, 603 students of Diponegoro University from the health and non-health study programs. Based on the sample size calculation with the lameshow formula, the number of samples obtained was 234 with consecutive sampling technique. The research instrument used was the knowledge and family support questionnaire and a Modified Dental Anxiety Scale questionnaire with an ordinal scale. Data were analyzed using the Mann-Whitney test. Results: Mild anxiety was more experienced by respondents with poor knowledge. The percentage of mild anxiety was almost similar for respondents who received support (56.9%) or not (61.2%). The analysis results showed a significant relationship between knowledge and dental anxiety (p=0.012), and there was no significant relationship between family support and dental anxiety (p=0.471). Conclusions: There is a relationship between knowledge and dental anxiety. However, there is no relationship between family support and dental anxiety. Keywords: dental anxiety; knowledge; young adults
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Stewart, JE, M. Marcus, PD Christenson, and WL Lin. "Comprehensive treatment among dental school patients with high and low dental anxiety." Journal of Dental Education 58, no. 9 (September 1994): 697–700. http://dx.doi.org/10.1002/j.0022-0337.1994.58.9.tb02888.x.

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Bux, Sarah, Jenny Porritt, and Zoe Marshman. "Evaluation of Self-Help Cognitive Behavioural Therapy for Children’s Dental Anxiety in General Dental Practice." Dentistry Journal 7, no. 2 (April 1, 2019): 36. http://dx.doi.org/10.3390/dj7020036.

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Dental anxiety is very common; however, there is a lack of studies focusing on reducing children’s dental anxiety. One such initiative, the guided self-help cognitive behavioural therapy (CBT) resources ‘Your teeth, you are in control’, reduces dental anxiety in children attending paediatric dentistry clinics. This service evaluation aims to investigate whether such CBT resources reduce children’s dental anxiety when implemented in general dental practice. A convenience sample of children was given the resources by their dental practitioner. There was no control group. Children completed the Children’s Experiences of Dental Anxiety Measure (CEDAM) prior to using the resources and on completion of a course of dental treatment. Overall, 84 children were involved, with a mean age of 10.9 years; 48 were female and 59 were living in the most deprived area of England. At baseline the mean CEDAM score was 20.3, and on receiving the resource and completing treatment the mean CEDAM score was 16.4, showing a significant reduction in dental anxiety (t = 14.6, (df = 83), p < 0.001, 95% CI: 3.4–4.4). The items that improved the most were worry over having dental treatment and dental treatment being painful. The service evaluation indicates a reduction in child dental anxiety following the use of CBT resources in general practice. Further evaluation, preferably a randomised controlled trial, is needed.
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Blumer, Sigalit, Diana Ram, Liora Costa, and Benjamin Peretz. "Dental Anxiety Among Israeli Postgraduate Pediatric Dental Students and their Instructors." Journal of Clinical Pediatric Dentistry 42, no. 2 (January 1, 2018): 114–18. http://dx.doi.org/10.17796/1053-4628-42.2.6.

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Objective: To measure the dental anxiety levels of post-graduate pediatric dental students (PGS) and their instructors, and their ranking of the most anxiety provoking situations in the dental situation; to investigate gender differences with regard to dental anxiety. Study design: Twenty-four PGS and 31 of their instructors completed a three-section questionnaire on socio demographic information, dental anxiety scale (DAS) and dental fear survey (DFS). Results: The overall mean DAS and DFS scores were similar for both groups. The scores of the PGS were significantly higher on the DFS for perspiration when dental work was done (p = 0.032), the smell of the dentist's office (p = 0.009), and seeing the dentist enter the treatment room (p = 0.005). The total DAS score was significantly higher among females than among males (8.03 ± 3.08 and 6.63 ± 1.77, p = 0.037), and for item on waiting for the dentist to scrape the teeth, (p = 0.05). The DAS and DFS scores were strongly correlated (r = 0.768, p = 0.000). The highest DAS score was for the item on anticipation of dental treatment before arrival to the clinic and waiting for the drilling. The response pattern for both groups was similar. Conclusions: Overall dental anxiety of PGS and their instructors was similar. Female PGS and instructors had higher dental anxiety levels than males.
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Freeman, Ruth. "The role of memory on the dentally anxious patient's response to dental treatment." Irish Journal of Psychological Medicine 8, no. 2 (September 1991): 110–15. http://dx.doi.org/10.1017/s0790966700015019.

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AbstractThe aetiology of dental anxiety is multifactorial. Psychologically traumatising events associated with dental treatment have been shown to be of particular importance. The present investigation examines the role of memory in relation to these traumatic episodes and investigates their influence on the patient's response to dental treatment.The study has shown that patients with dental anxiety have had more experience of “traumatic dental events” (p<0.001), relate the cause of their dental anxiety to specific dental procedures and report more fear of dental treatment than controls. The memories of such traumatic dental events are important indicators of anxiety in the clinical setting, with dentally anxious patients having significantly higher scores for dental anxiety (p<0.001) compared with controls. Furthermore, the memories of these events have a special relevance to the patient's subjective experience of dental anxiety in the here and now. The past event sensitises the susceptible patient and maintains and intensifies the anxiety through a feed-back mechanism, resulting in a vicious circle of anticipatory dental fear.
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Karim, Najwa, Farooq Maqsood, and Kamran Khan. "Pre and Post-Operative Dental Pain and Anxiety in Patients Undergoing Routine Dental Extraction, Peshawar." Journal of Gandhara Medical and Dental Science 7, no. 1 (July 22, 2020): 22–29. http://dx.doi.org/10.37762/jgmds.7-1.100.

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OBJECTIVES: To determine the pre and post-operative dental pain intensity and dental anxiety in patients undergoing tooth extraction and providing counselling with dental treatments. METHODOLOGY: It was a comparative study conducted in dental hospitals of Peshawar i.e. Sardar Begum Dental College and Khyber College of Dentistry. A total of 200 participants were selected for this study through simple random sampling technique. Half of the participants (N=100) received dental treatment with counselling, whereas half participants (N=100) got only dental treatment. Informed consent was taken from the participants. Both genders having an age range of 18-60 years were included in the study. Those patients who have severe or other associated dental/medical problems were excluded from the study. Modified Wisconsin Brief Pain Questionnaire and Dental Anxiety Scale-Revised were used for data collection. Both questionnaires have high reliability and validity. The patients were counselled from time to time during the tooth extraction procedure to reduce their anxieties and divert their mind from dental tools and pain. The data was analysed using SPSS 22.0 version. RESULTS: The outcome of the study showed that the pain severity and dental anxiety was reduced in the patients taking dental treatment along with counselling after the dental extraction as compared to the patients having only dental treatment. Pain inference also improved after tooth extraction. CONCLUSION: Dentists should need to learn counselling skills to provide relief to patients from dental pain and anxiety. Patients suffering from dental pain or diseases also require some psychological interventions along with dental treatments
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Rosted, Palle, Mads Bundgaard, Sian Gordon, and Anne Marie Lynge Pedersen. "Acupuncture in the Management of Anxiety Related to Dental Treatment: A Case Series." Acupuncture in Medicine 28, no. 1 (March 2010): 3–5. http://dx.doi.org/10.1136/aim.2009.001933.

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Background Anxiety related to dental treatment is a common phenomenon that has a significant impact on the provision of appropriate dental care. The aim of this case series was to examine the effect of acupuncture given prior to dental treatment on the level of anxiety. Methods Eight dentists submitted 21 case reports regarding the treatment of dental anxiety. The level of anxiety was assessed by the Beck Anxiety Inventory (BAI). Only patients with moderate to severe anxiety (BAI score ≥16) were included. The remaining 20 patients, 16 women and 4 men, with a mean age of 40.3 years, had a median BAI score of 26.5 at baseline. The BAI score was assessed before and after the acupuncture treatment. All patients received acupuncture treatment for 5 min prior to the planned dental treatment using the points GV20 and EX6. Results There was a significant reduction in median value of BAI scores after treatment with acupuncture (26.5 reduced to 11.5; p<0.01), and it was possible to carry out the planned dental treatment in all 20 cases after acupuncture treatment. Previously this had only been possible in six cases. Conclusion Acupuncture prior to dental treatment has a beneficial effect on the level of anxiety in patients with dental anxiety and may offer a simple and inexpensive method of treatment. However, the present results need to be tested in a larger randomised clinical trial in order to evaluate the effectiveness of the acupuncture treatment in patients with dental anxiety.
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Machale, Priyanka S., Vanitha U Shenoy, and Kunal Phodse. "Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment." Journal of Contemporary Dentistry 7, no. 2 (2017): 91–96. http://dx.doi.org/10.5005/jp-journals-10031-1192.

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ABSTRACT Introduction Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment. Aim The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment. Materials and methods Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient. Statistical analysis Analysis was done using the Student’s t-test and Kruskal–Wallis test. Results There were significant differences in the level of anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively). Conclusion In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups. How to cite this article Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.
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Brand, H. S. "Anxiety and Cortisol excretion correlate prior to dental treatment." International Dental Journal 49, no. 6 (December 1999): 330–36. http://dx.doi.org/10.1111/j.1875-595x.1999.tb00533.x.

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Cardoso, Ana Carolina de Lima, Ana Karlla Rocha, Bruna Rafaella Ramos Melo, Lyzandra Cardoso Calixto, Marilia Mattar de Amoêdo Campos Velo, and Dayse Andrade Romão. "Manifestation of Anxiety during Dental Treatment: Integrative Literature Review." Journal of Health Sciences 21, no. 5 (December 20, 2019): 445–53. http://dx.doi.org/10.17921/2447-8938.2019v21n5p445-453.

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Abstract Even with the technical-scientific advance in Dentistry, it is still seen as a profession that causes anxiety in children and adults. Therefore, in addition to the technical knowledge, the dental surgeon must have different strategies in the management and conduct of this situation once anxiety if aggravated can become pathological and interfere in the patient's oral health and his or her quality of life. Thus, the present study was conducted in order to realize the main aspects of dental anxiety, aiming to improve patient-dentist relationship, avoiding the onset of phobic disorders. This is an integrative review of the literature, using the Lilacs and SciELO databases with the descriptors anxiety, phobia and dentist verified individually and later they were crossed with AND operator with search period from 2000 to 2019, articles in Portuguese and in fulltext. The exclusion criteria were: thesis, books, final paper and dissertations. 20 articles were identified which showed that anxiety directly interferes with the effectiveness of treatment in different age groups. Priority should be given to communication between the dental surgeon and his or her patient, to recognize possible causes of discomfort. In addition, it is necessary to carry out more studies because there are differences in the literature concerning the interference of social and economic factors and schooling levels in the anxiety development. Keywords: Anxiety. Dentist. Phobia. ResumoMesmo com o avanço técnico-científico na Odontologia, esta ainda é vista como uma profissão que provoca ansiedade em crianças e adultos. Dessa forma, além do conhecimento técnico, o cirurgião-dentista deve possuir estratégias diferenciadas no manejo e na conduta perante esta situação, uma vez que, se agravada, a ansiedade pode torna-se patológica e interferir na saúde bucal do paciente, afetando diretamente sua qualidade de vida. Assim, o presente estudo foi conduzido com intuito de perceber os principais aspectos da ansiedade odontológica, visando aperfeiçoar as relações paciente-dentista, evitando o desencadeamento de transtornos fóbicos. Trata-se de uma revisão integrativa da literatura, utilizando as bases de dados Lilacs e Scielo com os descritores: medo, fobia e dentista, verificados individualamente e posteriormente feito cruzamenento com AND, com período de busca de 2000 a 2019, artigos em portugues e na íntegra. Os critérios de exclusão foram: teses, livros, trabalhos de conclusão de cursos e dissertações. Foram identificados 20 artigos que evidenciaram que a ansiedade interfere diretamente na efetividade do tratamento em diferentes faixas etárias, devendo-se priorizar a comunicação entre o cirurgião-dentista e seu paciente, para reconhecer possíveis causas de desconforto. Porém, é necessário realizar mais estudos devido as divergências na literatura referente a interferência de fatores sociais, econômicos e níveis de escolaridade, no desenvolvimento da ansiedade. Palavras-chave: Ansiedade. Dentista. Fobia.
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Majstorovic, M., DE Morse, D. Do, LL Lim, NG Herman, and AM Moursi. "Indicators of Dental Anxiety in Children Just Prior to Treatment." Journal of Clinical Pediatric Dentistry 39, no. 1 (September 1, 2014): 12–17. http://dx.doi.org/10.17796/jcpd.39.1.u15306x3x465n201.

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Objectives: We evaluated the relationship between child dental anxiety and selected child and parental characteristics. Study design: Children and their parents were interviewed at the New York University, College of Dentistry, Pediatric Dentistry Clinic. The Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) evaluated child self-reported anxiety; the Modified Dental Anxiety Scale (MDAS) measured self-reported parental anxiety when the parent received dental treatment. Results: Ninety-three children and their parents completed the questionnaires. Mean CFSS-DS scores were higher for girls than boys (32.5 vs. 26.3, p=0.003) and for children whose accompanying parents had MDAS scores of 11+ vs. ≯11 (32.8 vs. 26.6, p=0.001). There was little difference in mean CFSS-DS scores among those aged 6-10 yrs. vs. 11-14 yrs. (30.1 vs. 29.3). Significant correlations were found between CFSS-DS and both gender (Spearman's rho, rs=0.31) and MDAS scores (rs=0.33), but not between CFSS-DS and child age (rs=-0.05). Controlling simultaneously for gender, MDAS score and child age, a high CFSS-DS score (38+ vs. ≯38) was positively associated with girls (ORadj=3.76, 95% CI: 1.13-12.54) and an MDAS score of ≤15 vs. ≯11 (ORadj=2.50, 0.73-8.54), but weakly and inversely associated with age (ORadj=0.80, 0.25-2.52). Conclusion: Child gender and parental anxiety are indicators of child dental anxiety.
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Asl, Aminabadi Naser, Marzieh Shokravi, Zahra Jamali, and Sajjad Shirazi. "Barriers and Drawbacks of the Assessment of Dental Fear, Dental Anxiety and Dental Phobia in Children: A Critical Literature Review." Journal of Clinical Pediatric Dentistry 41, no. 6 (January 1, 2017): 399–423. http://dx.doi.org/10.17796/1053-4628-41.6.1.

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Objective: Dental anxiety, fear and phobia have different etiology, response patterns, time courses, and intensities that justify a clear distinction between these constructs. Differentiation of dental anxiety, fear or phobia in practice is a critical prerequisite for developing and implementing effective treatment for children. The aim of this study was to investigate whether current researches in the pediatric dentistry appropriately discriminate the central construct of dental anxiety, fear and phobia. We also highlighted the specific methodological issues in the assessment of these issues in pediatric dentistry. Study design: A systematic search was conducted in Pubmed/medline and Scopus for articles which assessed dental anxiety, fear or phobia in children. Results: 104 research papers were included in the review that had made a distinction between dental anxiety, fear and phobia and had not used them interchangeably. Only five studies used different clinical measures or cut-offs to discriminate between dental anxiety, fear and phobia. Conclusion: The dental literature appears unable to capture and also measure the multi-sided construct of dental anxiety, fear and phobia and, therefore, there was a tendency to use them interchangeably.
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Ibrahem, Dalia, Norhan El Dokky, and Samah Awad. "EVALUATION OF DENTAL ANXIETY OF CHILD AND PARENT DURING DENTAL TREATMENT: “OBSERVATIONAL STUDY”." Egyptian Dental Journal 63, no. 1 (January 1, 2017): 83–86. http://dx.doi.org/10.21608/edj.2017.74375.

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Thomson, W. Murray, David Locker, and Richie Poulton. "Incidence of dental anxiety in young adults in relation to dental treatment experience." Community Dentistry and Oral Epidemiology 28, no. 4 (August 2000): 289–94. http://dx.doi.org/10.1034/j.1600-0528.2000.280407.x.

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Stabholz, Ayala, and Benjamin Peretz. "Dental anxiety among patients prior to different dental treatments." International Dental Journal 49, no. 2 (April 1999): 90–94. http://dx.doi.org/10.1111/j.1875-595x.1999.tb00514.x.

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López-Valverde, Nansi, Jorge Muriel-Fernández, Antonio López-Valverde, Luis Francisco Valero-Juan, Juan Manuel Ramírez, Javier Flores-Fraile, Julio Herrero-Payo, Leticia Alejandra Blanco-Antona, Bruno Macedo-de-Sousa, and Manuel Bravo. "Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis." Journal of Clinical Medicine 9, no. 10 (September 24, 2020): 3086. http://dx.doi.org/10.3390/jcm9103086.

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(1) Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. (2) Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used and in standard care situations. (3) Results: 32 studies were identified, of which 8 met the inclusion criteria. The effect of VR in children was significant, both for anxiety (standardized mean difference (SMD) = −1.75) and pain (SMD = −1.46). (4) Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area.
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Nishant Mehta and Vikram Arora. "Prevalence of Dental Anxiety among Patients Visiting the Out Patient Department (OPD) of a Dental Institution in Panchkula, Haryana." International Healthcare Research Journal 1, no. 7 (October 10, 2017): 27–33. http://dx.doi.org/10.26440/ihrj/01_07/119.

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INTRODUCTION: Anxiety is a common problem frequently experienced by patients undergoing dental procedures in every dental setting. The present study aimed to assess the prevalence of dental anxiety among the patients visiting the Out Patient Department (OPD) of a Dental Institution in Panchkula, Haryana.MATERIALS & METHOD: A sample of 600 adults (Females =298, Males = 302) with age ranging from 21 years to 65 years were enrolled in the study. The Modified Dental Anxiety Scale was used to measure dental anxiety among the study population. Chi Square test and ANOVA was used to find significant comparisons between the different variables assessed in the study. Further, Spearman’s Correlation was used to analyse these variables with the mean anxiety scores of the patients.RESULTS: The prevalence of anxiety among patients was found to be high. Reportedly the level of anxiety was found more in females than in males. It was revealed that with advancing age and higher education level, there was a decrease in level of anxiety, postponement of the dental treatment had a direct effect on dental anxiety. Previous unfavourable dental experience has a high impact on dental anxiety scores.CONCLUSION: Evaluation of anxiety levels in the subjects of this study suggests that majority of them are anxious towards dental treatment. Dental anxiety is one of the major barrier in the utilization of dental services. There is a strict need of directing efforts towards alleviation of this hindrance to provide a good quality dental care to the needy population.
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Kent, Gerry. "Cognitive Aspects of the Maintenance and Treatment of Dental Anxiety: A Review." Journal of Cognitive Psychotherapy 3, no. 3 (January 1989): 201–21. http://dx.doi.org/10.1891/0889-8391.3.3.201.

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This review focuses on two aspects of anxiety in the dental setting. The first concerns the processes involved in the maintenance of anxiety. Although patients usually experience much less discomfort than they expect, their anxiety can remain high. The processes discussed here include negative ideation, the probabilistic nature of experience, loss of control over intrusive thoughts, and memory. The second aspect concerns the therapeutic interventions designed to alleviate dental anxiety. A distinction is made between therapies that aim to alter the content of ideation and those that are designed to enhance control over symptoms of anxiety.
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S, Dr Srividhya, and Dr Saraswathi Gopal. "Prevalence of Dental Anxiety Among Patients Visiting Dental Institution- A Cross Sectional Study." Volume 5 - 2020, Issue 8 - August 5, no. 8 (September 2, 2020): 935–38. http://dx.doi.org/10.38124/ijisrt20aug595.

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Aim and Objective: Anxiety exhibited by patients towards dental procedures are common problems experienced by many across the world. This study focuses on evaluating the dental anxiety among patients attending the outpatient clinics of Meenakshi Ammal Dental College and Hospital and its association with their age, gender, educational level. A total of 200 patients, aged 21–50 years were included in the study. A questionnaire comprising the Corah’s Dental Anxiety Scale was used to assess the level of dental anxiety. The data obtained was analyzed using SPSS software.  Results:. Independent t-test did not show significant variation among the age groups with respect to overall anxiety score (P≥ 0.05), however, it was reduced with increasing age. There was no significant difference was found by independent t-test between male and female groups and regarding previous dental visit (P ≥0.05). Regarding education level, there was no statistical difference between the groups (P > 0.05) Younger patients, female patients were associated with increased anxiety scores. The present study was done for better patient management and proper treatment plan development for dentally anxious patients
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Ummat, Arshia, Sreejeeta Dey, P. Anupama Nayak, Nitin Joseph, Ashwin Rao, and Y. M. Karuna. "Association Between Dental Fear and Anxiety and Behavior Amongst Children During Their Dental Visit." Biomedical and Pharmacology Journal 12, no. 2 (June 17, 2019): 907–13. http://dx.doi.org/10.13005/bpj/1716.

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Dental fear and anxiety (DFA) serves as significant problem in child patient management as it leads to greater prevalence and increased severity of the disease associated with delayed dental visits. Therefore, it is necessary to effectively predict children dental behaviour and identify children at risk of Behaviour Management problems. Study of factors influencing DFA and its association with behaviour in children during first dental visit. The study included 209 children (5-14 years). DFA levels were assessed using 3 standardised questionnaires i.e. Facial Image Scale (FIS), Dental Anxiety Scale (DAS), Children’s Fear Survey Schedule – Dental Subscale (CFSS-DS). The behaviour of the child was then assessed using Frankl’s Behaviour Rating Scale (FBRS). The data were analysed, and a correlation was established between DFA and behaviour using statistical analysis. Presence of DFA according to FIS is 13.4%, according to DAS is 15.2% and according to CFSS-DS is 17.7%. Maximum participants showed positive behaviour (81.8%) according to FBRS. Factors causing maximum Dental anxiety according to DAS was anticipation of treatment (26.30%) and factor which caused maximum dental fear according to CFSS-DS was injections (45.4%). There is association between DFA and behaviour in children during first dental visit. This study will help assess the factors which lead to dental fear and anxiety in children and also find a correlation between dental fear and anxiety and behaviour management problems which can help the Paedodontist to predict various behaviour management problems and to avoid the factors which lead to them before the initiation of the dental treatment. This can lead to a decrease in the fear and anxiety levels of children which will further lead to better treatment and in turn better case management.
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