scholarly journals Anxiety of parents and children in dental care

2018 ◽  
Vol 66 (4) ◽  
pp. 321-329
Author(s):  
José Maria Chagas VIANA FILHO ◽  
Marayza Alves CLEMENTINO ◽  
Larissa Chaves Morais de LIMA ◽  
Ana Flávia Granville GARCIA ◽  
Margarida Maria Pontes de CARVALHO ◽  
...  

ABSTRACT Objective: To verify the prevalence and association of parents’ and children’s anxiety concerning socioeconomic variables and child’s behavior during dental care. Methods: This was a quantitative, observational, transversal and descriptive study. Data collection was performed through a questionnaire aiming at sociodemographic data and dental experience as well as Venham Picture Test, Corah Dental Anxiety Scales and Frankl Anxiety Scale. Data were analyzed using descriptive and inferential statistics (Chi-square and Fisher’s exact test), α = 0.05. Results: The sample consisted of 7 to 9 year- old children (57.9%.), of whom 72.6% were submitted to invasive procedures. The prevalence of anxiety among children was 43.2% (n = 41). Regarding parents / guardians, the prevalence of anxiety was 88.4% (n = 84). A significant association was found between the dental appointment experience and the child’s anxiety (p = 0.050) using the VPT. A significant association between anxiety and the type of dental procedure (p = 0.017) as well as the child’s experience (p = 0.000) using the Frankl scale. Conclusion: There was no association between anxiety and socioeconomic variables. In the variables related to dental experiences, a significant association was found between the experience of the dental appointment and the anxiety of the child using the VPT scale. An association between anxiety and the type of procedure was observed, as well as dental appointment experience, using Frankl scale.

1994 ◽  
Vol 79 (1) ◽  
pp. 611-622 ◽  
Author(s):  
Carmen Benjamins ◽  
Albert H. B. Schuurs ◽  
Johan Hoogstraten

The present study assesses the relationship between self-reported dental anxiety (Dental Anxiety Inventory, Dental Anxiety Scale, and Duration of Psychophysiological Fear Reactions), electrodermal activity (skin-conductance level and frequency of spontaneous responses), and Marlowe-Crowne defensiveness. All measurements were made twice. The first session was scheduled immediately before a semi-annual dental check-up (stress condition), and baseline measurements were made two months later without the prospect of a dental appointment. Subjects were male dental patients who regularly attended a university dental clinic and a clinic for Special Dental Care. The main findings were that the low anxious-high defensive-scoring (Marlowe-Crowne Denial subscale) university patients showed significantly higher skin-conductance levels and frequency of nonspecific fluctuations than the low anxious-low defensive-scoring subjects. Besides, the conductance values of the low anxious-high defensive-scoring subjects resembled those of the high anxious-low defensive-scoring patients of the clinic for Special Dental Care, the baseline frequency of nonspecific fluctuations excepted.


2021 ◽  
Vol 10 (12) ◽  
pp. e554101220732
Author(s):  
Gabriela Luiza Hochscheidt ◽  
Mateus Müller da Silva ◽  
Maria Beatriz Cardoso Ferreira ◽  
Alexandre Silva de Quevedo ◽  
Deise Ponzoni

The aim of this study was to evaluate the most common drugs prescribed by dentists and the indicators related to rational drug use. A prospective cross-sectional study was conducted in which 189 interviews were carried out from August 2015 to June 2016 with patients who received drug prescriptions at specialized dental care centers in a city in southern Brazil. A specific data sheet was used, with questions regarding: age and gender of the patient, dental specialty in which the care occurred, and prescription drugs and their respective dosage regimen. Statistical analysis was performed using the chi-square test or Fisher's exact test (p <0.05). From the total of interviews, it was observed that 92.1% of patients received written medication prescriptions. Of these prescriptions, 38.5% had some type of antibiotic for systemic use. Acetaminophen was the most prescribed drug (33.4%), followed by amoxicillin (19.7%). The mean number of medications per prescription was 1.75, and 17.4% of the prescriptions did not indicate the dosage regimen. Our findings indicate a high incidence of prescribed antibiotics and non-compliance with regulatory agency guidance in prescriptions at the centers evaluated.


2018 ◽  
Vol 66 (3) ◽  
pp. 212-218
Author(s):  
Cícera Alane de OLIVERA ◽  
Tamara GAMA ◽  
Evalena Lima CABRAL ◽  
Camila Helena Machado da Costa FIGUEIREDO ◽  
Gymenna Maria Tenório GUÊNES ◽  
...  

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.


2020 ◽  
pp. 66-70
Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.


Author(s):  
Jessica Galvan ◽  
Danielle Bordin ◽  
Cristina Berger Fadel ◽  
Alessandra Martins ◽  
Fabiana Bucholdz Teixeira Alves

Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.


Author(s):  
Zainab Alghareeb ◽  
Kawther Alhaji ◽  
Bayan Alhaddad ◽  
Balgis Gaffar

Abstract Objectives This study aimed to investigate hemodynamic changes in healthy adult patients during different dental procedures and evaluate whether these changes were associated with patients' dental anxiety. Materials and Methods A convenience sample of 119 patients of both genders undergoing routine dental care participated in the study. Participants responded to the Arabic version of the modified dental anxiety scale (MDAS) and a self-structured questionnaire. Each patient had their blood pressure, heart rate, and oxygen saturation measured at three points: before, during, and after the dental procedure using an electronic sphygmomanometer. MDAS scores were categorized into no anxiety, mild, moderate or severe anxiety, while readings of heart rate and blood pressure were categorized into no change, increased or decreased and either “no change” or “increased” for oxygen saturation. Chi-square test was used to investigate the association between the study variables and a p value of < 0.05 was considered statistically significant. SPSS version 20 was used in the analysis. Results Mean ( ± standard deviation [SD]) of MDAS was 11.12 ( ±  3.9) an indicative of moderate dental anxiety. No changes in blood pressure, heart rate, or in oxygen saturation were observed on 39.5%, 54.6% and 97.5% among the study participants, respectively. Half of the participants avoided dental care, with dental anxiety being the main reason for that (26.1%). Pattern of dental visits was significantly associated with MDAS scores (p = 0.042). There were significant changes in blood pressure (p = 0.0003), heart rate (p = 0.01) but not in oxygen saturation (p = 0.33). Changes in blood pressure, heart rate, and oxygen saturation were not associated with dental anxiety p = 0.15, 0.10, and 0.99, respectively. Conclusion The results of this study indicate that the type of dental procedure may cause dental anxiety and cause hemodynamic changes. Therefore, close monitoring of patients with dental anxiety during the treatment is advised.


2019 ◽  
Vol 41 (1) ◽  
pp. 42649
Author(s):  
Ana Gesselena Da Silva Farias ◽  
Gabriela Silva Cruz ◽  
Juliana Costa Rodrigues ◽  
Francisco Cezanildo Silva Benedito ◽  
Daniel Freire de Sousa ◽  
...  

The objective of this study is to characterize, relate and compare bio-sociodemographic and economic aspects, hygiene perception, habits and behaviors in the oral health of students recently admitted to an international university. This is a descriptive and quantitative study conducted with 101 Brazilian and non-Brazilian academics. For that purpose, a questionnaire was applied. The data were analyzed and submitted to Fisher’s exact test and Chi-square test. Male and Brazilian students predominated, followed by Guineans. Regarding the perception about oral health, 50.5% of Brazilian academics and 63.3% of non-Brazilian students considered it regular. Of the total participants, more than half of Brazilian and non-Brazilian students brushed their teeth 3 times a day. About dental floss, 98% of Brazilians know it and 76% of non-Brazilian didn’t use it. There was a significant association between the students with age lower than or equal to 18 years and the search for dental care, as well as income above one minimum wage and demand for this type of care. There were similarities and discrepancies between the behavior of Brazilian and non-Brazilian academics. Factors such as age lower than or equal to 18 years and income above one minimum wage positively influenced the search for dental care.


2015 ◽  
Vol 3 (1) ◽  
pp. 20
Author(s):  
R. Sudhakara Reddy ◽  
Ramya Kotha ◽  
K. Pavani ◽  
G. Subbarayudu ◽  
N. Rajesh ◽  
...  

<p><strong>Background:</strong> The cause of delay in obtaining a dental care definitely depends on the individual’s anxiety status at a dental set up. Anxiety is a state of delirium experienced by an individual. Nevertheless, this feeling of discomfort may hamper the quality of life of an individual.</p><p><strong>Objectives:</strong>To assess the degree of dental anxiety and to assess the reason for dental anxiety</p><p><strong>Methods:</strong> A total of 950 participants were enrolled into the present study. Data was collected using a questionnaire. The questionnaire consisted of two parts; the first part composed of items on demographic characteristics of the patient, and the second part included a questionnaire consisting of combination of Corah’s Dental Anxiety Scale and Dental Fear Survey.</p><p><strong>Results:</strong> In a total sample of 872 patients, 538 individuals were dentally anxious (mean DAS &gt;9) of which 495 patients had a mean score of 9-12 (Mildly anxious); 30 patients had a mean score of 13-15 (Moderately anxious). Only a few subjects (13) were highly anxious (mean DAS &gt; 15). When individual situation of anxiety was assessed, the population noted highest anxiety on feeling or seeing the anaesthetic needle followed by feeling of the vibrations of the drill and being seated in a dental chair.</p><p><strong>Conclusion:</strong> As dental anxiety is a continuum, where to place the cut-off point is a crucial issue in research, which aims to compare</p><p>subjects fearful of dentistry with those who are not. The validity of many measures has not been adequately assessed, perhaps because of the difficulty of identifying an external referent against which it may be tested. Evidence in the form of behavioral, physiological or</p><p>cognitive characteristics should be considered to manage these dentally anxious individuals effectively in the dental office.</p>


Author(s):  
Kristin A. Williams ◽  
Sarah Lambaria ◽  
Sara Askounes

Dental anxiety (DA) negatively affects patients&rsquo; oral and overall health. This study explored attitudes and clinical practices of licensed Ohio general dentists who treat patients with DA. Methods: An anonymous self-administered mail survey was sent to 500 general dentists licensed and practicing in Ohio. Responses to 21 pre-coded questions were analyzed. Frequencies were examined; cross-tabs, Chi-Square, and Fischer&rsquo;s Exact Test were calculated for statements according to dentists&rsquo; gender. Alpha was set at p = 0.05. Results: Nearly all respondents treated anxious patients; males were more likely to find it challenging than females. Dentists were most familiar with distraction, although half found nitrous oxide to be an effective tool. Female dentists were more likely than males to be familiar with anxiolytics and find them effective. Conclusion: Overall, Ohio general dentists are most familiar with using distraction and nitrous oxide during appointments for anxious patients. Gender differences exist in attitudes towards anxiolytic use for patients with DA. Practice Implications: By identifying techniques that are comfortable for patient and practitioner, oral health disparities associated with DA may be reduced.


Sign in / Sign up

Export Citation Format

Share Document