جستجوی مقالات مرتبط با کلیدواژه « اضطراب دندانپزشکی » در نشریات گروه « پزشکی »

 Dental anxiety is an obstacle to seeking dental care and is associated with poor oral and dental health outcomes. The present study aimed to determine the relationship between dental anxiety and socio-demographic factors of mothers with decay-missing-filled (DMF) index of children under 6 years old.

 This descriptive-analytic study included 173 pairs of childeren under 6 years old and their mothers, who were included in the study among the clients of the yazd Dental Faculty. Dental anxiety level were determined using the standard dental anxiety questionnaire (MDAS). Information on sociodemographic details and the mothers education level was recorded. caries prevalence of individuals was determined by decayed, missing, and filled teeth (DMFT) index. Intraoral examinations were done by the last-year educated dental student under the supervision of a pediatrician. Statistical analyses were performed using the one-way ANOVA, and pearson correlation analysis.

The average age of the children was 4.7±0.64 years, and 54.9% of them being boys. The majority of mothers (40.5%) had a university education. There was no statistically significant difference in the average maternal dental anxiety scores across different levels of dental caries in children. There was a weak positive correlation between the child's age, dmft index, and maternal dental anxiety (r=0.208, P=0.003).

Although no statistically significant relationship was found between maternal dental anxiety and children's deciduous teeth, considering the importance of maternal dental anxiety in the implementation of preventive oral health protocols, along with the characteristics of the child and family, maternal dental anxiety should be considered. This issue increases with the age of the children because older children had a higher dmft index.

The child's relationship with the dentist is the product of complex interactions between the patient, parents, and the dentist. Therefore, the aim of this study was to investigate the effect of emotional intelligence and parenting style on the child's dental anxiety and fear.

In this descriptive cross-sectional study, the patients aged 6 to 15 years with their parents who referred to Shahid Sadoughi Dental School in Yazd were selected through simple method. The MCDAS and CFSS-DS questionnaires were used to measure anxiety and fear, respectively, and the level of emotional intelligence and parenting style were measured by the Shering and Baumrind questionnaires, respectively. Data were analyzed via SPSS16, and T_Test, ANOVA were utilized.

Out of 120 participants, 39 were boys and 81 were girls. The mean age range of the children was 9.31 ± 2.46 years and parents' mean age was 37.60 ± 4.82. There was no significant relationship between parenting style and child's dental fear and anxiety (P=0.492 and P=0.769, respectively) and between parent's emotional intelligence and child's dental anxiety (P=0.053), but there was an inverse and significant relationship between parent's emotional intelligence and child's dental fear (r=0.274 and P=0.003).

The results of the present study showed that the parenting style has no significant relationship with child's dental fear and anxiety and also the parent's emotional intelligence with the child's dental anxiety, but the parent's emotional intelligence has an inverse and significant relationship with the child's dental fear.

 Anxiety is one of the most important issues in the dental environment for children. The aim of this study was to investigate the effect of music on the level of anxiety and cooperation of children during dental treatment.

 In this study 58 children aged 6 to 8 years were randomly divided into two groups: the intervention group (music played) and the control group (no music played). Children's anxiety was assessed using the Venham Picture Test and Frankel Behavior Rating Scale, and their heart rate was also measured.

 The results showed that in the intervention group, the level of anxiety based on the Venham Picture Test and Frankel Behavior Rating Scale was significantly lower. Additionally, the heart rate of children in this group was lower during the treatment (P<0.05).

 Based on the findings of this study, the use of music as a non-pharmacological method can be beneficial in reducing anxiety and improving the cooperation of children in the dental environment.

Background &

Dental anxiety is an effective factor in reducing children's dental visits. It is necessary to identify the factors involved in causing dental anxiety to promote public health. The purpose of this study was to evaluate the relationship between dental fear and anxiety in 5-10 -year -old children with dental caries and a history of trauma in Ardabil dental clinics in 2022.

247 children (139 girls and 108 boys) were examined in terms of demographic information, history of oral and dental trauma, and socio-economic status through a questionnaire. The dmft/DMFT index was determined using the clinical examination to check the oral health condition. Dental fear and anxiety were measured using two standard scales, FIS and CFSS-DS. Chi-square test was used for data analysis .

According to the FIS index, the prevalence of dental anxiety was 11.4% and according to the CFSS-DS questionnaire, it was 18.2%. Children aged 5-7 years showed more anxiety (p=0.043). Children who had a dental visit showed higher levels of anxiety based on the CFSS-DS index (p=0.002). According to the FIS index, children without a dental visit history had a higher frequency in the "very upset" group (p=0.009). Severe dental caries in permanent teeth (DMFT) were associated with a higher level of anxiety (p=0.028). No statistically significant relationship was found between gender, number of siblings, child's position in the family, parent’s education, family income level, history of trauma and dmft with dental anxiety.

The results of the present study showed that age, history of dental visits and decay of permanent teeth are effective factors on children's dental anxiety.

Bakground:

 Considering the role of fear and anxiety management in the success of treatment and the need for dentists to be familiar with anxiety control protocols, we assessed the level of dentists' exposure to patients with dental fear and anxiety and measured the use of anxiety management techniques in this shudy.

 This cross-sectional study was carried out on 360 dentists working in Isfahan City, Iran, in 2020. A 20-item researcher-made questionnaire was designed and validated. The first part of this questionnaire collected information about demographic characteristics, including age, gender, graduation year, and working hours per day and week. The second part included questions to assess dentists’ knowledge in identifying patients with dental anxiety and their management method, the frequency of their exposure to anxious patients in different age groups, and the frequency of using behavioral and pharmacological techniques to manage anxiety. The validity of the questionnaire was measured by calculating the content validity index and its reliability through test-re-test. The questionnaire was prepared electronically and distributed in dentists’ virtual groups. Data were analyzed by SPSS 22. Comparisons between dentists' performance and demographic indicators, such as work experience, gender, and age groups were calculated using Chi-square and correlation coefficients (α=0. 05).

 Out of 360 distributed questionnaires, 311 were filled out (response rate of 86%). The frequency of male dentists was 49. 8% (n=155), and the mean work experience was 10. 3±9. 3 (1-38 years). Overall, the mean of dentists' exposure to patients with dental anxiety was 27. 1±11. 23%. The frequency of using different anxiety control techniques was 82. 9% for Tell-Show-Do, 71. 6% for distraction, and 22. 5% for cognitive-behavioral techniques. The use of cognitive-behavioral methods in the control of dental anxiety showed a significant relationship with gender (P<0. 001). It was also found that medication administration was lower in women dentists (P<0. 001). Regarding the ability to control patients with dental anxiety, appreciably 80% of dentists with more than 20 years of experience reported their ability as very or relatively well.

 Despite the exposure of dentists to anxious patients in different age groups, their knowledge to manage them seems insufficient. They rarely used cognitive-behavioral techniques and muscle relaxation to manage anxious patients. The application of nitrous oxide, sedatives, and hypnotherapy was not very frequent. Therefore, the consideration of educational courses for dentists to identify and manage anxious patients for successful treatment and improve their health seems necessary.

Dental anxiety is one of the complications of dental treatments in children and it is affected by many factors such as gender, age, and temperament. Therefore, the present study aimed to determine the relationship between children's temperament and dental anxiety in children aged 6 to 11 years referred to Yazd Dental School.

This is a descriptive-analytical cross-sectional study in which 152 children aged 6 to 11 years were studied who referred to the pediatric dentistry department of the Faculty of Dentistry, Shahid Sadoughi University of Yazd, Iran in 2021. The data were collected using EAS (Emotion, Activity, sociability) temperament questionnaire and also MCDAS (Modified Child Dental Anxiety Scale) anxiety questionnaire. Finally, the relationship between the score of temperament dimensions and that of pediatric dental anxiety was analyzed by the Pearson correlation coefficient test using SPSS software. The significance level was considered at 0.05.

A significant correlation was observed between dental anxiety score and emotional score (P-value=0. 012, r=0. 203). This relationship was also significant and positive between dental anxiety and shyness score (P-value=0. 004, r=0. 232). Dental anxiety and dimensions like physical activity and sociability were negatively and significantly related (P-value=0. 031, r=-0. 175 and P-value=0. 048, r=-0. 161, respectively. A regression model was used to estimate the anxiety score using the scores of different mood dimensions. The result is R2=0. 1 which means 10% of the changes in the dependent variable is explained by the regression model. In this model, only the temperament dimension of emotion is effective in the anxiety score.

According to the results of this study, decreasing the score in emotional and shyness dimensions and increasing the score in physical activity and sociability can reduce the dental anxiety of children during dental treatment. The regression model confirmed the effect of the emotional dimensions in increasing the anxiety score which can be achieved by psychologists and creating appropriate conditions and behaviors.

 The aim of the present study was to assess factors affecting behavioural management of dental anxiety among dental students.

 The present study was conducted on 218 dental students of Ahvaz Jundishapur University of Medical Sciences, Ahvaz (AJUMS), school of dentistry, Iran during 1 to 21 November 2020. The data collection tool included a self-designed questionnaire containing a number of questions for assessing students’ anxiety reduction guidelines, and behavioural-medication anxiety control methods, as well as measuring key components of the Theory of Planned Behaviour (TPB). The layout of the questionnaire and all its questions/items were designed on the website https://survey.porsline.ir. Data were analysed using SPSS, version 23. The structural equation modelling (SEM) was performed using AMOS software version 26.0.

 A total of 246 dentistry students were invited to participate in the study. Out of 246 students enrolled, 218 (88%) students completed and sent the questionnaire. The results revealed that behavioural intention had a direct impact on the implementation of distinguished instructions. Likewise, subjective norms and perceived behavioural control directly influenced the behavioural intention. The fit indices indicated that the measurement might have an acceptable performance (GFI = 0.86, CFI=0.81 RMSEA = 0.07, x2/df >3); R2=0.37. Perceive behavioral control and intention were the most important factors in explaining dental anxiety control behaviour.

 The findings suggest that the constructs of the theory of planned behaviour might have a preliminary acceptable fit for determining the factors related to the beliefs and behaviours of dental anxiety control. Further studies are needed to improve model fit indices. The future studies should determine which educational methods could better manipulate the predictive factors.

Nowadays, most children spend a lot of time on electronic media, which can cause anxiety-related disorders. The present study aimed to investigate the relationship of media habits with anxiety about and fear of dentistry in people aged 6 to 15 years. In this cross-sectional study, participants were selected from people referred to Shahid Sadoughi Dental School (Yazd, Iran) aged 6 to 15 years. To measure their anxiety and fear, the Modified Child Dental Anxiety Scale and the Children’s Fear Survey Schedule-Dental Subscale questionnaires were used, respectively. Additionally, a questionnaire was designed to assess the duration of watching TV and playing with a computer, cell phone, or tablet. Finally, the SPSS software (version 17) was utilized to analyze the data. From a total number of 120 participants with a mean age range of 9.31±2.46 years, 39 were boys and 81 were girls. The results of the study pointed the relationship of anxiety and fear with the duration of watching TV and playing with a computer, tablet, or cell phone was not significant. However, there was a significant relationship between the duration of watching TV and the duration of playing with a computer, tablet, or cell phone in girls aged 10 to 15 years, mothers with associate degrees and above, as well as fathers with a diploma or associate degrees. Other findings were not significant. The results of the present study showed that media habits were not significantly associated with anxiety about and fear of dentistry in people aged 6 to 15 years.

One of the most important principles of dental treatment in children is the control of anxiety and fear during dental procedures. The aim of this study was to evaluate dental fear and some related factors in children aged 8 to 12 years old during 2019.

This cross-sectional study was performed on 300 children aged 8 to 12 years old in Sanandaj. Data collection tool was the Children’s Fear Survey Schedule- Dental Subscale (CFSS-DS) questionnaire. Descriptive tables, t-test and ANOVA were used to compare the mean scores of fear among groups. Data analysis was performed using SPSS software version 24.

The overall mean of childrenchr('39')s fear score was 37.3. There was a significant relationship between gender and dental fear score, which was significantly higher in girls (p value = 0.045). There was no significant relationship between dental fear score and children age, parents chr('39')education, parentschr('39') occupation, family size, dental appointment history, and the time elapsed since last medical and dental visit (p value> 0.05).

Dental fear in children aged 8 to 12 years in Sanandaj was lower than average, and was more common in girls than boys. The highest level of fear was observed in “the sight of the dentist drilling’ “and “injection” respectively.  The lowest level of fear was related to “people in white uniforms”.

Studies have shown that dental anxiety may be caused by various factors such as child mood, age, maternal emotional maturity, previous dental anxiety and parenting styles. Therefore, the aim of this study was to investigate the possible relationship between the parenting styles and pediatric dental anxiety and the predictability of this variable through parenting styles.

The present study was a cross-sectional correlational study. The study population was children aged 7 to 12 years who had referred to the dental clinics of Tehran in 1400. Sampling from one of the clinics was done randomly. A total of 100 questionnaires of modified child dental anxiety scale and parenting style inventory were given to the children and their parents and 95 of them could have been analyzed. The questionnaires were analyzed using SPSS22 software and Pearson correlation and regression tests.

The results showed that dental anxiety had a negative and significant relationship with authoritative parenting style (r=-0.286, P<0.01) and a positive and significant relationship with authoritarian parenting style (r=0.342, P<0.01). Authoritarian parenting style can be a predictor of dental anxiety.

Knowing the predictors of dental anxiety can help a pediatric dentist analysing who is most prone to dental anxiety. Based on this approach, a relationship based on trust can be established between the dentist and parents to make the necessary recommendations to parents in the office, reduce dental anxiety and improve oral health conditions in children.
 

Dental anxiety and fear can act as a barrier to seek dental care leading to insufficient oral health in people. The aim of this study was to determine the relations between dental fear and anxiety with dental caries status (DMFT) and clinical consequences of untreated dental caries (PUFA) among the adult patients referred to the faculty dental clinic of Tehran University of Medical Sciences.

In this cross-sectional study in 2019, the patients above 18 years old were assessed. Two standard questionnaires, Dental Fear Scale (DFS) and Modified Dental Anxiety Scale (MDAS), were used to assess the scores of dental fear, and dental anxiety, respectively. The demographic data of the patients were recorded. Dental caries status and clinical consequences of untreated dental caries, using DMFT and PUFA, respectively, were measured. Pearson correlation coefficients and multiple linear regression model (Backward method) were used for statistical analysis.

Totally, 283 patients with the mean age of 38.6±11.8 years old participated. The mean scores of MDAS, and DFS were 12.04±4.49, and 41.33±16.87, respectively. Educational level (P=0.03, β=-0.14) and marital status (P=0.01, β=0.17) had significant relationships with MDAS scores. Moreover, a significant relationship was found between marital status and DFS scores (P<0.001, β=0.25). Significant correlations were found between dental anxiety level and D (P<0.001, r=0.36) and M components (P=0.02, r=0.14) of DMFT index. Moreover, there was a significant correlation between dental anxiety and U components of PUFA index (P=0.045, r=-0.12). Furthermore, the correlations between dental fear and D and M component of DMFT were significant (P<0.001, r=0.36; P<0.001, r=0.23; respectively).

Dental anxiety and dental fear were infrequent in the studied population; however, significant relationships were found between dental anxiety and dental fear with dental caries indices. Therefore, it was concluded that the more MDAS and DFS scores, the worse dental caries status.

Dental anxiety is one of the important reasons for avoiding dental treatment and, in the long time it can result in decrease in oral and dental health as well as decrease in quality of life of patients. Furthermore, the presence of anxiety in the patients and its repetition in the examination of patients can also affect the efficiency of dentists. The aim of this study was to investigate the effect of verbal education on the anxiety of patients with irreversible pulpitis

In this clinical trial, 96 patients with irreversible pulpitis of maxillary premolars referred to Khatam-ol-Anbia Specialty Clinic in Yazd, Iran were randomly studied into case and control groups. Before the start of the treatment, a verbal description of the therapeutic measures and type of devices was given to the case group patients for 15 minutes, but no verbal education was given to the control group. Patients completed the Standard Dental Anxiety Scale (DAS). The data were statistically analyzed using SPSS17 software and T-test and paired T-test.

Before the intervention, the anxiety score in the control group was 10.46 and in the intervention group was 11.71 (p > 0.05), and after the intervention, it was 8.65 and 8.21 respectively (p > 0.05). The rate of anxiety reduction in the intervention group was significantly more than the control group (p =0.017).

The reduction in anxiety score in the intervention group was significantly more than the control group, which was the result of intervention and it can be said that the verbal explanation was effective in reducing the anxiety of the patients.

Sensory processing problems can affect social, cognitive, sensorimotor development, and emotional level leading to behavioral difficulties in children. The purpose of this study was to investigate the relationship between sensory processing abilities and anxiety with the cooperation of preschool children in dentistry. In this cross-sectional study, 101 patients within the age range of 4-6 years (52 females and 49 males) were selected using convenience sampling. Sensory profile questionnaire was used to evaluate sensory processing problems. Moreover, children’s anxiety and cooperation during injection and drilling procedures evaluated by Venham Clinical Anxiety Scale and Venham Clinical Cooperation Scale, respectively. The data were analyzed in SPSS Software (Version.18) through the Kruskal-Wallis test, Mann-Whitney U test, and Spearman's rank correlation coefficient. According to the results, a significant relationship was observed between auditory processing and children’s anxiety with cooperation during injection and drilling procedures (P<0.05). In addition, the results showed that higher levels of oral processing were correlated with non-cooperation during drilling (P=0.008). There was also a significant relationship between children’s sensory processing related to tolerance/endurance and anxiety with cooperation during injection (P<0.05). The evaluation of oral, endurance, and auditory sensory processing abilities using the sensory profile questionnaire can be helpful in the prediction of dental anxiety and level of cooperation in children.

Hypnotherapy is a valuable technique that aids in treatment of some patients. Adequate knowledge in this field could help dentists and specialists to profit from this treatment in very anxious patients. Current limitations of general anesthesia have led to restrictions in using this technique for treatment of dental patients. In recent years, hypnosis has gained much interest in medicine, psychology, and dentistry. The aim of this study was to evaluate the theory and background of hypnosis and its clinical application in dentistry.

Patient's anxiety and thus not referring to detal offices for receiving dental services may inappropriately affect inadequately on community development indicators. There are limited studies in this area, and the results are usually inconsistent. This study was then carried out with the aim of determining the dental anxiety among patients referred to private offices in Mashhad. In this descriptive study, a total number of 400 patients who had referred to private dental offices in Mashhad entered in the study. Data were then collected using Dental Anxiety Scale. Validity and reliability of the scale was determined and approved in the previous studies. Data were analyzed through SPSS software using T-Test, ANOVA, Pearson Correlation Coefficient, and Spearman Correlation Coefficient.Of all the participants, 16.8% of participants had mild, 58.8% moderate and 24.8% severe dental anxiety. Mean score of dental anxiety was higher in women (12.4±3.91) than men (9.19±3.89) (p<0.001). Divorced and dead couple subjects (13.39±4) had a higher level of dental anxiety than the married and singles. Regarding the job, the highest level of dental anxiety was observed in the housewives (12.89±3.77). Dental anxiety was negatively correlated with age (r=-0.125, p= 0.013), number of dental visit (r=-0.143, p=0.004), education level (ρ= -0.319, p<0.001) and income level (ρ= -0.415, p<0.001). As the rate of dental anxiety was higher among women especially housewives and also it was negatively correlated with age, education level and income, people with such characteristics should be addressed in educational programs in this area.

Dental phobia is one of the reasons which prohibit patients from referring to dentistry on time. The aim of this study was to assess the effect of music (rain of love) on decreasing dental phobia during root canal therapy among the patients of a dental office. In this clinical trial, 100 patients who were referred to a dental office for RCT were evaluated. The patients were randomly selected and divided into two groups. The music was solely played for the case group. To determine patient's anxiety, a dentistry phobia questionnaire, i.e. kattle anxiety questionnaire was utilized. VAS and BP were also checked in two intervals, 5 minutes before and after treatment. We used multifactor linear regression, logistic regression, analysis variance with bilateral mixed shape, T test and chi-square test for analyzing data. The results at the start of the study, did not reveal any statistically significant difference between the two groups. The average grade of dental phobia in the music group was 46.1±21.5 in descriptive scale and in the control group was 44.7±21.9 which failed to show any significant difference statistically (p=0.748, t=0.322). Furthermore, there was no significant difference in systolic and diastolic pressure rate before and after the interference. Differences between average grade of anxiety among groups according to (VAS-Cm) before the interference was not statistically significant (p=0.232, t=1.201), but after that it was (p<0.001, t=4.737). The average rate of anxiety decrease in the music group and the central group was 2.3±2.6 and 2.9±0.8 respectively. According to the results, there was greater anxiety in the case group (p=0.005, t=0.842). This study showed that music was effective in decreasing subjective anxiety but it didnt any special effect on the systolic and diastolic blood pressure.