Acupuncture in the Management of Anxiety Related to Dental Treatment: A Case Series

2010 ◽  
Vol 28 (1) ◽  
pp. 3-5 ◽  
Author(s):  
Palle Rosted ◽  
Mads Bundgaard ◽  
Sian Gordon ◽  
Anne Marie Lynge Pedersen
Keyword(s):  
Acupuncture Treatment ◽  
Dental Treatment ◽  
Case Reports ◽  
Dental Anxiety ◽  
Case Series ◽  
Randomised Clinical Trial ◽  
Common Phenomenon ◽  
Inexpensive Method ◽  
Before And After ◽  
Severe Anxiety

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.

Acupuncture in the Treatment of Fibromyalgia in Tertiary Care – a Case Series

2007 ◽  
Vol 25 (4) ◽  
pp. 137-147 ◽  
Author(s):  
Barbara Duncan ◽  
Adrian White ◽  
Anisur Rahman
Keyword(s):  
Outcome Measures ◽  
Acupuncture Treatment ◽  
Tertiary Care ◽  
Fibromyalgia Impact Questionnaire ◽  
Case Series ◽  
Symptomatic Improvement ◽  
Chronic Widespread Pain ◽  
Questionnaire Score ◽  
Before And After ◽  
Acupuncture Research

Aims Fibromyalgia is a common cause of chronic widespread pain. The benefit of medication is often limited by its side effects, and the improvements obtained with exercise and education are inconsistent. Many patients seek acupuncture treatment, which is reported to be helpful in some cases. This study aimed to explore the acceptability and benefits of acupuncture offered in the setting of a tertiary referral clinic. Methods An open, uncontrolled observational study was conducted among patients who met the usual fibromyalgia criteria and who had a pain score of at least 30 on a 100mm Visual Analogue Scale (VAS). Patients were allowed to continue other treatments but not to introduce new ones. Acupuncture was given using a Western approach according to a protocol developed by consensus. Patients were offered eight treatments in eight weeks. Outcome measures included VAS of pain intensity and Fibromyalgia Impact Questionnaire (range 0 – 100), and were taken before and after treatment, and at 14, 20 and 34 weeks from enrolment. Results Twenty four eligible patients were enrolled in a 12 month period. Baseline mean pain VAS score for these 24 patients was 74 (SD 18) and mean Fibromyalgia Impact Questionnaire score 78 (SD 12.4). Only 14 patients completed the course of treatment within about 10 weeks. Compliance was poor in the remaining patients because of difficulty attending clinic, and in two cases because of exacerbation of pain. Completion of outcome measures was variable and therefore the analysis of data is limited. Five patients scored at least 20% reduction in Fibromyalgia Impact Questionnaire score which is a clinically relevant improvement. Two of these scored at least 50% reduction. Conclusion Acupuncture appears to offer symptomatic improvement to some patients with fibromyalgia in a tertiary clinic who have failed to respond to other treatments. In view of its safety, further acupuncture research is justified in this population.

scholarly journals Acupuncture Treatment for Nocturnal Crying in Pediatric Patients: A Systematic Review of Clinical Studies

2021 ◽  
Vol 9 ◽  
Author(s):  
Lin Ang ◽  
Eunhye Song ◽  
Hye Won Lee ◽  
Jung Tae Kim ◽  
Eunseop Kim ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Clinical Studies ◽  
Acupuncture Treatment ◽  
Case Reports ◽  
Data Extraction ◽  
Information Service ◽  
Case Series ◽  
Secondary Outcome ◽  
Efficacy Rate ◽  
Research Information

Background: Nocturnal crying is a common condition in which children intermittently or continuously cry and fuss during the night, at certain times or throughout the night. It is a common pediatric sleep disturbance for which medical assistance is highly sought by parents, and one of the non-pharmacologic treatments for nocturnal crying is pediatric acupuncture. This review aimed to review the literature about the effectiveness and safety of pediatric acupuncture for nocturnal crying.Methods: Literature searches were performed on PubMed, the Cochrane Controlled Register of Trials (CENTRAL), Allied and Complementary Medicine Database (AMED), Chinese National Knowledge Infrastructure Database (CNKI), Wanfang Database, and Chinese Science and Technique Journals Database (VIP), OASIS, the Research Information Service System (RISS), and National Digital Science Library (NDSL) from the available date of inception until December 28, 2020. Two review authors independently screened the titles and abstracts of all relevant articles from the search to select eligible articles. All variants of clinical studies on acupuncture treatment for nocturnal crying, including case reports and case studies, were eligible. Data were independently extracted by two review authors using a standard data extraction form. Retrieved data are presented in a tabular form and narratively discussed.Results: We included 12 studies (10 case series and two case reports) with a total sample size of 2,324 children recruited from the hospital outpatient department. All of the included studies were conducted in mainland China and administered acupuncture as the sole intervention. For the primary outcome, the total efficacy rate of acupuncture treatment for nocturnal crying was reported as 100% in 9 studies, 95% in one study, 94% in another study, and 86% in the remaining study. For the secondary outcome, one study reported a 14% recurrence rate, whereas another study reported an 11% recurrence rate after treatment. There were no follow-ups in most of the studies. None of the studies reported possible adverse events. Most children recovered after one treatment. Generally, the acupoints that were most frequently selected were acupoints EM30 and PC9.Conclusions: This comprehensive review suggested that pediatric acupuncture may be an effective treatment for nocturnal crying, which could be worth investigating further.

scholarly journals Congenital, Intrapartum and Postnatal Maternal-Fetal-Neonatal SARS-CoV-2 Infections: A Narrative Review

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3570
Author(s):  
Rafael A. Caparros-Gonzalez ◽  
María Angeles Pérez-Morente ◽  
Cesar Hueso-Montoro ◽  
María Adelaida Álvarez-Serrano ◽  
Alejandro de la Torre-Luque
Keyword(s):  
Amniotic Fluid ◽  
Pregnant Women ◽  
Umbilical Cord ◽  
Case Reports ◽  
Controlled Trial ◽  
Case Series ◽  
Narrative Review ◽  
Before And After ◽  
Positive Results ◽  
Cervical Secretion

Background: There is inconclusive evidence regarding congenital, intrapartum, and postnatal maternal-fetal-neonatal SARS-CoV-2 infections during the COVID-19 pandemic. A narrative review was conducted with the aim of guiding clinicians on the management of pregnant women with respect to congenital, intrapartum, and postnatal maternal-fetal-neonatal SARS-CoV-2 infections and breastfeeding during the COVID-19 pandemic. Methods: Searches were conducted in Web of Science, PubMed, Scopus, Dialnet, CUIDEN, Scielo, and Virtual Health Library to identify observational, case series, case reports, and randomized controlled trial studies assessing the transmission of SARS-CoV-2 from mother to baby and/or through breastfeeding during the COVID-19 pandemic. Results: A total of 49 studies was included in this review, comprising 329 pregnant women and 331 neonates (two pregnant women delivered twins). The studies were performed in China (n = 26), USA (n = 7), Italy (n = 3), Iran (n = 2), Switzerland (n = 1), Spain (n = 1), Turkey (n = 1), Australia (n = 1), India (n = 1), Germany (n = 1), France (n = 1), Canada (n = 1), Honduras (n = 1), Brazil (n = 1), and Peru (n = 1). Samples from amniotic fluid, umbilical cord blood, placenta, cervical secretion, and breastmilk were collected and analyzed. A total of 15 placental swabs gave positive results for SARS-CoV-2 ribonucleic acid (RNA) on the fetal side of the placenta. SARS-CoV-2 RNA was found in seven breastmilk samples. One umbilical cord sample was positive for SARS-CoV-2. One amniotic fluid sample tested positive for SARS-CoV-2. Conclusions: This study presents some evidence to support the potential of congenital, intrapartum, and postnatal maternal-fetal-neonatal SARS-CoV-2 infections during the COVID-19 pandemic. Mothers should follow recommendations including wearing a facemask and hand washing before and after breastfeeding.

Acupuncture for the Treatment of Trigger Finger in Adults: A Prospective Case Series

2016 ◽  
Vol 34 (5) ◽  
pp. 392-397 ◽  
Author(s):  
Motohiro Inoue ◽  
Miwa Nakajima ◽  
Tatsuya Hojo ◽  
Megumi Itoi ◽  
Hiroshi Kitakoji
Keyword(s):  
Acupuncture Treatment ◽  
Statistical Significance ◽  
Case Series ◽  
Tendon Sheath ◽  
Trigger Finger ◽  
Before And After ◽  
Vas Scores ◽  
Prospective Case Series ◽  
Clinically Significant ◽  
A1 Pulley

Objective To determine the effect of acupuncture performed at the synovial and ligamentous tendon sheath (A1 pulley site) on pain during snapping and the severity of the snapping phenomenon in patients with trigger finger. Methods In this observational study, changes in the patients’ condition were compared before and after acupuncture treatment. Acupuncture was performed on 19 fingers of 15 patients. Acupuncture needles were inserted into the radial and ulnar sides of the flexor tendon at the A1 pulley of the affected finger. Treatment was performed daily up to a maximum of five times. Before and after each treatment, pain during snapping and the severity of snapping were evaluated using a visual analogue scale (VAS). Results VAS scores for pain and snapping severity were significantly improved immediately after the first treatment (p<0.001). Pain during snapping, assessed before each treatment, improved over time, reaching statistical significance from the second treatment onwards (p<0.001); similarly, a significant improvement in the severity of snapping was observed, also from the second treatment (p<0.001). Patients with clinically significant improvements (≥50%) in pain and snapping severity had a significantly shorter duration of the disorder than those with <50% improvement (p<0.05). Conclusions Acupuncture at the impaired A1 pulley site may be an effective treatment for trigger finger. We postulate that acupuncture may reduce inflammation/swelling of the synovial membrane of the tendon sheath, which predominates when the disorder is of short duration. Further research is required to confirm the efficacy/effectiveness of acupuncture for trigger finger and its mechanisms of action.

scholarly journals Ovarian Reserve after Chemotherapy in Breast Cancer: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 11 (8) ◽  
pp. 704
Author(s):  
Alessia Romito ◽  
Sonia Bove ◽  
Ilaria Romito ◽  
Drieda Zace ◽  
Ivano Raimondo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Publication Bias ◽  
Young Women ◽  
Ovarian Reserve ◽  
Case Reports ◽  
Meta Analysis ◽  
Case Series ◽  
Female Population ◽  
Before And After

Background: Worldwide, breast cancer (BC) is the most common malignancy in the female population. In recent years, its diagnosis in young women has increased, together with a growing desire to become pregnant later in life. Although there is evidence about the detrimental effect of chemotherapy (CT) on the menses cycle, a practical tool to measure ovarian reserve is still missing. Recently, anti-Mullerian hormone (AMH) has been considered a good surrogate for ovarian reserve. The main objective of this paper is to evaluate the effect of CT on AMH value. Methods: A systematic review and meta-analysis were conducted on the PubMed and Scopus electronic databases on articles retrieved from inception until February 2021. Trials evaluating ovarian reserves before and after CT in BC were included. We excluded case reports, case-series with fewer than ten patients, reviews (narrative or systematic), communications and perspectives. Studies in languages other than English or with polycystic ovarian syndrome (PCOS) patients were also excluded. AMH reduction was the main endpoint. Egger’s and Begg’s tests were used to assess the risk of publication bias. Results: Eighteen trials were included from the 833 examined. A statistically significant decline in serum AMH concentration was found after CT, persisting even after years, with an overall reduction of −1.97 (95% CI: −3.12, −0.82). No significant differences in ovarian reserve loss were found in the BRCA1/2 mutation carriers compared to wild-type patients. Conclusions: Although this study has some limitations, including publication bias, failure to stratify the results by some important factors and low to medium quality of the studies included, this metanalysis demonstrates that the level of AMH markedly falls after CT in BC patients, corresponding to a reduction in ovarian reserve. These findings should be routinely discussed during oncofertility counseling and used to guide fertility preservation choices in young women before starting treatment.

ASSESSMENT OF DENTAL ANXIETY IN PRE AND POST DENTAL TREATMENT

2019 ◽  
Author(s):  
Shafaq Noori
Keyword(s):  
Treatment Group ◽  
Negative Correlation ◽  
Strong Correlation ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Post Treatment ◽  
Anxiety Score ◽  
Pre Treatment ◽  
Married Female ◽  
Severe Anxiety

Background: Dental anxiety is an affecting condition that aid normal persons to protect themselves in opposition to multiplicity of threats and pressure. The study aimed to assess the prevalence of dental anxiety in pre and post dental treatment. Methods: A total of 210 patients were selected who are first and/ or second visited for any dental complain. The selected patients were divided into two groups. Group I: pre-treatment Group II: post-treatment. In pretreatment 42.8 % male and 3.2% female was selected for the study. While 20.9 % male and 23.8 % female were selected for study in post-treatment. Corah’s Dental Anxiety Scale (DAS) is used to assess the anxiety among the study population. Anxiety level is categorized into moderate, high and severe anxiety score. Results: The research found significant results in moderate, high and severe anxiety score in pre treatment group while severe anxiety score was observed in post-treatment group. Significant mean differences were observed in pre and post treatment anxiety group when compared with control while no changes were observed between pre and post treatment. A strong but negative correlation was observed in 15-20 years (male) with anxiety score in pretreatment group while negative strong correlation was observed in (female) 20-30 years anxiety post treatment group. A strong negative correlation was observed in unmarried / married male and female in pretreatment group. While positive strong correlation was observed in married female in post-treatment group. Conclusion: The results of this study are not representative of dental anxiety subjects during pre and post treatment. The prevalence of dental anxiety is obvious in married female however; it may be controlled by the positive attitude and behavior of dentists.

scholarly journals Evaluation of Dental Anxiety in Parents Accompanying their Children for Dental Treatment

2013 ◽  
Vol 3 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Parajeeta Dikshit ◽  
Senchhema Limbu ◽  
Kreepa Bhattarai
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Anxiety Level ◽  
Treatment Result ◽  
Male And Female ◽  
Mothers And Fathers ◽  
Statistical Significant Difference ◽  
Significant Difference ◽  
Anxiety Levels ◽  
Severe Anxiety

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

scholarly journals Intensive Treatment for Persisting Rhotic Distortions: A Case Series

2017 ◽  
Vol 26 (4) ◽  
pp. 1066-1079 ◽  
Author(s):  
Jonathan L. Preston ◽  
Megan C. Leece
Keyword(s):  
Case Reports ◽  
Speech Sound ◽  
Case Series ◽  
Intensive Treatment ◽  
Therapy Program ◽  
Word Level ◽  
Sentence Level ◽  
Before And After ◽  
Case Presentations ◽  
Perception Training

Purpose The study explored changes in accuracy of American English rhotics as a result of an intensive 1-week therapy program for adolescents and young adults with residual speech sound errors that had not resolved with previous therapy. Method Four case reports are presented of individuals aged 13, 17, 21, and 22 years with residual /ɹ/ distortions. Each participant attended a 1-week intensive program consisting of pretreatment assessments, 14 hr of therapy, and posttreatment assessment. Treatment sessions included structured motor-based practice, ultrasound visual feedback of the tongue, and auditory speech perception training. To assess generalization, untreated words and sentences with rhotics were recorded before and after therapy; these were rated by listeners who were blind to when the recordings were taken. Results All participants showed measurable and statistically significant improvement in speech sound accuracy. Averaged across the 4 participants, rhotic accuracy at the word level improved from 35% to 83%. At the sentence level, rhotic accuracy increased from 11% pretreatment to 66% posttreatment in 1 week. Conclusion The promise of an intensive treatment program that includes motor-based practice, biofeedback, and auditory perception training is illustrated by the case presentations in which substantial improvements in speech sound accuracy were observed. Supplemental Materials https://doi.org/10.23641/asha.5561254

scholarly journals Management of cytomegalovirus corneal endotheliitis

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Angela H. Y. Wong ◽  
Wee Nie Kua ◽  
Alvin L. Young ◽  
Kelvin H. Wan
Keyword(s):  
Clinical Evidence ◽  
Case Reports ◽  
Case Series ◽  
Corneal Edema ◽  
Cell Loss ◽  
Topical Steroids ◽  
Before And After ◽  
Prospective Comparative Study ◽  
Variable Success ◽  
Corneal Endotheliitis

Abstract Background Cytomegalovirus (CMV) can manifest as corneal endotheliitis in immunocompetent individuals. Early diagnosis is prudent to prevent endothelial cell loss, which could ultimately lead to corneal decompensation. CMV DNA was first detected in an eye with corneal endotheliitis in 2006; since then, clinical evidence from numerous case reports and case series have accumulated. Main text In this narrative review, we identified several drugs, including ganciclovir, valganciclovir, and their combination in oral, intravenous, intravitreal, and topical forms in different concentrations, together with the judicious use of topical steroids, have reported variable success. There has yet to be any prospective comparative study evaluating the efficacy and safety of these assorted forms of treatment; clinical evidence is based on case reports and case series. CMV endotheliitis presenting with corneal edema can masquerade as other corneal diseases and thus poses a great challenge especially in post-keratoplasty eyes. Heightened awareness is needed before and after keratoplasty to start prompt prophylaxis and treatment. Conclusion There is no consensus on the management of CMV endotheliitis. Further studies are much needed to elucidate the optimal treatment modality, regime, and duration in the treatment and prophylaxis of CMV endotheliitis.

scholarly journals Experience of Intravenous Sedation Increases Incidence of Caries in Patients With Dental Anxiety

2021 ◽  
Author(s):  
Hanako Kawasaki ◽  
Naomi Tanoue ◽  
Terumi Ayuse ◽  
Shinji Kurata ◽  
Ichiro Okayasu ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Influential Factors ◽  
Treatment Discontinuation ◽  
Study Patient ◽  
Intravenous Sedation ◽  
Duration Of Treatment ◽  
Before And After ◽  
Dmft Index ◽  
Fear And Anxiety

Abstract ObjectivesThe aim of this study was to investigate the factors that influence the decayed, missing due to caries, and filled teeth (DMFT) index of patients with dental anxiety during dental treatment discontinuation.Materials and MethodsA total of 110 patients who complained of fear and anxiety toward dental treatments and who re-visited following treatment discontinuation were enrolled in the study. Patient and dental data considered to be related to caries were digitally collected from medical and dental records. The decayed (D), missing (M), and filled (F) scores, and the DMFT index before and after discontinuation were compared using Wilcoxon signed-rank tests, and the influential factors were evaluated using the Poisson and multiple regression analyses.ResultsThe D score and DMFT index increased significantly during the discontinuation period, and the F score decreased. There was no significant change in the M score. The change in the D score was influenced by the pre-discontinuation D score and the number of experiences of intravenous sedation, and the change in the F score was affected by the duration of treatment discontinuation, the DMFT index before discontinuation, and the number of experiences of intravenous sedation. The increase in the DMFT index was affected by the experience of intravenous sedation, the D and M scores, and the DMFT index before discontinuation.ConclusionDiscontinuation of dental treatment was proven to increase the incidence of caries in patients with dental anxiety.Clinical Relevance: Avoiding treatment discontinuation is crucial, particularly in patients treated using intravenous sedation.

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