Music as a nonpharmacological methodology for dental anxiety management in routine dental procedures during COVID-19 Pandemic

2020 ◽  
Vol 8 (2) ◽  
pp. 13
Author(s):  
SnehalKailash Yerne
Keyword(s):  
Dental Anxiety ◽  
Anxiety Management ◽  
Dental Procedures

scholarly journals The Evaluation of the Levels of Salivary Cortisol and Dental Anxiety in the Case of Some Patients with Bruxism

2020 ◽  
Vol 71 (5) ◽  
pp. 390-399
Author(s):  
Elena-Claudia Sin ◽  
Liliana Lacramioara Pavel ◽  
Iulian Constantin ◽  
Carmen Tiutiuca ◽  
Aureliana Caraiane ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Muscle Relaxation ◽  
Dental Anxiety ◽  
Behavioural Control ◽  
Anxiety Management ◽  
Control Techniques ◽  
Occlusal Splints ◽  
Lack Of Information ◽  
Dental Procedures ◽  
Positive Outlook

Dental anxiety as well as fear provokes physical, cognitive, emotional and behavioural responses in an individual. Because there is a lack of information in the specialised literature regarding dental anxiety and bruxism, the present study�s goal was to evaluate the degree of dental anxiety at the level of dental concerns in the case of patients with bruxism in the context of the main dental procedures. It was also aimed for highlighting the efficiency of �tell-show-do� techniques and behavioural control in dental anxiety management in patients with bruxism. The correct evaluation of the patient and identifying the source and level of anxiety will allow the dentist to choose an adequate approach towards the patients, so that their visit to the dentist may have a positive outlook. Because of the fact that in the specialized literature was suggested that nocturnal bruxism is correlated with higher psychological perceived stress levels and salivary cortisol, the aim of this study was to highlight if there are any connexions between the utilisation of occlusal splints for muscle relaxation and behavioural control techniques in the context of lowering the levels of salivary cortisol.

Association between Anxiety and Pain in Dental Treatment: A Systematic Review and Meta-analysis

2016 ◽  
Vol 96 (2) ◽  
pp. 153-162 ◽  
Author(s):  
C.-S. Lin ◽  
S.-Y. Wu ◽  
C.-A. Yi
Keyword(s):  
Dental Treatment ◽  
Meta Analysis ◽  
Dental Anxiety ◽  
Clinical Group ◽  
Anxiety Management ◽  
Dental Patients ◽  
Dental Procedures ◽  
Treatment Procedures ◽  
The Impact

Accumulating evidence has revealed that dental anxiety (DA), as a dispositional factor toward the dental situation, is associated with the state anxiety (SA) and pain related to dental procedures. However, conclusions from individual studies may be limited by the treatment procedures that patients received, the tools used to assess DA, or the treatment stages when anxiety or pain was assessed. It is unclear whether DA, at the study level, accounts for the variance in pretreatment SA. The impact of DA and SA on pain at different treatment stages has not been systematically investigated. To address these questions, we present novel meta-analytical evidence from 35 articles (encompassing 47 clinical groups) that investigated DA in a clinical group. Subgroup analyses revealed that the studies of surgical and nonsurgical procedures did not significantly differ in either DA or pretreatment SA. Furthermore, metaregressions revealed DA as a significant predictor that explained the variance in SA assessed before and during treatment but not after treatment. The findings suggest that patient DA has a significant impact on patient SA. Metaregressions revealed DA as a significant predictor that explained the variance in expected pain, pain during treatment and posttreatment pain. In contrast, pretreatment SA was a significant predictor that explained the variance in expected pain. The findings reveal that DA has a consistent impact on pain through the entire period of dental treatment. Altogether, the findings highlight the role of DA as an overall indicator for anxiety and pain, across different types of dental procedures or treatment stages. We conclude that anxiety should be assessed as a critical step not only in anxiety management for high-DA patients, but also in pain control for all dental patients.

scholarly journals Dental Anxiety Management by Full Spectrum CBD Formulations: Dual Dosing (AM/PM) Protocol in A Real-World Setting

2021 ◽  
Vol 3 (1) ◽  
pp. 034-041
Author(s):  
Cooper DL ◽  
Stephan R ◽  
Maygar CW
Keyword(s):  
Dental Health ◽  
Dental Anxiety ◽  
Data Sets ◽  
Paired Data ◽  
Full Spectrum ◽  
P Values ◽  
Anxiety Management ◽  
Group Data ◽  
Pharmacologic Treatments

Background: Dental Anxiety (DA) may produce a vicious cycle where dental problems are not adequately serviced. Chronic non-compliance with prescribed dental care and maintenance is associated ultimately with poor dental health. Current pharmacologic treatments such as benzodiazepines for DA are associated with poor efficacy and significant side effects.The anxiolytic effects of the most studied cannabinoid, cannabidiol (CBD) in the Dual Dosing (AM/PM) Full Spectrum Protocol are detailed here (DDFSP). Materials and methods: Our recently developed PhytoDental Solutions Dental Anxiety Scale (PDSDAS) composed of eight self-reported psychic, somatic and sleep indicators was utilized for scoring a subject’s DA level for three Time Groups (TG): the night before (T0); immediately after (T1); and 24 hours (T2) after a dental procedure or visit. Results: In this series of subjects completing at least one post-dosing time point, the Dual Dosing AM/PM Full Spectrum CBD (DDFSCBD) Protocol significantly reduced both psychic (43% to 67%) and somatic (51%) dental anxiety. Additionally, 87% of study patients reported substantially improved sleep the night before their dental visit. Kruskai-Wallis one-way ANOVA analysis of the three Time Group data sets yielded significant 1-tail statistical differences (p-values< 0.05) with p-values of 0.020 and 0.041 substantiating the role of the DDFSP to modify DA. Further, validation of the PDSDAS as a scoring measure developed for DA was extended by paired t-test comparisons to multiple smaller Paired Data sets across these Time Groups yielding 1-tail p-values of 0.010, 0.050 and 0.024 respectively. Conclusion: Determination of significance by both ANOVA and paired t-tests of PDSDAS scoring strongly suggest the Dual-Dosing (AM/PM) Full Spectrum Protocol is an effective Dental Anxiety anxiolytic.

scholarly journals Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis

2020 ◽  
Vol 9 (4) ◽  
pp. 1025 ◽  
Author(s):  
Nansi López-Valverde ◽  
Jorge Muriel Fernández ◽  
Antonio López-Valverde ◽  
Luis F. Valero Juan ◽  
Juan Manuel Ramírez ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Dental Treatment ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Adult Population ◽  
Dental Anxiety ◽  
Three Dimensional ◽  
Dental Procedures ◽  
Reduction Of Pain ◽  
To Receive

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. 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. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. 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.

scholarly journals Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: A review

2016 ◽  
Vol 24 (4) ◽  
pp. 379-385 ◽  
Author(s):  
Giath Gazal ◽  
Wamiq Musheer Fareed ◽  
Muhammad Sohail Zafar ◽  
Khalid H. Al-Samadani
Keyword(s):  
Anxiety Management ◽  
Dental Procedures ◽  
Sedative Drugs

scholarly journals A case series analysing patients with dental anxiety: a patient-centred model based on psychological profiling

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1843
Author(s):  
Riccardo Tizzoni ◽  
Laura Veneroni ◽  
Alfonso D'Aloia ◽  
Marta Tizzoni ◽  
Carlo Alfredo Clerici
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Dental Anxiety ◽  
Case Series ◽  
Subjective Experiences ◽  
Patient Case ◽  
Care Experience ◽  
Dental Procedures ◽  
Wide Range ◽  
Behavioural Condition

Anxiety and distress can jeopardize dental care experience of patients and may affect the clinical result. Although a wide range of sedation and analgesia techniques are currently available to relieve distress and pain during dental procedures, operative models to choose the most effective sedation-analgesic strategies are lacking. This case series proposes a patient-centred model to optimize patients’ cooperation during dental care delivery. We describe how to achieve correct anaesthesia by using the least sedative procedure, accounting for the dental procedure needed and patient’s psychological profile. Five patients were considered as paradigmatic to show the balance between patients’ subjective experiences and the clinical procedures: a patient with low stress, good compliance (case 1); moderate stress and reduction in compliance (case 2); anxious patient (case 3); patient with acute anxiety and emotional distress (case 4); anguished patient (case 5). A multimodal treatment of emotional and behavioural condition and a patient-centred model approach contributed to achieve the best patient satisfaction in the five cases detailed here.

scholarly journals Effectiveness of Child-Centred Distraction in the Management of a Child’s Dental Anxiety During Invasive Dental Procedures

2021 ◽  
Vol 13 (16) ◽  
pp. 190-197
Author(s):  
Varada S ◽  
Sainath RE ◽  
Kanamarlapudi VS ◽  
Ramasubba RC ◽  
Sivakumar N
Keyword(s):  
Dental Anxiety ◽  
Dental Procedures
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