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Ansiedade ao tratamento odontológico de urgência e a sua relação com a dor e os níveis de cortisol salivar; Dental anxiety in dental urgency atttendance and its relation with pain and salivary cortisol levels

Kanegane, Kazue
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 06/07/2007 PT
Relevância na Pesquisa
66.6%
A ansiedade ao atendimento odontológico, apesar do aprimoramento das técnicas e dos materiais, ainda é freqüente em pacientes de urgência. O objetivo deste trabalho foi relacionar ansiedade ao tratamento odontológico à concentração de cortisol salivar de pacientes em atendimento de urgência odontológica, com e sem queixa de dor. Foram entrevistados 73 pacientes entre 18 a 76 anos (média 38,22 anos) que compareceram ao Setor de Urgência Odontológica da Faculdade de Odontologia da Universidade de São Paulo (SUO-FOUSP), e coletadas amostras de saliva para mensuração do cortisol salivar antes do atendimento. A ansiedade foi medida através da Modified Dental Anxiety Scale (MDAS) e a intensidade da dor através da escala visual analógica (VAS). Foram classificados como ansiosos 30 participantes e 41 relataram dor. Os ansiosos relataram maior vivência de eventos traumatizantes (p<0,05), relacionados aos procedimentos mais invasivos. Não houve relação entre ansiedade e concentração de cortisol salivar. Entre os gêneros, só houve diferença no grupo dos não ansiosos (p<0,05). Pacientes não ansiosas independente da dor apresentavam menor concentração de cortisol que seus pares. Pacientes com dor eram mais jovens e apresentavam maior concentração de cortisol salivar (p<0...

Avaliação da ansiedade ao tratamento odontológico e do estresse relacionado à cirurgia de terceiro molar inferior; Assessment of dental anxiety and stress related to inferior third molar surgery

Tornelli, Helena Regina
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 02/03/2012 PT
Relevância na Pesquisa
66.57%
A ansiedade é descrita como um estado emocional transitório que possui uma relação estreita com a dor, e o estresse, um desequilíbrio do organismo em resposta a influências ambientais gerado por um evento desagradável. O objetivo deste estudo foi avaliar a presença de ansiedade ao tratamento odontológico, por meio da Modified Dental Anxiety Scale (MDAS), em pacientes que necessitam de exodontia de terceiro molar inferior e as possíveis associações com parâmetros objetivos, como cortisol e -amilase salivares, que são cada vez mais utilizadas em pesquisas que estudam a resposta do organismo frente a situações adversas. A amostra foi constituída de 30 pacientes com indicação para extração de terceiros molares inferiores erupcionados, sem preferência por gênero ou classe social. Após uma triagem prévia, foi marcado um dia para a entrevista desde que os pacientes atendessem aos critérios de inclusão. Foram coletadas as amostras de saliva em três momentos (entrevista, cirurgia e pós-operatório), todas no mesmo horário (9h00), com intervalo de uma semana. Para avaliação do cortisol e da -amilase foram utilizados kits especificamente formulados e validados para pesquisa em humanos da Salimetrics®. Os testes foram executados no laboratório Science Pro Ltda. A amostra foi caracterizada quanto ao gênero...

Controle da ansiedade odontológica: estudo comparativo entre a sedação oral com midazolam e a sedação consciente com a mistura de óxido nitroso e oxigênio em pacientes submetidos à extração de terceiros molares inferiores; Dental Anxiety Control: Study Comparing oral sedation with Midazolam and conscious sedation with Nitrous oxide associated with oxygen in patients undergoing lower third molar extractions

Santos, Darklilson Pereira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 13/07/2012 PT
Relevância na Pesquisa
66.68%
O objetivo do trabalho foi avaliar comparativamente o efeito do midazolam 7,5 mg administrado por via oral e da sedação consciente empregando óxido nitroso associado ao oxigênio a 50% em pacientes submetidos à extração de terceiros molares inferiores na alteração do nível de ansiedade do paciente por meio da dosagem de cortisol salivar, no nível de saturação de oxigênio, na frequência cardíaca e na pressão arterial, na produção de amnésia anterógrada, além de avaliar as Escalas de Ansiedade Dental de Corah (DAS), Escala Visual Análoga para Ansiedade (VAS), Escala Verbal de Ansiedade e Inventário de Spielberger (STAI) na detecção de ansiedade dental. Realizou-se estudo split-mouth, no qual vinte e oito pacientes do gênero masculino foram submetidos à extração de terceiros molares inferiores sob anestesia local e sedação com midazolam e óxido nitroso associado ao oxigênio. Foram obtidos dados objetivos (dosagem de cortisol salivar, saturação de oxigênio, frequência cardíaca e pressão arterial) e subjetivos (Escala de Ansiedade Odontológica de Corah, Inventário de Ansiedade Traço-Estado, Escala Visual Análoga de Ansiedade e Escala Verbal de Ansiedade). Os resultados evidenciaram que os dois métodos de sedação empregados produziram efeitos benéficos e foram seguros na redução da ansiedade pré-operatória sem apresentar efeitos cardiovasculares ou respiratórios siginificantes...

Dental anxiety: prevalence and evaluation of psychometric properties of a scale

Campos, Juliana Alvares Duarte Bonini; Presoto, Cristina Dupim; Martins, Carolina Scanavez; Santos, Patrícia Aleixo dos; Maroco, João
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 19-27
ENG
Relevância na Pesquisa
66.52%
Aim: To estimate the reliability and validity of the Dental Anxiety Scale (DAS) and identify the prevalence and the effect of the socio-demographic characteristics of dental anxiety, in a sample of 212 adults. Methods: The psychometric sensitivity of the scale was assessed. A confirmatory factor analysis was performed, and the convergent validity and internal consistency were determined. The prevalence of anxiety was estimated, and the effect of socio-demographic variables on anxiety was assessed using structural equation modelling. Results: The participants’ mean age was 33.5 (SD = 15.6) years, and 62.3% were female. There was an adequate factorial adjustment of the scale in this sample. The convergent validity and internal consistency were adequate in the one-factor model. Regarding two-factor model, there was a high correlation (r) among the factors, which jeopardized the discriminant validity. A total of 47.6% of the participants (IC95% = 40.9 - 54.4) presented low levels of anxiety, 32.5% (IC95% = 26.2 - 38.9) moderate levels, and 12.3% (IC95% = 7.8 - 16.7) exacerbated levels. There was a non-significant effect of gender, age and education on the anxiety levels of this sample. Conclusion: We concluded that the one-factor model presented better psychometric qualities...

Dental anxiety: Prevalence and evaluation of psychometric properties of a scale

Campos, Juliana Alvares Duarte Bonini; Presoto, Cristina Dupim; Martins, Carolina Scanavez; Domingos, Patrícia Aleixo dos Santos; Maroco, João
Fonte: PsychOpen Publicador: PsychOpen
Tipo: Artigo de Revista Científica
Publicado em //2013 ENG
Relevância na Pesquisa
66.52%
Aim: To estimate the reliability and validity of the Dental Anxiety Scale (DAS) and identify the prevalence and the effect of the socio-demographic characteristics of dental anxiety, in a sample of 212 adults. Methods: The psychometric sensitivity of the scale was assessed. A confirmatory factor analysis was performed, and the convergent validity and internal consistency were determined. The prevalence of anxiety was estimated, and the effect of socio-demographic variables on anxiety was assessed using structural equation modelling. Results: The participants’ mean age was 33.5 (SD = 15.6) years, and 62.3% were female. There was an adequate factorial adjustment of the scale in this sample. The convergent validity and internal consistency were adequate in the one-factor model. Regarding two-factor model, there was a high correlation (r) among the factors, which jeopardized the discriminant validity. A total of 47.6% of the participants (IC95% = 40.9 - 54.4) presented low levels of anxiety, 32.5% (IC95% = 26.2 - 38.9) moderate levels, and 12.3% (IC95% = 7.8 - 16.7) exacerbated levels. There was a non-significant effect of gender, age and education on the anxiety levels of this sample. Conclusion: We concluded that the one-factor model presented better psychometric qualities...

Australian population norms for the Index of Dental Anxiety and Fear (IDAF-4C)

Armfield, J.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
76.53%
Background:  The Index of Dental Anxiety and Fear (IDAF-4C) is a theoretically derived test developed to allow clinicians and researchers to measure a person’s level of dental fear. Population norms have not previously been made available for the IDAF-4C. The aim of this study was to provide Australian norms for the IDAF-4C using percentile ranks and to examine associations between scores and individual-level characteristics, dental avoidance and fear of pain. Methods:  A stratified random sample of 1511 Australian adults yielded complete questionnaire data for 1063 individuals (70.4%). Percentile ranks were calculated for IDAF-4C full scale scores stratified by age and gender. Results:  IDAF-4C mean scores varied significantly by age, gender, income, and speaking a language other than English at home. Tables to convert raw scores to percentiles showed that full scale scores varied by age and gender. Scores on the IDAF-4C had strong and significant associations with avoidance of the dentist due to fear, average dental visiting frequency and anxiety about pain when going to the dentist. Conclusions:  Population norms allow clinicians or researchers to compare results for an individual or subgroup to the Australian population. It is recommended that a dental fear scale be used to screen all dental patients for dental fear to enable a more tailored and effective dental treatment experience.; JM Armfield

Assessing the relative efficacy of cognitive and non-cognitive factors as predictors of dental anxiety

Carrillo-Diaz, M.; Crego, A.; Armfield, J.; Romero-Maroto, M.
Fonte: Munksgaard Int Publ Ltd Publicador: Munksgaard Int Publ Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.63%
Although previous research has successfully tested the usefulness of cognitive and non-cognitive factors to predict dental anxiety, they have rarely been jointly analysed. This study therefore aimed to compare the relative predictive power of a set of cognitive and non-cognitive factors in accounting for dental anxiety scores. A sample of 167 Spanish undergraduate students (81.4% women; mean age 21.2 yr) completed a questionnaire comprising measures of dental anxiety, non-cognitive antecedents of dental anxiety (i.e. past aversive dental experiences, exposure to dentally fearful relatives, and trait-based negative mood), and cognitive variables (i.e. dental-related cognitive vulnerability, probability/aversiveness expectancies, and dental cognitions and beliefs). In multiple linear regression analyses, cognitions were found to significantly increase the proportion of variance accounted for in dental fear scores (ΔR2 = 0.15, maximum ΔR2 = 0.35). Cognitive factors were found to be the best individual predictors of dental fear (β-values ranging from 0.23–0.66). Furthermore, scores for past aversive treatment experiences and negative mood were not significant predictors of scores for dental anxiety when cognitive variables were included in the models. The analysis of cognitive mechanisms involved in dental anxiety is revealed as a potentially important point in better understanding this problem.; Maria Carrillo-Diaz...

Effectiveness of music interventions in reducing dental anxiety in paediatric and adult patients.

Moola, Sandeep
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2011
Relevância na Pesquisa
66.68%
Background: Dental anxiety has been identified as a significant and common problem in both children and adults and is considered an obstacle for dental care providers in the delivery of quality oral care. There are various treatment options for reducing dental anxiety and music is one of the treatment options. Music interventions can either be passive (music listening) or active music (therapy). Objective: The objective of this study was to present the best available evidence related to the effectiveness of music interventions on dental anxiety in paediatric and adult patients. Data sources: A comprehensive search was undertaken on major electronic databases from their inception to October 2010. The search was restricted to English language and other languages where a translation was available. Review methods: Randomised controlled trials, quasi-randomised controlled trials and quasi-experimental studies were included in the review. Critical appraisal and data extraction were undertaken using the Joanna Briggs Institute critical appraisal instrument and the standard data extraction form for evidence of effectiveness. Results: Two studies had paediatric patients as population group. One study found that music listening did not result in any reduction of anxiety during dental procedures on young patients. However...

Management of fear and anxiety in the dental clinic: a review

Armfield, J.; Heaton, L.
Fonte: Australian Dental Assn Inc Publicador: Australian Dental Assn Inc
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.56%
People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.; JM Armfield...

From public mental health to community oral health: the impact of dental anxiety and fear on dental status

Crego, A.; Carrillo-Díaz, M.; Armfield, J.M.; Romero, M.
Fonte: Frontiers Publicador: Frontiers
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.54%
Dental fear is a widely experienced problem. Through a "vicious cycle dynamic," fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyze the interplay between cognitive and psychosocial determinants of fear, such as the Cognitive Vulnerability Model, are promising. The onset of dental fear often occurs in childhood, so focusing on the child population could greatly contribute to understanding dental fear mechanisms and prevent this problem extending into adulthood. Not only can public mental health contribute to population health, but also community dentistry programs can help to prevent dental fear. Regular dental visits seem to act in a prophylactic way, with dental professionals playing an important role in the regulation of the patients' anxiety-related responses. Both public mental health and community dentistry could therefore benefit from a multidisciplinary approach to dental fear and oral health.; Antonio Crego, María Carrillo-Díaz...

Impact of dental anxiety and fear on dental care use in Brazilian women

Goettems, M.L.; Schuch, H.S.; Demarco, F.F.; Ardenghi, T.M.; Torriani, D.D.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.64%
OBJECTIVES: This study investigated the relationship between dental anxiety and fear, demographic and socioeconomic characteristics, and dental attendance patterns in a sample of women in Brazil. METHODS: A cross-sectional study of women in healthcare centers was conducted during an immunization campaign in the city of Pelotas in southern Brazil. Interviews were conducted to assess dental anxiety and fear, education level, family income, marital status, and the use of dental services. Data were analyzed by Poisson regression models, with estimation of the prevalence ratio and the rate ratio (RR). RESULTS: A total of 608 women aged 16-50 years (mean age 29.3 ± 7.2 years) were included in the study. Dental anxiety and fear scores (according to Corah's Dental Anxiety Scale) ranged from 4 to 20. Of the 608 participants, 59.5 percent displayed low dental fear, 18.1 percent had moderate dental fear, and 22.4 percent displayed high dental fear. A total of 60.2 percent of the women exhibited irregular dental attendance patterns, characterized by never visiting a dentist, or only visiting when experiencing pain. After adjustments, the presence of at least moderate dental anxiety and fear was associated with low education levels (RR 1.43; 95 percent CI 1.11-1.84)...

Self-assessed oral health, cognitive vulnerability and dental anxiety in children: Testing a mediational model

Carrillo-Diaz, M.; Crego, A.; Armfield, J.; Romero-Maroto, M.
Fonte: Blackwell Munksgaard Publicador: Blackwell Munksgaard
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.57%
OBJECTIVE: To explain the association between children's self-perceived oral health status and dental anxiety, by considering their levels of cognitive vulnerability. METHODS: Participants were 161 children (47.8% female; mean age = 11.93 years) who filled in a questionnaire comprising self-assessed oral health-related status, dental treatment-related cognitive vulnerability and dental anxiety measures. Gender, age and number of decayed, missing and filled permanent teeth were controlled for. Bivariate correlations, hierarchical regression analyses and structural equation modelling were conducted to test the hypotheses. RESULTS: Subjective oral health status, cognitive vulnerability variables and dental anxiety were strongly correlated. Regression and structural models testing the mediating effects of cognitive vulnerability variables on the relationship between perceived oral health and dental anxiety were supported. CONCLUSIONS: The activation of the cognitive vulnerability schema, as a mediating variable, is a mechanism by means of which children's self-perceptions of a poor oral health might lead to dental anxiety. Both components of vulnerability analysed (threat and disgust) contribute decisively to this potential process.; María Carrillo-Díaz...

Adaptation and psychometric properties of the Spanish version of the Index of Dental Anxiety and Fear (IDAF-4C⁺); Adaptation and psychometric properties of the Spanish version of the Index of Dental Anxiety and Fear (IDAF-4C(+))

Carrillo-Diaz, M.; Crego, A.; Armfield, J.; Romero-Maroto, M.
Fonte: Quintessence Publishing Co Ltd Publicador: Quintessence Publishing Co Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
66.64%
PURPOSE: The Index of Dental Anxiety and Fear (IDAF-4C+) constitutes a theory-grounded, reliable and valid instrument, which, due to its modular structure, allows different uses such as assessing dental anxiety levels, establishing preliminary dental phobia diagnoses and identifying feared stimuli. This study aimed to develop a Spanish version of the original IDAF-4C+ and evaluate its psychometric properties. MATERIALS AND METHODS: A sample of 231 Spanish undergraduate students (70.6% female; mean age 21.4 years) completed a questionnaire comprising the Spanish version of the IDAF-4C+ and other measures related to dental anxiety. The structure, reliability and validity of the adapted IDAF-4C+ were analysed. RESULTS: The adapted IDAF-4C fear module yielded a single-factor structure and demonstrated good internal consistency (Cronbach's alpha) and test-retest reliability. It shared a greater amount of variance with phobia diagnoses than the Modified Dental Anxiety Scale (MDAS) and a single-item measure of dental fear (SIDF). Moreover, the IDAF-4C was moderately to highly correlated with the MDAS and the SIDF measure, as well as with variables connected with dental anxiety such as negative dental thoughts, having had a negative dental experience and negative affect. The frequency of dental visits was also linked to IDAF-4C scores...

Dental anxiety and pain related to ART

Leal,Soraya Coelho; Abreu,Danielle Matos de Menezes; Frencken,Jo E.
Fonte: Faculdade De Odontologia De Bauru - USP Publicador: Faculdade De Odontologia De Bauru - USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 EN
Relevância na Pesquisa
66.41%
Atraumatic Restorative Treatment (ART) is considered to be well accepted, both by children and by adult patients. The objective of this review is to present and discuss the evidence regarding the acceptability of ART, from the patient's perspective. Aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. CONCLUSIONS: The ART approach has been shown to cause less discomfort than other conventional approaches and is, therefore, considered a very promising "atraumatic" management approach for cavitated carious lesions in children, anxious adults and possibly, for dental-phobic patients.

Perceived dental anxiety among schoolchildren treated through three caries removal approaches

Topaloglu-Ak,Asli; Eden,Ece; Frencken,Jo E.
Fonte: Faculdade De Odontologia De Bauru - USP Publicador: Faculdade De Odontologia De Bauru - USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2007 EN
Relevância na Pesquisa
66.56%
OBJECTIVES: The aim of the investigation was to test the differences in the perceived level of dental anxiety among children treated restoratively using the Atraumatic Restorative Treatment (ART) approach, the traditional restorative (TRA) approach and ART aided with a chemomechanical caries removal gel (ART plus). METHODS: The study subjects were 6-7-year-old children. TRA was compared to ART in a clinical setting after children had seen a dentist twice (Group A), ART was compared to 'ART plus' in a clinical setting after children had seen a dentist once (Group B) and ART was applied outside the clinic on school premises (Group C). The treatments were carried out in Class II cavitated dentine lesion in primary molars. Dental anxiety was measured using the Venham Picture Test (VPT). Three-way analysis of variances and interaction was applied to test for treatment approach, gender and operator effects on the mean VPT scores. RESULTS: There was no statistically significant difference (p=0.80) observed between the mean VPT scores for the traditional approach and those for the ART approach and between ART with and without a chemomechanical caries removal gel (p=0.07). Children in Group A had lower mean VPT scores than children in Group B (p=0.02) and Group C (p<0.00001) when treated using the ART approach by the same two operators. CONCLUSIONS: The level of dental anxiety was low. There was no difference in level of dental anxiety observed in children treated with ART in comparison to the traditional restorative approach...

The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil

Oliveira,Michelle Marie T.; Colares,Viviane
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2009 EN
Relevância na Pesquisa
66.63%
The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.

Ansiedade ao tratamento odontológico em atendimento de urgência; Dental anxiety in an emergency dental service

Kanegane, Kazue; Penha, Sibele Sarti; Borsatti, Maria Aparecida; Rocha, Rodney Garcia
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/12/2003 POR
Relevância na Pesquisa
66.63%
OBJETIVO: Avaliar a freqüência de pacientes com ansiedade ou medo do tratamento odontológico em um setor de urgência. MÉTODOS: Participaram do estudo 252 pacientes, com 18 anos ou mais, que compareceram ao setor de urgência de uma faculdade de odontologia, de São Paulo, SP, entre agosto e novembro de 2001. Para avaliar a ansiedade, foram utilizadas a Modified Dental Anxiety Scale (MDAS), e a Escala de Medo de Gatchel. O grupo estudado respondeu a questões sobre: tempo decorrido desde a última visita ao dentista e desde o início dos sintomas, escolaridade, renda familiar e história prévia de trauma. Os resultados foram analisados pelos testes estatísticos (chi2 e Teste Exato de Fisher). RESULTADOS: Foram identificados 28,2% de indivíduos com algum grau de ansiedade, segundo a MDAS, na qual as mulheres foram consideradas mais ansiosas que os homens (chi2=0,01); e 14,3% de pacientes com alto grau de medo segundo a Escala de Medo de Gatchel. Em 44,4% da amostra a demora para procura de alívio dos sintomas foi >; sete dias. Mulheres ansiosas procuraram atendimento mais rapidamente e em maior número. Experiência traumática anterior ocorreu em 46,5% dos pacientes ansiosos. Não foi possível relacionar escolaridade e renda familiar com ansiedade e/ou medo. CONCLUSÕES: Pacientes ansiosos...

Dental anxiety in a sample of West Indian adults

Naidu,RS; Lalwah,S
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 EN
Relevância na Pesquisa
66.64%
AIM: The aim of this study was to investigate the level of dental anxiety and its possible causes among people in Trinidad and Tobago. METHOD: This is a cross-sectional survey of parents and guardians accompanying children who were attending a paediatric dental clinic. Participants completed a questionnaire while in the waiting room, which included the Modified Dental Anxiety Scale (MDAS), age, gender and occupation. An additional item was included which asked participants to rate the anxiety felt on having a tooth extracted. RESULTS: There were 100participants (81% female). Overall, 40% of participants reported moderate to severe anxiety. Twenty-three per cent of participants had moderate anxiety (MDAS 15-18) and 17% had severe anxiety/phobia (MDAS 19-20). Level of anxiety was related to gender (multiple linear regression, p < 0.05). Proportions of participants were very/extremely anxious of having a tooth drilled (48%), local anaesthetic injection (53%) and extraction (52%). Thirty-six per cent of participants had avoided dental treatment in the past because they were too anxious. CONCLUSION: High levels of dental anxiety were found in this sample of Trinidadian adults. The MDAS was able to detect significant elements of that anxiety. The addition of a question on extraction revealed that this procedure may contribute substantially in anxiety toward dental treatment in the Caribbean.

Dental anxiety among patients visiting a dental institute in Faridabad, India

Marya,CM; Grover,S; Jnaneshwar,A; Pruthi,N
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2012 EN
Relevância na Pesquisa
66.61%
Despite advances in dentistry, anxiety about dental treatment and the fear of pain remains widespread among patients and is a significant barrier to dental treatment. This study would therefore provide information so as to minimize levels of anxiety and aid in planning stress-free treatment. The crosssectional study utilizing a self-reported questionnaire based on Modified Corah's Dental Anxiety Scale (MDAS) framed in Hindi (local language) was performed on 1032patients (aged 14-68 years). Around 1004 questionnaires were returned (response rate - 97.3%). Overall, prevalence of dental anxiety was high (50.2%), but severe anxiety (phobia) was low (4.38%). The prevalence of anxiety was seen mostly in the 20-30-year age group (37.3%). Anxiety was also seen to be significantly higher in females (mean - 11.79) than in males [mean - 9.47] (p < 0.0000). Patients anxious about dental procedures are often more difficult to treat. Anxious patients should be identified and managed appropriately by behavioural/pharmacological measures.

The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil

Oliveira,Michelle Marie T.; Colares,Viviane
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2009 EN
Relevância na Pesquisa
66.63%
The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.