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DissertationDOI

Relação entre ansiedade odontológica e cortisol salivar em pacientes submetidos à exodontia de terceiros molares inferiores

12 Dec 2012-Vol. 15, Iss: 3, pp 49-50
About: The article was published on 2012-12-12 and is currently open access. It has received None citations till now.

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Journal ArticleDOI
TL;DR: Reassurance and adequate pain control are the most important factors to patients in third molar surgery, and this reassurance should start at operation booking rather than on admission.
Abstract: There has been little study of patients' anxieties about third molar surgery despite its widespread practice. 105 patients were invited to complete questionnaires preoperatively to assess anxieties about the procedure and to assess how well it was explained. They were also asked post operatively to assess differences from expectations, accuracy of the preoperative explanation and which aspect would worry them most should the procedure be repeated. Patients generally found their worries as expected or even better. Few found events worse with only pain (12%) and paraesthesia (13%) of note. Although 88% of patients assessed pain as better than or as expected, 43% would fear it most if the procedure was repeated. Pain is the single most feared factor despite evidence that it is usually no worse than originally feared. Reassurance and adequate pain control are the most important factors to patients in third molar surgery, and this reassurance should start at operation booking rather than on admission.

65 citations

Journal ArticleDOI
TL;DR: The completion of a brief dental anxiety questionnaire before seeing the dentist has a non significant effect on state anxiety.
Abstract: The assessment of dental anxiety can be achieved by using brief multi-item scales. Objective To test the null hypothesis that completing the Modified Dental Anxiety Scale had no immediate influence on patient state anxiety. Outcome measure Speilberger State Anxiety Inventory-6 item Short Form. Study design Randomised controlled trial. Participants Patients (n = 1,028) attending 18 dental practices in Northern Ireland were invited to participate. Results Twenty-four patients refused (response rate 98%) providing 1,004 patients (mean age = 41 years, range = 16 to 90 years; 65% female) for analysis. Patients who completed the dental anxiety scale were found to have a virtually identical state anxiety score: mean (SD) = 11.36 (4.33) compared to those who completed the state anxiety assessment only: mean (SD) = 11.01 (4.35). The mean (CI95%) difference was 0.35 (0.89 to -0.18), t = 1.29, df1002, p = 0.2. Conclusion The completion of a brief dental anxiety questionnaire before seeing the dentist has a non significant effect on state anxiety.

60 citations

Journal ArticleDOI
TL;DR: Women were significantly more anxious than men; women who had not had a previous operation were more anxiety than other women; there was no difference in the anxiety scores of patients who had previously had a local anaesthetic and those who had had not; there were no differences in anxiety as measured by trait scores.
Abstract: Preoperative anxiety is widespread and adversely affects a patient's physical and psychological outcome. Extraction of third molars is common, and many patients complain of anxiety and emotional disturbance. We assessed the anxiety of patients in Turkey before extraction of third molars. A total of 120 patients were admitted for removal of one or more third molars under local anaesthesia. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and Spielberger's State Trait Anxiety Inventory (STAI) were used to evaluate anxiety. The results showed that women were significantly more anxious than men; women who had not had a previous operation were more anxious than other women; there was no difference in the anxiety scores of patients who had previously had a local anaesthetic and those who had not; there were no differences in anxiety as measured by trait scores; patients who wanted a lot of information were more anxious.

57 citations

Journal ArticleDOI
TL;DR: The anxiety status of students undergoing third molar extraction could be quantitatively evaluated using the STAI and may provide oral maxillofacial surgeons with useful information about patients' anxiety throughout the tooth removal process.
Abstract: Objective This investigation was conducted to quantitate the anxiety associated with third molar extraction in university students, and to compare the measured anxiety before and after extraction and between men and women, first and second extraction, and impacted versus nonimpacted tooth extraction. Study design The Japanese version of The State-Trait Anxiety Inventory (STAI), a psychological test, was given to 108 students undergoing third molar extraction. The students completed the test on the first examination (day 1), immediately before the extraction (day 2), and the day after the extraction (day 3). Results The state anxiety (STAI-S) score showed no significant difference between days 1 and 2, but the score on day 3 was lower than that on day 1, with a decrease in cases with a stage IV or V. Women showed more anxiety state on day 2 than men. The anxiety score on days 2 and 3 for the second extraction were significantly lower than those for the first extraction in 43 students who underwent third molar extractions twice. The change in the trait anxiety (STAI-T) stage was unremarkable among days 1, 2, and 3. No statistical difference was found in the anxiety between students undergoing impacted and nonimpacted third molar extraction. Conclusions The anxiety status of students undergoing third molar extraction could be quantitatively evaluated using the STAI. The results of this investigation may provide oral maxillofacial surgeons with useful information about patients' anxiety throughout the tooth removal process.

52 citations

Journal ArticleDOI
TL;DR: Analysis of data from the Piedmont 65+ Dental Study revealed that aspects of dental care use and oral health status were independently associated with high dental anxiety, and results suggest that measures to control dental anxiety may help to improve dental care Use and Oral health status in older adults.
Abstract: This study examined associations between dental anxiety and dental care use and oral health status in dentate older adults. Analysis of data from the Piedmont 65+ Dental Study revealed that aspects of dental care use and oral health status were independently associated with high dental anxiety. These results suggest that measures to control dental anxiety may help to improve dental care use and oral health status in older adults.

50 citations