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Dental Fear, Anxiety, and Phobia
Published in Eli Ilana, Oral Psychophysiology, 2020
It is clear that in the dental situation fear and anxiety are practically indistinguishable. The patient is confronted with both “real” and “imagined” threats (see Chapter 2) and reacts with different degrees of apprehension. Usually, the term “dental fear” is used to describe moderate apprehension which causes tension before and during treatment, but enables the patient to receive dental care. Dental anxiety describes a more profound apprehension which actually interferes with routine treatment and requires special attention. The term “dental phobia” is typically used to refer to patients whose anxiety is so great that it leads to total avoidance of dental care, including practical oral neglect. In the present text the terms “dental fear” and “dental anxiety” will be used interchangeably.
The Impact of Technology on Mental Health
Published in Bahman Zohuri, Patrick J. McDaniel, Electrical Brain Stimulation for the Treatment of Neurological Disorders, 2019
Bahman Zohuri, Patrick J. McDaniel
For example, a person with dental phobia fears going to the dentist because they believe they will suffer severe pain or even death from a dental procedure. The fear may have been triggered by a negative early childhood dental experience. A person with this phobia may lose sleep, experience extreme anxiety, and may neglect to care for his teeth.
Prosthetic Management of Surgically Acquired Oral and Facial Defects
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
Patients presenting with head and neck cancer often present with significant dental issues at time of presentation.14 There are high levels of dental phobia and anxiety reported in this population of patients and this often results in a degree of dental neglect. Many patients are elderly and a significant proportion of patients are edentulous at the time of presentation. In addition, resective surgery for malignant tumours within or adjacent to the maxillary and mandibular alveolar bone require the removal of sections of the dentition either as a rim or segmental resection to achieve oncologically safe margins. The resulting post-surgical condition of oral cancer patients is therefore highly varied and each one presents a range of challenges in respect to successful dental rehabilitation. Soft and hard free-tissue reconstruction techniques can often lead to the presence of residual bulky soft tissue skin flaps overlying the jaws obstructing the dental envelope (Figure 31.12a).
Facilitators for use of oral healthcare services among people with substance use disorders: a qualitative study in Norway
Published in Acta Odontologica Scandinavica, 2022
Siv-Elin Leirvaag Carlsen, Katja Isaksen, Anne Nordrehaug Åstrøm, Lars Thore Fadnes
Although many of the OMT participants in this study had a strong desire to fix their teeth, some lived disorganised lives with a lack of housing, ongoing substance use, and cognitive issues due to years of substance use, which made it difficult to maintain control of daily routines and appointments. Others highlighted anxiety and dental phobia as reasons for avoiding oral healthcare services. Therefore, several of the participants expressed the need for help in maintaining their oral health, which the DHWs also highlighted as significant. In general, patients were responsible for remembering their dental appointments; however, some of the dental health clinics have established a short messaging service (SMS) reminder system that notifies patients of their appointments one day in advance. Some also call their patients to remind them of the appointment on the same day, as one OMT participant said:
Effectiveness of hypnosis on pain and anxiety in dentistry: Narrative review
Published in American Journal of Clinical Hypnosis, 2022
Julio José Silva, Joyce Da Silva, Luiz Felipe Souza, Danúbia Sá-Caputo, Celia Martins Cortez, Laisa Liane Paineiras-Domingos, Mário Bernardo-Filho
Ferdeghini et al., (2018) evaluated sensations referred by patients submitted to the hypnotic approach after dental treatment. Of the 42 patients who presented, 38 were included in the study. The other 4 patients were not selected because they presented psychiatric problems, including schizophrenia and severe depressive diseases. It is possible that hypnosis is contraindicated for certain psychiatric and neurologic diseases. Most patients, 32 (84.2%), had other phobic symptoms besides their dental phobia. At the end of the dental treatment and hypnosis session, all patients were asked to answer a questionnaire. Most patients found the procedure extremely useful. This usefulness of hypnosis consisted in a global state of relaxation and sedation that accompanies the entire dental treatment, a modified perception of pain that simulated analgesia, and an altered perception of procedure time with the sensation of shorter duration. The authors concluded that hypnosis would be eminently adequate in dental treatment, especially for patients presenting dental phobia.
Prevalence of dental anxiety and associations with oral health, psychological distress, avoidance and anticipated pain in adolescence: a cross-sectional study based on the Tromsø study, Fit Futures
Published in Acta Odontologica Scandinavica, 2019
Hege Nermo, Tiril Willumsen, Jan-Are K. Johnsen
The caries experience in this study corresponds with findings from other counties in Norway and other Scandinavian countries [37]. This study did not find that caries experience differed significantly between the anxious and non-anxious adolescents in the multivariate analysis. DMFS score correlated with both ratings of own oral health and control belief. The adolescents are good at judging own oral health related to caries disease [37]. Our findings are interesting when viewed in contrast to findings from adult populations. For instance, even though Agdal et al. [44] found that adult patients with dental phobia had worse oral health measures than non-phobic patients, they did find a ‘large variation in oral health and treatment needs’ among these patients. The relationship between DA and caries thus appears associative rather than causal, and the association might be strengthened over time (for adult patients) as a function of for instance long-term avoidance and increasing treatment need.