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Gastmann AH, Xavier SR, Pilownic KJ, Romano AR, Gomes FDA, Goettems ML, Morgental RD, Pappen FG. Pain, anxiety, and catastrophizing among pregnant women with dental pain, undergoing root canal treatment. Braz Oral Res 2024; 38:e054. [PMID: 38922214 DOI: 10.1590/1807-3107bor-2024.vol38.0054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 11/13/2023] [Indexed: 06/27/2024] Open
Abstract
This prospective study aims to evaluate dental pain, anxiety, and catastrophizing levels in pregnant women undergoing root canal treatment. Sixty pregnant and non-pregnant women presenting dental pain and an indication for root canal treatment were included in the study. Dental anxiety and catastrophizing were investigated using validated questionnaires. The endodontic intervention was performed, and a numerical scale measured preoperative and postoperative dental pain. The results were analyzed using STATA software 12.0. Unadjusted analyses assessed the association between pregnancy and pain, anxiety, and catastrophizing levels. Multiple linear regression models using 'forward stepwise' entry procedures were used to assess the independent effects of variables on pain scores. The significance level was set at 0.05. Initially, most patients experienced intense dental pain. The levels of dental pain, dental anxiety, and catastrophizing did not differ between pregnant and non-pregnant women. Logistic regression showed that postoperative pain was associated with irreversible pulpitis diagnosis (OR = 4.78; 95%CI 1.55-13.55) and high catastrophizing levels (OR = 1.96; 95%CI 1.01-3.84). Preoperative and postoperative pain rates and anxiety and catastrophizing were similar between pregnant and non-pregnant patients. Postoperative pain was associated with irreversible pulpitis diagnosis and high catastrophizing levels. The similarity between pregnant and non-pregnant women regarding preoperative and postoperative dental pain and catastrophizing and anxiety levels supports the indication of root canal treatment during the gestational period whenever necessary.
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Affiliation(s)
- Andressa Heberle Gastmann
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Samantha Rodrigues Xavier
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Katerine Jahnecke Pilownic
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Ana Regina Romano
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Fábio de Almeida Gomes
- Universidade de Fortaleza - Unifor, Faculty of Dentistry, Department of Endodontics, Fortaleza, CE, Brazil
| | - Marília Leão Goettems
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Renata Dornelles Morgental
- Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of Stomatology, Santa Maria, RS, Brazil
| | - Fernanda Geraldo Pappen
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Graduate Program in Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
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Winkler CH, Bjelopavlovic M, Lehmann KM, Petrowski K, Irmscher L, Berth H. Impact of Dental Anxiety on Dental Care Routine and Oral-Health-Related Quality of Life in a German Adult Population-A Cross-Sectional Study. J Clin Med 2023; 12:5291. [PMID: 37629334 PMCID: PMC10455740 DOI: 10.3390/jcm12165291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 08/09/2023] [Accepted: 08/12/2023] [Indexed: 08/27/2023] Open
Abstract
The interaction between dental anxiety and the establishment of a consistent dental care routine has been an ongoing challenge. Unfortunately, there is limited available data concerning the detailed dental care practices of individuals with dental anxiety. Therefore, this study aims to explore how dental anxiety influences dental care habits and oral-health-related quality of life within an adult population. By utilizing the Dental Anxiety Scale (DAS) and the German Oral Health Impact Profile (OHIP-G5), we assessed their extent. To evaluate the differences, we performed analyses of variance (Anova), an independent t-test and rank correlation. The findings of this study unveil a significant correlation between elevated DAS scores and reduced frequency of tooth brushing; calculus removal and appointments for professional teeth cleaning. Interestingly; the use of dental floss and mouthwash solution as well as toothbrush hardness appeared to be not significantly affected by dental fear. Moreover, individuals with dental anxiety demonstrated a preference for manual toothbrushes over electric ones. In addition, higher DAS scores were found to be strongly associated with greater OHIP-G5 scores, thus leading to a substantial decline in overall oral health-related quality of life.
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Affiliation(s)
- Christian H. Winkler
- Department of Prosthetic Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany; (C.H.W.); (K.M.L.)
| | - Monika Bjelopavlovic
- Department of Prosthetic Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany; (C.H.W.); (K.M.L.)
| | - Karl M. Lehmann
- Department of Prosthetic Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany; (C.H.W.); (K.M.L.)
| | - Katja Petrowski
- Department of Medical Psychology and Medical Sociology, University Medical Center of the Johannes Gutenberg-University Mainz, Duesbergweg 6, 55131 Mainz, Germany;
| | - Lisa Irmscher
- Division of Psychological and Social Medicine and Developmental Neurosciences, Research Group Medical Psychology and Medical Sociology, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany (H.B.)
| | - Hendrik Berth
- Division of Psychological and Social Medicine and Developmental Neurosciences, Research Group Medical Psychology and Medical Sociology, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany (H.B.)
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Galdino FF, Dos Santos Falcão PC, Rezende Costa L, Bendo CB, da Silva Fidalgo TK. Development and validation of a questionnaire on the feelings of undergraduate dental students regarding child dental care. J Dent Educ 2023. [PMID: 36929657 DOI: 10.1002/jdd.13192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 12/20/2022] [Accepted: 02/17/2023] [Indexed: 03/18/2023]
Abstract
OBJECTIVES This study aimed to develop and test a questionnaire's validity and reliability to evaluate undergraduate dental students' feelings regarding child dental care. METHODS The questionnaire was developed using a focus group of 10 undergraduate dental students. This questionnaire was then structured and applied digitally via Google Forms to 90 dental students aged 22.95 years (±0.89) who had already completed or were enrolled in a pediatric dentistry discipline. The test-retest was conducted with 15 students. Descriptive analysis, exploratory factorial analysis (EFA), and intraclass correlation coefficient were performed to evaluate the test-retest reliability, Cronbach's alpha (α) to measure the internal consistency, and Mann-Whitney test was used to determine the discriminant validity (p < 0.05). RESULTS The final version of the questionnaire concerning the feelings of dental students when faced with pediatric dental treatment comprised three items, which evaluated anxiety, fear, and insecurity. The visual analog scale was used to evaluate the answer for each item. The questionnaire resulted in a total score that varied from 0 to 10. The higher the score on the questionnaire, the greater the negative feelings regarding pediatric dental treatment. The results of the EFA were satisfactory (Bartlett's sphericity = 0.001; Kayser-Meyer-Olkin measure = 0.725). The EFA extracted a single dimension with an eigenvalue of 2.4 and a total explained variance of 80%. The internal consistency of the questionnaire was satisfactory (α = 0.877), and the test-retest reliability was good (intraclass correlation coefficient = 0.691). Students who felt confident about carrying out invasive procedures in children demonstrated more positive feelings related to the pediatric dental treatment (average = 3.50 ± 2.73) than those who did not feel such confidence (average = 5.00 ± 2.35; p = 0.007). CONCLUSIONS The unidimensional questionnaire proposed by this study is valid and reliable in evaluating the feelings of undergraduate dental students regarding child dental care.
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Affiliation(s)
- Fabíola Fontes Galdino
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
| | | | - Luciane Rezende Costa
- Department of Pediatric Dentistry, School of Dentistry, Goias Federal University, Goiânia, GO, Brazil
| | - Cristiane Baccin Bendo
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Tatiana Kelly da Silva Fidalgo
- Department of Preventive and Community Dentistry, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
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Costa VPP, Goettems ML, Quevedo L, Armfield J, Pinheiro RT, Demarco FF. Relation between anxiety disorders in adolescent mothers and dental fear in children. Int J Paediatr Dent 2023; 33:124-131. [PMID: 35962616 DOI: 10.1111/ipd.13027] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 05/31/2022] [Accepted: 06/23/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Maternal anxiety disorders can cause adverse consequences in child's health, cognitive development, and behavior. AIM To investigate the association of maternal anxiety disorders with the occurrence of dental fear in children aged 24-36 months. DESIGN This cross-sectional study is part of a cohort of adolescent mothers and their children (n = 527) in the city of Pelotas, RS, Brazil. Anxiety disorders in mothers were assessed using Mini International Neuropsychiatric Interview (DSM-IV), whereas the Dental Anxiety Question was used to assess children's dental fear. Clinical oral examinations were performed on the cohort. Poisson regression analysis was used to determine the association of maternal anxiety disorders with maternal perception of dental fear in children (p < .05). RESULTS The prevalence of dental fear in children was 21.7% (n = 114), and maternal age, agoraphobia, social phobia, and maternal caries experience (p < .05) were associated with the presence of dental fear. After adjusted analysis, children of mothers presenting with agoraphobia (Prevalence ratios [PR] = 1.52; 95% confidence interval [CI] = 1.00-2.32) and social phobia (PR = 1.69; 95% CI = 1.06-2.71) had higher prevalence of dental fear than children whose mothers did not have any of these conditions. CONCLUSIONS In this population of young mothers, agoraphobia and social phobia were associated with children's dental fear. Detection of and treatment for maternal mental disorders may aid in the prevention of dental fear and its oral health-related consequences.
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Affiliation(s)
- Vanessa Polina Pereira Costa
- Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Marília Leão Goettems
- Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Luciana Quevedo
- Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Jason Armfield
- University of Adelaide's Australian Research Centre for Population Oral Health (ARCPOH), Adelaide, South Australia, Australia
| | | | - Flávio Fernando Demarco
- Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
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Gil-Abando G, Medina P, Signorini C, Casañas E, Navarrete N, Muñoz-Corcuera M. Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11141. [PMID: 36078857 PMCID: PMC9518501 DOI: 10.3390/ijerph191711141] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 09/03/2022] [Accepted: 09/04/2022] [Indexed: 06/15/2023]
Abstract
Dental anxiety is a matter of interest for the dentist since an anxious patient is a potential source of complications in the dental office. The main objectives of this study are to describe the correlation between dental anxiety levels and the values of physiological parameters related to dental anxiety and to study the evolution of blood pressure and heart rate over time during noninvasive dental treatments, i.e., not requiring local anesthesia. A descriptive, longitudinal, and prospective observational study was designed. The study population consisted of 200 patients who attended a university clinic for dental treatment without local anesthesia. The patients were asked to complete the Corah Dental Anxiety Scale. Afterward, blood pressure and heart rate were measured by means of a digital sphygmomanometer. Blood pressure and heart rate were taken throughout the procedure on four occasions. Most of the patients showed mild dental anxiety (5 [IQR: 3] points on Corah Dental Anxiety Scale). Significant but weak correlations were found between the level of dental anxiety and heart rate (Spearman rho: 0.166 and 0.176; p = 0.019 and 0.013; 3 min before and after treatment, respectively), as well as between the level of dental anxiety and the duration of treatment (Spearman rho: 0.191 3 min; p = 0.007). As for the evolution of physiological parameters, all patients showed a progressive decrease in values at different time points during treatment. When the types of treatment were evaluated separately, it was observed that there were statistically significant differences between them with respect to the level of dental anxiety (p = 0.006).
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Valentim Bitencourt F, Cardoso De David S, Schutz JDS, Otto Kirst Neto A, Visioli F, Fiorini T. Effect of photobiomodulation therapy on patient morbidity and wound healing at donor site after free gingival graft harvesting: a triple-blind randomized-controlled clinical trial. Clin Oral Implants Res 2022; 33:622-633. [PMID: 35305280 DOI: 10.1111/clr.13923] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 02/02/2022] [Accepted: 02/22/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study aimed to evaluate the effect of photobiomodulation therapy (PBMT) on patient morbidity and donor site healing after free gingival graft (FGG) harvesting. METHODS Forty-four patients requiring FGG were selected for this trial. Individuals were randomly assigned to test group (PBMT, n=22) or control group (placebo, n=22) applied immediately after surgery, 24 and 48 hours after. Demographic, surgical-related and psychosocial variables possibly associated with treatment response were collected. The primary outcome was postoperative pain at the donor site evaluated using Visual Analogue Scale (VAS) immediately after surgery and 6, 24, 48 and 72 hours after. Secondary outcomes include medication consumption, patient-reported outcome measures (PROMs) and percentage of wound closure. RESULTS Intragroup analysis showed no differences in VASLog means for placebo group throughout the study (p>0.05), whereas a significant difference in PBMT group at 6h, 24h, 48h and 72h (p<0.05) were observed. Postoperative rescue analgesic requirement was significantly higher in the placebo group (p=0.004). The number needed to treat(NNT) was 2.43. PBMT group reported significant better function related to sleeping, going to work/school and daily routine activities, less restriction to mouth opening, chewing and food consumption, less swelling and bleeding (p<0.05), mainly in the first 48hs. PBMT group presented a significantly higher palatal wound closure at 7 days compared to placebo group (33.41 vs 21.20 respectively, p=0.024) after adjustment for confounding. No adverse effects were reported. CONCLUSIONS PBMT accelerated the pain resolution time and palatal closure, decreased rescue medication consumption and significantly improved patient satisfaction in the postoperative period.
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Affiliation(s)
| | - Silvia Cardoso De David
- Department of Conservative Dentistry - Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Jasper da Silva Schutz
- Department of Conservative Dentistry - Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Alfredo Otto Kirst Neto
- Department of Conservative Dentistry - Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Fernanda Visioli
- Department of Conservative Dentistry - Oral Pathology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Tiago Fiorini
- Department of Conservative Dentistry - Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Barbosa TDS, Azevedo MS, Vidal GL, D’Almeida PVB, Bruzamolin CD, Costa LR, Costa VPPD, Goettems ML. Translation and Cultural Adaptation of the Modified Child Dental Anxiety Scale – Faces (MCDASf) into Brazilian Portuguese. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022] Open
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Salgado KR, Normando D, Brandão GAM. Is catastrophizing associated with pain perception in early phase of orthodontic treatment? a cohort study. J Oral Rehabil 2021; 49:309-315. [PMID: 34731504 DOI: 10.1111/joor.13279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 08/30/2021] [Accepted: 10/25/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND OBJECTIVES This study aimed to investigate the association between pain perception and catastrophizing at the beginning of orthodontic treatment; and the association between pain during orthodontic treatment and demographic, clinical, and other psychological factors. METHODS A cohort study with 44 patients (28.9±15.05 years old; 25 females and 19 males) under orthodontic treatment with fixed appliances had their pain perception evaluated through a visual analog scale at baseline (before activation), 6 h, 24 h, 2nd day, 3rd day, 5th day, and 7th day after activation. The scores at each evaluation period after the first (T1), second (T2), and third (T3) appointments were compared by analysis of variance. A multivariate Poisson regression analysis verified the association between pain perception and Pain Catastrophizing Scale (PCS); and demographic (age, gender), clinical (tooth crowding, tooth loss, analgesic intake, and archwire characteristics), and other psychological (dental anxiety, and previous negative dental experiences) independent variables (p<.05). RESULTS Catastrophizing (RR=1.03, 95%CI 1.01 to 1.05, p=.0001) showed a weak risk of pain perception at T1. The peak of pain occurred 24 h after activation at T1, T2, and T3. Significant higher scores were observed at T1 in comparison to T2 (FT1,T2 =11.82, p=.005) and T3 (FT1,T3 =5.09, p=.03). Wire diameter, tooth crowding, and single arch treatment were found as risk factors for pain. Patients without tooth loss had half of the risk of pain perception, while analgesics intake and older patients were also found with a weak protective association. Dental anxiety and negative dental experience were not associated with pain perception. CONCLUSION Catastrophizing has a mild influence on pain perception and only after the first orthodontic activation. Patients with tooth losses, tooth crowding, and using thicker archwires are more likely to report pain after orthodontic activations.
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Affiliation(s)
| | - David Normando
- Department of Orthodontics, Universidade Federal do Pará, Belém, Brazil
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Dourado CR, Martins RF, Azevedo JA, Souza SF, Thomaz EB. Anxiety/fear of dental treatment during pregnancy: use of the Modified Dental Anxiety Scale (MDAS). Minerva Dent Oral Sci 2021; 71:79-88. [PMID: 34609113 DOI: 10.23736/s2724-6329.21.04554-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Despite advances in the control of anxiety and fear, dental treatment (DT) continues to be a stressful event, especially during pregnancy. There are several instruments to measure anxiety and fear about DT (AFDT). However, few are validated for use in Brazil. Our objective was to validate the Modified Dental Anxiety Scale (MDAS) for use in Brazil and to evaluate the association between AFDT and the use of oral health services (OHS) during pregnancy. METHODS This is a cross-sectional study nested in a prospective cohort. We conducted a face, content, and construct validation. The Visual Analogue Scale (VAS) was the comparison instrument with MDAS. Sociodemographic and behavioral characteristics were also assessed. Associations were estimated by odds ratios (OR) and 95% confidence intervals (95%CI) in multiple logistic regression analysis (alpha=5%). RESULTS There were no difficulties in the translation/back-translation process. The reproducibility of the instrument was 0.54 (P=0.01). The correlation of MDAS with VAS was 0.71 (P=0.003). The reliability of the instrument was high (Cronbach's alpha: 0.79 to 0.87). After validation, the instrument was administered to 486 women. Mild or moderate AFDT was reported by 81.3% of pregnant women and at higher levels, by 8.2%. There was no association between the use of OHS and AFDT at moderate levels (OR=2.03; 95%CI: 0.45-9.09) or high (OR=1.35; 95%CI: 0.20-9.13). CONCLUSIONS MDAS is a valid instrument for measuring AFDT. The prevalence of AFDT among pregnant women is high, but this event does not seem to be associated with the use of OHS.
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Affiliation(s)
- Carolina R Dourado
- Graduação em Odontologia, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - Rafiza F Martins
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - Juliana A Azevedo
- Programa de Pós-Graduação em Odontologia, Universidade Federal do Maranhão, Universidade Federal do Maranhão, Campus Universitário, Bacanga, São Luís, MA, Brasil
| | - Soraia F Souza
- Universidade Federal do Maranhão, Campus Universitário do Bacanga, São Luís, MA, Brasil
| | - Erika B Thomaz
- Universidade Federal do Maranhão, São Luís, MA, Brasil -
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Santos PS, Massignan C, de Oliveira EV, Miranda Santana C, Bolan M, Cardoso M. Does the pre-emptive administration of paracetamol or ibuprofen reduce trans- and post-operative pain in primary molar extraction? A randomized placebo-controlled clinical trial. Int J Paediatr Dent 2020; 30:782-790. [PMID: 32268439 DOI: 10.1111/ipd.12649] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 03/25/2020] [Accepted: 03/30/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND There is no consensus whether the pre-emptive administration of analgesics reduces trans- and post-operative pain in primary molar extraction. AIM Investigate whether the pre-emptive administration of ibuprofen and paracetamol reduces trans- and post-operative pain on primary molars extraction compared to placebo. DESIGN A parallel, placebo-controlled, triple-blind, randomized clinical trial was conducted. Forty-eight children who needed primary molar tooth extraction were selected and treated under local anaesthesia and pre-emptive administration of placebo or analgesics. Self-reported pain was evaluated during the anaesthesia, extraction, and 2, 6, and 24 hours of post-operative period, using a visual analogue scale (VAS). Children's baseline anxiety, behaviour during the procedure, parents' anxiety, and post-operative analgesia were also assessed. Data analysis included descriptive statistics and multiple linear regression. RESULTS No association was found between the use of pre-emptive analgesic and lower scores of trans- and post-operative pain compared to placebo. Children who presented negative behaviour reported greater pain during anaesthesia (P = .04) regardless of pre-emptive analgesia group. Children from the placebo group were more likely to need post-operative analgesia at 2 hours of follow-up (P = .03). CONCLUSION The pre-emptive administration of analgesics did not significantly reduce trans- and post-operative pain in children after primary molars extraction.
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Affiliation(s)
- Pablo Silveira Santos
- Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Carla Massignan
- Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | | | - Carla Miranda Santana
- Department of Pediatric Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Michele Bolan
- Department of Pediatric Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
| | - Mariane Cardoso
- Department of Pediatric Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil
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Herbal medicines as anxiolytics prior to third molar surgical extraction. A randomized controlled clinical trial. Clin Oral Investig 2020; 25:1579-1586. [PMID: 32951121 DOI: 10.1007/s00784-020-03468-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 07/21/2020] [Indexed: 01/18/2023]
Abstract
OBJECTIVES This study aimed to compare the effects of Passiflora incarnata, Erythrina mulungu, and midazolam in controlling anxiety in patients undergoing mandibular third molar extraction. METHODS The volunteers underwent extraction of their third mandibular molars in a randomized, placebo-controlled, triple-blind, and parallel clinical trial. Passiflora incarnata (500 mg), Erythrina mulungu (500 mg), or midazolam (15 mg) was orally administered 60 min before the surgery. The anxiety level of participants was evaluated using questionnaires and measurements of physical parameters, including heart rate (HR), blood pressure (BP), and oxygen saturation (SpO2). RESULTS A total of 200 volunteers were included in this clinical trial. Considering each procedure independently, no significant differences (p > 0.05) in BP, HR, and SpO2 were observed among the protocols. CONCLUSIONS Passiflora incarnata showed a similar effect to midazolam but differed from placebo and mulungu, which were unable to control anxiety in this situation. Therefore, the results suggest that Passiflora configures an herbal medicine with an anxiolytic effect, adequate to use in third molar extractions. CLINICAL RELEVANCE The use of Passiflora incarnata may be an alternative to benzodiazepines for controlling anxiety in patients scheduled for oral surgery under local anesthesia. TRIAL REGISTRATION ClinicalTrials.gov : ANSI-388.427.
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Queiroz MF, Verli FD, Marinho SA, Paiva PCP, Santos SMC, Soares JA. Dor, ansiedade e qualidade de vida relacionada à saúde bucal de pacientes atendidos no serviço de urgência odontológica. CIENCIA & SAUDE COLETIVA 2019; 24:1277-1286. [DOI: 10.1590/1413-81232018244.33802016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Accepted: 06/29/2017] [Indexed: 12/26/2022] Open
Abstract
Resumo O objetivo deste estudo foi avaliar associação entre dor pré-operatória, ansiedade e impacto da condição bucal na qualidade de vida dos pacientes atendidos no serviço de Urgência Odontológica da Universidade Federal dos Vales do Jequitinhonha e Mucuri. Estudo transversal retrospectivo foi conduzido avaliando dados clínicos de 240 prontuários de pacientes com idades entre 18 e 65 anos. A dor foi mensurada pela Heft-Parker Visual Analogue Scale; ansiedade, pela Corah’s Detal Anxiety Scale e qualidade de vida, pelo Oral Health Impact Profile (OHIP-14). Associações foram analisadas pelo Teste qui-quadrado de Pearson (p < 0,05). Foi observada associação estatisticamente significante entre dor e pior qualidade de vida, com impacto nos domínios desconforto psicológico (p < 0,001), incapacidade física (p < 0,001), psicológica (p < 0,001) e social (p < 0,001). Ansiedade influenciou na pior qualidade de vida, com impacto nos domínios desconforto psicológico (p = 0,009), incapacidade fisica (p = 0,016), psicológica (p = 0,011) e desvantagem social (p = 0,028). Esse estudo é relevante para o planejamento de ações voltadas para a saúde bucal dos pacientes atendidos nos serviços de urgência odontológica, priorizando aqueles com maiores impactos psicossociais decorrentes dos problemas bucais.
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Costa FS, Cademartori MG, Silva MF, Nascimento GG, Shqair AQ, Pinheiro RT, Demarco FF, Goettems ML. Anxiety symptoms have a direct effect on oral health perception in young women. Qual Life Res 2018; 27:1583-1588. [DOI: 10.1007/s11136-018-1797-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2018] [Indexed: 12/30/2022]
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14
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Vaez SC, Faria-E-Silva AL, Loguércio AD, Fernandes MTG, Nahsan FPS. Preemptive use of etodolac on tooth sensitivity after in-office bleaching: a randomized clinical trial. J Appl Oral Sci 2018; 26:e20160473. [PMID: 29412363 PMCID: PMC5777424 DOI: 10.1590/1678-7757-2016-0473] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 07/16/2017] [Indexed: 12/13/2022] Open
Abstract
Purpose This study determined the effectiveness of the preemptive administration of etodolac on risk and intensity of tooth sensitivity and the bleaching effect caused by in-office bleaching using 35% hydrogen peroxide. Material and methods Fifty patients were selected for this tripleblind, randomized, crossover, and placebo-controlled clinical trial. Etodolac (400 mg) or placebo was administrated in a single-dose 1 hour prior to the bleaching procedure. The whitening treatment with 35% hydrogen peroxide was carried out in two sessions with a 7-day interval. Tooth sensitivity was assessed before, during, and 24 hours after the procedure using the analog visual scale and the verbal rating scale. Color alteration was assessed by a bleach guide scale, 7 days after each session. Relative risk of sensitivity was calculated and adjusted by session, while overall risk was compared by the McNemar's test. Data on the sensitivity level of both scales and color shade were subjected to Friedman, Wilcoxon, and Mann-Whitney tests, respectively (α=0.05). Results The preemptive administration of etodolac did not affect the risk of tooth sensitivity and the level of sensitivity reported, regardless of the time of evaluation and scale used. The sequence of treatment allocation did not affect bleaching effectiveness, while the second session resulted in additional color modification. The preemptive administration of etodolac in a single dose 1 hour prior to in-office tooth bleaching did not alter tooth color, and the risk and intensity of tooth sensitivity reported by patients. Conclusion A single-dose preemptive administration of 400 mg of etodolac did not affect either risk of tooth sensitivity or level of sensitivity reported by patients, during or after the in-office tooth bleaching procedure.
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Affiliation(s)
| | | | - Alessandro Dourado Loguércio
- Universidade Estadual de Ponta Grossa, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Ponta Grossa, PR, Brasil
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15
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Schirmer C, Dos Santos GO, Rost JF, Ferreira MBC, Weidlich P. Factors associated with pain and analgesic consumption following non-surgical periodontal therapy under local anaesthesia and carried out by dental students. J Clin Periodontol 2017; 45:68-77. [PMID: 29078012 DOI: 10.1111/jcpe.12833] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2017] [Indexed: 11/26/2022]
Abstract
AIM Evaluate factors associated with pain and analgesic consumption following non-surgical periodontal therapy. MATERIALS AND METHODS The sample consisted of 218 patients with chronic periodontitis, submitted to non-surgical scaling and root planing under local anaesthesia at a public dental service in southern Brazil. The data collection instruments included a demographic questionnaire, as well as State-Trait Anxiety Inventory, Corah's Dental Anxiety Scale, Visual Analogue Scale, Numerical Rating Scale and Verbal Rating Scale. The presence and intensity of pain were evaluated at 2, 6, 12, 24 and 48 hr after scaling and root planing. RESULTS A total of 52.3% of the patients reported mild intensity pain at some point during the 48 hr after scaling and root planing with local anaesthesia. Smoking (PR = 1.47; 95% CI = 1.16-1.65), severe periodontal inflammation (PR = 1.31; 95% CI = 1.09-1.58) and dental anxiety (PR = 1.24; 95% CI = 1.03-1.49) were associated with postoperative pain after adjusting for age, gender and state and trait anxiety scores. Moreover, 46.8% of the subjects used analgesics at some time during the 48-hr follow-up period and dental anxiety was the only factor associated with postoperative analgesic use. CONCLUSIONS Smoking, severe periodontal inflammation and dental anxiety were identified as factors associated with pain after non-surgical scaling and root planing with local anaesthesia. Dental anxiety was also a factor associated with postoperative analgesic use.
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Affiliation(s)
- Caroline Schirmer
- Section of Periodontology, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Gabriela Otero Dos Santos
- Section of Periodontology, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Júlia Franciele Rost
- Section of Periodontology, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Maria Beatriz Cardoso Ferreira
- Department of Pharmacology, Institute of Basic Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Patrícia Weidlich
- Section of Periodontology, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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16
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Fernandes MT, Vaez SC, Lima CM, Nahsan FP, Loguércio AD, Faria-e-Silva AL. Preemptive Use of Naproxen on Tooth Sensitivity Caused by In-Office Bleaching: A Triple-Blind, Crossover, Randomized Clinical Trial. Oper Dent 2017; 42:486-496. [DOI: 10.2341/16-100-c] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives:
A triple-blind, randomized, crossover clinical trial evaluated prior use of nonsteroidal anti-inflammatory naproxen on sensitivity reported by patients undergoing in-office tooth bleaching.
Methods and Materials:
Fifty patients were subjected to two sessions of in-office tooth bleaching with 35% hydrogen peroxide in a single application of 40 minutes for two sessions, with an interval of seven days between applications. One hour prior to the procedure, each patient randomly received a single dose of naproxen (500 mg) or placebo. The patient's sensitivity level was evaluated during and immediately after the bleaching using two scales (verbal and visual analog); the verbal scale only was repeated after 24 hours. The effectiveness of the bleaching procedures was evaluated with the Bleachedguide scale. Relative risk to sensitivity was calculated and adjusted by session, while comparison of overall risk was performed by the McNemar test. Data on the sensitivity level for both scales and shade were subjected to the Friedman, Wilcoxon, and Mann-Whitney tests (α=0.05).
Results:
The use of naproxen only decreased the absolute risk and intensity of tooth sensitivity reported immediately after the second session. On the other hand, no measurable effect was observed during or 24 hours after either session. The sequence of drug administration did not affect the bleaching effectiveness.
Conclusions:
Preemptive use of naproxen only reduced tooth sensitivity reported by patients immediately after the second session of bleaching.
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Affiliation(s)
- MT Fernandes
- Micaelle T Fernandes, MSc, graduate student, Graduate Program in Dentistry, Federal University of Sergipe, Aracaju, Brazil
| | - SC Vaez
- Savil C Vaez, MSc, graduate student, Graduate Program in Dentistry, Federal University of Sergipe, Aracaju, Brazil
| | - CM Lima
- Cláudio M Lima, professor, Department of Pharmacy, Federal University of Sergipe, Lagarto, Brazil
| | - FP Nahsan
- Flavia P Nahsan, DDS, PhD, professor, Department of Dentistry, Federal University of Sergipe, Lagarto, Brazil
| | | | - AL Faria-e-Silva
- Andre L Faria-e-Silva, DDS, MSc, PhD, Department of Dentistry, Federal University of Sergipe, Aracaju, Brazil
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Leal PC, Goes TC, da Silva LCF, Teixeira-Silva F. Trait vs. state anxiety in different threatening situations. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2017; 39:147-157. [PMID: 28813110 DOI: 10.1590/2237-6089-2016-0044] [Citation(s) in RCA: 75] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Accepted: 01/15/2017] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Anxiety as a uni- or multidimensional construct has been under discussion. The unidimensional approach assumes that there is a general trait anxiety, which predisposes the individuals to increases in state anxiety in various threatening situations. In this case, there should be a correlation between state and trait anxiety in any situation of threat. Therefore, the aim of this study was to investigate the correlation between trait and state anxiety in participants exposed to two different anxiogenic situations: interpersonal threat (Video-Monitored Stroop Test - VMST) and physical threat (third molar extraction - TME). METHODS Participants with various levels of trait anxiety (general trait: State-Trait Anxiety Inventory - STAI, Hospital Anxiety and Depression Scale; specific trait: Social Phobia Inventory, Dental Anxiety Scale) had their anxious state evaluated (STAI, self-evaluation of tension level, heart rate, electromyogram activity) before, during and after the VMST or the TME. RESULTS In VMST, trait anxiety correlated to state anxiety (psychological parameters) in all test phases. However, in TME, the only trait measurement that correlated to state anxiety (psychological parameters) was the Dental Anxiety Scale. CONCLUSION Trait anxiety correlates positively to state anxiety in situations of interpersonal threat, but not of physical threat.
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Affiliation(s)
- Pollyana Caldeira Leal
- Departamento de Fisiologia, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Sergipe, São Cristovão, SE, Brazil
| | - Tiago Costa Goes
- Departamento de Fisiologia, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Sergipe, São Cristovão, SE, Brazil
| | - Luiz Carlos Ferreira da Silva
- Departamento de Odontologia, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Sergipe, Aracaju, SE, Brazil
| | - Flavia Teixeira-Silva
- Departamento de Fisiologia, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Sergipe, São Cristovão, SE, Brazil
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18
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Costa FDS, Azevedo MS, Ardenghi TM, Pinheiro RT, Demarco FF, Goettems ML. Do maternal depression and anxiety influence children's oral health-related quality of life? Community Dent Oral Epidemiol 2017; 45:398-406. [DOI: 10.1111/cdoe.12303] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 03/14/2017] [Indexed: 12/16/2022]
Affiliation(s)
| | | | | | | | - Flávio Fernando Demarco
- Postgraduate Program in Epidemiology; Federal University of Pelotas; Pelotas Brazil
- School of Dentistry; Federal University of Pelotas; Pelotas Brazil
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Candido MC, Andreatini R, Zielak JC, de Souza JF, Losso EM. Assessment of anxiety in patients who undergo surgical procedures for tooth implants: a prospective study. Oral Maxillofac Surg 2015; 19:253-8. [PMID: 25572978 DOI: 10.1007/s10006-014-0480-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 12/28/2014] [Indexed: 11/26/2022]
Abstract
PURPOSE The purpose of this study is to evaluate general anxiety using the State-Trait Anxiety Inventory (STAI) and dental anxiety using the Corah Dental Anxiety Scale (Corah-DAS) in patients who underwent surgical procedures for dental implants. METHODS The study was performed with 55 patients who underwent implant surgery, of whom 37 were treated at a university and 18 were treated at a private office. General anxiety (STAI) and dental anxiety (Corah-DAS) were assessed at three different time points: appointment prior to clinical procedures (T1), day of procedures (just before the procedures; T2), and first post-procedure appointment (T3). The data were analyzed using analysis of variance followed by the Duncan test or Student's t-test. RESULTS State anxiety increased on the day of surgery (T2), whereas trait anxiety was higher at T1 (both p < 0.05). Women (n = 41) presented higher state anxiety at T2 than men (n = 14). Patients who were treated at the university (n = 37) exhibited higher state anxiety at both T1 and T3 than patients who were treated in a private practice (n = 18). Individuals with lower dental anxiety at T1 were those who reported having good experiences with dental treatment. CONCLUSIONS An increase in state anxiety was observed immediately before surgical procedures, and this increase was more pronounced in females. Although the Corah-DAS has been used as an indicator of dental anxiety, the STAI appears to be more sensitive for the measurement of anxiety. The application of appropriate methods is essential for ascertaining anxiety in patients, which should be considered in oral surgeries.
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Affiliation(s)
- Milene Cardoso Candido
- Positivo University Curitiba, R Pedro Viriato Parigot de Souza, 5300, Campo Comprido, Curitiba, PR, 81280-330, Brazil
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20
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Goettems ML, Schuch HS, Demarco FF, Ardenghi TM, Torriani DD. Impact of dental anxiety and fear on dental care use in Brazilian women. J Public Health Dent 2014; 74:310-6. [PMID: 24946683 DOI: 10.1111/jphd.12060] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2013] [Accepted: 05/04/2014] [Indexed: 12/15/2022]
Affiliation(s)
- Marília Leão Goettems
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Helena Silveira Schuch
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Flávio Fernando Demarco
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
- Post-Graduate Program in Epidemiology; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Thiago Machado Ardenghi
- Post-Graduate Program in Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Dione Dias Torriani
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
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21
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Medeiros LDA, Ramiro FMS, Lima CAA, Souza LMDA, Fortes TMV, Groppo FC. Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores. REVISTA DE ODONTOLOGIA DA UNESP 2013. [DOI: 10.1590/s1807-25772013000500007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
INTRODUÇÃO: Medo e ansiedade são comuns a pacientes que requerem tratamento odontológico e, em se tratando de procedimentos cirúrgicos, a ansiedade pode tornar-se um fator complicador, a partir do momento em que a alteração dos sinais vitais do paciente pode gerar situações de emergência. OBJETIVO: Avaliar o grau de ansiedade pré-operatória dos pacientes submetidos a cirurgias orais, identificando qual procedimento cirúrgico causa mais ansiedade nos pacientes e qual o momento cirúrgico causador de maior ansiedade. MATERIAL E MÉTODO: Foram selecionados 200 pacientes que iriam se submeter a cirurgias bucais nos ambulatórios do Departamento de Odontologia da Universidade Federal de Sergipe. No dia da cirurgia, os pacientes respondiam à escala EAD, tendo sido avaliadas a frequência cardíaca (FC) e a pressão arterial sanguínea (PA), considerados dados basais dos parâmetros físicos empregados para a avaliação da ansiedade pré-operatória. RESULTADO: Não houve diferenças estatisticamente significantes (Kruskal-Wallis, p=0,6933) entre os tratamentos em relação à ansiedade. A correlação de Spearman (rS) entre os valores obtidos para a ansiedade e os valores de pressão arterial e frequência cardíaca revelou-se fraca (rS<0,2), embora significativa (p<0,05) entre os resultados. A anestesia foi o momento que produziu maior ansiedade (Kruskal-Wallis, p<0,05), em relação aos demais momentos. CONCLUSÃO: A ansiedade teve influência no aumento da frequência cardíaca e da pressão arterial sistólica, tornando-se importante o seu controle pelo cirurgião-dentista para evitar complicações no decorrer da cirurgia.
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22
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Campos JADB, Presoto CD, Martins CS, Domingos PADS, Maroco J. Dental Anxiety: Prevalence and Evaluation of Psychometric Properties of a Scale. PSYCHOLOGY, COMMUNITY & HEALTH 2013. [DOI: 10.5964/pch.v2i1.18] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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23
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Carvalho RWFD, Falcão PGDCB, Campos GJDL, Bastos ADS, Pereira JC, Pereira MADS, Cardoso MDSO, Vasconcelos BCDE. Ansiedade frente ao tratamento odontológico: prevalência e fatores predictores em brasileiros. CIENCIA & SAUDE COLETIVA 2012; 17:1915-22. [DOI: 10.1590/s1413-81232012000700031] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2011] [Accepted: 06/01/2011] [Indexed: 02/01/2023] Open
Abstract
Diante do impacto negativo que a ansiedade exerce sobre o atendimento odontológico, buscou-se conhecer sua prevalência e seus fatores predictores frente esse tratamento em brasileiros. Foi realizado um estudo de corte transversal, utilizando-se a escala de ansiedade de Corah para avaliar 3000 pacientes. Os resultados demonstram que 2 em cada 8 brasileiros avaliados apresentaram moderada ou severa ansiedade frente ao atendimento odontológico, verificando-se que a probabilidade de um paciente da população da qual a amostra foi extraída apresentar ansiedade é mais elevada se: for mulher (p = 0,007), da faixa etária superior a 20 anos (p = 0,006), se não possuir acesso a internet e/ou jornais (p = 0,016), se tiver baixa frequência de higiene oral (p = 0,001), se a visita dental for motivada por busca de tratamento curativo, por dor ou outro problema, ao invés de um check-up (p = 0,047), e experiência de odontalgia (p<0,001). O medo e a ansiedade a fatores odontológicos existem de fato na população brasileira e as conclusões do estudo sugerem que, além da falta de recursos econômicos, o descaso com a saúde bucal, o gênero e a idade podem aumentar o grau de ansiedade.
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Goettems ML, Ardenghi TM, Demarco FF, Romano AR, Torriani DD. Children's use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children's quality of life. Community Dent Oral Epidemiol 2012; 40:451-8. [PMID: 22537392 DOI: 10.1111/j.1600-0528.2012.00694.x] [Citation(s) in RCA: 66] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2011] [Accepted: 03/07/2012] [Indexed: 02/06/2023]
Abstract
OBJECTIVES The purpose of the study was to investigate the influence of a child's clinical condition; maternal characteristics such as dental anxiety and dental visit pattern; socioeconomic conditions; and maternal perception of the child's oral health-related quality of life (OHRQoL) on a child's use of dental care services. METHODS A cross-sectional study of 608 mother-child dyads was conducted during the Children's Immunization Campaign in Pelotas, Brazil. Mothers answered a questionnaire regarding their use of dental services, dental anxiety (Dental Anxiety Scale), socioeconomic status, and perception of their children's OHRQoL (the Early Childhood Oral Health Impact Scale). Clinical examination of the children was performed to assess dental caries (dmf-t). Associations between the above-mentioned factors and child use of dental services were assessed using Poisson regression models (prevalence ratio [PR]; 95% CI; P ≤ 0.05). RESULTS The majority of children (79.3%) had never had a dental appointment and of the children who had visited a dentist, 55 (43.65%) presented with untreated dental caries at the time of examination. More than half the mothers (60.2%) did not visit a dentist regularly. In the final model, low schooling level of mothers (PR, 0.64) and irregular visits to a dentist by the mother (PR, 0.48) were factors because of which a child did not have a dental appointment. Children who had experienced pain (PR, 1.56), those who had poor OHRQoL (PR, 1.49), and older children (PR, 2.14) visited a dentist with higher frequency. CONCLUSIONS Use of dental care services by preschool children was low, and treatment was neglected even among children who had visited a dentist. Children of mothers with low schooling level who do not visit a dentist regularly were at greater risk of not receiving dental care. Maternal perception of their child's oral health motivated visits to the dentist.
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Affiliation(s)
- Marília L Goettems
- Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
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Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on the child's dental caries experience. Caries Res 2011; 46:3-8. [PMID: 22156724 DOI: 10.1159/000334645] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2011] [Accepted: 10/19/2011] [Indexed: 12/16/2022] Open
Abstract
This study assessed the influence of maternal dental anxiety-related behavior on the child's caries experience. A cross-sectional study with 608 mother-child dyads during the Children's National Immunization Campaign in Pelotas, Brazil was performed. Mothers were asked to answer a questionnaire and dental examination of the children was performed (dmft). The association assessment used Poisson regression. Children from anxious mothers were more likely to present untreated caries even after covariate adjustment. Boys, older children and low-income family children presented a higher dmft mean. Preventive strategies should focus not only on child and family characteristics, but also on maternal dental anxiety-related behaviors.
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Affiliation(s)
- M L Goettems
- Department of Social and Preventive Dentistry, Federal University of Pelotas, Pelotas, Brazil
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26
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Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on oral health–related quality of life of preschool children. Qual Life Res 2010; 20:951-9. [DOI: 10.1007/s11136-010-9816-0] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2010] [Indexed: 01/19/2023]
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Kim Y, Kim S, Myoung H. Independent predictors of satisfaction in impacted third molar surgery patients. Community Dent Oral Epidemiol 2010; 38:274-86. [PMID: 20353450 DOI: 10.1111/j.1600-0528.2010.00532.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Patient satisfaction and dissatisfaction are critical dimensions leading to favorable or unfavorable treatment outcomes. Although impacted third molar (ITM) surgery is one of the most common dental surgical procedures, it is a challenging operation because of numerous potential complications and patients generally suffer from severe psychosomatic symptoms as a result of severe perioperative anxiety. We hypothesize that multiple independent factors, including perioperative anxiety and various postoperative complications, affect satisfaction of the ITM surgery patients. METHODS Survey data from 219 participants encompassed basic patient demographic traits, difficulty of surgery, perioperative anxiety, pain sensation and common postoperative complications. The t-test and one-way anova with Duncan's multiple-range tests were applied to detect differences in mean values of perioperative anxiety, perioperative pain sensation and satisfaction based on basic demographic characteristics and postoperative complications. The significance of postoperative complications according to demographic data and difficulty of extraction was also analyzed. A paired t-test was applied to detect the significance of anxiety level and pain sensation changes over time. Lastly, univariate and multiple stepwise regression analyses were used to analyze the relationships among perioperative anxiety, pain sensation and satisfaction to determine the predictive factor of patient satisfaction. RESULTS Basic demographic traits proved not to have a direct significant effect on satisfaction in ITM surgery patients, but some demographic factors and difficulty of surgery showed significant relationships with postoperative complications. Univariate analysis revealed that perioperative anxiety, pain sensation, postoperative infection, numbness/paresthesia and ecchymoses have a significant influence on patient satisfaction. In particular, preoperative anxiety level and numbness/paresthesia were independent predictive factors of patient satisfaction upon multivariate analysis. CONCLUSIONS This study demonstrates that the patients who undergo ITM surgery often have severe anxiety that seriously impacts patient satisfaction and resultant treatment outcomes. In addition, patient satisfaction directly depends on the occurrence of some postoperative complications. Appreciation of these predictive factors and increasing patient satisfaction may help clinicians to provide optimal care for ITM surgery patients.
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Affiliation(s)
- YuKyoung Kim
- Department of Oral and Maxillofacial Surgery and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
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28
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Malloy-Diniz LF, Mattos P, Leite WB, Abreu N, Coutinho G, Paula JJD, Tavares H, Vasconcelos AG, Fuentes D. Tradução e adaptação cultural da Barratt Impulsiveness Scale (BIS-11) para aplicação em adultos brasileiros. JORNAL BRASILEIRO DE PSIQUIATRIA 2010. [DOI: 10.1590/s0047-20852010000200004] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJETIVOS: Os objetivos deste estudo foram traduzir, adaptar culturalmente e verificar a equivalência literal, semântica e idiomática da Barratt Impulsiveness Scale (BIS-11), que avalia a presença de manifestações da impulsividade tendo como base o modelo teórico proposto por Ernst Barratt. MÉTODOS: Inicialmente, a versão original em inglês da BIS-11 foi traduzida para o português por seis pesquisadores bilíngues. Em seguida, foi realizada uma tradução reversa para o inglês por uma tradutora de origem norte-americana. As versões original, traduzida e retraduzida foram avaliadas por um comitê de juízes especialistas, os quais emitiram pareceres com as observações pertinentes, o que culminou em uma versão final traduzida da BIS-11. As versões original e traduzida foram aplicadas em duas amostras da população geral com proficiência na língua inglesa, a fim de investigar a equivalência literal, semântica e idiomática da versão traduzida por meio de análises de correlação. CONCLUSÃO: Os resultados das análises quantitativas indicaram que a versão final do instrumento é satisfatória.
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Affiliation(s)
| | - Paulo Mattos
- Laboratórios Integrados de Neuropsicologia; Universidade Federal do Rio de Janeiro
| | | | - Neander Abreu
- Laboratórios Integrados de Neuropsicologia; Universidade Federal da Bahia
| | - Gabriel Coutinho
- Laboratórios Integrados de Neuropsicologia; Universidade Federal do Rio de Janeiro
| | | | | | | | - Daniel Fuentes
- Laboratórios Integrados de Neuropsicologia; Universidade de São Paulo
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29
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Fuentes D, Gorenstein C, Hu LW. Dental anxiety and trait anxiety: an investigation of their relationship. Br Dent J 2009; 206:E17. [DOI: 10.1038/sj.bdj.2009.253] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2008] [Indexed: 02/01/2023]
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