Anxiety in patients attending dental university clinics
DOI:
https://doi.org/10.30979/rev.abeno.v18i4.799Keywords:
Dental Anxiety. Dental Care. Dental Clinics. Oral Health.Abstract
This study aimed to investigate anxiety in patients attended at a university dental clinic. The present cross-sectional study included 49 patients recruited at the undergraduate dental clinics, Federal University of Juiz de Fora, Governador Valadares campus, Minas Gerais, Brazil, from September 2016 to August 2017. Information regarding gender, age, family income, educational level, frequency of dental consultations and dental procedure causing discomfort were collected using a questionnaire. The level of anxiety was evaluated by the Dental Anxiety Scale. A mild level of anxiety (median=6) was observed, with a minimum level of 4 (not anxious) and a maximum level of 19 (extremely anxious). Women had higher anxiety than men (p=0.047). Individuals with 9-11 years of schooling presented a lower level of dental anxiety than those with 0-8 years of schooling (p=0.025). Participants who attributed a greater discomfort to surgeries and the use of high-speed burs had a greater anxiety (p=0.002). Light anxiety is present in patients undergoing dental treatment in university clinics, and women are more anxious than men. Patients with higher education were less anxious than lower education level. The report of a greater discomfort with surgeries and procedures with high-speed burs were associated with a greater anxiety.
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Maniglia-Ferreira C, Gurgel-Filho ED, Bönecker-Valverde G, Moura EH, Deus G, Coutinho-Filho T. Ansiedade odontológica: nível, prevalência e comportamento. RBPS. 2004; 17(2):51-5.
Beaton L, Freeman R, Humphris G. Why Are People Afraid of the Dentist? Observations and Explanations. Med Princ Pract. 2014; 23:295-301.
Wolpe, J. The dichotomy between classical conditioned and cognitively learned anxiety. J Behav Ther Exp Psych. 1981; 12(1):35-42.
Chaves AM, Loffredo LCM, Júnior AV, Chavez OM, Campos JADB. Estudo epidemiológico da ansiedade dos pacientes ao tratamento odontológico. Rev Odontol UNESP. 2006; 35(4):263-68.
Carvalho RWF, Falcão PGCB, Campos GJL, Bastos AS, Pereira JC, Pereira MAS, et al. Ansiedade frente ao tratamento odontológico: prevalência e fatores preditores em brasileiros. Ciênc Saúde Coletiva. 2012; 17(7):1915-22.
Elter JR, Strauss RP, Beck JD. Assessing dental anxiety, dental care use and oral status in older adults. J Am Dent Assoc. 1997; 128:591-7.
Gordon D, Heimberg RG, Tellez M, Ismail A. I. A critical review of approaches to the treatment of dental anxiety in adults. J Anxiety Disord. 2013; 27:365-78.
Armitage CJ, Reidy JG. Evidence that process simulations reduce anxiety in patients receiving dental treatment: randomized exploratory trial. Anxiety Stress Coping. 2012; 25(2):155-65.
Humphris G, King K. The prevalence of dental anxiety across previous distressing experiences. J Anxiety Disord. 2011; 25:232-6.
Thoma MV, Zemp M, Kreienbühl L, Hofer D, Schmidlin PR, Attin T, et al. Effects of music listening on pre-treatment anxiety and stress levels in a dental hygiene recall population. Int J Behav Med. 2015; 22:498-05.
Corah NL. Development of a Dental Anxiety Scale. J Dent Res. 1969; 48:596.
Hu LW, Gorenstein C, Fuentes D. Portuguese version of Corah’s Dental Anxiety Scale: transcultural adaptation and reliability analysis. Depress Anxiety. 2007; 24(7):467-71.
Stenebrand A, Hakeberg M, Nydell Helkimo A, Koch G, Wide Boman U. Dental anxiety and oral health in 15-year-olds: a repeated crosssectional study over 30 years. Community Dent Oral Epidemiol. 2015; 32:221-5.
Corah NL, O’Shea RM, Skeels DK. Dentists’ perceptions of problem behaviors in patients. J Am Dent Assoc. 1982; 104:829-33.
Liinavuori, A, Tolvanen M, Pohjola V, Lahti S. Changes in dental fear among Finnish adults: a national survey. Community Dent Oral Epidemiol. 2016; 44:128-34.
Crocombe LA, Broadbent JM, Thomson WM, Brennan DS, Slade GD, Poulton R. Dental visiting trajectory patterns and their antecedents. J Public Health Dent. 2011; 71:23-31.
De Jongh, A, Van Der Burg J,Van Overmeir M, Aartman I, Van Zuuren FJ. Trauma-related sequelae in individuals with a high level of dental anxiety. Does this interfere with treatment outcome? Behav Res Therapy. 2002;40:1017-29.
Brasil. Ministério da Saúde. SB BRASIL 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. Brasília, DF; 2012. [Cited July 31, 2018]. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf.
Kanegane K, Penha SS, Borsatti MA, Rocha RG. Ansiedade ao tratamento odontológico e atendimento de urgência. Rev Saúde Pública. 2003; 37(6):786-92.
Bernabe E, Humphris G, Freeman R. The social gradient in oral health: Is there a role for dental anxiety? Community Dent Oral Epidemiol. 2017; 45(4):348-55.
Nascimento DL, Araújo ACSA, Gusmão ES, Cimões, R. Anxiety and fear of dental treatment among users of public health services. Oral Health Prev Dent. 2011; 9(4):329-37.
Donaldson AN, Everitt B, Newton T, Steele J, Sherriff M, Bower E. The effects of social class and dental attendance on oral health. J Dent Res. 2008; 87(1):60-4.
Donno MA. Dental anxiety, dental visits and oral hygiene practices. Oral Health Prev Dent. 2012; 10(2):129-33.
Humphris G, Crawford JR, Hill K, Gilbert A, Freeman R. UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results. BMC Oral Health. 2013; 13(29):8-11.
Skaret E, Raadal M, Kvale G, Berg E. Factors related to missed and cancelled dental appointments among adolescents in Norway. Eur J Oral Sci. 2000;108(3):175-83.
Berggren ULF, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc. 984; 109:247-51.
Litt MD, Kalinowski L, Shafer D. A dental fears typology of oral surgery patients: matching patients to anxiety interventions. Health Psychology 1999; 18(6):614-24.
Shuller A A, Willumsen T, Holst, D. Are there differences in oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol. 2003; 31(2):116-21.
Abrahamsson KH, Berggren ULF, Hallberg L, Carlsson SG. Dental phobic patients’ view of dental anxiety and experiences in dental care: a qualitative study. Scand J Caring Sci. 2002; 16:188-96.
Brasil. Ministério da Educação. Conselho Nacional de Educação. Câmara de Educação Superior. Resolução CNE-CES n.3. Diretrizes Curriculares Nacionais do Curso de Graduação em odontologia. Diário Oficial da União, Brasília, 4.mar. 2002. Seção 1. [Cited July 31, 2018]. Available at: http://portal. mec.gov.br/cne/arquivos/pdf/CES032002.pdf.
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