Reduction Of Dental Anxiety Research Articles

Effect of Preoperative Oral Cannabidiol-Rich Cannabis Extract on Anxiety and Postoperative Pain after Endodontic Treatment: A Double-Blind Randomized Clinical Trial

IntroductionThe aim of the present study was to evaluate the effectiveness of cannabidiol (CBD)-rich Cannabis extract in reducing anxiety and postoperative pain in patients submitted to endodontic treatment. MethodsThe study was carried out after approval by the Research Ethics Committee (Registration No. 5.075.961). The following groups were tested: CBD and placebo. Pain was measured using a visual analog scale before the start of treatment and 24, 48, and 72 hours and 7 days after the session. Anxiety was assessed using the Modified Dental Anxiety Scale and a visual analog scale, before and immediately after treatment. In addition, salivary cortisol was measured before drug administration and after anesthesia. Data were analyzed descriptively using absolute frequencies and percentages, with a 5% margin of error. ResultsThe mean anxiety scores were higher in the CBD group than in the placebo group in each assessment (pre: 5.06 vs 3.07, respectively; post: 4.61 vs 2.60). However, there was no significant difference in the reduction of dental anxiety at the beginning of the consultation and throughout the procedure. We did not find statistically significant differences in postoperative pain between the CBD and placebo groups at any of the time points. ConclusionsThere was no evidence of an exposure-response relationship between the intervention and control groups. However, more studies are needed to determine clinical outcomes.

Comparative evaluation of three different behavior management techniques among children aged 6-12 years in dental practice: A single-center, double-blind, randomized controlled trial.

Dental anxiety is characterized by distress in anticipation of dental visits, which may result in a child's refusal to undergo treatment and, ultimately, lead to parents' reluctance towards dental care. The aim of this study was to evaluate and compare the effectiveness of the tell-show-do technique, modeling technique and yogic relaxation technique in the reduction of dental anxiety among children aged 6-12 years. The study was an interventional, parallel-group, single-center, double-blind, randomized controlled trial conducted on 120 children who required restorative treatment without the use of local anesthesia. The participants were selected based on specific inclusion and exclusion criteria and were randomly divided into 3 groups: group 1 - tell-show-do technique; group 2 - modeling technique; group 3 - yogic relaxation technique. The dental anxiety levels were evaluated 4 times using both physiological (oxygen saturation and pulse rate) and behavioral parameters (facial image scale (FIS) and the Face, Legs, Activity, Cry, and Consolability scale (FLACC)). The data was assessed by 2 blinded and calibrated specialists. Statistically significant differences were observed in all 4 parameters among the 3 groups. During both the intraoperative and postoperative periods, the oxygen saturation levels were significantly higher in the yogic relaxation technique group. Moreover, the yogic relaxation technique group exhibited lower pulse rates, FIS and FLACC scores compared to the tell-show-do and modeling technique groups. The practice of yoga has a positive influence on the general health of the individual. Consequently, it can be considered one of the alternative behavioral modification techniques for the reduction of dental anxiety in children.

Reduction of Dental Anxiety in Children Using Virtual Reality: A Randomised Controlled Trial.

The aim of this research is examining the effectiveness of Virtual Reality (VR) in the reduction of dental anxiety in children with novel methods. The three arm parallel-group randomised clinical study was conducted in children aged 6-10 years. Pulpotomy procedure was performed on randomised 90 selected children (n=30 in each group; AG: group applied active distraction using VR glasses, PG: group applied passive distraction, i.e., watching cartoons on a screen mounted onto a dental unit, CG: control group). Before and after the procedure, children were administered Facial Pain Scale (FIS), Children's Fear Rating Scale (CFSS-DS) and Frankl Behaviour Rating Scale (FBRS). The pulse rate was measured to check the anxiety levels of all treated children at five different time points. Statistical significance was determined as p<0.05. VR has been found to positively contribute to the performance of children in adapting to dental treatment. The VR application aims to create positive attitude in children by providing them a safe atmosphere and becoming a useful tool in the dental profession.

Effectiveness of aromatherapy in reduction of dental anxiety in pediatric dental patients: A systematic review

In recent years, various researchers have attempted to utilize Aromatherapy for allaying dental anxiety in pediatric patients. The present systematic review aims to comprehend the efficacy of aromatherapy in reducing dental anxiety in pediatric patients, exploring different aromatherapy agents, dispersion methods, and their anxiety-relieving capacities. A systematic search was performed in the following databases: MEDLINE (Ovid), Pubmed, Pubmed Central, Web of Science Citation Index Expanded (SCIEXPANDED), and Google Scholar using the key terms “Aromatherapy” AND “Pediatric” OR “Children” AND “Dental Anxiety” OR “Fear” to identify articles published in the English language without any restriction for the time of publication. A total of nine randomized controlled trials were identified that assessed various essential oils such as lavender, orange, and lemongrass for aromatherapy in pediatric patients during dental treatment. Most of these studies employed aromatherapy using a diffuser during non-pain-promoting dental treatments in children of 6 to 9 years of age. Aromatherapy is an effective non-pharmacological and non-invasive modality for reducing dental anxiety in pediatric patients which is free of adverse effects. However, there's a need for standardized methods of dispersion and clearer guidelines for oil posology

Role of Audiovisual Aid in Reduction of Dental Anxiety during Tooth Extraction: A Randomized Clinical Trial

&lt;p&gt;&lt;strong&gt;ABSTRACT&lt;/strong&gt;&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Background and Objective: &lt;/strong&gt;Dental anxiety has been reported to be the fifth most prevalent reason for anxiety among adults. It is a negative psychological effect of the stress-induced, precisely due to dental treatment. This study was conducted to assess the effect of audiovisual aid in reducing dental anxiety during tooth extraction.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Methodology:&lt;/strong&gt; 162 participants who needed tooth extraction were randomly divided into two groups of 81, each using a simple randomization method using the lottery method. Participants in Group A were given verbal information about the procedure preoperatively, while participants in Group B were shown an audiovisual clip. Preoperative and postoperative anxiety levels were self-reported by the patients on the Visual Analogue Scale from 0 to 10. Data were analyzed using SPSS version 25.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; The mean age of the study participants was 35.69. Among the 162 participants, 43.8% were females, and 56.2% were males. The mean score for preoperative anxiety for groups A and B was 6.79 and 7.02, respectively. In both groups, postoperative anxiety levels were 4.37 and 2.33, respectively. A statistically significant association was observed in the reduction of anxiety scores between the two groups.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; Audiovisual aid can serve as an effective tool for reducing dental anxiety among patients undergoing tooth extractions.&lt;/p&gt;

Assessment of Different Distraction Behavioral Methods in Pediatric Dental Clinic: A Systematic Review.

Dental anxiety is one of the main problems dentists may face during the treatment of pediatric dental patients; therefore, clinicians tend to perform different behavior management techniques to reduce dental anxiety in children. This review aimed to systematically compare and evaluate the published literature regarding the effects of distraction techniques on anxiety,pain perception, and patient experience during dental practice. A detailed electronic search was conducted on 3 databases including PubMed, Google Scholar, and Cochrane Library. The databases were searched for articles published in the English language between 2015 and 2022. Among 102 studies, 27 studies fulfilled the criteria of eligibility and were included in this study to be analyzed. Numerous approaches have been proposed for the reduction of dental anxiety, out of which the use of audio-visual aids and instruments, active distraction such as tablets, smartphones, and virtual reality glasses showed governance in decreasing the children's anxiety followed by cognitive and behavioral methods.

Efficiency of ER:YAG laser therapy in combination with behaviour management technique in reducing anxiety among paediatric dental patients – a study protocol for a randomised clinical trial

IntroductionWhen providing dental care to children with a high level of dental anxiety, the range of approaches is divided into two sections: use of behaviour management techniques (BMTs) and application...

Influence of Hypnotic Suggestions to Increase Periodontal Patients' Compliance

Objective: To evaluate the effectiveness of hypnosis 1) to reduce dental anxiety in periodontal patients, and 2) to increase periodontal patients’ compliance through the reduction of dental anxiety. Methods: This was a randomized control trial of 22 patients (13 males, 9 females; 40.14 ± 19.59 years) who underwent non-surgical periodontal therapy in the Postgraduate and Undergraduate Clinics. Patients were divided into the case, H, (hypnosis; n=11) and controlled, N, (no hypnosis; n=11) groups, where patients’ dental anxiety level was assessed twice for both groups using IDAF-4C+ during the first visit and the second visit. The compliance was evaluated during the follow-up visit. Results: The result showed statistically significant differences (p &lt; 0.05) in the H group during the second visit indicating a reduction in dental anxiety as compared to N group. However, there were no statistically significant differences (p &gt; 0.05) in the pattern of reduction of blood pressure between both case and control groups. Based on the heart rate, patients were found to be more relaxed with hypnotherapy at the beginning of the treatment but halfway through, patients without hypnotherapy had a more significant reduction in heart rate level. Conclusion: Hypnotic suggestions were found to help reduce patient’s fear and anxiety. However, the compliance of the patients with or without hypnotherapy proved to have a similar outcome.

Use of Virtual Reality (VR) as an Audio-Visual Distraction Tool in the Reduction of Dental Anxiety during Local Anesthesia

Aims: Dental anxiety is a relatively common problem and it leads to undesirable distresses, such as postponement or avoidance of dental treatment thereby resulting in poorer quality of treatment and reduced oral health related quality of life. Dental anxiety is especially seen in patients undergoing dental injections. To evaluate the effectiveness of audiovisual distraction in the reduction of dental anxiety during la injection.&#x0D; Study design: Cross-sectional study.&#x0D; Place and duration of study: Patients visiting Penang International Dental College, Malaysia, between June 2017 and July 2018.&#x0D; Methodology: A total of 176 patients (88 female and 88 male) requiring endodontic therapy or tooth extraction were recruited for this study. A 14-question long questionnaire using Hamilton anxiety rating scale; and a separate feedback questionnaire was used to evaluate patients’ anxiety level and the severity of anxiety symptoms. Paired t-test was used to analyze the data.&#x0D; Results: There was a significant reduction in the anxiety scores (p&lt;0.001) of the patients following the use of VR distraction during the la procedure. On an average, the pre-test scores were 1.932 points higher than post-test scores.&#x0D; Conclusion: Virtual reality could be used as a possible non-pharmacologic means of reducing dental anxiety in patients receiving local anesthesia.

The Efficacy of Little Lovely Dentist, Dental Song, and Tell-Show-Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial.

Introduction Dental anxiety is a common occurrence in patients undergoing dental treatments, especially in children. The success in paedriatric dental treatments and patient comfort depends on controlling the level of patient's anxiety in clinical settings. This study is aimed at evaluating the efficacy of different techniques applied for the reduction of dental anxiety in paediatric patients. Material and Methods. One hundred and sixty participants were divided into 4 groups; each group having 40 patients as follows: group I: mobile application “little lovely dentist,” group II: YouTube® “dental video songs,” group III “tell-show-do,” and group IV “control.” Dental prophylaxis treatments were provided to all the participants. Initial anxiety levels were noted during the patient's education phase by measuring heart rate with pulse oximeter and distress level with facial image scale, at the same time in each group, respectively. The postoperative anxiety was noted later with the same methods, after the application of anxiety reduction techniques. The data obtained were entered in the statistical package for the social sciences software, version 25. One-way ANOVA and paired t-test for matched groups were used to compare mean values of the 4 groups, in this study to determine their effectiveness. A p value of ≤0.05 was considered as statistically significant. Results The mean age of patients in group 1 was 6.8 ± 2.1 years, group 2: 8.15 ± 2.27 years, group 3: 7.5 ± 2.3 years, and group 4: 7.27 ± 1.68 years. The intragroup comparisons of heart rate and facial image scores have shown a significant difference in before and after dental treatment procedures. Marked reduction in heart rate and facial image scale scores were found in patients belonging to group 1 (mobile applications) and group 2 (dental video songs). An increase in heart rate and facial image scale scores was seen in group 3 (tell-show-do) and the control group. Conclusion The paediatric dental anxiety is a common finding in dental clinics. Behavior modification techniques like smartphone applications, “little lovely dentist,” and “dental songs” can alleviate dental anxiety experienced by paediatric patients. The “tell-show-do” technique although most commonly used did not prove to be beneficial in the reduction of the anxiety levels.

Robotic approach to the reduction of dental anxiety in children

Objective We introduced a humanoid robot for the use of techno-psychological distraction techniques in children aged 4–10 to reduce their anxiety and improve their behaviour during dental treatment.Materials and methods Two hundred children (98 boys, 102 girls; mean age: 6.5 ± 1.66 years) appointed for first time for dental caries were included and randomly divided into two groups [N = 100 for each group; RG: Robot Group (accompanied by the robot), CG: Control Group (without robot accompaniment)]. Half of the children were treated under local anaesthesia (infiltration anaesthesia) (n = 50 within each group) and half of the children were treated without any local anaesthesia (n = 50 within each group) within each group. The success rate of the new robotic distraction technique was evaluated by using Parental Corah Dental Anxiety Scale, Facial Image Scale (FIS), physiological pulse rate and Frankl Behaviour Rating Scale (FBRS).Result Pulse rates, which measured during treatment and after treatment, were statistically higher in CG than in RG (p < .05). After dental treatment, the FIS score was significantly higher in CG than RG (p < .05). 88.3% of the children in RG stated that they wanted the robot to be with them at the next treatment session.Conclusions Robotic technology can successfully help in coping with dental anxiety and stress, and helps children to behave better in dental office.

Respiratory Biofeedback Device and Reduction of Dental Anxiety Associated With Local Anesthesia in Children

Respiratory Biofeedback Device and Reduction of Dental Anxiety Associated With Local Anesthesia in Children

Dental anxiety in preschool children: How helpful are behavioral control management strategies?

Dental anxiety in preschool children: How helpful are behavioral control management strategies? Abstract. Objective: Dental anxiety is a frequent problem in the dental treatment of young children. Control management methods are widely used in pediatric dental care as coping strategies. This study compares two control management strategies regarding their reduction of dental anxiety and treatment success. Method: A group of 60 preschool children with known dental fear in their medical history underwent professional dental cleaning in which the Tell-Show-Do Method (TSDM) was applied. Patients were randomized into two groups according to the controlling method employed: (1) limited controlling method (L-K) and (2) standardized controlling method (S-K). The efficacy of the two control methods was tested using pulse rate as an objective measure of anxiety and self-rating as a subjective indicator. Results: Both the S-K and the L-K condition showed a significant reduction in pulse rate, and there was no difference in physiological arousal and treatment success. However, independent of the group disposition, there was a noticeable increase in pulse rate in children after TSDM. Conclusion: The results of this study indicate that even limited options for controlling dental treatment do not lead to greater burdens on the children in question with dental anxiety. However, further studies are necessary to investigate the use of control methods independent of TSDM.

Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: A randomized controlled study.

Dental anxiety is a primary cause of missed dental appointments, delayed treatment, and untreated dental caries in children. Alternative techniques such as music therapy (MT) and Bach flower therapy (BFT) have potential to reduce anxiety. Lack of randomized controlled studies evaluating effectiveness of these methods in reducing dental anxiety led us to this study. To compare the effectiveness of BFT and MT on reduction of dental anxiety in pediatric patients. A total of 120 children (aged 4-6 years) were selected and randomly allocated to three groups: BFT, MT, and control. All children received oral prophylaxis and fluoride treatment. Dental anxiety was evaluated using North Carolina Behavior Rating Scale, Facial Image Scale (FIS), and physiological parameters. Significantly better behavior was seen in children from the BFT group as compared to the control group (P = 0.014). FIS scores measured postoperatively did not show significant differences among the groups. Children from the BFT and MT groups showed a significant decrease in the pulse rates intraoperatively from the preoperative period. Intraoperative systolic blood pressure in children from the MT group was significantly lower than both the BFT and the control groups. Diastolic blood pressure significantly increased in the control group intraoperatively, whereas other groups showed a decrease. The results of this study demonstrate significant effects of both single dose of BFT and exposure to MT, on reduction of dental anxiety in children aged between 4 and 6 years.

Video modelling and dental anxiety in children. A randomised clinical trial.

To evaluate the effect of video modelling on the reduction of dental anxiety (DA) in children receiving fissure sealants. A parallel double-blind randomised clinical trial (RCT) was conducted between February and August 2017 in a hospital in Madinah (Saudi Arabia). A statistically calculated sample size (n=48) of children (6-10) years old was randomly assigned to either a modelling or a control video group. Before and after watching the relevant video, DA was assessed by means of the Abeer Children Dental Anxiety Scale (ACDAS). There was a significant difference in dental anxiety scores between the modelling and the control groups after watching the videos, P<0.001. Children aged 7-8 years reported the highest dental anxiety scores. There was no significant difference between the results of DA that were reported by the child on ACDAS at the time of dental examination with a mirror, and expected behaviours of the children that were reported by their mothers before the start of the dental treatment, P=0.33. Video modelling seems to be an effective method to reduce dental anxiety in children receiving fissure sealants. The mother's expectation of her child's behaviour appears to be a good indicator of the child's actual behaviour at the dentist.

The effectiveness of Cognitive Behavioural Therapy in the reduction of dental anxiety in children.

Data sourcesCochrane Library, Embase, PubMed, Scopus, Web of Science, LILACS/BBO, PsycINFO, ClinicalTrials, ISRCTN registry, UK National Institute for Health and Care Excellence, International Clinical Trials Registry Platform, ProQuest and OpenGrey.Study selectionTwo independent and calibrated reviewers selected randomised controlled trials investigating cognitive behavioural therapy use in dentally anxious children.Data extraction and synthesisRisk of bias was assessed by two independent reviewers according to the Cochrane Collaboration tool. Clinical and methodological heterogeneity were assessed to determine whether a meta-analysis could be performed but the data were not similar enough and therefore a narrative synthesis is provided.ResultsSix studies were included, all written in English between 1980 and 2017. Two were completed in the United States, one in Jamaica, one in Iran, one in Sweden and one in Norway and included 269 patients in total ranging from 41 months to 18 years. Two studies had high risk of bias. In five studies, CBT patients showed significantly reduced levels of anxiety. In three studies improvement was observed in cooperation/behaviour. In two studies, avoidance behaviours improved.ConclusionsCBT has been shown in published literature to have a positive effect on childrens anxiety and co-operation; however the quality of evidence for this is low. There is no current consensus on which outcome measure/s should be used, which prevents meta-analysis of results. Further randomised controlled studies are required, ideally using the same outcome measures, to develop evidence based guidance on the use of CBT in dentally anxious children.

A cross-sectional evaluation of children preference for dentist attire and syringe type in reduction of dental anxiety

Fear of a dental child is most commonly associated with dentist attire and usage of syringe. The objective of the study was to evaluate the preference of dentist's attire and kind of syringe (conventional or camouflage) among different age groups of children. In this cross-sectional study A total of 750 children aged 4-14 years were included in the study. All the participants were subdivided into five major groups according to their age, i.e., 4-5 years, 6-7 years, 8-9 years, 10-11 years, and 12-14 years. A set of six photographs which included dentists in white-colored apron, pink-colored apron, green-colored apron, blue-colored apron, and gown with cartoon character and dentists without apron (formal attire) along with: (a) camouflage syringe and (b) conventional syringe were provided to every child and was asked to give his/her preference looking at the six set of pictures. The preference of each child was thus recorded. Children's anxiety level during injections and dentist attire was assessed and recorded using two anxiety scales, i.e. the Modified Child Dental Anxiety Scale faces version and Facial Image Scale. SPSS statistical software and Chi-square test were used. (P < 0.05). A majority of 35.3% participants in the 4-5-years age group preferred aprons with cartoon character, while 65.3% in the 12-14-years age group selected white apron as the preferred choice. Regarding preference of the syringe type, it was observed that 82% of the younger age preferred camouflage syringe and 75% of the older age preferred conventional syringe. On comparison of both the scales, no significant differences were found. About 82% children in the older age group were reported to be nonanxious with white attire and only 14% were anxious with the conventional syringe type. Younger children have a greater preference of colorful attire of dentist and camouflage syringe over the conventional one when compared to older children.

Protocol for a feasibility study of a self-help cognitive behavioural therapy resource for the reduction of dental anxiety in young people.

BackgroundChildhood dental anxiety is very common, with 10–20 % of children and young people reporting high levels of dental anxiety. It is distressing and has a negative impact on the quality of life of young people and their parents as well as being associated with poor oral health. Affected individuals may develop a lifelong reliance on general anaesthetic or sedation for necessary dental treatment thus requiring the support of specialist dental services. Children and young people with dental anxiety therefore require additional clinical time and can be costly to treat in the long term. The reduction of dental anxiety through the use of effective psychological techniques is, therefore, of high importance. However, there is a lack of high-quality research investigating the impact of cognitive behavioural therapy (CBT) approaches when applied to young people’s dental anxiety.Methods/designThe first part of the study will develop a profile of dentally anxious young people using a prospective questionnaire sent to a consecutive sample of 100 young people referred to the Paediatric Dentistry Department, Charles Clifford Dental Hospital, in Sheffield. The second part will involve interviewing a purposive sample of 15–20 dental team members on their perceptions of a CBT self-help resource for dental anxiety, their opinions on whether they might use such a resource with patients, and their willingness to recruit participants to a future randomised controlled trial (RCT) to evaluate the resource. The third part of the study will investigate the most appropriate outcome measures to include in a trial, the acceptability of the resource, and retention and completion rates of treatment with a sample of 60 dentally anxious young people using the CBT resource.DiscussionThis study will provide information on the profile of dentally anxious young people who could potentially be helped by a guided self-help CBT resource. It will gain the perceptions of dental care team members of guided self-help CBT for dental anxiety in young people and their willingness to recruit participants to a trial. Acceptability of the resource to participants and retention and completion rates will also be investigated to inform a future RCT.

What is the Most Effect Treatment for the Management of Dental Anxiety among Adults? A Systematic Review of Interventions

This review aimed to find the most effective intervention for the management of dental anxiety among adults by way of a systematic review of Randomised controlled trials. Compared to European and US counterparts, the number of studies concerning the management of dental anxiety in the United Kingdom is limited. Several interventions have been reported with varying modes of action and duration. Two main groups of interventions: pharmacological and psychological/behavioural have been implemented. The pharmacological interventions employ the use of centrally acting sedatives whereas the psychological/behavioural interventions serve to change the behavioural and learning effects of dental anxiety. A third group operationally defined as “Complementary” for the purpose of this review consists of holistic therapies such as acupuncture, music distraction and aromatherapy for in the management of dental anxiety. Although reduction of dental anxiety before and after dental treatment has been recorded historically in the majority of trials, these have mainly investigated psychological/behavioural interventions. Exploring more recent trials, this study uncovers the benefits of complementary interventions for managing dental anxiety in adults and computer based variants of psychological/behavioural interventions. None compared the efficacy of one type or group against the other. Also, outcomes such as avoidance of dental treatment and economic implication of interventions were scarcely evaluated thus evidence on this remains inconclusive. The need for further investigation of these outcomes as well as those in Complementary Therapies is justified.

Effect of aromatherapy on dental patient anxiety: A randomized controlled trial

Introduction: Dental anxiety is a common and potentially distressing problem, both for the patients and for dental practitioners. It is considered to be the main barrier and affects the working lives of dental professional potentially compromising their performance. Aim: To know the effect of aromatherapy in the reduction of dental anxiety and to compare the anxiety levels of dental patients with the control group. Materials and Methods: A randomized controlled trial design was used. Of 40 dental clinics in Khammam town, 10 dental clinics were selected by simple random sampling method. A total of 100 patients attending the dental clinic for the first time were included in the study. Ambient odor of lavender was maintained with a candle warmer. A questionnaire comprising demographic information, smoking status, Modified dental anxiety scale (Humphries et al . in 1995), was given to the patients when they were waiting in the waiting room. Student's t -test and ANOVA test were used for data analysis. The level of significance was set at 0.05. Results: Considerable decrease in anxiety scores in 3 age groups was observed. A statistically significant ( P = 0.002) decrease with age in mean anxiety score. A significant difference in anxiety scores of lavender group, a significant decrease of anxiety scores with an increase of age. Conclusion: Lavender decreased the current anxiety scores of patients effectively.