Study of emotional and psychological factors that may interfere in the dental treatment

2009 
Introduction - Submission to dental treatment has been reported by patients as a condition giving rise to stress because they may experience some discomfort causing them to postpone visits to the dental office because of situations that include pain. Identify these conditions is a challenge that dentists should include their care procedures in order to modify this pessimistic view where the main focus (oral health) can be achieved. This work results in the identification of factors that interfere with patient-dentist approximation for the dental treatment. Material and Method - We interviewed 54 patients. Results - The results were significant: 14.85% said they going to the dental office is stressful, 83.3% reported that the dentist managed to deal with fear and anxiety during the dental treatment, 22.0% had requested to stop a consultation because of not keeping the self control. The most common symptoms: palpitations, cold hands, panic, increased sweating. When questioned about what most frightened them: equipment used during the consultations is the main cause of fear. Conclusion - It was concluded that the patient-dentist relationship is a complex and extensive subject, however, it identifies situations that may be related to fear, so that when controlled it facilitates adherence and reduce the dropout to dental treatments, improving clinical and practical care and the patient approach to the dentist.(AU) Introducao - Submeter a tratamento odontologico (TO) tem sido relatado, por pacientes, como condicao geradora de estresse, pois acredita-se experimentar algum desconforto levando-os a adiar idas aos consultorios odontologicos a situacoes limitrofes como a dor. Identificar tais condicoes e mais um desafio que os cirurgioes-dentistas (CD) devem incluir aos seus atendimentos, com objetivo de modificar esta visao pessimista onde o foco principal (saude bucal) possa ser atingido. Este trabalho resulta na identificacao dos fatores que interferem na aproximacao paciente-CD para o TO. Material e Metodo - Foram entrevistados 54 pacientes. Resultados - Os resultados foram significativos: 14,85% afirmaram que ir ao consultorio odontologico e estressante, 83,3% relataram que o CD conseguiu lidar com situacoes de medo e ansiedade durante o TO; 22,0% ja solicitaram interromper a consulta por nao conseguir manter o autocontrole. Os sintomas mais frequentes: palpitacoes, maos frias, pânico, sudorese aumentada. Quando interrogados sobre o que mais os amedrontam: equipamentos utilizados durante os atendimentos sao principais desencadeadores de medo. Conclusao - Conclui-se que a relacao paciente-CD e um assunto complexo e extenso, contudo, identifica as situacoes que devem ser relacionadas ao medo, para que, ao contorna-las possam facilitar aderencia e diminuir evasao aos TO, melhorando o atendimento clinico-pratico bem como a aproximacao dentista-paciente.(AU)
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