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    Patient–dentist relationship and dental anxiety among young Sudanese adult patients
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    Keywords:
    Outpatient clinic
    Dental treatments
    Demographics
    Dental fear
    Cross-sectional study
    To assess the prevalence of dental avoidance due to dental fear and economic burden and its distribution by utilization of dental care and socio-behavioural characteristics.
    Dental fear
    Norwegian
    Cross-sectional study
    Citations (4)
    ABSTRACT Expansion of French health insurance coverage has increased funding for dental care for economically disadvantaged adults. This study aimed to measure clinical and self‐perceived oral health, behaviors, and use of dental services by adults who were eligible for such coverage. The regional agency that gives administrative services for the health insurance funds provided a sample of 900 adults aged 35–44 years, insured through this program. We reached 805 of these adults by mail; of these 18% were surveyed and clinically examined. Self‐perceived oral health was measured by the Global Oral Health Assessment Index (GOHAI) and participants' attitudes to dental health, by questionnaire. Decayed and Missing teeth constituted 40% of the DMFT. Participants reported poor oral health (63%), and 79% perceived a need for care, although they used dental services infrequently and had poor knowledge of available services. Cost of care and number of carious teeth were important predictors of the GOHAI.
    Disadvantaged
    Dental insurance
    Oral health care
    The aim of the study was to evaluate the lasting results of treatment designed to increase cooperative behaviour in children with advanced anxiety or fear of the dental situation. The first 50 children referred in 1976 to the pedodontic clinic in Orebro, Sweden, on account of management problems, were chosen. Of these children 45 were able to participate in a follow-up study in 1982, comprising information from records and from questionnaires sent to the child/parent as well as to the referring dentist. In 1976 most of the children had not accepted dental treatment for several years and were in great need of dental care. Nevertheless, after systematic stepwise learning, based on the "tell-show-do" method, together with reinforcement, 36 children could be treated conventionally and another 5 after preoperative sedation. In 4 cases postponement was chosen. Of the total treatment time, 28 per cent was spent on managing behaviour problems. If all treatment, including injection, had been carried out with positive acceptance in 1976, as well as during the following 5 years, without the patient being fearful or having physical symptoms, the lasting result of managing behaviour problems was considered positive. These criteria were fulfilled in 78 per cent of the cases. Furthermore, the results indicate that the main reason for dental behaviour problems usually lies in the child's prior experience of the dental situation and that the present treatment model is effective in reducing dental fear and gives most children a lasting positive attitude to dental care and dental health.
    Dental fear
    Postponement
    Dental health
    Citations (18)
    Follow-up clinical studies of treatment for dental fear and avoidance behavior are infrequent in the literature. The present investigation reports follow-up results over more than two years from 84 out of 99 patients treated for dental fear in a Swedish community-based dental fear clinic. Broad-based behavioral therapy (BT) or general anesthesia (GA), both in combination with adjusted conventional dental treatment, were used. The frequency of patients' attendance for regular dental care after two years was unchanged or even somewhat increased and was significantly higher in those who had received the BT therapy. Most patients stated that they had no problems after leaving the dental fear clinic. Among patients reporting such problems, the change of dentist was most frequently reported. The level of dental anxiety as measured by Corah's DAS was still at a low level, in spite of a slight increase over the two years since initial therapy.
    Dental fear
    Attendance
    Dental treatments
    Dental fear is one of the highly prevalent types of fear which deters patients from seeking dental cares.This study aims to assess the influence of a previous dental visit experience for seeking dental care among adults.Young adults (n = 150, 15-26 years) with previous dental visit for care were selected randomly among outpatients' visit in tertiary dental teaching hospital. To assess the influence of previous experience of dental visit in seeking care, we self-administered a Post-traumatic Check List-Civilian Version [posttraumatic stress disorder (PTSD)], an Autobiographical Memory Questionnaire (AMQ), and a Dental Fear Survey (DFS). The relationship of negative and positive experience of previous dental treatment, dental fear, and symptoms of PTSD was assessed using Pearson's correlations. Spearman's rho was used to find out the correlation between the DFS and PCL-C and history of dental treatment undergone.The mean score of the DFS and PCL-C was found to be 69.57 and 40.17, respectively. The characteristics of the most negative experience including physical reactions (P = 0.936), emotional intensity (P = 0.935), sight (P = 0.941), smell (P = 0.917), and sound (P = 0.911) of dental treatment showed a significant relationship with dental fear, whereas the characteristics of the most positive memory of dental treatment showed only a few statistically significant associations with dental fear. Most of the symptoms of PTSD also show significant associations (P < 0.05) with characteristics of the most negative memory. Spearman's correlation between the DFS and the PCL-C was also statistically significant, r (150) =0.365, indicating that dental fear is indeed associated with symptoms of PTSD.There is a significant association between the characteristics of the most negative experiences of dental treatment and increased dental fear in young adults, while positive experiences did not show the inverse relationship with dental fear.
    Dental fear
    Negative correlation
    Positive correlation
    Citations (16)
    Objectives : The purpose of this study was to measure the fear of dental care and analyze the related factors between reliability for members in dental office and fear of dental care, dental office. Methods : Located in Gwangju, 260 college women who had dental experience in the past year were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and related factors in the fear of dental care and the reliability about dental health care workers of one way ANOVA, Tukey test for Post-Hoc test. and were factors associated with dental fear of the stepwise multiple regression analysis was performed. Results : The fear will be higher when subjective oral health status is considered lower, the reliability of dental health care workers is lower(p<0.05). Evasion and overall fear, overall fear and stimulations of dental care, stimulations of dental care and overall feeling were related(p<0.05). Conclusions : The reliability of dental health care workers is lower and subjective oral health status is considered lower, the fear of dental care increase and everage number of brushing has increased, the fear of dental care decrease.
    Dental fear
    Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants.Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. Weconducted the student t-test, One-way Anova and Tukey’s post hoc for the analysis of our data. The Pearson’s correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales.Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more.Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations.
    Dental fear
    Dental treatments
    Dental clinic
    Post-hoc analysis
    Outpatient clinic
    Citations (22)
    Objectives: The purpose of this study was to measure the fear of dental care and analyze the related factors between reliability for members in dental office and fear of dental care, dental office. Methods: Located in Gwangju, 260 college women who had dental experience in the past year were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and related factors in the fear of dental care and the reliability about dental health care workers of one way ANOVA, Tukey test for Post-Hoc test. and were factors associated with dental fear of the stepwise multiple regression analysis was performed. Results: The fear will be higher when subjective oral health status is considered lower, the reliability of dental health care workers is lower(p<0.05). Evasion and overall fear, overall fear and stimulations of dental care, stimulations of dental care and overall feeling were related(p<0.05). Conclusions: The reliability of dental health care workers is lower and subjective oral health status is considered lower, the fear of dental care increase and everage number of brushing has increased, the fear of dental care decrease.
    Dental fear
    Citations (0)
    Objective to prove the negative impact of dental fear during children's dental care. Methods Apply the Veerkamp J(1993)Standard, classify the 406 children in the kinder garden, and adopt different psychological care measures for different groups. Result With psychological care, 403, or 99.3% of the 406 children cooperated well with doctors during dental care.Conclusion Appropriate psychological care is an important means to help children cooperate with doctors during dental care.
    Dental fear
    Citations (0)