Evaluation of the effect of immediate or delayed operation on dental anxiety and dental fear in patients with impacted wisdom teeth

Year 2019, Volume: 3 Issue: 2, 74 - 80, 30.12.2019

Siavash Abbasgholizadeh , Ferit Bayram , Gökhan Gedikli Can Ilgın Yaşar Özkan

https://doi.org/10.35333/ERD.2019.106

Abstract

Purpose: The purpose of this study is to
evaluate the effect of immediate or delayed operation on dental anxiety and dental
fear in patients with impacted wisdom teeth.

Material and methods: 40 patients who
referred for wisdom tooth extraction and
did not extract wisdom tooth before were divided into two groups randomly. 20 of
the patients tooth extraction was made on the indication day. 20 of the
patients were given an appointment for tooth extraction. Spielberger dental
anxiety scale, dental fear scale and visual analog scale was used to evaluate
the dental anxiety and dental fear. Wallis test, Mann Whitney U test, Friedman
test, Wilcoxon test were used for the evaluation of the study data.

Results: The patients who extracted
their tooth on the day they applied to the faculty have shown significantly
lower State Trate Anxiety Scale Score than the other group (p<0,05). Dental
anxiety level of the female patients significantly higher than males
(p<0,05). Pain scores of patients with high dental anxiety were also
significantly higher (p<0,05).

Conclusion: Giving an appointment for
the wisdom tooth extraction can increase the anxiety and pain levels of
patients, and it will be beneficial for patients to perform the operations
immediately.

Keywords

dental anxiety, dental fear, state anxiety scale, dental fear scale, visual analog scale

Gömülü Yirmi Yaş Dişi Çekimi Endikasyonu Konulmuş Hastalarda Operasyonun Hemen ya da Gecikmeli Yapılmasının Dental Anksiyete ve Dental Korku Üzerine Etkisinin Değerlendirilmesi

Abstract

Amaç: Gömülü yirmi yaş dişi çekimi
endikasyonu konulmuş hastalarda operasyonun hemen ya da gecikmeli yapılmasının
dental anksiyete ve dental korku düzeyine etkisinin değerlendirilmesidir.

Gereç ve Yöntem: Gömülü yirmi yaş dişi çekimi için başvuran ve
çekim endikasyonu konulmuş hastalardan çalışmaya katılmayı kabul eden, daha
önce gömülü yirmi yaş dişi çektirmemiş 40 gönüllü randomize olarak ikiye
ayrıldı. Gönüllülerin yarısına endikasyon konulduğu gün, diğer yarısına randevu
verilerek başka bir gün işlem yapıldı. Tüm gönüllülerin dental anksiyete,
dental korku ve ağrı seviyelerini kaydetmek amacıyla Durumluluk Kaygı Ölçeği,
Dental Korku Skalası, Vizüal Analog Skala kullanıldı. Çalışma verileri
değerlendirilirken Kruskal Wallis testi, Mann Whitney U testi, Friedman testi,
Wilcoxon testi kullanıldı.

Bulgular:
Fakülteye
başvurduğu gün işlem yapılan gönüllülerin Durumluluk Kaygı Ölçeği değerleri
randevu verilerek işlem yapılan gönüllülerden anlamlı olarak daha düşük
bulunmuştur (p<0,05). Kadın gönüllülerin dental anksiyete değerleri
erkeklere göre anlamlı olarak daha yüksek bulunmuştur (p<0,05).  Dental anksiyetesi yüksek olan randevulu
gruptaki gönüllülerin ağrı skorları da anlamlı olarak yüksek bulunmuştur
(p<0,05).

Sonuçlar: Gömülü yirmi yaş dişi
cerrahisi için randevu verilmesi hastaların anksiyete ve ağrı seviyelerini
yükseltebildiğinden, operasyonların hemen yapılması hastaların yararına
olacaktır.

Keywords

dental anksiyete, dental korku, durumluluk kaygı ölçeği, dental korku skalası, vizüel analog skala

References

• 1. Zafersoy Akarslan Z, Erten H. Diş Hekimliği Korkusu ve Kaygısı. CDR. 2009;1:62–8.
• 2. Armfield JM, Spencer AJ, Stewart, JF. Dental fear in Australia: who's afraid of the dentist? Aust Dent J. 2006; 51:(1)78-85.
• 3. Arntz A, van Eck M, Heijmans M. Predictions of dental pain: the fear of any expected evil, is worse than the evil itself. Behav Res Ther. 1990; 28:29-41.
• 4. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc.1994;109: (2) 247-251.
• 5. Neverlien PO, Backer JT. Optimism-pessimism dimension and dental anxiety in children aged 10-12 years. Community Dent Oral Epidemiol. 1991;19(6):342–6. .6. Weiner AA, Sheehan DV. Etiology of dental anxiety: psychological trauma or CNS chemical imbalance? Gen Dent. 1990; 38(1):39–43.
• 7. Akarslan ZZ, Yıldırım Biçer AZ. Influence of gag reflex on dental attendance, dental anxiety, self-reported temporomandibular disorders and prosthetic restorations. J Oral Rehabil. 2013; 40(12):932–9.
• 8. Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int. 2006; 37(4):304–10.
• 9. Quteish Taani DS. Dental fear among a young adult Saudian population. Int Dent J. 2001; 51(2):62–6.
• 10. Oosterink, FM., de Jongh, A, Hoogstraten J. Prevalence of dental fear and phobia relative to other fear and phobia subtypes. 2009; Eur J Oral Sci 117:135-143.
• 11. Wong M, Lytle WR. A comparison of anxiety levels associated with root canal therapy and oral surgery treatment. J Endod. 1991; 17:461-465.
• 12. Udoye CI, Oginni AO, and Oginni FO. Dental anxiety among patients undergoing various dental treatments in a Nigerian teaching hospital. 2005; J Contemp Dent Pract 6:91-98.
• 13. Moore R, Birn H, Kirkegaard E, Brodsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol. 1993; 21: (5) 292-296.
• 14. Muglali M, Komerik N. Factors related to patients’ anxiety before and after oralsurgery. J Oral Maxillofac Surg 2008;66:870–7.
• 15. Kim YK, Kim SM, Myoung H. Independent predictors of satisfaction in impacted third molarsurgery patients. Community Dent Oral Epidemiol 2010;38:274–86.
• 16. McNeil DW, Helfer AJ, Weaver BD, Graves RW, Kyle BN, Davis AM. Memory of pain and anxiety associated with tooth extraction. J Dent Res 2011;90:220–4.
• 17. Seto M, Sakamoto Y, Takahashi H, Kita R, Kikuta T. Does planned intravenous sedation affect preoperative anxiety in patients? Int J Oral Maxillofac Surg 2012; 42:497–501.
• 18. Abdeshahi SK, Hashemipour MA, Mesgarzadeh V, Shahidi Payam A, Halaj Monfared A. Effect of hypnosis on induction of local anaesthesia, pain perception, control of haemorrhage and anxiety during extraction of third molars: a case–control study. JCraniomaxillofac Surg 2013;41:310–5.
• 19. Glaesmer H, Geupel H, Haak R. A controlled trial on the effect of hypnosis on dental anxiety in tooth removal patients. Patient Educ Couns 2015;98:1112–5.
• 20. Kazancioglu HO, Tek M, Ezirganli S, Demirtas N. Does watching a video on third molar surgery increase patients’ anxiety level? Oral Surg Oral Med Oral Pathol Oral Radiol 2015;119:272–7.
• 21. Tarazona B, Tarazona-Alvarez P, Penarrocha-Oltra D, Rojo-Moreno J, PenarrochaDiago M. Anxiety before extraction of impacted lower third molars. Med Oral Patol Oral Cir Bucal 2015;20:246-50.
• 22. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973; 86 (4), 842-848.
• 23. Williams DA. In: Gatchel RJ, Turk DC, editors. Psychosocial factors in pain. New York: Guilford; 1999;p: 151-163.
• 24. Muğlalı M. Ağız cerrahisi ve anksiyete. Cumhuriyet Üniv Diş Hek Fak Derg.2005; 8:83-88.
• 25. Yusa H, Onizawa K, Hori M, Takeda S, Takeda H, Fukushima S, Yoshida H. Anxiety measurements in university students undergoing third molar extraction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:23-27.
• 26. Stouthard ME, de Jongh A, Hoogstraten J. Dental anxiety: the use of photographs. Ned Tijdschr Tandheelkd. 1991; 98(4):152–5.
• 27. Jongh A, Ollf M, Hoolwerff H, Irene HA. Anxiety and posttraumatic stress symptoms following wisdom tooth removal. Behav Res and Ther. 2008; 46: 1305-10.
• 28. Lopez- Journet P, Camacho-Alonso F, Sanchez- Siles M. Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. Br J Oral and Maxillofac Surg. 2014; 52: 18–23.
• 29. Ragnarsson E. Dental fear and anxiety in an adult Icelandic population. Acta Odontol Scand. 1998; 56(2): 100-104.
• 30. Egbor PE, Akpata O. An evaluation of the sociodemographic determinants of dental anxiety in patients scheduled for intra-alveolar extraction. Libyan J Med. 2014;9:25-43.
• 31. Keogh E, Mansoor L. Investigating the effects of anxiety sensitivity and coping on the perception of cold pressor pain in healthy women. Eur J Pain. 2001;5:11-22.
• 32. Keogh E,Chaloner N. The moderating effect of anxiety sensitivity on caffeine-induced hypoalgesia in healthy women. Psychopharmacology. 2002;164:429-431.
• 33. Schmidt NB, Cook JH. Effects of anxiety sensitivity on anxiety and pain during a cold pressor challenge in patients with panic disorder. Behav Res Ther.1999; 37:313-323.
• 34. Scott LE, Clum GA, Peoples JB. Preoperative predictors of postoperative pain. Pain.1993;15(3): 283-293.
• 35. Vallerand WP, Vallerand AH, Heft M. The effects of postoperative preparatory information on the clinical course following third molar extraction. J Oral Maxillofac Surg. 1994;52(11): 1165-1170.