Aim: To compare the effect of the traditional white coat or green scrubs on preoperative dental anxiety.
Material and Methods: Among 411 adult patients who applied for tooth extraction, 60 patients were included (27 males, 33 females, age between 18 and 65, mean age 42 ± 12.27). They were randomly divided into two groups. The physician wore a traditional long sleeved white coat in the first group (group 1, n=30), and a long sleeved green scrubs in the second group (group 2, n=30). After the medical history was taken and before the clinical examination, anxiety level of the patient was measured with a visual analog scale and recorded as “1. measurement”. After the local anesthesia was done, we waited for 5 minutes and the anxiety level was measured again and recorded as “2. measurement”. The compliance of the data to the normal distribution was examined by Shapiro-Wilk test, and t test was used for intergroup comparison and paired t test was employed for intragroup comparisons.
Results: The initial anxiety levels of the patients in Group 1 were significantly higher than that of Group 2 (p <.05). In both groups, the anxiety level significantly decreased in the second measurement (p <.05). On the other hand, in the second measurements, there was no significant difference between the groups (p> .05).
Conclusion: A traditional white coat causes more anxiety than green scrubs in adult patients. This issue should be taken into consideration in patients with severe anxiety.
1. Humphris G, Ling MS. Behavioural sciences for dentistry. London: Churchill Livingstone; 2000. 149 p.
2. Kritsidima M, Newton T, Asimakopoulou K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised-controlled trial. Community Dent Oral Epidemiol. 2010;38(1):83–7.
3. Plampling D. Behavioural science and dentistry. J Dent. 1990;18:286–7.
4. Mattoo K, Rathi N, Goswami R. Differences in mental attitude towards extensive dental treatments between two siblings suffering from amelogenesis ımperfecta –Two case reports and literature review. IJDSR. 2014;2(6):123–7.
5. Steele JG, Treasure E, Pitts NB, Morris J, Bradnock G. Total tooth loss in the United Kingdom in 1998 and implications for the future. Br Dent J. 2000;189(11):598–603.
6. Lindsay SJE. The perception by dentists and patients of fear in dental treatment. In: F.J.McGuigan, editors. Stress and tension control 2. New York: Springer ABD; 1984. p. 213–22.
7. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842–8.
8. Kent GG, Blinkhorn AS. The psychology of dental care. 2nd ed. 1991. p. 1–28.
9. Glaros AG, Gadbury-Amyot CC. How personal protective equipment affects perceptions of dentists. J Am Dent Assoc. 1993;124(10):82–8; discussion 90.
10. Siegel LJ, Smith KE, Cantu GE, Posnick WR. The effects of using infection-control barrier techniques on young children’s behaviour during dental treatment. ASDC J Dent Child. 1992;59(1):17–22.
11. Berscheid E, Gangestad S. The social-psychological ımplications of facial physical attractiveness. Clin Plast Surg.1982;9:289–96.
12. Dunn JJ, Lee TH, Percelay JM, Fitz JG, Goldman L. Patient and house officer attitudes on physician attire and etiquette. JAMA. 1987;257(1):65–8.
13. Thomas DP, Brett P. What is next in educational research? 2016. p. 285–95.
14. Barrett TG, Booth IW. Sartorial eloquence: does it exist in the paediatrician-patient relationship?. BMJ. 1994;309(6970):1710–2.
15. Coulthard P. Conscious sedation guidance. Evid Based Dent. 2006;7(4):90–1.
16. Vagnoli L, Caprilli S, Robiglio A, Messeri A. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. J. Pediatr. 2005;116(4):563–7.
18. Mistry D, Tahmassebi JF. Children’s and parents’ attitudes towards dentists’ attire. EAPD. 2009.10: 237–40.
19. Kuscu OO, Çağlar E, Kayabaşoğlu N, Sandalli N. Preferences of dentist’s attire in a group of Istanbul school children related with dental anxiety. EAPD. 2009.;10:38–41.
20. AlSarheed M. Children’s perception of their dentists. Eur. J. Dent. 2011.5:186–90.
21. Nair BR, Mears SR, Hitchcock KI, Attia JR. Evidence‐based physicians’ dressing: a crossover trial. Med. J. Aust. 2002;177: 681–2.
22. McCarthy JJ, Christine McCarthy M, Eilert RE. Children’s and parents' visual perception of physicians. Clin Pediatr. 1999;38:145–52.
23. Kelly GR, Shroff B, Best AM, Tufekci E, Lindauer SJ. Parents’ preferences regarding appearance and attire of orthodontists. Angle Orthod. 2014;84(3):404–9.
24. Shulman ER, Brehm WT. Dental clinical attire and infection-control procedures. Patients’ attitudes. J Am Dent Assoc. 2001;132(4):508–16.
25. Kamavaram Ellore VP, Mohammed M, Taranath M, Ramagoni NK, Kumar V, Gunjalli G. Children and parent’s attitude and preferences of dentist's attire in pediatric dental practice. Int J Clin Pediatr Dent. 2015;8(2):102–7.
Beyaz Önlük veya Yeşil Ameliyathane Önlüğü Giyen Hekim Tarafından Yapılan Muayenenin Preoperatif Dental Anksiyete Üzerine Etkisinin Karşılaştırılması
Year 2020,
Volume: 2 Issue: 3, 113 - 116, 31.12.2020
Amaç: Hekimin geleneksel beyaz önlük veya ameliyathane önlüğü giymesinin preoperatif dental anksiyete üzerine etkisinin karşılaştırılması.
Gereç ve Yöntemler: Diş çekimi için başvuran 411 yetişkin hastadan, 60 hasta çalışmaya dahil edildi (27 erkek ve 33 kadın; yaş aralığı 18-65, ortalama yaş 42 ± 12.27). Hastalar rastgele iki gruba ayrıldı. Hekim bir grupta tüm çalışma boyunca uzun kollu beyaz önlük (grup 1, n=30) diğer grupta ise uzun kollu yeşil ameliyathane önlüğü giydi (grup 2, n=30). Anamnez alındıktan sonra ve muayeneden önce, her iki grupta da kaygı seviyesi görsel analog skala ile ölçüldü ve “1. ölçüm” olarak kaydedildi. Lokal anestezi yapıldıktan sonra 5 dk beklendi, anksiyete seviyesi tekrar ölçüldü ve “2. ölçüm” olarak kaydedildi. Verilerin normal dağılıma uyumuna Shapiro-Wilk testi ile bakıldı ve gruplar arası karşılaştırma için t testi, grup içi karşılaştırmalar için eşleştirilmiş t testi yapıldı. İstatistiksel önem seviyesi p < .05 olarak belirlendi.
Bulgular: Grup 1’deki hastaların ilk anksiyete seviyeleri Grup 2’den önemli miktarda daha fazlaydı (p<.05). Her iki grupta da ikinci ölçümde anksiyete seviyesinin anlamlı derecede azaldığı gözlendi (p<.05). Öte yandan anksiyete seviyesinin ikinci ölçümlerinde ise gruplar arasında fark kalmamıştı (p>.05).
Sonuç: Yetişkin hastalarda beyaz önlük yeşil ameliyathane kıyafetine göre daha fazla anksiyeteye yol açmaktadır. Aşırı anksiyeteli hastalarda bu husus göz önünde bulundurulmalıdır.
1. Humphris G, Ling MS. Behavioural sciences for dentistry. London: Churchill Livingstone; 2000. 149 p.
2. Kritsidima M, Newton T, Asimakopoulou K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised-controlled trial. Community Dent Oral Epidemiol. 2010;38(1):83–7.
3. Plampling D. Behavioural science and dentistry. J Dent. 1990;18:286–7.
4. Mattoo K, Rathi N, Goswami R. Differences in mental attitude towards extensive dental treatments between two siblings suffering from amelogenesis ımperfecta –Two case reports and literature review. IJDSR. 2014;2(6):123–7.
5. Steele JG, Treasure E, Pitts NB, Morris J, Bradnock G. Total tooth loss in the United Kingdom in 1998 and implications for the future. Br Dent J. 2000;189(11):598–603.
6. Lindsay SJE. The perception by dentists and patients of fear in dental treatment. In: F.J.McGuigan, editors. Stress and tension control 2. New York: Springer ABD; 1984. p. 213–22.
7. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842–8.
8. Kent GG, Blinkhorn AS. The psychology of dental care. 2nd ed. 1991. p. 1–28.
9. Glaros AG, Gadbury-Amyot CC. How personal protective equipment affects perceptions of dentists. J Am Dent Assoc. 1993;124(10):82–8; discussion 90.
10. Siegel LJ, Smith KE, Cantu GE, Posnick WR. The effects of using infection-control barrier techniques on young children’s behaviour during dental treatment. ASDC J Dent Child. 1992;59(1):17–22.
11. Berscheid E, Gangestad S. The social-psychological ımplications of facial physical attractiveness. Clin Plast Surg.1982;9:289–96.
12. Dunn JJ, Lee TH, Percelay JM, Fitz JG, Goldman L. Patient and house officer attitudes on physician attire and etiquette. JAMA. 1987;257(1):65–8.
13. Thomas DP, Brett P. What is next in educational research? 2016. p. 285–95.
14. Barrett TG, Booth IW. Sartorial eloquence: does it exist in the paediatrician-patient relationship?. BMJ. 1994;309(6970):1710–2.
15. Coulthard P. Conscious sedation guidance. Evid Based Dent. 2006;7(4):90–1.
16. Vagnoli L, Caprilli S, Robiglio A, Messeri A. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. J. Pediatr. 2005;116(4):563–7.
18. Mistry D, Tahmassebi JF. Children’s and parents’ attitudes towards dentists’ attire. EAPD. 2009.10: 237–40.
19. Kuscu OO, Çağlar E, Kayabaşoğlu N, Sandalli N. Preferences of dentist’s attire in a group of Istanbul school children related with dental anxiety. EAPD. 2009.;10:38–41.
20. AlSarheed M. Children’s perception of their dentists. Eur. J. Dent. 2011.5:186–90.
21. Nair BR, Mears SR, Hitchcock KI, Attia JR. Evidence‐based physicians’ dressing: a crossover trial. Med. J. Aust. 2002;177: 681–2.
22. McCarthy JJ, Christine McCarthy M, Eilert RE. Children’s and parents' visual perception of physicians. Clin Pediatr. 1999;38:145–52.
23. Kelly GR, Shroff B, Best AM, Tufekci E, Lindauer SJ. Parents’ preferences regarding appearance and attire of orthodontists. Angle Orthod. 2014;84(3):404–9.
24. Shulman ER, Brehm WT. Dental clinical attire and infection-control procedures. Patients’ attitudes. J Am Dent Assoc. 2001;132(4):508–16.
25. Kamavaram Ellore VP, Mohammed M, Taranath M, Ramagoni NK, Kumar V, Gunjalli G. Children and parent’s attitude and preferences of dentist's attire in pediatric dental practice. Int J Clin Pediatr Dent. 2015;8(2):102–7.
Yakut K, Işık BK. Beyaz Önlük veya Yeşil Ameliyathane Önlüğü Giyen Hekim Tarafından Yapılan Muayenenin Preoperatif Dental Anksiyete Üzerine Etkisinin Karşılaştırılması. NEU Dent J. 2020;2(3):113-6.