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Dental Procedures, Oral Practices, and Associated Anxiety: A Study on Late-teenagers.

Bhola R, Malhotra R - Osong Public Health Res Perspect (2014)

Bottom Line: The majority of the Indian youngsters had an evasive attitude of delaying dental treatment.The core problems lay in deficient health care knowledge, lack of patient-sensitive pedagogy to train dental professionals, inaccessibility of services, and a dismissive attitude towards medical help.Methods of education and motivation could be developed to dissipate the anxiety amongst Indian teenagers that prevent routine dental visits and maintenance of adequate oral hygiene.

View Article: PubMed Central - PubMed

Affiliation: Department of Metallurgical & Materials Engineering, Colorado School of Mines, Golden, CO, USA.

ABSTRACT

Objectives: The study aims to determine the degree of anxiety pertaining to dental procedures and various oral hygiene practices among college teenagers.

Methods: Corah's Modified Dental Anxiety Scale was administered on a randomly chosen sample of 100 Indian college students (50 males and 50 females) of Delhi University, belonging to the age group of 17-20 years.

Results: Descriptive statistical computations revealed 12.14 years as the mean age of first dental visit, with moderately high levels of anxiety (60.75%) for various dental procedures among the Indian teenagers and 5% lying in the "phobic or extremely anxious" category. With merely 4.16% people going for regular consultations, general check-ups evoked 78.3% anxiety and having an injection or a tooth removed was perceived as the most threatening. The sample subgroup not using mouthwash and mouthspray, smokers, and alcohol drinkers with improper oral hygiene practices experienced much higher anxiety towards routine dental procedures.

Conclusion: The majority of the Indian youngsters had an evasive attitude of delaying dental treatment. The core problems lay in deficient health care knowledge, lack of patient-sensitive pedagogy to train dental professionals, inaccessibility of services, and a dismissive attitude towards medical help. The feelings of fear and anxiety prevalent among the Indian youth offer significant insights into causes and preventive measures for future research and practice. Methods of education and motivation could be developed to dissipate the anxiety amongst Indian teenagers that prevent routine dental visits and maintenance of adequate oral hygiene.

No MeSH data available.


Related in: MedlinePlus

Dental anxiety scales and their reported usage (in percent) according to a 2008 survey. Note. Adapted from Table 1 percentage usage, credited to JM Armfield, [1].
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fig1: Dental anxiety scales and their reported usage (in percent) according to a 2008 survey. Note. Adapted from Table 1 percentage usage, credited to JM Armfield, [1].

Mentions: An extensive literature review revealed that several psychometric indexes have been developed to measure dental anxiety among patients [1]. Researchers vary in their methodological usage of a series of questionnaires, single question surveys, and descriptive interviews. Some commonly used scales have been tabulated in Table 1[1], however, no single tool is complete enough to determine the holistic preview of an anxious patient. The dental anxiety scale, commonly referred to as the DAS index, developed by an American psychologist Norman Corah in 1968 [21,22], has been the most widely used. Its usage has been compared with other dental anxiety scales and is illustrated in Figure 1 based on the 2008 statistics [1]. The DAS index originally had a single question and was developed to measure the psychological stress in a dental situation [21], however, it was refined to four questions relating to the temporal and distal proximity related to a dental experience [22]. The Modified Dental Anxiety Scale/Index (MDAS) was developed by adding an additional question, related to local anesthetic injection, to the existing DAS inventory. The response options were further categorized into five subcategories, namely: not anxious, slightly anxious, fairly anxious, very anxious, and extremely anxious, to give the scale a quantitative approach. The literature indicates that DAS and MDAS constitute as research instruments in a majority of 31% research studies (as evident from Figure 1) and being fundamentally advanced, they are the most preferred tools by scientists all over the globe to measure fear and anxiety in a dental setting [1].


Dental Procedures, Oral Practices, and Associated Anxiety: A Study on Late-teenagers.

Bhola R, Malhotra R - Osong Public Health Res Perspect (2014)

Dental anxiety scales and their reported usage (in percent) according to a 2008 survey. Note. Adapted from Table 1 percentage usage, credited to JM Armfield, [1].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4215002&req=5

fig1: Dental anxiety scales and their reported usage (in percent) according to a 2008 survey. Note. Adapted from Table 1 percentage usage, credited to JM Armfield, [1].
Mentions: An extensive literature review revealed that several psychometric indexes have been developed to measure dental anxiety among patients [1]. Researchers vary in their methodological usage of a series of questionnaires, single question surveys, and descriptive interviews. Some commonly used scales have been tabulated in Table 1[1], however, no single tool is complete enough to determine the holistic preview of an anxious patient. The dental anxiety scale, commonly referred to as the DAS index, developed by an American psychologist Norman Corah in 1968 [21,22], has been the most widely used. Its usage has been compared with other dental anxiety scales and is illustrated in Figure 1 based on the 2008 statistics [1]. The DAS index originally had a single question and was developed to measure the psychological stress in a dental situation [21], however, it was refined to four questions relating to the temporal and distal proximity related to a dental experience [22]. The Modified Dental Anxiety Scale/Index (MDAS) was developed by adding an additional question, related to local anesthetic injection, to the existing DAS inventory. The response options were further categorized into five subcategories, namely: not anxious, slightly anxious, fairly anxious, very anxious, and extremely anxious, to give the scale a quantitative approach. The literature indicates that DAS and MDAS constitute as research instruments in a majority of 31% research studies (as evident from Figure 1) and being fundamentally advanced, they are the most preferred tools by scientists all over the globe to measure fear and anxiety in a dental setting [1].

Bottom Line: The majority of the Indian youngsters had an evasive attitude of delaying dental treatment.The core problems lay in deficient health care knowledge, lack of patient-sensitive pedagogy to train dental professionals, inaccessibility of services, and a dismissive attitude towards medical help.Methods of education and motivation could be developed to dissipate the anxiety amongst Indian teenagers that prevent routine dental visits and maintenance of adequate oral hygiene.

View Article: PubMed Central - PubMed

Affiliation: Department of Metallurgical & Materials Engineering, Colorado School of Mines, Golden, CO, USA.

ABSTRACT

Objectives: The study aims to determine the degree of anxiety pertaining to dental procedures and various oral hygiene practices among college teenagers.

Methods: Corah's Modified Dental Anxiety Scale was administered on a randomly chosen sample of 100 Indian college students (50 males and 50 females) of Delhi University, belonging to the age group of 17-20 years.

Results: Descriptive statistical computations revealed 12.14 years as the mean age of first dental visit, with moderately high levels of anxiety (60.75%) for various dental procedures among the Indian teenagers and 5% lying in the "phobic or extremely anxious" category. With merely 4.16% people going for regular consultations, general check-ups evoked 78.3% anxiety and having an injection or a tooth removed was perceived as the most threatening. The sample subgroup not using mouthwash and mouthspray, smokers, and alcohol drinkers with improper oral hygiene practices experienced much higher anxiety towards routine dental procedures.

Conclusion: The majority of the Indian youngsters had an evasive attitude of delaying dental treatment. The core problems lay in deficient health care knowledge, lack of patient-sensitive pedagogy to train dental professionals, inaccessibility of services, and a dismissive attitude towards medical help. The feelings of fear and anxiety prevalent among the Indian youth offer significant insights into causes and preventive measures for future research and practice. Methods of education and motivation could be developed to dissipate the anxiety amongst Indian teenagers that prevent routine dental visits and maintenance of adequate oral hygiene.

No MeSH data available.


Related in: MedlinePlus