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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

Percentage frequency and percentage anxiety based on types of treatment for which adolescents approached the dentist in the past.
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fig6: Percentage frequency and percentage anxiety based on types of treatment for which adolescents approached the dentist in the past.

Mentions: Data was also obtained pertaining to the types of treatments that this adolescent population sought and is summarized in Figure 6. A majority of almost half of the students (49%) went for cavity-filling. Poor general hygiene may be a possible reason [30–33]. However, this procedure caused anxiety about 58.05% of the time. Such a high prevalence of carious dentition again contributes to the negligent patient visit until early adolescence [31]. According to the Oral Health Atlas published by the World Dental Federation, for caries, 83% of Indian adolescents aged between 6 years and 19 years were affected in 2003 [32]. About 18% of the sample went for teeth scaling procedures. Because the treatment is centered on better looks and appearance, without any prominent pain of drilling involved, it caused the least anxiety of 47%. The category of braces treatment followed next in line with a frequency of 15%. Although braces, too, are primarily concerned with better alignment of the teeth, this also may be the first time an adolescent visits a dentist in the Indian scenario. This might be a reason for an anxiety score of 57%. Because the time of ortho treatment and the first probable visit coincided in many of the individuals, their anxiety was cumulative to both. They were anxious due to the various complex treatments, wires, and long durations involved during orthodontic therapy. Past researchers indicate that complex treatments like orthodontics evoked higher anxiety [27,34].


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

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

Percentage frequency and percentage anxiety based on types of treatment for which adolescents approached the dentist in the past.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig6: Percentage frequency and percentage anxiety based on types of treatment for which adolescents approached the dentist in the past.
Mentions: Data was also obtained pertaining to the types of treatments that this adolescent population sought and is summarized in Figure 6. A majority of almost half of the students (49%) went for cavity-filling. Poor general hygiene may be a possible reason [30–33]. However, this procedure caused anxiety about 58.05% of the time. Such a high prevalence of carious dentition again contributes to the negligent patient visit until early adolescence [31]. According to the Oral Health Atlas published by the World Dental Federation, for caries, 83% of Indian adolescents aged between 6 years and 19 years were affected in 2003 [32]. About 18% of the sample went for teeth scaling procedures. Because the treatment is centered on better looks and appearance, without any prominent pain of drilling involved, it caused the least anxiety of 47%. The category of braces treatment followed next in line with a frequency of 15%. Although braces, too, are primarily concerned with better alignment of the teeth, this also may be the first time an adolescent visits a dentist in the Indian scenario. This might be a reason for an anxiety score of 57%. Because the time of ortho treatment and the first probable visit coincided in many of the individuals, their anxiety was cumulative to both. They were anxious due to the various complex treatments, wires, and long durations involved during orthodontic therapy. Past researchers indicate that complex treatments like orthodontics evoked higher anxiety [27,34].

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