Dental Anxiety Flashcards

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1
Q

Name 2 ways a person may become anxious?

A
  1. Direct conditioning

2. Indirect conditioning

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2
Q

What are 3 ways a person may be directly conditioned to be anxious of going to the dentist?

A
  1. Dental personnel
  2. Dental environment
  3. Aspects of dental treatment
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3
Q

What are 3 ways a person may be indirectly conditioned to be anxious of going to the dentist?

A
  1. Vicarious information

2. Media / social media

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4
Q

Describe the cycle for onset of dental anxiety

A
  • Fear / anxiety
  • Avoidance of dental care
  • Deterioration of dentition
  • Feelings of guilt, shame and inferiority
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5
Q

Describe the cycle for maintenance of dental anxiety

A
  • Avoidance
  • Poor oral health
  • Repeated painful events
  • Negative cognitions around dental stimuli
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6
Q

What are 4 wider impacts of dental anxiety?

A
  1. Emotional problems
  2. Social anxiety
  3. Poor self-image
  4. Lower life satisfaction
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7
Q

What is the difference between fear, anxiety and phobia?

A
  • Fear and anxiety are often interchangeable

- Phobia is avoidance behaviour

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8
Q

What is fear?

A

An individual’s emotional response to a perceived threat or danger

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9
Q

What is anxiety?

A

Responses to situations in which the source of threat to the individual is ill-defined, ambiguous or not immediately present

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10
Q

What is phobia?

A

Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation

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11
Q

What is dental fear?

A
  • An emotional response to dental procedures signifying danger
  • Embodies physiological and behavioural cues and negative cognitive appraisal
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12
Q

What is dental anxiety?

A

Individual responds to dental procedures even when the threat is uncertain, vague or not immediately present

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13
Q

What is dental phobia?

A

A marked and persistent fear of dental procedures resulting in an immediate anxiety response when in the dental environment

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14
Q

What are 5 physiological cues of dental anxiety / fear / phobias?

A
  1. Dizziness
  2. Tremor / shaking
  3. Headache
  4. Perspiring excessively
  5. Increased heart rate
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15
Q

How does fear affect pain?

A

Lowers the pain threshold

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16
Q

What 5 things may cause a patient to mistrust their dentist?

A
  1. Hostile presentation
  2. Complaints about previous dentist
  3. Concern with competence of dentist
  4. Impersonal treatment
  5. Victimization
17
Q

What 4 things may present as a catastrophe in the dental clinic to a patient?

A
  1. Fainting
  2. Allergy
  3. Misinterpretation of physical symptoms
  4. Reactions to anaesthetic
18
Q

What is the goal of treatment planning?

A

Carry out the dental procedure

19
Q

What are the 2 pathways leading to goals of treatment planning?

A
  1. Psychological

2. Pharmacological

20
Q

What are 3 possible aims of relaxation?

A
  1. Preventive measure to protect the body organs involved in stress-related disease from unnecessary wear
  2. Treatment to help relieve stress in certain physical conditions
  3. Coping skill to calm the mind and allow thinking to become clearer and allow more easy access to positive information
21
Q

What are 2 types of relaxation?

A
  1. Physical

2. Mental

22
Q

What is physical relaxation?

A

Release of tension in muscles and lengthening of muscle fibres

23
Q

What is mental relaxation?

A

Feeling relief of tension and strain

24
Q

Name 3 control techniques

A
  1. Informational
  2. Behavioural
  3. Retrospective
25
Q

Name 2 forms of behavioural therapy

A
  1. In vivo exposure

2. In vitro exposure

26
Q

What is the difference between in vivo and in vitro exposure?

A
  • In vivo exposure is grade an prolonged exposure to feared stimulus
  • In vitro exposure is exposure in the imagination as access to feared stimuli is not available
27
Q

Give 3 ways in which exposure therapy can be enhanced

A
  • Exposure in vivo is more effective
  • Prolonged exposure is better than brief exposure
  • Frequently practiced exposure is more effective than long intervals between exposures
28
Q

What are 3 possible coping strategies?

A
  1. Positive self-statements
  2. Distraction
  3. Cognitive restructuring
29
Q

What are 3 influences on choice of treatment mode?

A
  1. Patient (knowledge / motivation)
  2. Dentist (knowledge / skill)
  3. Resources (cost / fees)
30
Q

What may be 2 specific problems with dental anxiety?

A
  1. Needle / Blood phobia

2. Gagging

31
Q

How may needle / blood phobia be tackled?

A
  • Relaxation
  • Exposure
  • Applied tension for prevention
32
Q

How may gagging be tackled?

A
  • Muscle relaxation

- Systematic desensitization