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SSRD- social sciences relating to dentistry > E lecture- overview of dental anxiety > Flashcards

E lecture- overview of dental anxiety Flashcards

1
Q

what is the anxiety cycle

A

fear anxiety leading to avoiding dental care leading to deterioration of dental care and then feeling of guilt and shame

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2
Q

what is fear

A

an important inbuilt instinct and without it we would not have survived

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3
Q

what is fear associated with

A

physiological arousal
blood rushing to the peripheral areas such as the muscles
high levels of circulating adrenaline

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4
Q

what is the difference between fear and anxiety

A

anxiety can be more emotional

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5
Q

what is trait anxiety

A

refers to a persons inbuilt tendency for them to be anxious in their every day lives

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6
Q

what is state anxiety

A

anxiety that refers to specific things and situations and doesn’t move out of these

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7
Q

what is a phobia

A

a phobia is an extreme fear which is defined as a psychiatric illness

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8
Q

what are the symptoms of a phobia

A

fear of the situation that is out of proportion to the danger
cannot be explained
largely beyond voluntary control
leads of avoidance of the feared situation
avoidance distress that leads to the person avoiding the situation

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9
Q

what is the percentage of people who are somewhat anxious of dental treatment according to the 1998

A

64%

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10
Q

what percentage of people are even nervous to visit the dental according to the annual dental survey 1998

A

49%

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11
Q

how are dental anxiety levels looking in USA

A

the anxiety levels are looking constant regardless of new and improved techniques

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12
Q

what is the aetiology of dental anxiety

A

need to remember the biopsychosocial model:

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13
Q

what is included in the biopsychosocial model:

A

biological: organs physiology and genetics
social: community family society
psychological: cognition emotion motivation

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14
Q

what link has been made between dental anxiety and genetics

A

that there could be a genetic link but it is more a learnt behaviour

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15
Q

which gender is more dentally anxious

A

generally females

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16
Q

according to the survey what percentage of men were dentally anxious

A

43%

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17
Q

what percentage of dentate females are dentally anxious

A

55%

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18
Q

which gender records better attendance

A

women- possibly due to the fact they can admit their fear due to gender roles

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19
Q

which other correlations can be found

A

between socioeconomic class and dental anxiety

20
Q

what is required from dentists to make patients feel more comfortable

A

TECHNICAL COMPETANCE

21
Q

what features are important in a dentist patient relationship

A

good communication skills

and taking a patients fear seriously

22
Q

in a survey of young people what percentage experienced dissatisfaction with their dentist or dental surgery

A

15%

23
Q

how much more likely are people who are dentally anxious going to experience bad behaviour

A

5 to 10 times

24
Q

how do patients evaluate dentists

A 
attitude and behaviour 
approach to pain control 
the dentists ability to solve their problem 
staff attitude
convenience 
cost
physical factors
25
Q

what about dental treatment makes patients anxious

A

the fear of unknowing and the fear of extractions fillings etc
and the anticipation of pain

26
Q

what is necessary for good anxiety control

A

good pain control

27
Q

why do they have a lower pain threshold

A

possibly due to the anxiety

or genuinely due to the lower pain threshold

28
Q

how do we recognise dental anxiety

A 
not entering the clinic 
uncooperative
uncommunicative 
over talkative 
aggressive
looking distracted
29
Q

how do we recognise dental anxiety

A 
gagging 
ask 
sweating 
shaking 
pale 
hyperventilation 
increased heart rate
30
Q

what scale do we use in clinic to rate dental anxiety

A 
modified dental anxiety scale(MDAS)- more common 
and DAS( dental anxiety scale
31
Q

how do we use the dental anxiety scale(DAS)

A

4 item scale
score 1-5 on each item and above 15 relates to dental phobia
a=1
b=2

32
Q

what is the criticism for the DAS scale

A

that it is a little too emotive

and no scale for LA which is a big cause for dental anxiety

33
Q

what are the benefits of the MDAS scale

A

it is less emotive and has standard options to choose from

34
Q

how do we scale the MDAS

A

possible scores from 5-25

and 19 can relate to dental phobia

35
Q

what is a drawback of both the MDAS and DAS

A

that they do not indicate which aspect the patient is dental anxious about

36
Q

how do we figure of which aspects of the dental treatment the patient is anxious about

A

dental fear surgery by kleinknechts

37
Q

how does kleinknechts dental fear survey work

A

27 dental situations
rate 1-5 on anxiety
eg making the appt

38
Q

if we just need an overview of dental anxiety which scale shall we use

A

the dental anxiety question
are you afraid of coming to the dentist-
correlates highly with DAS

39
Q

which is a scale that uses a 10 point scale

A

gatchels 10 point fear scale

40
Q

how does gatchels 10 point scale work

A

1- no fear
5- moderate fear
10-extreme fear
anything over 8 is severe dental anxiety

41
Q

which scale is used for children

A

the vehnam scale0 has happy and sad faces on it to help children express fear

42
Q

how does the spielbergs scale for state trait anxiety work

A

works in two parts

  1. how the patient generally feels- to measure their trait anxiety
  2. the state scale
43
Q

is there correlation between the trait anxiety and dental anxiety

A

little correlation

but there is correlation between the state anxiety and dental anxiety

44
Q

what are the advantages of knowing about dental anxiety

A

can help tailor communications between patient and dentist
evidence that knowledge of anxiety can help the dentist manage anxiety better
people may be reluctant to disclose anxiety face to face
builds a rapport

45
Q

what do we need to know when we plan treatment

A

how anxious are they
what treatment specifically they are anxious of
do they know what caused it
what can we do differently
how can we allow them to accept treatment

SSRD- social sciences relating to dentistry (15 decks)

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