Pain Control

Question 1

why is this important?

Answer 1

helps people cope with stressful situations
teach the patient how to establish and maintain good home care skills
if patients are comfortable, they will return…better for their oral health
1. to keep them comfortable
2. pt. rapport
3. prevent emergencies

Question 2

Need to know these!

Answer 2

fear: emotional response about a specific, identifiable situation, event, or person that is a perceived threat (e.g. heights, needles and drills)
Anxiety: a general stat of nervousness, a type of stress (may or may not know)
Pain: a subjective feeling or extreme discomfort
*everybody’s pain is different

Question 3

types of Fear:

Answer 3

Normal and Neurotic

Question 4

Normal Fear

Answer 4

self-protective mechanism

Question 5

Neurotic Fear

Answer 5

highly subjective fear that is disproportionate to the threat=phobia (over exaggeration)

Question 6

origins of Fear

Answer 6

conditioning

direct stimulation

Question 7

condition Fear

Answer 7

relatives (learned response)
cultural
socioeconomic
bad attitude from health providers

Question 8

direct stimulation

Answer 8

pain during appointment

can happen while child or adult

Question 9

prevalence of dental fears

Answer 9

causative factors:
dental anxiety more common in women

negative attitude of family

negative expectations related to traumatic experiences

Question 10

Three types of control

Answer 10

behavioral control
cognitive control
information

Question 11

behavioral control

Answer 11

the person believes that they can do something to shorten or lessen the event

Question 12

cognitive control

Answer 12

a mental lessening of adverse situations (control negative thoughts or redirecting their consciousness)

Question 13

information control

Answer 13

information communicated to the patient gives a feeling of control

Question 14

signs of anxiety or fear

Answer 14

Verbal indicators: 
talk too much or too radily 
talking loud 
talking too little 
inappropriate jokes

Question 15

signs of anxiety of fear

Answer 15

behavioral indicators: 
nervous laughter 
inappropriate smiles 
voice cracking 
trembling hand 
gripping edge of chair 
broken appointments 
lateness

Question 16

signs of anxiety or fear

Answer 16

physiological indicators: 
dilated pupils 
white knuckles 
increased heart rate 
perspiration on hands, forehead, etc. 
redness in neck 
dry mouth 
uneven breathing

Question 17

application time:

Answer 17

how you would treat a patient with fear of specific simtuli?
Tell, Show, do approach
explain the procedure/benefits
ask them whe? and possibly
look–tori?
*gagging
*for children/count showing instrument polishing “tickles”

Question 18

application time:

Answer 18

how you would treat a patient who distrusts dental personnel? 
always use Rationales! 
ask why? 
rough or talked down 
heavy handed 
tell them everything

Question 19

application time:

Answer 19

how you would treat a patient with generalized anxiety?
attention diversion
changing or modifying
tell, show, do
something else to focus on
tv, music
gagger–have them concentrate on their breathing in and out of your nose!

Question 20

drug usage to reduce anxiety

Answer 20

advantages:
most widely used method of helping patients cope with fear and anxiety
quick, easy, effective in reducing mild or moderate anxiety

disadvantages:
little carryover for future anxiety
severely anxious people are resistant to analgesics and sedative drugs

**Sleep dentistry!!!!