Dental anxieties and phobias present themselves in a wide variety of ways, and specific fears vary from person to person. Dental anxiety may be mild to moderate, and often takes the form of a general sense of worry and apprehension when thinking about an upcoming procedure. Dental phobia is a more intense experience, with patients feeling an overwhelming, irrational fear of dental work. This can sometimes cause them to avoid care all together.
Dental anxiety is defined as the response to a stressful stimulus that is specific to a dental context. The notion of dental anxiety is common in the literature (Economou & Honours, 2003). It concerns two different interpretations: the first one sees anxiety as the expression of a normal anxious state, whereas, according to the second perspective, dental anxiety is a specific psychopathological condition (DSM, American Psychiatric Association, 1994).
In order to estimate the probability for a specific psychiatric disorder to arise, it should be advisable to repeat the analysis on a wider population. In the case dental anxiety had to be considered as a specific anxiety, the dentist should make an accurate anamnesis and support patients, in order to enhance their compliance to any treatment.
El miedo a las inyecciones el miedo a que la inyección no funcione - mucha gente tiene terror a las agujas, especialmente cuando te la meten en la boca. Más allá de este miedo, otros temen que la anestesia no surta efecto que la dosis no fuera lo suficientemente grande para quitar el dolor antes de que comience el procedimiento odontológico.
Communication: Informing us of your fears is a great place to start. Often we can quell a fear simply by providing correct or updated information. We will always keep you informed before, during, and after your procedure, allowing you to understand what is going on and why we are doing it.
Three substantive areas were identified under different categories during the distinction stage when we looked for kernels of meaning making up the communication and whose presence was meaningful for the description of the social representation about how dental treatment is understood: 1) dental care; 2) dentists' professional demeanor; and 3) dental practice setting. The categories were fear of pain, economics/cost, poor attitude in the dentist, poor dentist-patient communication, and hygiene and annoying instruments. This paper includes the most important results, obtained by means of an open coding procedure, which underscore some of the identity, performance and understanding traits of dental treatment based on the comments of graduate students in environmental health.
Here, the score for dental anxiety assumes the highest possible value of 51: as it has been said, in fact, it is obtained by adding the score reported in the first part of DAS, with the exclusion of question 6 (maximum score = 20), and the score reported in the second part (maximum score = 31). This is the censoring value for the dependent variable. Although, in theory, it could be possible to attribute whatever value to dental anxiety, the highest is set at 51: this censoring” in the values, assumed by the dependent variable, justifies the choice for a tobit model.
Erik Skaret is Professor Emeritus in Behavioral Sciences in Dentistry, Institute of Clinical Dentistry, Department of Pediatric Dentistry and Behavioral Sciences, University of Oslo. He has many years of experience with research and psychological treatment of dental phobia and intra-oral injection phobia based on CBT. Other research areas are prevention of dental anxiety and avoidance of dental care in children and adolescents. He has published widely in peer-reviewed journals.
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