Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Changes of dental anxiety and fear in adult patients applying conscious sedation

의식하진정법을 적용한 성인 환자의 치과공포 및 불안의 변화

  • Lee, Si-Ha (Department of Dental Hygiene, Graduate School, Namseoul University) ;
  • Lee, Su-Young (Department of Dental Hygiene, Graduate School, Namseoul University)
  • 이시하 (남서울대학교 대학원 치위생학과) ;
  • 이수영 (남서울대학교 대학원 치위생학과)
  • Received : 2021.01.04
  • Accepted : 2021.02.07
  • Published : 2021.02.26
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor's degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.

Keywords

References

  1. Kim SK, Park HR, Lee DE, Lee SJ, Jung ES. A study on the preventive dental service experience and dental fear. J Dent HygSci 2018;18(3):345-6. https://doi.org/10.13065/jksdh.2018.18.03.335
  2. Choi JS, Kim JS. Analysis of dental fear and its related factors using dental fear survey among 13 to 18 year olds. J Korean Acad Pediatr Dent 2008;35(1):118-26.
  3. Lim SH, Lee CS, Han JH, Oh HG, Hwang JM. Dental fear factor analysis in dental clinic patients. J Dent Hyg Sci 2013;13(4):553-60. https://doi.org/10.13065/iksdh.2013.13.4.553
  4. Kim CH, Yoon JY. Intravenous sedation for dental procedure. The Journal of Korean Dental Association 2013;51(7):398-404. https://doi.org/10.22974/JKDA.2013.51.7.003
  5. Kim CS, Cho YK. Correlation between personal temperament, dental visit, and dental fear among adults. J Dent Hyg Sci 2016;16(6):1057-66. https://doi.org/10.13065/jksdh.2016.16.06.1057
  6. Hwang HR, Choi HN, Cho YS. Association between dental fear and anxious thoughts and tendencies and dental experience of dental patients. J Dent Hyg Sci 2011;11(1):15-21.
  7. Kim YW, Keum YS, Mo DY, Lee JY, Kim HC, Lee SC. Retro and antegrade amnesia after conscious sedation using midazolam. J Dent Anesth Pain Med 2011;11(2):153-8.
  8. Shin TJ. The application of oral sedation in the field of dentistry. The Journal of the Korean Dental Association 2013;51(7):389-97. https://doi.org/10.22974/JKDA.2013.51.7.002
  9. Firat D, Tunc EP, Sar V. Dental anxiety among adults in turkey. J Contemp Dent Pract 2006;7(3):75-82. https://doi.org/10.5005/jcdp-7-3-75
  10. Craig DC, Wildsmith JA. Conscious sedation for dentistry. Br Dent J 2007;203:629-31. https://doi.org/10.1038/bdj.2007.1105
  11. Kleinknecht RA, Thorndike RM, Mcglynn FD, Harkavy J. Factor analysis of the dental fear survey with cross-validation. J Am Dent Assoc 1984;108:59-61. https://doi.org/10.14219/jada.archive.1984.0193.
  12. Kim HY. The effect of conscious sedation on pain and anxiety of implant surgery. J Dent Hyg Sci 2014;14(3):411-6. https://doi.org/10.17135/jdhs.2014.14.3.411
  13. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;4(8):596. https://doi.org/10.1177/00220345690480041801
  14. Kim SH. Dental clinic fear in high school students. J Dent Hyg Sci 2013;13(4):645-50. https://doi.org/10.13065/iksdh.2013.13.4.645
  15. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, et al. Validity and reliability of the observer's assessment of alertness/sedation scale: study with intravenous midazolam. J Clin Psychopharmacol 1990;10(4):244-51.
  16. Noh GJ. Clinical application of sedation scales. J Dent Anesth Pain Med 2003;3(1):1-5.
  17. Kim SK, Kim MH,Choi HJ, Hwang JG. Related factors to dental fear in some adults. J Korean Soc Dent Hyg 2014;14(6):881-6. https://doi.org/10.13065/jksdh.2014.14.06.881
  18. Hong MH. Trelationship between oral health behavior, chronic disease and periodontal disease in middle and older adults according to gender. JKAIS 2018;19(11):403-10. https://doi.org/10.5762/KAIS.2018.19.11.403
  19. Bing JH, Chun JY, Park CJ, Hwang KG, Shim KS. Introduction of sedation clinic at department of dentistry in hanyang university medical center(I). J Dent Anesth Pain Med 2006;6(2):113-20.
  20. Nho JH, Yoo SH. Relationships among life style, depression, anxiety, and reproductive health in female university students. J Women Health Nurs 2018;24(1):80. https://doi.org/10.4069/kjwhn.2018.24.1.80
  21. Yoon HK. Effects of stress and personality characteristics on sleep. J Sleep Med Psychophysiol 2003;10(1):32-8.
  22. Lee EJ, Sung MH. Impacts of health perception, aging anxiety and perception of successful aging on health promotion behavior of late middle-agedwomen. Korean J Women Health Nurs 2017;23(3):181-90. https://doi.org/10.4069/kjwhn.2017.23.3.181
  23. Nam YO, Ju OJ. Effects of musical intervention on the fear and anxiety reduction during scaling. J Korean Soc Dent Hyg 2017;17(3):395-404. https://doi.org/10.13065/jksdh.2017.17.03.395
  24. Koh BI, Song YM. A qualitative study on reducing dental anxiety through cognitive behavioral therapy. J Dent Hyg Sci 2017;17(1):46-55. https://doi.org/10.17135/jdhs.2017.17.1.46