• Journal of Korean society of Dental Hygiene
• /
• v.10 no.4
• /
• pp.585-593
• /
• 2010

Objectives : The purpose of this study were to measure the effect of factors analyse the associated by the dental treatment fear of level middle school student's, and then to provide basic material which can help to improve adolescent's oral health and dental service. Methods : This subject of study consists of 342 middle schools each 1,2,3 grade Daegu city. The data were collected from July through August 2009, by way of the self-reported questionnaire. The data materials are analyzed by general characteristics and dental service behavior frequency analysis, dental fear of levels general characteristics, dental service behavior, the burden of dental visits, the pain experience of the past ${\chi}^2$-test and dental treatment fear relationship with multiple regression analysis. Results : General characteristics, 56.7% for boys and girls, with 43.3 percent of boys and girls high. dental service behavior in the dental visited was treatment purpose 76.5%, preventive purpose 23.5%. high-level dental treatment fear of the female 60.8%, male 33.0% was higher, The higher age also increased dental fear of the levels, dental services dental visit in 1-2 year the dental fear level of the higher, was statistically significant (p<0.05). Medical purpose 'preventive' than 'treatment' is a higher dental fear. Factors affecting dental treatment fear experiences directly from your pain (${\beta}$=0.116), inadequate anesthesia, treatment experience (${\beta}$=0.126), indirect painful experience (${\beta}$=0.125) in both a statistically significant positive relationship was found (p<0.05). Conclusions : Finally, it is necessary carry out further studies on the improvement of dental service of oral health of adolescent based on the dental treatment fear.

• Journal of the Korea Society of Computer and Information
• /
• v.27 no.5
• /
• pp.181-188
• /
• 2022

In this paper, we proposed of the results of the noise level and appropriate conversation distance by applying the noise characteristics generated during treatment at a dental clinic to the NR-curve and PSIL. As a result of analyzing the noise characteristics during treatment at a dental clinic, it was analyzed that the noise level exceeded 60dB(A), which is the health preservation limit value caused by noise, and the noise level increased as the frequency increased. the result of evaluation applying it to the NR curve, some treatment exceeded the workplace noise standard, and as a result of analyzing the level of conversational disturbance between the worker and the patient, it is desirable to have the conversation at a distance of less than 1M for accurate communication. In order to improve the quality of medical service in dental clinic and to reduce dental fear, it is judged that soundproofing protective equipment is provided to workers, and soundproofing measures are needed for noise sources (treatment devices used in treatment) and sound sources (patients and workers).

• Journal of the korean academy of Pediatric Dentistry
• /
• v.29 no.2
• /
• pp.189-195
• /
• 2002

In the area of pediatric dentistry, several behavior modification techniques have been attempted to relieve young patients' dental fear. The use of audio-visual(AV) aids is one of them and is increasing. In this study, several patients' reactions to dental treatment have been investigated after using AV aids, including patients' sleep, movement, crying and overall behavior. The effectiveness of AV aids have also been investigated through patients' age, previous dental experience and daily exposure to TV or video. Thirty healthy children with Frankl behavior rating (+) or (-) were included in this study. The average age of the children was $52.9{\pm}12.7$ months and no statistical difference was found between the two groups. Thirty patients were equally divided into two groups. Group I(control) received dental treatment with the conventional tell-show-do while group II(AV) with tell-show-do and AV aids. All patients received only restorative dental treatment and received no extraction. Houpt behavior rating scale was used to evaluate patients' behavior during the dental treatment. As a result, there was no significant difference between the two groups in movement and crying. However, more patients in the AV group fell asleep during the dental treatment compared to the control group. Within the AV group, patients with previous dental experience, older age and frequent exposure to AV materials showed better overall behavior during the dental treatment as audio-visual aids were used for behavior management.

• Journal of Korean society of Dental Hygiene
• /
• v.10 no.4
• /
• pp.705-715
• /
• 2010

Objectives : This study is aimed to seek how to promote oral health care by leading the clients with dental fears to change their behaviors in oral hygiene care based on the analysis of the relationships between the dental fears and oral health care behaviors of the clients who visit the Dental Hygiene Education Room. Methods : This study analyzed the 361 dental hygiene records of the subjects with finished treatment and accurate records among a total of 370 clients who had received dental hygiene care at the Dental Hygiene clinic in Y University from March 2007 till June 2009. According to their general features, the study analyzed whether they had any dental fears and why such fears occurred and conducted Chi-square test to compare their oral hygiene care experiences and behaviors with dental fears. Data analysis was made using the SPSS 12.0K for Window, with level of significance set at 0.05. Results : 1. In terms of dental fear or non-fear, the comparison by gender showed that women had a higher level than men, with 76 women(47.2%) answering yes; the comparison by age showed that the age group of 30 years old or older had a higher level than other groups. 2. In terms of dental fear reasons, "the past pain experiences" recorded 34.2%, showing the highest rate. 3. In addition, dental fears had influences on regular dental examination, scaling and dental hygiene education and the subjects without dental fear showed higher levels in terms of tooth-brushing frequency and time. Conclusions : To control "the past pain experiences", future dental treatment should place priority on preventive treatment and get clients to cope with pains through the preliminary education with pains. Besides, to make an effective oral health care of the clients with dental fears, dental hygienists should control the fears of the clients and perform an appropriate oral health care for them using the communication techniques to make friendly and trustworthy impressions.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.4
• /
• pp.700-708
• /
• 2008

The aim of this study was to recognize guardians' desire and awareness on sedation, and to guide guardians' satisfaction and cooperation. Followings are the conclusion : 1. Information supply about conscious sedation were restrictive and insufficient. 2. Both first-visit guardians and guardians of sedated patients were interested in decrease of dental fear. 3. Both first-visit guardians and guardians of sedated patients were satisfied with psychological improvement better than behavior improvement. Therefore, decrease of patients'ear and anxiety was essential. 4. Both first-visit guardians and guardians of sedated patients didn't recognize accurate safety of conscious sedation.

• Journal of Korean society of Dental Hygiene
• /
• v.12 no.4
• /
• pp.741-749
• /
• 2012

Objectives : High school students to measure fear of dental treatment, dental health care workers according to the level of reliability of this study is to determine the extent of terror was carried out. Methods : Located in Gwangju, 165 high school students were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and dental health care workers about the reliability of the Chi-square test, the general characteristics and oral health characteristics by dental fear of the t-test and one way ANOVA and were factors associated with dental fear of the stepwise multiple regression analysis was performed. General characteristics, except Cronbach-${\alpha}$ coefficient was 0.911. Results : According the general fear of Dental Treatment Fear Factor item 4, you'll feel the highest fear when you feel the muscle tension and the needle pricks your skin. The reliability of dental health care workers if the dentist lower the higher the grade, subjective oral health status is considered more reliable health was higher, the stronger the reliability of pain was significantly lower (p<0.05). Other care coordination include the reliability of sources of interest in subjective oral health history, no past experience in treating pain and increase the number of reliability was low (p<0.05), past experience and increase the number of pain during treatment the stronger the fear of more pain showed an increase (p<0.05). Conclusion : According the related factors about the fear of dental treatment, stimulus-response and fear of dental office have increased, the fear of dental treatment increase.

• Journal of Korean society of Dental Hygiene
• /
• v.14 no.6
• /
• pp.881-886
• /
• 2014

Objectives: The purpose of the study was to investigate the related factors to dental fear in some adults. Methods: A self-reported questionnaire was filled out by 320 adults in Seoul and Gyeonggi-do from April to June, 2013. Except 14 incomplete answers, data were analyzed by SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects(7 questions), dental fear related factor(18 questions), distrust for dentist(15 questions), and distrust for dental hygienist(11 questions). The instrument for dental treatment fear was Dental fear Survey(DFS) adapted from Kleinknecht and partly modified by Choi. Out of 20 questions, 18 questions were reconstructed and score by Likert 5 scale. Higher score means higher dental fear. Cronbach alpha was 0.959 in the study. The distrust for dentist and dental hygienist was adapted from Choi and reconstructed and score by Likert 5 scale. Higher score means higher distrust for dentist and dental hygienist. Cronbach alpha was 0.937 in distrust for dentist and 0.874 in distrust for dental hygienist in the study. Results: Those who experienced dental pain tended to have dental fear. The reasons for dental fear were as follows; bad breath(2.96 out of 5 points, hereafter represented as of 2.96/5), dental caries(2.88/5), missing teeth(2.87/5) and tooth pain(2.77/5). The distrust for the dentist was the main dental fear in the adults. Conclusions: The dental fear was closely related to gender, experience of dental pain, oral symptoms and distrust for the dentist. As the psychological pain in the patients was mainly influenced by the trustful atmosphere, it is necessary to make the patient easy before treatment.

• Journal of Korean Academy of Dental Administration
• /
• v.11 no.1
• /
• pp.89-95
• /
• 2023

Social phobia is a mental disorder that triggers physical reactions, such as cold sweats, headaches, and panic attacks, as a result of anxiety about a particular situation. Individuals with social phobia are thought to be more sensitive to dental anxiety and may have difficulty visiting the dentist as a result. This study aimed to determine the relationship between social phobia and dental fear among college students, who are reported to have a high prevalence of social phobia. A total of 120 survey responses were analyzed. To investigate the variation in dental fear levels based on the level of social phobia, the total social phobia score was divided into two groups: 41 points or more, and 40 points or less. The disparity in dental fear scores was then analyzed using a t-test. The study found that the average score for dental fear was statistically significantly higher in the group with a total social phobia score of 41 points or more compared to the group with a total score of 40 points or less (p<0.05). Furthermore, the group that scored 41 points or higher on the social phobia scale reported experiencing symptoms such as feeling nauseous at the dentist (3.29 points), sweating upon entering the dentist (3.13 points), and feeling afraid when looking at the dentist (3.13 points). The score was high (p<0.05). Therefore, dental patients exhibiting anxiety symptoms require a comfortable treatment environment to alleviate dental fear, and safe, pain-free dental treatment techniques must be employed.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.9 no.1
• /
• pp.30-35
• /
• 2009

Intravenous midazolam has been frequently used for the relief of anxiety in dental treatment. This is likely the result of the sedative and anterograde amnestic properties of midazolam that are mediated through $\gamma$-Aminobutyric acid agonism. Unfortunately, Paradoxical reactions to midazolam include agitation, talkativeness, confusion, disinhibition, aggression,violent behavior, act of self-injury and need for restraints. These occur in less than 1% of all patients receiving midazolam, may occur at variable times after administration and are difficult to predict and diagnose. Two women with severe anxiety for dental treatment experienced paradoxical reactions associated with the use of intravenous midazolam. We are reviewed the management and prevention of paradoxical reactions and its different etiology.

• Journal of Korean society of Dental Hygiene
• /
• v.18 no.5
• /
• pp.607-620
• /
• 2018

Objectives: The purpose of this study was to investigate the overall research trends and factors influencing dental fears in the last 10 years (2007-2017) and provide recommendations for future research. Methods: The literature review focused on dental fear research in Korea. Inclusion criteria of selected studies were as follows: studies that examined fear in middle school students or older, studies undertaken between 2007-2017, and studies that examined trends and factors relating to dental fears. Results: Findings from this literature review showed that the most commonly used tool for measuring dental fear was the Dental Fear Survey (DFS). A lack of trust towards the dentist increased dental fear among patients. Women managed fear better than men. Past pain experiences increased dental fear. The most frequent intervention for reducing fear was sound (41.7%). Most of the intervention studies demonstrated a reduction of fear, with the exception of interventions using ear plugs. Fear was increased in studies involving ear plugs. Conclusions: Based on the results of the study, specific measures should be taken to alleviate past pain experiences, such as the fear of anesthetic injections and sensations of the dental drill. Continuous research is needed to reduce dental fear.