• Journal of The Korean Dental Society of Anesthesiology
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• v.5 no.1 s.8
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• pp.6-14
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• 2005

Chronic periodontitis is one of the most common diseases in clinical dentistry, which requires various surgical interventions to treat the moderately to severely destructed supporting periodontium. Most patients have anxiety and fear to these surgical procedures and dentists often have problems dealing with these patients. By applying the conscious sedation technique in outpatient units, periodontists have become able to manage their patients successfully with less anxiety or fear. Also, we have experienced the increased level of patients' satisfaction. Generally, periodontal treatments are time consuming procedures and patients are usually reluctant to the periodontal instruments. This study is focused on the sedation procedure with intravenous midazolam infusion performed in Department of Periodontology of Ewha Womans University Hospital. Using questionnaires, we evaluated 80 randomly selected patients for the anxiolytic effect of intravenous midazolam. Anxiety control using IV sedation was very helpful in performing various periodontal reconstructive and advanced surgical procedures in implant dentistry.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.4
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• pp.197-204
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• 2014

Children's fear and anxiety may interfere with dental treatment. If a child is very young, pharmacologic management may need to be provided during a dental procedure. Although sedation is an everyday practice in pediatric dentistry, it is not easy to achieve successful outcomes with sedation. Moreover, sedation of children can be associated with respiratory risks. Providers of pediatric sedation should be very cautious about adhering to the principles. This article reviews nicely the guidelines and references for pediatric sedation and supports a safe sedation with favorable treatment results.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.5
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• pp.265-271
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• 2023

Background: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years. Methods: This study included 6,438 cases of dental treatment under conscious sedation conducted over 11 years between January 2011 and December 2021 in the Department of Pediatric Dentistry at Dankook University Dental Hospital. Results: Over the past 11 years, the number of dental treatments under sedation has increased. In the case of inhalation sedation using nitrous oxide, the rate of increase was approximately twice every year, and the use of midazolam gradually decreased. The average age of children who underwent sedation was 5.11 years, and the rate of sedation treatment in children aged <4 years tended to decrease, while that of children aged >5 years tended to increase. This is related to the trend of changes in drugs used. In a sex-based survey, sedation treatment rate was higher in males than that in females. Conclusion: Appropriate selection of sedatives can reduce the frequency of general anesthesia and minimize complications through efficient and safe dental treatments. Trend analysis of sedation by year will help provide guidelines for the appropriate selection of sedation for dental treatment of children and patients with disability.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.96-103
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• 2016

The aim of this study was to confirm the effectiveness of learner-centered teaching models to reduce the dental anxiety. 18 children with age of 10 at the case group and 22 children with age of 10 at the control group was completed. Children from case group were participated in learner-centered oral health education, while those from control group were participated in instructor-led oral health education. Dental Anxiety Scale (DAS) at each groups were measured before oral health education, after then, oral health education of two types at each groups were separately conducted during 1-hour, 2 times. Learner-centered oral health education adapted the systematic desensitization (Tell-Show-Do) was conducted for case groups. Instructor-led oral health education was performed by using the presentation file (PPT). The change of Dental Anxiety Scale (DAS) were compare between case and control groups to evaluate the effect of learner-centered teaching type. After oral health education, DAS of the case and control groups at the baseline were 9.61 and 11.14, respectively, and the average DAS decline of case and control groups after oral health education were 2.48 and 0.55, respectively. These findings show that a learner-centered teaching type is an effective oral health program to reduce of dental anxiety in childhood.

• Journal of Dental Anesthesia and Pain Medicine
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• v.22 no.4
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• pp.255-266
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• 2022

Background: A previous study reported the effectiveness and patient satisfaction in the dental emergency unit (DEU) of the Pitie Salpetrière Hospital in Paris before coronavirus disease 2019 (COVID-19). The same methodology was used during the COVID-19 pandemic to compare pain, anxiety, and patient satisfaction during the two periods. Methods: This prospective study was conducted in 2020 (NCT04354272) on adult patients. Data were collected on day zero (D0) on site and then by phone during the daytime on day one (D1), day three (D3), and day seven (D7). The primary objective was to assess the pain intensity at D1. Secondary objectives were to assess pain intensity at D3 and D7, anxiety intensity at D1, D3, and D7, and patient satisfaction. Patients were evaluated on a 0-10 numeric scale on D1, D3, and D7; mean scores were compared with non-parametric statistics (ANOVA, Dunn's). Results: A total of 445 patients were given the opportunity to participate in the study, and 370 patients consented. Seventy-one were lost during follow-up. Ultimately, 299 patients completed all the questionnaires and were included in the analysis. In the final sample (60% men, 40% women, aged 39 ± 14 years), 94% had health insurance. The mean pain scores were: D0, 6.1 ± 0.14; D1, 3.29 ± 0.16; D3, 2.08 ± 0.16; and D7, 1.07 ± 0.35. This indicates a significant decrease of 46%, 67%, and 82% at D1, D3, and D7, respectively, when compared to D0 (P < 0.0001). The mean anxiety scores were D0, 4.7 ± 0.19; D1, 2.6 ± 0.16; D3, 1.9 ± 0.61; and D7, 1.4 ± 0.15. This decrease was significant between D0 and D7 (ANOVA, P < 0.001). Perception of general health improved between D1 and D7. The overall satisfaction was 9.3 ± 0.06. Conclusion: DEU enabled a significant reduction in pain and anxiety with high overall satisfaction during COVID-19, which was very similar to levels observed pre-COVID-19 pandemic.

• Journal of Korean society of Dental Hygiene
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• v.16 no.1
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• pp.111-120
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• 2016

Objectives: The aim of this study was to investigate the association between self-esteem and temporomandibular disorder among high school students. Methods: A self-reported questionnaire was completed by 584 high school students in Gyeongnam. The questionnaire consisted of socio-demographic profile, anxiety, self-esteem, oral parafunctional habits, and temporomanibular disorder. Data were analyzed using SPSS 19.0 program. Results: In univariate analysis, there were significant differences between self-esteem and temporomandibular disorder(p<0.05). The self-esteem was negatively correlated with parafunctional habits(r=-0.253, p<0.001) and temporomandibular disorder(r=-0.221, p<0.001). In multivariate analysis, self-esteem was significantly associated with temporomandibular disorder(${\beta}=-0.119$, p=0.025) after adjusting for socio-demographic characteristics and anxiety. Conclusions: The self-esteem negatively influenced on temporomandibular disorder in the high school students.

• Journal of The Korean Dental Society of Anesthesiology
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• v.11 no.2
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• pp.159-163
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• 2011

Vasovagal syncope accounts for the majority of adverse events that occur in dental offices and is normally related to emotional or somatic factors. The factors trigger intense parasympathetic state, leading to bradycardia and hypotension. We experienced a case of vasovagal syncope just before general anesthesia. A 49-year-old woman with alveolar bone deficiency on maxilla and mandible was planned to undergo an alveolar bone graft with mandibular body under general anesthesia. She didn't have any histories of disease, medication or syncope. Though she showed a little anxiety from admission, she had no pre-operative medication. After she was guided to the operating room, she had signs and symptoms of vasovagal syncope without any prodromes. The patient was resuscitated soon only by the conservative treatment and was operated under general anesthesia.

• Journal of Korean society of Dental Hygiene
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• v.17 no.3
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• pp.515-526
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• 2017

Objectives: This study was carried out for the purpose of examining the levels of vocational awareness and the professional ethics recognition in the clinical dental hygienists. Methods: A survey was conducted targeting 500 members who participated in the supplementary education program for dental hygienists in the first half of 2017. Total 328 subjects' materials were analyzed. Results: A reason for working in terms of the occupational identity was very high with 81.4% in 'aiming to earn money'. A goal of working was the highest with 41.5% in 'financial independence'. The professional ethics approach level was indicated to be the highest with 3.33 points in the domain of human relation. It was shown to be in order of the job satisfaction level with 3.21 points, followed by the lifelong working with 3.17 points, the vocational ethics observance with 2.95 points, the workplace satisfaction level with 2.82 points, and the job anxiety level with 2.65 points. The domain in the job anxiety level according to general characteristics was indicated to be significantly high in the higher age and work career in case of the married and in case of Seoul as a workplace. The domain in the professional ethics observance was shown to be significantly high in the higher work career in case of the married and in case of Gyeonggi Province as a workplace. The domain in the lifelong working was indicated to be significantly high in case of the married. Conclusions: For the establishment of the right professional ethics as a dental hygienist and for the securement of its practice starting from the education for the dental hygiene department, the development of educational program will be needed aiming at the approach to the professional ethics and the reinforcement in the vocational ethics recognition.

• The Journal of Korean Society for School & Community Health Education
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• v.15 no.3
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• pp.67-80
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• 2014

Objectives: This study is aimed to analyze the influential factors on the fear that college students and elderly people feel during the dental treatment and provide basic data needed to develop a plan which can lead them to have a positive perspective on dentistry. Methods: A questionnaire was distributed to 241 outpatients (39 college students, 202 elderly people) visiting dental clinic of 'K' University Hospital in Seoul from January to April, 2013. It was filled in a self-administered manner and collected right away. Results: factor analysis, three factors were configured when the factors with 1.0 or higher of eigenvalue were extracted using 19 questions through which dental fear and anxiety were measured against college students and elderly people. The questionnaires were classified into three categories: Factor I (stimulus response), Factor II (avoidance of the treatment) and Factor III (physiological response which occurs when a patient feels fear). As a result, it was confirmed that the questionnaire tool is highly feasible. In college students, the responses they felt during the dental treatment in the said three factors were as follows: 52.00% in Factor II, 14.14% in Factor II and 6.99% in Factor III (73.129% in total). In elderly people, on the contrary, they were 52.41% in Factor I, 10.57% in Factor II and 7.98% in Factor III (70.958% in total), lower than the college student group. Conclusions: This study is significant in that it confirmed complex relations between dental fear and related variables against college students and elderly people.

• Journal of Korean society of Dental Hygiene
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• v.14 no.2
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• pp.251-259
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• 2014

Objectives : The purpose of the study was to investigate the overall research trend and change in dental fear during 9 years(2004-2012) and to identify the major outcomes and future directions to research. Methods : Descriptive literature review was conducted for dental fear in Korea. The research setting should be elementary, middle, high schools and adults. Results : In this study, the literature review of the most used tools to measure fear was that DFS. The most commonly used instrument was Dental Fear Survey(DFS) in the literature review. The number of dacayed tooth was proportional to subjective fear and anxiety. The indirect experience of dental pain was heard from family and friends. So the fear caused the patients to have negative bias toward dental treatment. The negative reliability towards the dentist increased the dental fear to the patients. Conclusions : Through the literature review, dental hygienists are able to understand the dental fear of the patients.