• Journal of the korean academy of Pediatric Dentistry
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• v.34 no.3
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• pp.390-397
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• 2007

The purpose of this study was to observe dental anxiety of second grade elementary school children projected in the drawing of dental treatment situation. The subjects of study were 213 school children. Questionnaire survey was done regarding their experience of pain and fear during the dental treatment and children's attitude toward the dental treatment and dentist. Drawings were analyzed using criteria modified from Dental Anxiety Scale(DAS) by Sheskin et al. The mean anxiety score was 2.00 and the range was from 0 to 6. The mean anxiety score was 2.82 in untreated children and 1.92 in treated children (P<0.05). The mean anxiety score was 2.00 in boys and 1.99 in girls. The rates of children who showed severe fear and pain of the subjects were 8.2% and 5.6%. The rates of children who showed slightly or definitely negative attitude for dental treatment and dentists of the subjects were 19.9% and 4.6%.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.10 no.2
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• pp.106-113
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• 2014

Hyperventilation is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, bleeding, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, a hyperventilation were occurred during the surgical extraction of impacted third molar with pericoronitis. We suggest that the dental patients with anxiety disorder must be attention for the manifestation of hyperventilation, especially in the psychologic disabled patient.

• Journal of Dental Anesthesia and Pain Medicine
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• v.19 no.6
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• pp.369-378
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• 2019

Background: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit. Methods: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively. Results: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group. Conclusion: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.

• Journal of dental hygiene science
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• v.15 no.3
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• pp.369-376
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• 2015

The purposes of this study were to assess dental fear and anxiety level of patients attending a dental clinic using the dental fear survey (DFS) scale, to apply interventions chosen by patients for reducing dental fear and anxiety and measure their effects. This study surveyed 34 patients who visited a dental clinic in Seoul about their self-rated health and their experience of dental fear, and measured the level of dental fear using DFS. Trained dental hygienists applied interventions desired by the patients for reducing dental fear and anxiety and, for each intervention, examined the patients' satisfaction (very helpful [5 point]~not helpful at all [1 point]). Collected data were analyzed using IBM SPSS Statistics ver. 21.0 through independent t-test or one-way ANOVA for difference in level of fear according to related characteristics, and through Wilcoxon signed rank test for comparison between before and after the intervention. The subjects' mean level of fear (DFS score) was 44.53, which was an average level, and the level of dental fear was relatively high for stimulus-response (2.72). The level of dental fear was higher in those who had experienced pains or indirect dental fear from dental treatment in the past, and those whose subjectively perceived health state was poor (p<0.05). With regard to the applied dental fear intervention, 'Helpful (3.57)' was the most common answer. Overall satisfaction before and after the application of dental fear intervention was generally high as 4.37 and 4.35, respectively, but it decreased slightly after the intervention. In order to lower the level of dental fear, it is considered effective to survey not only the level of dental fear but also patients' need of dental fear interventions and to apply a suitable intervention. It is also required to educate dental workers and to develop related manuals.

• Journal of The Korean Dental Society of Anesthesiology
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• v.9 no.1
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• pp.30-35
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• 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 the korean academy of Pediatric Dentistry
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• v.34 no.2
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• pp.341-348
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• 2007

We dentists perform many of routine dental procedures and must deal with much of the population's dental anxiety and fear. Dentists have used many non-pharmacological modalities initially to overcome anxiety and fear, including distraction, empathy, desensitization, and so on. However, certain patients need pharmacological backup of anxiety and fear to conquer dental treatment. This article presents four cases to introduce the methods from nitrous oxide and oxygen inhalation to general anesthesia for difficult adult dental phobic patients to deal with.

• Journal of Korean society of Dental Hygiene
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• v.10 no.6
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• pp.1025-1035
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• 2010

Objectives : The purpose of this study was to identify correlation of personality preference, and achievement goal orientation, academic self-efficacy, test anxiety in selecting college students who majored in dental hygiene. This study also provides a basic data regarding personality for education of dental hygiene students. Methods : 192 students of S college who majored in dental hygiene were asked to answer the MBTI GS form, academic self-efficacy scale, achievement goal orientation scale and test anxiety scale during the month of May, 2009. The total of 160 copies were analyzed. MANOVA, independent-sample t-test were conducted. Results : 1. Looking at distribution of personality preference type of the students, extroversion type (63.1%) was more than introversion type(36.9%), sensing type(87.5%) was more than intuition type(12.5%), thinking type(54.4%) was more than feeling type(45.6%), judging type(59.4%) was more than perceiving type (40.6%) 2. In subscale of achievement goal orientation, performance approach level was higher in extroversion type than in introversion type. Performance avoidance level was lower in extroversion type than in introversion type. However, other preference personality type didn't show any significant difference in subscale of achievement goal orientation. 3. Academic self-efficacy was higher in extroversion type and thinking type than in introversion type and feeling type. There wasn't any significant difference between judging type and perceiving type, sensing type and intuition type. 4. In subscale of academic self-efficacy, confidence was higher in extroversion type than in introversion type. Task difficulty preference and self-regulated efficacy were higher in thinking type than in feeling type. 5. There wasn't any significant difference between personality preference type and test anxiety. Conclusions : Professor should find out difference between students through using information of preference personality and develop a teaching strategy that can encourage strength and make up weakness of each students.

• The Journal of the Korean dental association
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• v.48 no.11
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• pp.829-840
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• 2010

In recent years, medical techniques have provided patients with various measures to improve their quality of life. For dental treatment, drug-mediated sedation techniques for relieving dental anxiety have been developed, but behavior control through drugmediation may be limited because of possible side effects, contraindications, and the additional expense to the patient. Many patients tend to avoid the treatment or are unwilling to accept it and this makes both patients and dentists feel pressured. The field of NLP application might alleviate this uncomfortableness. Recently, NLP has spread to the dental and medical field rapidly and has been used in surgical treatments as well as in direct psychotherapy. NLP techniques which could be applied to dental phobic patients are as follows. 1) anchoring, 2) dissociation, 3) submodality change, 4) time line threapy, 5) swish pattern, 6) six step reframing, 7) parts integration, 8) modeling and imagination and so on. The aim of this study is to examine the strategy of NLP psychology so that dental phobic patients can be treated efficiently and effectively by the application of behavior management. Through NLP, patients can be induced to have more positive attitudes and experiences in future dental treatment.

• The Journal of the Korea Contents Association
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• v.17 no.6
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• pp.396-407
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• 2017

The purpose of this study was to investigate the changes in the vital signs and anxiety reactions during scaling to patients who had received the dental hygiene treatment at department of Dental Hygiene in a university. A total of 189 patients were participated in the study. The level of anxiety was assessed through a dental anxiety questionnaire consisting of dental fear survey scale and dental anxiety survey scale. The vital signs were measured before and after scaling. The obtained results were as follows. The level of anxiety before scaling was 2.16 and after scaling was 1.96. This was significantly higher in women. The pulse and systolic blood pressure after scaling significantly decreased from 77.48 times to 74.36 times per minute and from 124.96 mmHg to 122.50 mmHg respectively. These changes are within the normal physiological variations. Individual changes in respiration, pulse, blood pressure, body temperature are affected by age, gender and previous dental experience, but previous scaling experience. The level of anxiety was significantly explained by respiration before scaling and pulse after scaling. As a result, scaling was associated with dental anxiety reactions and changes in vital signs.

• Journal of Dental Anesthesia and Pain Medicine
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• v.21 no.6
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• pp.547-556
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• 2021

Background: This study aimed to determine the efficacy of Physics Forceps in pediatric dental extractions. Methods: This was a double-blind, randomized controlled trial with a parallel-arm design and identical allocation ratio (1:1). Children (n=104) were randomly divided into two groups for extraction of mandibular primary teeth (group I: Physics Forceps; group II: conventional forceps). The outcome variables assessed in the study were the time taken for extraction, pre- and postoperative anxiety (using RMS pictorial scale), incidence of fractured teeth, and postoperative pain on the first and third days (using the Wong-Baker faces pain scale). Results: A significant reduction (P < 0.001) in intraoperative time, anxiety, and incidence of tooth fracture was confined to group I. The pain significantly reduced from the first to the third postoperative day in both groups, but the mean reduction in RMS scores in the physics forceps group was far better than that in the conventional forceps group. Conclusion: Physics Forceps aid in extraction of primary teeth with minimal trauma to supporting structures, as well as reducing anxiety in the pediatric population.