Dental anxiety: Non-pharmacological treatment may be beneficial

Should we be paying more attention to anxiety in people with psychosis?

This review of non-pharmacological intervention to reduce mental distress, pain, and analgesic use in adults undergoing dental treatment included 29 RCTs. The findings suggest positive benefits for the interventions examined with no significant differences between the various interventions.

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Anxiety and pain during dental treatment


35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.

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Tooth extraction: factors affecting anxiety and fear


This review of factors affecting fear and anxiety in adult patients undergoing tooth extraction included 16 studies and identified a number of factors associated with anxiety although there are concerns over the quality of the available studies.

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Cochrane Protocol August 2013


Just over a third (36%) of the UK population are reported to be moderately anxious of dental treatment with about 12% reporting extreme dental anxiety.  Dental anxiety is not just a UK problem but also a global one with figures varying around the world. New to the Cochrane Library is a protocol of a review, [read the full story…]

UK norms for dental anxiety


The 2009 adult dental survey conducted in England, Wales, and Northern Ireland was the 5th decennial survey undertaken in the UK.    It was based on a two-stage cluster sample and of 12,054 eligible households  7,233 participated.  Of the 13,509 adults in these households 11,382 participated (84%). The survey consisted of a clinical examination and a [read the full story…]

Study suggests that a computer program may have some success in managing patients with dental needle fear


Significant fear of dental injections has been reported in as many as one in four adults.   The aim of this study was to compare the efficacy of  Computer Assisted Relaxation
 Learning (CARL) with an informational pamphlet for reducing dental injection fear. CARL is a self-paced, computerized program based on systematic desensitization aimed at reducing fear [read the full story…]

Measures of Children’s dental anxiety


Dental anxiety is still a relatively common problem. It usually develops in childhood an early adolescence. The aim of this review was to identify and evaluate self-report measures of dental anxiety that have been used to assess children’s dental anxiety since the 1998 review by Newton and Buck. The authors were planning to Provide:- a [read the full story…]

75% of patients reported no pain during routine dental treatment


Despite  improvements in dental practice dental procedures are often perceived as painful and uncomfortable.  The aim of the study was to investigate factors that influence pain intensities associated with routine dental procedures. This study was conducted in general dental practices in the North West of England. 451 dental patients self-reported pain experienced during the procedure [read the full story…]

Optimal oral dose of midazolam for the anxious child requiring dental treatment is 0.75 mg/kg

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Behavioural management is an essential approach for the dental treatment of the anxious child.  It is sometimes  necessary to supplement this with sedation.  The main aim of this study was to compare the effect of three doses of oral midazolam (0.5, 0.75, and 1 mg ⁄ kg) on the sedative state and cooperative behaviour of  [read the full story…]