Dental fear and anxiety: Is it related to negative oral health beliefs?

Media coverage of the paper by Davies and Read was emotive and damning in terms of the dangers of antidepressant medication.

This review of the evidence on the relationship of oral health beliefs with dental fear and anxiety included 10 studies and suggests that patients with negative health beliefs are more likely to suffer with dental fear and anxiety.

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Distraction techniques for managing dental anxiety in children and adolescents

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This review assessing whether distraction techniques reduce children’s/adolescent’s anxiety and fear during dental treatment included 20 RCTs providing very low certainty evidence that these techniques have a positive effect.

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Sedation for children undergoing dental treatment

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This Cochrane review update of the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry includes 50RCTs providing some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment.

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Top Dental Elf Blogs: May – Aug 2018

The elves have been mining the archive for research blogs to support CQC's recommendations on high-quality adult social care services and support.

Popular Dental Elf blogs in May-Jun 2018 include; tooth whitening; oral surgery and anticoagulants, anxiety management in children using CBT and oral lichen planus

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Audiovisual distraction for dental anxiety in children?

Patients in the intervention group were shown a brief informational video before receiving their Internet based intervention, in the hope that this would encourage acceptance of the treatment. 

This review of the effectiveness of audiovisual distraction for reducing dental anxiety in children included 9 trials 6 of which were randomised. The findings suggested that audiovisual distraction was helpful in reducing dental anxiety although all the trials were considered to be at high risk of bias.

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Dental anxiety in paediatric patients: Is cognitive behavioural therapy effective?

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This review of cognitive behavioural therapy(CBT) for dental anxiety and dental phobia in children identified 6 RCTs suggesting it therapy produces better anxiety reduction than diverse behavioural management techniques. However the available evidence is of low quality.

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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

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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

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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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