International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 16 , ISSUE S2 ( September, 2023 ) > List of Articles

ORIGINAL RESEARCH

Management of Dentally Anxious Adolescents with Retraining Technique: A Double-blind Randomized Controlled Clinical Study

Srikanth Saraswati, Sai D Saraswati, Srujana P Mudusu, Kiranmayi Merum, Rajendra R Eddula, Manitha P Seth

Keywords : Dental Anxiety, Retraining technique, Secondary school children

Citation Information :

DOI: 10.5005/jp-journals-10005-2655

License: CC BY-NC 4.0

Published Online: 01-11-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Anxiety toward dental treatment may be the reason for not only young children but also secondary school children to postpone dental treatment despite having severe pain. Hence this study was undertaken to recognize such anxious secondary school children prior to the treatment and tried to manage them with the retraining technique. Materials and methodology: The present interventional study comprised 100 participants with highly anxious about dental treatment and were selected randomly within the secondary school age group of 11–16 years visiting the dental hospital. These selected participants were randomly allocated into two groups with 50 members in each group. Group I participants were managed with the retraining behavior management technique and in group II subjects retraining behavior management technique was not employed. Preinterventional and postinterventional dental anxiety (DA) scores were assessed using a Modified Dental Anxiety Scale (MDAS). The data obtained was statistically analyzed with Statistical Package for the Social Sciences (SPSS) version 22 using the Wilcoxon sign ranked test. Results: There was a significant difference in preinterventional and postinterventional mean DA scores in group I treated with the retraining technique with no significant difference in group II. Conclusion: The retraining technique can be used in managing highly anxious secondary school children during dental procedures.


HTML PDF Share
  1. American pPsychiatric a-Association. Diagnostic and statistical Manual of Mental Disorders DSM- IV. Washington, DC: American Psychiatric Association; 1994.
  2. Locker D, Liddell AM. Correlates of dental anxiety among older adults. J Dent Res 1991;70(3):198–203. DOI: 10.1177/00220345910700030801
  3. Teo CS, Foong W, Lui HH, et al. Prevalence of dental fear in young adult Singaporeans. Int Dent J 1990;40(1):37–42.
  4. Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dent Oral Epidemiol 1992;20(2):97–101. DOI: 10.1111/j.1600-0528.1992.tb00686.x
  5. Kvale G, Berg E, Raadal M. The ability of Corah's Dental Anxiety Scale and Spielberger's State Anxiety Inventory to distinguish between fearful and regular Norwegian dental patients. Acta Odontol Scand 1998;56(2):105–109. DOI: 10.1080/00016359850136076
  6. Gift HC, Atchison KA. Oral health, health, and health-related quality of life. Med Care 1995;33(11 Suppl):NS57–NS77. DOI: 10.1097/00005650-199511001-00008
  7. Thomson WM, Stewart JF, Carter KD, et al. Dental anxiety among Australians. Int Dent J 1996;46(4):320–324.
  8. Locker D, Shapiro D, Liddell A. Overlap between dental anxiety and blood-injury fears: psychological characteristics and response to dental treatment. Behav Res Ther 1997;35(7):583–590. DOI: 10.1016/s0005-7967(97)00016-8
  9. Seeman K, Molin C. Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA). Acta Psychiatr Scand 1976;54(2):81–91. DOI: 10.1111/j.1600-0447.1976.tb00099.x
  10. Jeddy N, Nithya S, Radhika T, et al. Dental anxiety and influencing factors: a cross-sectional questionnaire-based survey. Indian J Dent Res 2018;29(1):10–15. DOI: 10.4103/ijdr.IJDR_33_17
  11. Eitner S, Wichmann M, Paulsen A, et al. Dental anxiety–an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil 2006;33(8):588–593. DOI: 10.1111/j.1365-2842.2005.01589.x
  12. Armfield JM, Slade GD, Spencer AJ. Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol 2009;37(3):220–230. DOI: 10.1111/j.1600-0528.2009.00468.x
  13. Sinha E, Rekha R, Nagashree SR. Anxiety of dental treatment among patients visiting primary health centers. J Indian Assoc Public Health Dent 2019;17(3):235–240. DOI: 10.4103/jiaphd.jiaphd_178_18
  14. Fotedar S, Bhardwaj V, Fotedar V. Dental anxiety levels and factors associated with it among patients attending a dental teaching institute in Himachal Pradesh. SRM J Res Dent Sci 2016;7(3):153–157. DOI: 10.4103/0976-433X.188799
  15. Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literature review. Int J Paediatr Dent 2004;14(4):241–245. DOI: 10.1111/j.1365-263X.2004.00563.x
  16. Reddy ER, Raju SS, Merum K, et al. Postgraduates’ perspective of pediatric dental chair: a questionnaire study. Int J Clin Pediatr Dent 2020;13(3):251–254. DOI: 10.5005/jp-journals-10005-1758
  17. Udoye CI, Oginni AO, Oginni FO. Dental anxiety among patients undergoing various dental treatments in a Nigerian teaching hospital. J Contemp Dent Pract 2005;6(2):91–98.
  18. Arslan S, Ertas E, Ülker M. The relationship between dental fear and sociodemographic variables. Erciyes Med J 2011;33(4):295–300.
  19. Deogade SC, Suresan V. Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school. Ind Psychiatry J 2016;25(2):202–209. DOI: 10.4103/ipj.ipj_16_16
  20. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry 2020;292–310.
  21. Asokan A, Rao AP, Mohan G, et al. A pain perception comparison of intraoral dental anesthesia with 26 and 30 gauge needles in 6-12-year-old children.. J Pediatr Dent 2014;2(2):56–60.
  22. Khandelwal M, Shetty RM, Rath S. Effectiveness of distraction techniques in managing pediatric dental patients. Int J Clin Pediatr Dent 2019;12(1):18–24. DOI: 10.5005/jp-journals-10005-1582
  23. Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2007;25(4):177–182. DOI: 10.4103/0970-4388.37014
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.