Anxiety in Dental Care
45 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What can patients with moderate levels of anxiety benefit from?

  • Information about the procedure (correct)
  • Private one-on-one counseling
  • Long-term hospitalization
  • A list of medications

    • What is the primary aim of Cognitive Behavioural Therapy (CBT)?

  • To modify maladaptive beliefs and behaviors (correct)
  • To provide nutritional advice
  • To induce sleep through medication
  • To conduct extensive psychological evaluations

    • Which of the following is NOT a pharmacological intervention mentioned?

  • General anesthesia
  • Conscious sedation
  • Cognitive therapy sessions (correct)
  • Medication prescriptions for relaxation

    • What type of service does the Special Care Dentistry Department provide?

    <p>Referrals for patients with anxiety management</p> Signup and view all the answers

    How many sessions does systematic desensitization typically involve in CBT?

    <p>6-10 sessions</p> Signup and view all the answers

    Which of the following describes a potential intervention for pain management?

    <p>Medication prescriptions</p> Signup and view all the answers

    What is defined as an emotional state of apprehension or dread preceding a dental encounter?

    <p>Dental anxiety</p> Signup and view all the answers

    Where can patients access information about the NHS Dental Psychology Service?

    <p>Online resource at Guys and St Thomas NHS</p> Signup and view all the answers

    Which of the following best describes a reaction to threatening stimuli in dental situations?

    <p>Dental fear</p> Signup and view all the answers

    What physiological changes can occur due to dental anxiety?

    <p>Nausea and muscle tension</p> Signup and view all the answers

    Which of the following is a behavioral response to dental anxiety?

    <p>Avoiding dental care</p> Signup and view all the answers

    How is dental phobia different from dental anxiety?

    <p>Dental phobia is a stronger and more persistent fear</p> Signup and view all the answers

    Which strategy is NOT typically associated with managing dental anxiety?

    <p>Reducing sedation techniques</p> Signup and view all the answers

    What cognitive symptoms may occur with dental anxiety?

    <p>Reduced concentration and poor memory</p> Signup and view all the answers

    Which of the following components is NOT part of dental anxiety?

    <p>Emotional</p> Signup and view all the answers

    What score on the Modified Dental Anxiety Score indicates no to low levels of anxiety?

    <p>5-9</p> Signup and view all the answers

    What percentage of individuals experience moderate anxiety levels according to the Modified Dental Anxiety Score?

    <p>36%</p> Signup and view all the answers

    Which of the following is a personal factor contributing to dental anxiety?

    <p>Negative experiences</p> Signup and view all the answers

    What is a common belief about dental anxiety concerning gender?

    <p>Females are more dental phobic.</p> Signup and view all the answers

    Which factor is NOT identified as a personal contributor to dental anxiety?

    <p>Cost of care</p> Signup and view all the answers

    What triggers could contribute to an individual's dental anxiety?

    <p>The sound of the drill</p> Signup and view all the answers

    According to the content, what is one effect of negative media on dental anxiety?

    <p>It can increase anxiety levels.</p> Signup and view all the answers

    What coping ability can impact an individual's experience of dental anxiety?

    <p>Personal reaction to stress</p> Signup and view all the answers

    Which of the following age groups can experience dental anxiety?

    <p>Individuals of all ages</p> Signup and view all the answers

    What is NOT a symptom of extreme dental anxiety according to common understandings?

    <p>Calmness during procedures</p> Signup and view all the answers

    What is one impact of dental anxiety on oral health?

    <p>Higher caries rates</p> Signup and view all the answers

    Which of the following is NOT a sign of dental anxiety?

    <p>Excitement</p> Signup and view all the answers

    Which tool is considered a valid measure of dental anxiety?

    <p>Modified Dental Anxiety Score (MDAS)</p> Signup and view all the answers

    What cycle does dental fear create?

    <p>A vicious cycle of dental fear</p> Signup and view all the answers

    What physiological sign might indicate dental anxiety?

    <p>Elevated pulse</p> Signup and view all the answers

    How should dental care providers assess for anxiety in patients?

    <p>By asking patients verbally about their anxiety</p> Signup and view all the answers

    Which of the following could be considered a cognitive sign of dental anxiety?

    <p>Racing thoughts</p> Signup and view all the answers

    When is the Visual Analogue Scale (VAS) recommended for use?

    <p>As a modified version for children</p> Signup and view all the answers

    What emotion is commonly associated with dental anxiety?

    <p>Fear</p> Signup and view all the answers

    Which behavior might suggest a patient is experiencing dental anxiety?

    <p>Frequent throat clearing</p> Signup and view all the answers

    What is a benefit of using positive imagery in memory reconstruction for anxious patients?

    <p>It encourages the recall of positive aspects.</p> Signup and view all the answers

    Which of the following is a non-pharmacological intervention for anxiety management?

    <p>Cognitive behavioural therapy</p> Signup and view all the answers

    What role does environmental change play in anxiety management?

    <p>It uses sensory stimuli to decrease anxiety.</p> Signup and view all the answers

    Which of the following sensory stimuli is suggested to help decrease anxiety?

    <p>The smell of lavender</p> Signup and view all the answers

    In memory reconstruction, which of the following aids can help patients remember positive feelings?

    <p>Images of smiling</p> Signup and view all the answers

    What is the primary focus of psychotherapeutic interventions in anxiety management?

    <p>Changing negative thought patterns.</p> Signup and view all the answers

    What type of intervention is conscious sedation classified as?

    <p>Pharmacological</p> Signup and view all the answers

    Which of the following techniques is NOT a form of non-pharmacological intervention?

    <p>Medication analgesia</p> Signup and view all the answers

    What is an example of a potential negative recall in anxious patients?

    <p>Unpleasant past dental visits</p> Signup and view all the answers

    Which of the following best describes communication skills in the context of anxiety management?

    <p>Engaging with patients empathetically.</p> Signup and view all the answers

    Study Notes

    Anxiety in Dental Care

    • This presentation covers anxiety in dental care, including definitions, prevalence, impact, signs, assessment, management strategies, and interventions.

    Intended Learning Outcomes

    • Students should be able to recognize signs of dental anxiety and describe its impact.
    • Students should understand sources/origins (aetiology) of anxiety and fear related to dental care.
    • Students should be able to describe methods to assess dental anxiety.
    • Students should be able to outline management strategies for dental anxiety.

    Assessment

    • Formative: Discussion on Moodle, patient care
    • Summative: Clinical practice record
    • Future: Effective clinical practice and patient care

    Context

    • Focuses on definitions, prevalence, and impact of dental anxiety.

    Definitions

    • Dental anxiety: An emotional state (feelings of apprehension, uneasiness, or dread) preceding dental encounters or dental-related stimuli. It ranges from mild to severe and can be related to specific or general situations.
    • Dental fear: A reaction to threatening stimuli (in dental situations) leading to fight-or-flight responses.
    • Dental phobia: A strong, persistent, and intense fear of dental care; an extreme form of dental anxiety, diagnosed and managed.

    Dental Anxiety Components

    • Physiological: Body changes (increased heart rate, sweating, raised blood pressure, and muscle tension).
    • Behavioural: Actions (avoiding dental care; canceling visits; reducing time in the dental chair; meticulous oral hygiene).
    • Cognitive: Thoughts (about the situation; reduced concentration; and poor memory).

    Prevalence of Dental Anxiety

    • The 2009 Adult Dental Health Survey was the first to measure dental anxiety using a Modified Dental Anxiety Score (MDAS).
    • A significant portion (51%) of the population surveyed experienced no or low levels of dental anxiety.
    • A notable proportion (36%) experienced moderate dental anxiety.

    Origins of Dental Anxiety

    • Personal: Negative/traumatic experiences (especially in childhood), triggers (sounds, sights, smells, feelings), loss of control, and coping abilities, and medical history
    • Social: Family members' or friends' experiences, cost of care, social circumstances, and negative media perceptions.

    Impact of Dental Anxiety on Oral Health

    • Anxiety can lead to decreased attendance, increased treatment need, reduced quality of life, and higher caries rates; poor oral health.
    • The cycle of dental fear and treatment delay can reinforce dental anxiety.

    Signs and Assessment

    • How to identify and measure dental anxiety is discussed.
    • Recognizing and assessing behavioral (irritation, panicky), emotional (outbursts, worrying), and physiological signs (posture, sweating, pulse, clearing throat), is crucial.
      • Observe patients presenting in the reception area.

    Measures of Dental Anxiety

    • Modified Dental Anxiety Score (MDAS): A valid and reliable tool to measure dental anxiety, useful for all ages.
    • Visual Analogue Scale (VAS): Appropriate for children, a variation of the MDAS.

    Modified Dental Anxiety Score (MDAS)

    • Patients rate their anxiety on a scale of 1 (not anxious) to 5 (extremely anxious).
    • This is measured for 5 aspects of dental care.
    • Scores are added to determine the level of anxiety (low, moderate, or high)

    Strategies and Referral

    • Interventions for Management:

      • Pharmacological: Anaesthesia, conscious sedation, medication/analgesia; referred to a specialist
      • Non-pharmacological: Communication skills, behavior modification, psychotherapeutic (cognitive-behavioral therapy); offered to all patients.

    • Flow Chart for Management:

      • Assessment of level of anxiety.
      • Interventions are proportionate to the level of anxiety.

    • Memory Reconstruction: Help patients recall positive aspects and how they have managed in the past, including use of positive images and reminders.

    • Environmental Change: Using smells (like lavender), soothing music, and positive imagery promotes relaxation.

    • Provision of preparatory information: Patients with moderate anxiety benefit from information on; procedure, expected sensations, and ways to manage anxiety, tailored to patients' needs.

    • CBT: Combines behavioral and cognitive strategies for modifying maladaptive beliefs and behaviors. It includes gradual exposure to fearful situations over repeated sessions.

    • Referral to Specialists: Patients experiencing high anxiety, or complex dental care or medical conditions.

    • Services at the RNENT&EDH (Royal National ENT and Eastman Dental Hospitals):

      • Referrals for patients with anxiety;
      • Clinical psychologists, facial pain service, and pain management.

    • NHS Dental Psychology Service:

    • Referral, Psychological assessment, CBT, gag-reflex management, conditions like orofacial pain, suitability assessments, and collaboration with dental practitioners.

    Summary

    • Information is grouped from definitions, prevalence, impact, signs, measurement methods and management strategies.

    References

    • A number of academic articles, studies, and resources were consulted for the information included in this presentation.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Anxiety in Dental Care PDF

    Description

    This quiz explores the various aspects of dental anxiety, including its definitions, prevalence, and impacts. Students will learn to recognize signs of anxiety, assess its origins, and outline effective management strategies. Prepare to enhance your understanding of how anxiety affects dental care and patient experiences.

    More Like This

    Dental Nursing Anxiety Management
    40 questions

    Dental Nursing Anxiety Management

    SnazzyGoblin avatar
    SnazzyGoblin
    Genetics and Dental Anxiety Study
    6 questions

    Genetics and Dental Anxiety Study

    FineLookingAquamarine248 avatar
    FineLookingAquamarine248
    Dental Anxiety and Fear Assessment Quiz
    14 questions

    Dental Anxiety and Fear Assessment Quiz

    EnchantingAbstractArt avatar
    EnchantingAbstractArt
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser