Advertisement

Fear reduction in patients with dental treatment phobia

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      In a clinical trial, we examined short- and medium-term reduction of dental fear in patients with dental phobia. Ninety-one patients selected one of two treatments or no intervention before oral surgery (control group). One group comprised a one-session psychological treatment and included 25 patients. The second group chose oral selected midazolam and included 30 patients. Thirty-six patients chose the control group. In total, 50 patients completed the study (10 controls, 20 in the midazolam group, an d 20 in the treated group). The degree of fear was assessed by the Corah Dental Anxiety Scale.
      Before the operation, both interventions caused the degree of fear to fall significantly compared with the control group. Two months later, the midazolam group showed a return to baseline fear, whereas the psychologically treated group showed further imp<$>rovement. Medium-term results after one year showed that compliance and reduction of fear remained only in the psychologically treated group.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      References

        • Kleinknecht RA
        • Klepac RK
        • Alexander DA
        Origins and characteristics of fear of dentistry.
        J Am Dent Assoc. 1973; 86: 842-847
        • Klepac RK
        Fear and avoidance of dental treatment in adults.
        Ann Behav Med. 1986; 8: 17-22
      1. Diagnostic and Statistical Manual IV: Diagnostic Criteria from DSM-IV, Washington, DC, American Psychiatric Association, 1994

        • Malamed SF
        Pain and anxiety control in dentistry.
        J Calif Dent Assoc. 1993; 21: 35-38
        • Slovin M
        Managing the anxious and phobic dental patient.
        NY State Dent J. 1997; 63: 36-40
        • Jöhren P
        • Thom A
        • Sartory G
        Präoperative Vorbereitung bei Patienten mit Zahnbehandlungsphobie.
        Dtsch Zahnärztl Z. 2000; 55: 273-277
        • Hall H
        • Edmondson HD
        The aetiology and psychology of dental fear.
        Br Dent J. 1983; 154: 247-252
        • Öst LG
        • Salkovski PM
        • Hellström K
        One session therapist-directed exposure vs self-exposure in the treatment of spider phobia.
        Behav Ther. 1991; 22: 407-422
        • De Jongh A
        • Muris P
        • Ter Horst G
        • Van Zuuren F
        • Schoenmakers N
        • Makkes P
        One-session treatment of dental phobia: preparing dental phobics for treatment by reconstructuring negative cognitions.
        Behav Res Ther. 1995; 33: 947-954
        • Corah NL
        Development of a dental anxiety scale.
        J Dent Res. 1969; 48: 596
        • Corah NL
        • Gale EN
        • Illig SJ
        Assessment of dental anxiety scale.
        J Amer Dent Assoc. 1978; 97: 816-819
        • Ning L
        • Liddell A
        The effect of concordance in the treatment of clients with dental anxiety.
        Behav Res Ther. 1991; 29: 315-322
        • Jacobson N
        • Truax P
        Clinical significance: a statistical approach to defining meaningful change in psychotherapy research.
        J Consult Clin Psychol. 1991; 59: 12-19
        • Moore PA
        • Finder RL
        • Jackson DL
        Multidrug intravenous sedation: determinants of the sedative dose of midazolam.
        Oral Surg Oral Med Oral Pathol Oral Radiol. 1997; 84: 5-10
      2. Kiesler, DJ, Experimental design in psychotherapy research, Bergin, AEGarfield, SL, Handbook of Psychotherapy and Behaviour Change, Chichester, John Wiley, 1971, 111, 117

        • Linsday SJE
        • Humphris G
        • Barnby G
        Expectations and preferences for routine dentistry in anxious adult patients.
        Br Dent J. 1987; 163: 120-124
        • Knoll-Köhler E
        • Frie A
        • Becker J
        Diazepam zur Streßminimierung bei operativer Weisheitszahnentfernung. Sind 0,15mg/kg ausreichend?.
        Zahnärztl Welt Reform. 1995; 104: 526-529
        • Wahlmann UW
        • Dietrich U
        • Fischer W
        Zur Frage der oralen Sedierung mit Midazolam bei ambulanten zahnärztlich-chirurgischen Eingriffen.
        Dtsch Zahnärztl Z. 1992; 47: 66-68
        • Douglas E
        • Brouillette M
        • Leventhal R
        Midazolam versus diazepam for combined oesophagastroduodenoscopy and colonoscopy.
        Dig Dis Sci. 1989; 34: 1265-1271
        • Wong H
        • Fragen R
        • Dunn K
        Dose-finding study of intramuscular midazolam preanesthetic medication in the elderly.
        Anesthesiology. 1991; 74: 675-679
        • Lipp M
        • Mertzlufft F
        • Daubländer M
        • Nürnberg M
        Pulsoximetrie in der Zahnmedizin.
        Zahnärztl Welt Reform. 1988; 97: 430-434
        • Lipp M
        Anästhesieverfahren in der Zahn-, Mund- und Kieferheilkunde, spezielle Anforderungen an den Anästhesisten.
        Anästhesiol Intensivmed. 1996; 4: 185-189
        • Berggren U
        • Linde A
        Dental fear and avoidance. A comparison of two modes of treatment.
        J Dent Res. 1984; 63: 1223-1227
        • Öst LG
        One-session treatment for specific phobias.
        Behav Res Ther. 1987; 27: 1-7
        • Öst LG
        • Brandberg M
        • Alm T
        One versus five session of exposure in the treatment of flying phobia.
        Behav Res Ther. 1997; 35: 987-996