Basics of formation and correction of dental anxiety
https://doi.org/10.36377/1683-2981-2023-21-4-276-280
Abstract
The foundations of negative experiences of dental treatment and clinical observation are laid in childhood, and the patient’s further attitude towards dental procedures depends on how the child’s first acquaintance with a dentist goes. Anxiety, tension and fear of upcoming pain can lead to the development of varying degrees of dental phobia. Children's fears do not
allow for complete and timely treatment, which requires the development of measures to correct them.
Aim. Develop a technique for reducing anxiety in patients with dental anxiety at a pediatric dental appointment.
Materials and methods. The study involved 90 children aged 6-15 years. They were divided into groups depending on the strength of the nervous system. In each group, the level of dental anxiety was determined and methods were used to reduce it, which included: motivational interviewing, art therapy, adaptation using hardware technologies.
Results. After carrying out adaptation techniques for children, a decrease in dental anxiety was observed in each group of subjects. The technique was most effective in the group of children with a strong nervous system.
Conclusions. This developed complex of psychological support for patients at a pediatric dental appointment (procedures promoting relaxation, distraction, perceived control) reduces the level of dental anxiety and improves the indicators of vegetative support.
About the Authors
I. A. NikolskaiaRussian Federation
Irina A. Nikolskaia, candidate of Medical Sciences, Professor
Department of Therapeutic Dentistry
117997
1, Ostrovityanova str.
Moscow
V. A. Katyukhina
Russian Federation
Valeriya A. Katyukhina, assistant
Department of Therapeutic Dentistry
117997
1, Ostrovityanova str.
Moscow
I. V. Pogabalo
Russian Federation
Irina V. Pogabalo, MD, Professor
Department of Therapeutic Dentistry
117997
1, Ostrovityanova str.
Moscow
N. N. Patrakova
Russian Federation
Natalya N. Patrakova, candidate of Medical Sciences, Associate Professor
Department of Therapeutic Dentistry
117997
1, Ostrovityanova str.
Moscow
A. A. Ogloblin
Russian Federation
Alexey A. Ogloblin, assistant
Department of Therapeutic Dentistry
117997
1, Ostrovityanova str.
Moscow
R. M. Kuliev
Russian Federation
Rakhim M. Kuliev, assistant
Department of Orthopedic Dentistry
117997
1, Ostrovityanova str.
Moscow
References
1. Nopin S.V., Koryagina Yu.V., Kushnareva Yu.V. Tapping test as an indicator of the efficiency, strength and endurance of the nervous system in athletes of various sports. Modern Issues in Biomedicine 2022;6(2).
2. Korovin Y.S., Khisamutdinov M.V., Fisunov A.V., Ivanov D.Ya. A method for assessing areas of interest during eye tracking. Bulletin of science and education. 2020;17(95):13-20.
3. Battle DE. Diagnostic and Statistical Manual of Mental Disorders (DSM). Codas. 2013;25(2):191-2. doi: 10.1590/s2317-17822013000200017.
4. Freeman R. A fearful child attends: a psychoanalytic explanation of children's responses to dental treatment. Int J Paediatr Dent. 2007 Nov;17(6):407-18. doi: 10.1111/j.1365-263X.2007.00871.x.
5. Hamasaki T, Soh I, Takehara T, Hagihara A. Applicability of both dentist and patient perceptions of dentists' explanations to the evaluation of dentist-patient communication. Community Dent Health. 2011 Dec;28(4):274-9.
6. Svensson L, Hakeberg M, Boman UW. Dental anxiety, concomitant factors and change in prevalence over 50 years. Community Dent Health. 2016;33(2):121–126.
7. Cygankiewicz I, Zareba W. Heart rate variability. Handb Clin Neurol. 2013;117:379-93. doi: 10.1016/B978-0-444-53491-0.00031-6.
Review
For citations:
Nikolskaia I.A., Katyukhina V.A., Pogabalo I.V., Patrakova N.N., Ogloblin A.A., Kuliev R.M. Basics of formation and correction of dental anxiety. Endodontics Today. 2023;21(4):276-280. (In Russ.) https://doi.org/10.36377/1683-2981-2023-21-4-276-280