Computerized Dental Injection Fear Treatment

Heaton, Lisa J.; Ruff, P.A.; Coldwell, Susan E.

doi:10.1177/0022034513484330

Cited by 33 publications

(30 citation statements)

References 15 publications

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“…110,111 Individuals view a series of video segments in which a fearful patient is taught coping skills (including diaphragmatic breathing and progressive muscle relaxation, as described above) and then taken through the gradual steps of a dental injection. In a randomized clinical trial, individuals completing the CARL programme showed greater fear reduction than individuals receiving an informational pamphlet about dental injections, 112 and fearful patients have found CARL to be an acceptable way to reduce their dental injection fear. 113 Whether done in person or via computer, systematic desensitization allows patients to learn to reduce their anxiety while taking 'baby steps' through procedures.…”

Section: Systematic Desensitizationmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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Section: Systematic Desensitizationmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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“…As an example, a recently published RCT examined a self-paced computerized cognitive-behavioral intervention based on systematic desensitization for dental injection phobia. 8 This study found that while this intervention did not have a significant effect on how many patients received an optional dental injection, it did significantly decrease self-reported dental anxiety. Unlike many of the studies reviewed in the current meta-analysis, this paper followed the CONSORT checklist, including all of the necessary components that Wide Boman and colleagues 1 were unable to report on in the papers reviewed.…”

Section: Commentary and Analysismentioning

confidence: 73%

Behavioral Interventions May Reduce Dental Anxiety and Increase Acceptance of Dental Treatment in Dentally Fearful Adults

Heaton

2013

Journal of Evidence Based Dental Practice

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“…The fear concerning the pain from the anesthetic injection is very frequent (2) and these patients could report greater pain during the anesthetic act compared to patients without fear (16). We selected the upper third molar removal as a model to our study because it is a very reproducible model of surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Influence of information concerning a computerized anesthesia system on dental anxiety: a randomized controlled clinical trial

Rizzo-Lorenzo¹,

Sánchez‐Torres²,

Noguera-Mutlló³

et al. 2020

Med Oral

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Background: A single-blinded randomized controlled trial among patients requiring an upper third molar extraction was performed to evaluate the anxiety degree after receiving information or not about the functioning of The Wand system. Secondarily, perceived pain and the need of re-anesthesia were assessed. Material and Methods: Patients were randomly assigned to the experimental group (detailed explanation about The Wand) or control group (no specific information). Local anesthesia with The Wand consisted in a supraperiosteal infiltrative technique injection 1.6 mL at the buccal and 0.2 mL at the palatal side. Distinct questionnaires for assessing dental anxiety and 100-mm visual analog scales to assess pain were delivered. Demographic data, radiological parameters, operative time and type of intervention were also registered. A descriptive bivariate analysis by non-parametric tests to detect differences in anxiety, pain and re-anesthesia was performed by SPSS 22.0 (SPPS Inc. Chicago, USA). Results: A total of 85 patients were assessed for eligibility but 17 participants were lost due to the cancellation of the visit for the surgical intervention. Finally, sixty-eight patients were included (34 participants in each group), 47 women (69.1%) and 21 men (30.9%), with an average age of 28.8 (± 9.3) years.

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Computerized Dental Injection Fear Treatment

Abstract: One in four adults reports a clinically significant fear of dental injections, leading many to avoid dental care. While systematic desensiti-

Cited by 33 publications

References 15 publications

Management of fear and anxiety in the dental clinic: a review

Management of fear and anxiety in the dental clinic: a review

Behavioral Interventions May Reduce Dental Anxiety and Increase Acceptance of Dental Treatment in Dentally Fearful Adults

Influence of information concerning a computerized anesthesia system on dental anxiety: a randomized controlled clinical trial

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