Die modulierte Schreckreaktion bei Zahnbehandlungsphobie

Sartory, Gudrun; Heinen, Richard; Wannemüller, André; Lohrmann, Thomas; Jöhren, Peter

doi:10.1026/1616-3443.38.4.213

Cited by 8 publications

(17 citation statements)

References 23 publications

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“…This finding has been reported repeatedly in specific phobics (e.g., Sartory et al, 1982, 1987, 2009; Globisch et al, 1999) as well as in patients with posttraumatic stress disorder to trauma-related stimuli (Elsesser et al, 2004, 2005). HR acceleration to the phobia-related stimuli is thought to be indicative of the presence of a fear network combining situational cues with neuroendocrine responses.…”

Section: Discussionsupporting

confidence: 73%

“…In patients with social phobia ( Larsen et al, 2002 ; McTeague et al, 2009 ), post traumatic stress disorder ( Miller et al, 2004 ) and specific phobia ( Globisch et al, 1999 ; Hamm et al, 1997 ) fear-potentiated SR was reported upon exposure to phobia-relevant or personalized trauma-related materials. But there are also discrepant findings ( Elsesser et al, 2004 ; Mühlberger et al, 2006 ; Sartory et al, 2009 ). Animal phobics consistently showed fear potentiation of the SR ( Hamm et al, 1997 ; Sabatinelli et al, 2001 ; Mühlberger et al, 2006 ), whereas blood injury phobics showed once a lack ( Sarlo et al, 2010 ) and in another study the presence of a fear-potentiated SR ( Hamm et al, 1997 ).…”

Section: Introductionmentioning

confidence: 93%

“…Dental phobia is a specific phobia with extensive cognitive, physiological and behavioral symptoms ( Schmid-Leuz et al, 2007 ; Sartory et al, 2009 ). Dentists are reported to be reluctant to treat dental phobics with one of the reasons being their increased startle reactivity during dental treatment which increases the risk of accidents ( Cooper et al, 1980 ).The startle reaction (SR) is an automatic reflexive response to sudden or unexpectedly intense stimulation ( Landis and Hunt, 1939 ).…”

Section: Introductionmentioning

confidence: 99%

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Modality of fear cues affects acoustic startle potentiation but not heart-rate response in patients with dental phobia

et al. 2015

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The acoustic startle response (SR) has consistently been shown to be enhanced by fear-arousing cross-modal background stimuli in phobics. Intra-modal fear-potentiation of acoustic SR was rarely investigated and generated inconsistent results. The present study compared the acoustic SR to phobia-related sounds with that to phobia-related pictures in 104 dental phobic patients and 22 controls. Acoustic background stimuli were dental treatment noises and birdsong and visual stimuli were dental treatment and neutral control pictures. Background stimuli were presented for 4 s, randomly followed by the administration of the startle stimulus. In addition to SR, heart-rate (HR) was recorded throughout the trials. Irrespective of their content, background pictures elicited greater SR than noises in both groups with a trend for phobic participants to show startle potentiation to phobia-related pictures but not noises. Unlike controls, phobics showed HR acceleration to both dental pictures and noises. HR acceleration of the phobia group was significantly positively correlated with SR in the noise condition only. The acoustic SR to phobia-related noises is likely to be inhibited by prolonged sensorimotor gating.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Modality of fear cues affects acoustic startle potentiation but not heart-rate response in patients with dental phobia

et al. 2015

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“…Not every sign of anxiety during dental treatment describes an anxiety disorder. Sartory et al [ 8 ] conducted a study presenting sounds, hearable during a dental examination, to patients with diagnosed high dental anxiety and those without a diagnosis. Both groups judged dental sounds significantly more aversive than neutral sounds (bird twitter).…”

Section: Introductionmentioning

confidence: 99%

Comparing oral health in patients with different levels of dental anxiety

2018

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BackgroundDental Anxiety is still today one of the most common fears and is therefore a great challenge for every dental practitioner. The aim of this study was to identify patients with dental anxiety using the Dental Anxiety Scale and comparing different levels of dental anxiety with oral health using DMF-T and DMF-S index.MethodsThis study questioned 1549 patients over the course of three years (2002–2005). DAS questionnaires were handed out before treatment and the state of oral health was evaluated using DMF-T and DMF-S.ResultsThere is no significant relation between high anxiety and the global DMF-T Score (p = 0.237), missing teeth (p = 0.034) and filled teeth (p = 0.237). There is however a significant increase in destroyed teeth, the higher the level of dental anxiety in the patient (p < 0.0001). There is as well a significant relationship between the global DMF-S Score (p = 0.042) and dental anxiety. No relationship was found comparing missing surfaces (p = 0.107) and filled surfaces (p = 0.516) with dental anxiety. Destroyed 16 surfaces are, however, significantly higher in patients with more dental anxiety (p < 0.0001). A higher dental anxiety therefore often causes minimalistic dentistry to fail due to more teeth being destroyed.ConclusionsPatients with dental anxiety still have a worse oral hygiene than patients without dental anxiety. It is still necessary, in this time of caries prevention rather than over-treatment, to be educated so that patients suffering dental fear receive the right treatment.

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“…Nevertheless, patient reports of unpleasant sensations up to severe pain (according to surveys between 60% to 80%) still cause fear of dental procedures [1].…”

Section: Introductionmentioning

confidence: 99%

Supplementary non pharmacological interventions in patients of the Department of Oral and Maxillofacial Surgery

Sailer

2015

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Die modulierte Schreckreaktion bei Zahnbehandlungsphobie

Cited by 8 publications

References 23 publications

Modality of fear cues affects acoustic startle potentiation but not heart-rate response in patients with dental phobia

Modality of fear cues affects acoustic startle potentiation but not heart-rate response in patients with dental phobia

Comparing oral health in patients with different levels of dental anxiety

Supplementary non pharmacological interventions in patients of the Department of Oral and Maxillofacial Surgery

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