Fear and anxiety pathways associated with root canal treatments amongst a population of East Asian origin

Chen, Wei Ju; Carter, Ava; Boschen, Mark Justin; Love, Robert M.; George, Roy

doi:10.14744/eej.2019.46338

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Despite the recent improvements and technological advances in modern dentistry, anxiety about dental treatment and fear of pain associated with dentistry remain widespread. [ 8 ] Fear as well as anxiety, are common reasons for many patients not visiting a dentist with consequent avoidance of dental care. [ 9 ] This avoidance of dental treatment, leads to poorer oral health and oral health-related quality of life.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with patients’ rejection of root canal treatment in a tertiary hospital, Southwest Nigeria: A pilot survey

Gbadebo¹,

Adebayo²

2023

J West Afr Coll Surg

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Objective: Root canal treatment (RCT) is a major procedure in dentistry. It aims to relieve the pain of pulpal origin and maintain the affected tooth as a functional unit on the arch. Despite these achievable goals, RCT is sometimes rejected by patients. This study, therefore, sought to assess the reasons for rejection in patients planned for endodontic/RCT. Materials and Methods: This was a cross-sectional pilot survey of patients planned for RCT using a self-administered questionnaire. The questionnaire included sociodemographics, the Index for Dental Anxiety and Fear (IDAF-4C), and questions to assess the reasons for rejection of endodontic treatment. Data collected were analysed with IBM Statistical Package for the Social Sciences software program, version 23.0. Descriptive statistics were used; chi-square was used to test the association between categorical variables. Statistical significance was set at P ≤ 0.05. Result: Thirty-one patients between the age range of 16 and 81 years, with a mean age of 38.16 ± 17.87, participated in the survey. Only nine (29.03%) of the participants declined to have the treatment. The majority 6(66.7%), and 7(77.8%) of those that refused the treatment did so, due to fear of drilling ( P = 0.014) and cost of treatment ( P = 0.001), respectively. Mean IDAF-4C was 1.86 ± 0.9 (standard deviation). The rejection was, however, not affected by past experience, the risk of taking multiple radiographs, and the number of hours or visits for the procedure. Conclusion: The cost of treatment and fear of drilling were the major reasons for the rejection of RCT in this study. Therefore, there is a need to further look into making endodontic treatment a more comfortable, less costly, and less fear-provoking procedure for patients.

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Section: Introductionmentioning

confidence: 99%

Factors associated with patients’ rejection of root canal treatment in a tertiary hospital, Southwest Nigeria: A pilot survey

Gbadebo¹,

Adebayo²

2023

J West Afr Coll Surg

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Psychological Contributors to Pain Before, During, and After Endodontic Procedures: A Scoping Review

Sadr,

Gholamrezaei,

McNeilage

et al. 2024

Preprint

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BackgroundDespite an increasingly biopsychosocial approach to pain management in healthcare, the scope of research into the role of psychological factors in endodontic pain is unknown.ObjectivesThis study aimed to identify the scope of research into psychological contributors to pain associated with endodontic procedures, as a first step towards addressing psychological contributors to pain in clinical practice.MethodThis scoping review was conducted and reported according to the JBI Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (extension for scoping reviews). The data search was conducted in MEDLINE, EMBASE, PsycINFO, Web of Science, Scopus, Cochrane Database of Systematic Reviews, and CINAHL databases. For gray literature, we reviewed reference lists, medRxiv pre-prints, ProQuest and EBSCO theses,ClinicalTrials.govand Cochrane trials (via Ovid), and conference materials via Web of Science and Scopus (from inception to July 2023). Each record was screened by two independent reviewers. Data were extracted by one reviewer and cross-verified by a second reviewer.ResultsForty studies were included in the review. Twelve broad psychological constructs were evaluated in relation to pain for pre-procedural, procedural and post-procedural endodontics: pain expectancies, positive treatment expectancies, depression, anxiety, positive and negative mood (affect), beliefs about pain, desire for control of dental treatments, perceptions of dentists, somatic focus or awareness, pain coping strategies, personality, and psychiatric diagnoses. Pre-procedural pain was most frequently associated with anxiety. Procedural pain was consistently associated with expected pain. Post-procedural pain was associated with expected pain, depression, beliefs about pain, positive treatment expectations, and personality characteristics.ConclusionA variety of psychological factors have been investigated in relation to endodontic pain. Whilst associations between endodontic pain and psychological constructs were found, further research is needed to evaluate the strength of these associations, and the scope of evidence for interventions designed to address these psychological contributors to pain in dental practice.RegistrationThe search protocol was registered on Open Science Framework in 2021 (DOI number: 10.17605/OSF.IO/FSRJP).

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Knowledge and Awareness of Root Canal Treatment among Patients in Tripoli: A Survey-Based Study

Sumaya Aghila

2024

Alq J Med App Sci

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Root canal treatment is a branch of dentistry concerned with the morphology, physiology, and pathology of the human dental pulp. The majority of patients worry about a root canal because they don't know much about it and believe the procedure will is painful. The aim of this study was to assess the knowledge and awareness of patients in a sample of Tripoli Libya’s patients regarding root canal treatment. A Questionnaire comprised 19 questions was distributed in hard copies to 134 patients in public and private dental centers in Tripoli, Libya. The data were then subjected to statistical analysis using Chi square test and Fisher exact test, and P < 0.05 was considered statistically significant. The survey found that 79.9% of patients were familiar with root canal treatment and a significant proportion of patients (80.6%) thought the therapy was necessary for treating tooth pain. There have been statistically significant results linking endodontic professionals' experiences with different age groups. Similarly, a significant connection has been shown between patient' knowledge about root endodontic therapy and their level of education. Additionally, women's decisions to receive treatment are significantly influenced by the cost of treatment. According to our study, it was clear that most of the people had good knowledge and awareness regarding root canal treatment, but they felt it was costly. A general dentist was the first choice for the majority of patients. The cost associated with treatment was a serious barrier to obtaining treatment, especially among women.

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Fear and anxiety pathways associated with root canal treatments amongst a population of East Asian origin

Cited by 3 publications

References 19 publications

Factors associated with patients’ rejection of root canal treatment in a tertiary hospital, Southwest Nigeria: A pilot survey

Factors associated with patients’ rejection of root canal treatment in a tertiary hospital, Southwest Nigeria: A pilot survey

Psychological Contributors to Pain Before, During, and After Endodontic Procedures: A Scoping Review

Knowledge and Awareness of Root Canal Treatment among Patients in Tripoli: A Survey-Based Study

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