The influence of pain experience upon dental fear

Ju, On-Ju; Park, Chung-Soon

doi:10.13065/jksdh.2013.13.06.987

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…However, it can cause physical and psychological pain in some patients 18) . Ju and Park 19) stated that the main cause of patients' avoidance of dental treatment was pain experienced during past treatment, and Park et al 18) stated that a method is needed to reduce patients' pain during dental scaling. de Jongh and Stouthard 20) reported that patients experience a great deal of anxiety due to the noise and vibrations generated during dental scaling, and the anxiety can lead to pain during treatment 21) .…”

Section: Key Results and Comparison With Previous Studiesmentioning

confidence: 99%

Evaluation of Pain Reduction and Clinical Efficacy of Feedback-Controlled Ultrasonic Scaler

et al. 2023

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Background: Recently, a piezoelectric ultrasonic scaler based on a feedback control mechanism was introduced for pain relief. This study aimed to investigate the effects of a new ultrasonic scaler in reducing pain and discomfort in adults. Methods: A newly introduced ultrasonic scaler (Master 700 Ⓡ ) was used as the test device and a conventional ultrasonic scaler device (PIEZON Ⓡ ) was used as the control device. Forty-one healthy adults visited the dental clinic for dental scaling but did not undergo scaling or periodontal treatment within 6 months. Intraoral examinations were performed before scaling and 3 months later; before scaling, both devices were randomly assigned on the left or right side of each dentition (split-mouth model) and scaling was performed by a registered dental hygienist. The levels of pain and discomfort during scaling were evaluated subjectively and objectively using the visual analog scale (VAS) and physiological monitoring of the heart rate (HR), respectively. Time was measured for each device. Results: All clinical indicators, except bleeding on probing, significantly improved with both devices. The treatment times were 7 minutes, 13 minutes (control) and 6 minutes, 59 minutes (test). VAS scores for pain were 4.89±2.12 (control) and 4.58±2.77 (test) points out of 10; for noise, these were 4.68±2.33 (control) and 4.55±2.55 (test), and for vibration, the values were 4.26±2.0 (control) and 4.18±2.48 (test). HR averages were 72.34±3.39 (control) and 75.97±9.78 (test) beats/min. No statistically significant differences were observed between the devices. Conclusion:The pain, discomfort levels, and scaling time of the new piezoelectric ultrasonic scaler did not differ from those of the conventional device. Further research and development are necessary for more prominent pain-relief effects of scaling devices.

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Section: Key Results and Comparison With Previous Studiesmentioning

confidence: 99%

Evaluation of Pain Reduction and Clinical Efficacy of Feedback-Controlled Ultrasonic Scaler

et al. 2023

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“…Sharp syringes, the sound of rotary instruments, and other sharp tools used in dental procedures can make individuals more susceptible to fear and anxiety [33]. Moreover, it was revealed that pain experiences resulting from dental pain and insufficient anesthesia experience had a marked influence on dental fear levels [38]. It could be helpful to better understand the mechanisms of orofacial pain perception by determining the detailed effects of contributing factors for the establishment of a more effective pain control strategy.…”

Section: Discussionmentioning

confidence: 99%

Visual Effect on Mechanical Pain Threshold According to Anatomical Regions

et al. 2022

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Pain perception is affected by a wide range of contributing factors, including biological, psychological, and social factors. Although the provision of visual information could have a modulatory effect on pain perception, it is unclear whether such a visual effect might vary depending on the anatomical site and stimulation type. This study aimed to analyze the modulatory effect of visual information on the perception of sharp and dull pain in the face and hand and to assess the influence of individual fear levels on modulatory visual information.Methods: Methods: A total of 68 healthy male and female volunteers were recruited for this study. Pressure and pricking pain with and without visual information were induced on the masseter and thenar muscles, and alterations in pain threshold were evaluated. The survey was conducted using the Geop-Pain Questionnaire (GPQ). Results: Results:The pricking pain threshold of the hand was significantly elevated when viewing the stimulated hand. This result indicated that the provision of visual information could decrease sensitivity to sharp pain in the hand. However, when correlating the GPQ score with the alteration in thresholds induced by visual information, no significant correlation was observed between the GPQ score and the threshold difference induced by visual information. This finding showed that the visual effect was not significantly affected by the fear level.Conclusions: Conclusions: This study showed that the effect of visual information on the pain threshold could vary according to the anatomical site and stimulation type. A better understanding of such a modulatory effect on pain perception might be useful for clinicians during painful therapeutic procedures.

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“…5, 2018 320 felt more fear due to higher level and frequency of pain in previous dental treatments. Grant et al 15) reported that fear and pain are felt when the dental instrument is inserted into the periodontal pocket without anesthesia during scaling, which is related to fear and anxiety, and that dental fear was greater when pain was directly experienced 16) . Hence, reducing this dental fear and pain during scaling can be assumed to be very important in the prevention of oral diseases.…”

Section: Introductionmentioning

confidence: 99%

The Clinical Effect with the Use of Gel Anesthesia within Gingival Sulcus during Scaling

Park

Ahn

et al. 2018

J Dent Hyg Sci

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Although scaling is the primary method for improving oral health, it is also associated with dental fear. The objective of this study was to empirically verify whether the use of gel anesthetic within the gingival sulcus during scaling relieves pain and improves other factors. A total of 128 patients scheduled to undergo scaling at a dental clinic of a general hospital located in the Gyeonggi Province, between July 2014 and July 2015, were enrolled in the study. The participants underwent scaling following the application of 20% benzocaine gel or placebo gel anesthetic within the gingival sulcus, and the data was collected using a questionnaire. There was a significant difference in the severity of pain, participant satisfaction, perceived sensitivity, overall discomfort, and fear of scaling between the two groups. The two groups were compared in terms of perceived need for gel anesthesia, willingness to pay for anesthesia costs, and willingness to receive scaling in the future. There were significant differences in all the three parameters depending on whether gel anesthesia was used or not. There were significant differences between the two groups in perceived sensitivity immediately after scaling and one day after scaling, with no difference seen one week after scaling. With regards to overall discomfort over time, there were significant differences between the two groups immediately after scaling. Based on these findings, we expect that application of gel anesthetic within the gingival sulcus during scaling will reduce pain, perceived sensitivity, overall discomfort, and fear of scaling with increased satisfaction.

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The influence of pain experience upon dental fear

Cited by 7 publications

References 16 publications

Evaluation of Pain Reduction and Clinical Efficacy of Feedback-Controlled Ultrasonic Scaler

Evaluation of Pain Reduction and Clinical Efficacy of Feedback-Controlled Ultrasonic Scaler

Visual Effect on Mechanical Pain Threshold According to Anatomical Regions

The Clinical Effect with the Use of Gel Anesthesia within Gingival Sulcus during Scaling

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