Ansiedad e indiferencia en la atención odontológica durante la pandemia COVID-19 / Anxiety and indifference in dental careduringthe COVID-19 pandemic

Objetivo: Determinar la relación entre ansiedad e indiferencia en la atención odontológica durante la pandemia COVID-19.Material y métodos: Estudio cuantitativo, prospectivo, correlacional, de corte transversal y diseño descriptivo realizado en 179 pacientes atendidos en el servicio de odontología de un centro médico de Chimbote (Perú) que aceptaron su participación mediante un consentimiento informado. Se utilizó la técnica de la encuesta, y como instrumentos los cuestionarios de ansiedad dental modificada, ansiedad por COVID-19 e indiferencia dental. El análisis de los datos requirió la estadística descriptiva e inferencial, con un nivel de confiabilidad del 95%.Resultados: El 66% presentó ansiedad dental moderada, 45% ansiedad leve por COVID -19 y 69% indiferencia media. La ansiedad dental se correlacionó significativamente con la indiferencia.Conclusiones: Los pacientes peruanos evidenciaron que, a mayor temor a la atención odontológica, se presentaba mayor desinterés por su salud bucal. (AU)

AIM: At present, the population is affected by the immediate impact of the infection by SARS-CoV-2 (COVID-19), therefore, in dental care, the patient manifests anxiety and anguish, which causes a inadequate access to oral care services. Objective: To determine the relationship between anxiety and indifference in dental care during the COVID-19 pandemic.Material and methods: A quantitative, prospective, correlational, cross-sectional, descriptive design study carried out in 179 patients seen in the dental service of a medical center in Chimbote (Peru) who accepted their participation through informed consent. The survey technique was used, modified dental anxiety, anxiety dueto COVID-19 and dental indifference, questionnaires we reused as instruments. Data analysis required descriptive and inferential statistics, with a confidence level of 95%.Results: 66% presented moderate dental anxiety, 45% mildanxietydueto COVID-19 and 69% average indifference. Dental anxiety was significantly correlated with indifference.Conclusions: The Peruvian patients showed that, the greater the fear of dental care, the greater the lack of interest in their oral health. (AU)

Laser acupuncture and intravascular laser irradiation of blood for management of pediatric dental anxiety.

The aim of this study was to assess the effectiveness of laser acupuncture and intravascular laser irradiation of blood (ILIB) for managing anxiety in pediatric dentistry. Eighty-four children recruited at a university dental clinic were randomly assigned to three groups: the Sham group (n = 27) underwent sham laser irradiation of three acupuncture points, the ILIB group (n = 25) underwent 10 min of ILIB, and the laser acupuncture group (LAC, n = 32) underwent 40 s of laser acupuncture over points VG20 (Baihui), PC6 (Neiguan), and the Oppression Point. The results suggest that ILIB and laser acupuncture are feasible alternatives for managing dental anxiety in children.

Emotional distress in patients with type 1 diabetes mellitus.

AIM: This study aimed to analyze the association between emotional distress and glycated hemoglobin (HbA1c) values in adolescents and young adults with type 1 diabetes mellitus (T1DM), with respect to dental anxiety, microvascular diabetes chronic complications, demographic conditions. METHOD: The cross-sectional study design included 100 adolescents and young adults with T1DM, from regional diabetes reference center. The clinical and laboratory data were obtained from medical records. Distress and dental anxiety scales were produced from questionnaires that were validated for emotional distress (DDS) and dental anxiety (Corah Scale). Multiple analyses estimated odds ratios and their respective 95% confidence intervals using a binary logistic regression model (P < .05). RESULTS: The mean participants age was 20.7 ± 5.5 years, and 52% were female. Of the patients, 19% presented with chronic microvascular diabetes complications (nephropathy, retinopathy, neuropathy). Regarding the distress scale, 53% of the patients presented with high DDS and 83% had little to slight anxiety with dental procedures. There were statistically significant differences when variables were adjusted in the model, such as that of microvascular diabetes chronic complications and female gender with emotional distress. CONCLUSIONS: Our results showed that female sex and microvascular diabetes chronic complications are associated with greater emotional distress in patients with T1DM.

Dor, ansiedade e qualidade de vida relacionada à saúde bucal de pacientes atendidos no serviço de urgência odontológica / Pain, anxiety and quality of life related to the oral health of patients treated in a dental emergency clinic

Resumo O objetivo deste estudo foi avaliar associação entre dor pré-operatória, ansiedade e impacto da condição bucal na qualidade de vida dos pacientes atendidos no serviço de Urgência Odontológica da Universidade Federal dos Vales do Jequitinhonha e Mucuri. Estudo transversal retrospectivo foi conduzido avaliando dados clínicos de 240 prontuários de pacientes com idades entre 18 e 65 anos. A dor foi mensurada pela Heft-Parker Visual Analogue Scale; ansiedade, pela Corah's Detal Anxiety Scale e qualidade de vida, pelo Oral Health Impact Profile (OHIP-14). Associações foram analisadas pelo Teste qui-quadrado de Pearson (p < 0,05). Foi observada associação estatisticamente significante entre dor e pior qualidade de vida, com impacto nos domínios desconforto psicológico (p < 0,001), incapacidade física (p < 0,001), psicológica (p < 0,001) e social (p < 0,001). Ansiedade influenciou na pior qualidade de vida, com impacto nos domínios desconforto psicológico (p = 0,009), incapacidade fisica (p = 0,016), psicológica (p = 0,011) e desvantagem social (p = 0,028). Esse estudo é relevante para o planejamento de ações voltadas para a saúde bucal dos pacientes atendidos nos serviços de urgência odontológica, priorizando aqueles com maiores impactos psicossociais decorrentes dos problemas bucais.

Abstract The scope of this study was to assess the association between preoperative pain, anxiety and the impact of the oral condition on the quality of life of patients treated at the Dental Emergency Service at the Federal University of the Jequitinhonha and Mucuri Valleys. A retrospective cross-sectional study was conducted evaluating data from 240 patient charts aged from 18 to 65 years. Pain was measured by the Heft-Parker Visual Analog Scale; dental anxiety by Corah's Dental Anxiety Scale; and oral health-related quality of life by the Oral Health Impact Profile (OHIP-14). Associations were analyzed using Pearson's Chi-square test (p < 0.05). A statistically significant association was observed between pain and poorer quality of life, with impacts on psychological discomfort (p < 0.001), physical incapacity (p < 0.001) and the psychological (p < 0.001) and social (p < 0.001) domains. Anxiety influenced poorer quality of life, with impacts on the psychological discomfort (p = 0.009), physical disability (p = 0.016), psychological disability (p = 0.011) and social disadvantage (p = 0.028) domains. This study is relevant for the planning of programs and actions aimed at the oral health of patients treated in dental emergency services, prioritizing those with the greatest psychosocial impact arising from oral problems.

Niveles de ansiedad en pacientes adultos de una clínica odontológica en una universidad peruana / Levels of anxiety in adult patients of a dental clinic in a Peruvian university

Objetivos: Determinar los niveles de ansiedad en pacientes adultos que acuden a la clínica odontológica de una universidad peruana. Material y Métodos: El estudio fue no experimental y transversal realizado durante el mes de setiembre del 2016. La muestra estuvo constituida por 120 pacientes que acudieron a la clínica odontológica de una universidad peruana la cual fue seleccionada por muestreo no probabilístico. Los criterios de selección fueron todos los pacientes de ambos sexos, mayores de 18 años, haber sido atendidos en más de dos ocasiones y que firmaron la carta de consentimiento informado, los datos para determinar los niveles de ansiedad se obtuvieron mediante la aplicación de la escala de Ansiedad Dental versión corta (SDAI). Resultados: De los 120 pacientes encuestados que acuden a la Clínica Odontológica de una Universidad Peruana; el 20% no presentó ansiedad, el 43,3 % presentó ansiedad leve, el 20% presentó ansiedad moderada y el 16,7% presentó ansiedad severa. Se evidenció mayor frecuencia de ansiedad en el momento en que el odontólogo alista la jeringa con la inyección de anestesia (23,4%) y menor ansiedad cuando va en camino al consultorio del odontólogo (10,8%). Se encontró asociación estadísticamente significativa con el género de los pacientes (p<0,01), observándose mayor ansiedad en los hombres que en las mujeres. Conclusiones: La mayoría de los pacientes que acuden a la clínica odontológica de una universidad peruana presentan ansiedad ya sea leve, moderada o severa.

Objectives: to determine anxiety levels in patients attending the dental clinic of a Peruvian university. Material and Methods: The study was non-experimental and cross-sectional during the month of September 2016. The sample consisted of 120 patients who attended the dental clinic of a Peruvian university which was selected by non-probabilistic sampling. The selection criteria were all patients of both sexes, over 18 years, who were attended on more than two occasions and who signed the letter of informed consent, data to determine anxiety levels were obtained by applying the Scale Dental Anxiety Short Version (SDAI). Results: Of the 120 patients surveyed who come to the Dental Clinic of a Peruvian University; 20% did not present anxiety, 43.3% presented mild anxiety, 20% presented moderate anxiety and 16.7% presented severe anxiety. A greater frequency of anxiety was evidenced at the time when the dentist readied the syringe with the injection of anesthesia (23.4%) and less anxiety when going to the dentist's office (10.8%). A statistically significant association was found with the gender of the patients (p < 0.01), with greater anxiety observed in men than in women. Conclusions: The majority of patients who attend the dental clinic of a Peruvian university present mild, moderate or severe anxiety.

Identifying Dental Anxiety in Children's Drawings and correlating It with Frankl's Behavior Rating Scale.

AIM: To develop a simple method to assess the level of anxiety by using children's drawings and correlating them with Frankl's behavior rating scale. MATERIALS AND METHODS: A total of 178 patients aged of 3 to 14 years were handed out two-page forms which contained three sections on coloring and drawing, along with general information, and Frankl's behavior rating scale for the visit. The three types of drawing exercises given to the patients were geometric copy drawings, coloring a nonthreatening figure, and an empty sheet for freehand drawing. RESULTS: Out of 178 patients, 60 showed definitely positive behavior, 73 exhibited positive behavior, 37 showed negative behavior, and 8 were definitely negative on Frankl's behavior rating scale; 133 children had none or, 1 stress marker and 45 exhibited 2 or 3 stress markers in their drawings. Chi-square (χ2) analysis was done with a 2 × 2 contingency table. Observed χ2 value was 46.166, which at 1 degree of freedom was much greater than that at 0.995 percentile. Therefore, the result was highly significant. CONCLUSION: Children requiring specialized behavioral techniques can be identified by the presence of stress markers in their drawings. This nonverbal activity by itself can have an overall positive effect on the behavior displayed in the dental clinic. HOW TO CITE THIS ARTICLE: Mathur J, Diwanji A, Sarvaiya B, Sharma D. Identifying Dental Anxiety in Children's Drawings and correlating It with Frankl's Behavior Rating Scale. Int J Clin Pediatr Dent 2017;10(1):24-28.