Influence of anxiety and vital signs before dental treatment
Downloads
Background: In the dental field, the anxiety that patients experience before attending a dental appointment is a factor that has increased the rates of oral diseases. This could be because patients visit the dentist less frequently and, in many cases, when they already require specialized treatment. Purpose: The purpose of this research was to determine the levels of anxiety and how they influence the vital signs of patients. Methods: The population consisted of 217 patients who received dental care at a health center and accepted the informed consent provided. The Modified Corah Dental Anxiety Scale (MDAS) was used to determine the level of anxiety. Statistical tests, such as the chi-square test, logistic regression, and odds ratio, were used to determine whether anxiety influences vital signs and dental treatment success. Results: All patients showed anxiety, which was distributed as mild (24.9%), moderate (26.7%), high (7.4%), and severe or phobic (41%). Regarding vital signs, 61.8% of patients presented some alteration in blood pressure, 56.7% had alterations in heart rate, 12.4% showed low oxygen saturation levels, and 24% presented alterations in respiratory rate. Despite these factors, 98.6% of the treatments the patients underwent were successful, and only 1.4% were affected by the influence of anxiety. Conclusion: It was found that the patients presented anxiety at different levels, which affected the typical values of vital signs. However, this situation did not affect the success of the dental treatment.
Downloads
Shindova MP, Belcheva AB. Dental fear and anxiety in children: a review of the environmental factors. Folia Med (Plovdiv). 2021; 63(2): 177–82. doi: https://doi.org/10.3897/folmed.63.e54763
Karina R, Dewi AN, Shalsabila I, Kusumawati IT, Salsabiela A, Widyamsari NKS, Ramadhani NF. Relationship between dental and oral health knowledge levels on dental anxiety in children age 10-12 years. Int J Pharm Res. 2020; 12(2): 283. doi: https://doi.org/10.31838/ijpr/2020.12.02.283
Wu L, Gao X. Children’s dental fear and anxiety: exploring family related factors. BMC Oral Health. 2018; 18(1): 1–10. doi: https://doi.org/10.1186/s12903-018-0553-z
Padmanabhan V, Raidullah N, Kamel B. Effect of audiovisual distraction on pediatric dental anxiety: A cross-sectional study. Dent J. 2024; 57(1): 4–8. doi: https://doi.org/10.20473/j.djmkg.v57.i1.p4-8
Svensson L, Hakeberg M, Wide U. Dental pain and oral health-related quality of life in individuals with severe dental anxiety. Acta Odontol Scand. 2018; 76(6): 401–6. doi: https://doi.org/10.1080/00016357.2018.1473892
Yan X, Yan Y, Cao M, Xie W, O’Connor S, Lee JJ, Ho M-H. Effectiveness of virtual reality distraction interventions to reduce dental anxiety in paediatric patients: A systematic review and meta-analysis. J Dent. 2023; 132: 104455. doi: https://doi.org/10.1016/j.jdent.2023.104455
Jeddy N, Nithya S, Radhika T, Jeddy N. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. Indian J Dent Res. 2018; 29(1): 10–5. doi: https://doi.org/10.4103/ijdr.IJDR_33_17
De Stefano R. Psychological factors in dental patient care: odontophobia. Medicina (B Aires). 2019; 55(10): 678. doi: https://doi.org/10.3390/medicina55100678
Ramirez AA, Haro ME, Hernández C, Gastelum-Verduzco LG. Nivel de ansiedad en los pacientes previo a su atención dental en el primer nivel de atención. Rev Tamé. 2019; 8(22): 860–2. web: https://www.medigraphic.com/pdfs/tame/tam-2019/tam1922c.pdf
Prihastari L, Iswara RA, Al Afiani G, Ramadhan F, Octaviani M, Hidayat WA, Al Faqih M, Ronal A. The relationship between dental fear, anxiety and sociodemography in Jakarta, Indonesia. Dent J. 2020; 53(4): 175–80. doi: https://doi.org/10.20473/j.djmkg.v53.i4.p175-180
Edwards D, Ramsey R, Breeze J. How should we manage severe anxiety towards dental treatment in UK service personnel? BMJ Mil Heal. 2023; 169(3): 277–9. doi: https://doi.org/10.1136/bmjmilitary-2020-001701
Pazos DAS, Guerra CEP, Gálvez PEP, Silva TJM. Niveles de ansiedad-rasgo en estudiantes de la carrera de Odontología de la Universidad Central del Ecuador. Rev Eugenio Espejo. 2021; 15(3): 81–9. doi: https://doi.org/10.37135/ee.04.12.09
Parise-Vasco JM, Zambrano-Achig P, Viteri-García A, Armas-Vega A. Estado de la salud bucal en el Ecuador. Odontol Sanmarquina. 2020; 23(3): 327–31. doi: https://doi.org/10.15381/os.v23i3.18133
Scandiuzzi Francisco S, Tayná Noca de Souza H, Alves De Barros Neto A, Diógenes Hildebrando A, Guilherme Chaves K, Dutra Murrer R, Fonseca-Silva T. Evaluación del estado de ansiedad durante la atención odontológica. Rev Cubana Estomatol. 2019; 56(1): 33–41. web: http://www.revestomatologia.sld.cu/index.php/est/article/view/1794
Mena Silva PA, Vaca Altamirano GL, Mardaneh Pérez CA. Niveles de ansiedad producidos frente a tratamientos odontológicos en pacientes atendidos en el Centro de Salud la Península, Ecuador. Rev Dilemas Contemp. 2020; 8(1): 71. doi: https://doi.org/10.46377/dilemas.v8i1.2461
Hassan BH, Abd El Moniem MM, Dawood SS, Alsultan AA, Abdelhafez AI, Elsakhy NM. Dental anxiety and oral-health-related quality of life among rural community-dwelling older adults. Int J Environ Res Public Health. 2022; 19(13): 7643. doi: https://doi.org/10.3390/ijerph19137643
Ainscough SL, Windsor L, Tahmassebi JF. A review of the effect of music on dental anxiety in children. Eur Arch Paediatr Dent. 2019; 20(1): 23–6. doi: https://doi.org/10.1007/s40368-018-0380-6
Silveira ER, Cademartori MG, Schuch HS, Armfield JA, Demarco FF. Estimated prevalence of dental fear in adults: A systematic review and meta-analysis. J Dent. 2021; 108: 103632. doi: https://doi.org/10.1016/j.jdent.2021.103632
Cázares de León F, Lozano Laín AJ, Gutiérrez Lizardi P, Salinas Noyola A. Grados de ansiedad en la extracción de un tercer molar impactado. Diferencias de género / Anxiety Levels during Impacted Third Molar Extraction. Gender Differences. Univ Odontólogica. 2017; 35(75): 1–18. doi: https://doi.org/10.11144/Javeriana.uo35-75.gaet
Arrieta Vergara K, Díaz Cárdenas S, Verbel Bohórquez J, Hawasly Pastrana N. Factores asociados a sintomatología clínica de miedo y ansiedad en pacientes atendidos en Odontología. Rev Clínica Med Fam. 2013; 6(1): 17–24. doi: https://doi.org/10.4321/S1699-695X2013000100004
Gomes GB, Stabile CLP, Ximenes VS. Avaliação e manejo da ansiedade e fobia odontológica: a psicologia na formação do cirurgião-dentista. Rev da Fac Odontol Porto Alegre. 2020; 61(2): 80–94. doi: https://doi.org/10.22456/2177-0018.101020
García VA, Mantilla MCC, Laura Matilde Herreño Estévez y Shirley Manuela Wilches Vega. Presencia de ansiedad y su efecto en los signos vitales en pacientes sometidos a exodoncias en las clínicas de la Universidad Santo Tomás Bucaramanga, 2019 y 2020. Universidad Santo Tomas, Bucaramanga División de Ciencias de la Salud Facultad de odontología; 2020. p. 1–50. web: https://repository.usta.edu.co/handle/11634/27361
Ríos-Erazo M, Herrera-Ronda A, Barahona-Salazar P, Molina-Muñoz Y, Cadenasso-Salinas P, Zambrano-Canelo V, Rojas-Alcayaga G. Ansiedad dental en adultos Chilenos que concurren a un servicio de salud primaria. Int J Odontostomatol. 2016; 10(2): 261–6. doi: https://doi.org/10.4067/S0718-381X2016000200012
Anzar W, Afaq A, Baig QA. Assessment of dental anxiety in adults undergoing dental procedures in Dow International Dental College. J Dow Univ Heal Sci. 2017; 11(1): 2–5. web: https://www.jduhs.com/index.php/jduhs/article/view/1417
Kassem El Hajj H, Fares Y, Abou-Abbas L. Assessment of dental anxiety and dental phobia among adults in Lebanon. BMC Oral Health. 2021; 21(1): 48. doi: https://doi.org/10.1186/s12903-021-01409-2
Amaíz Flores AJ, Flores MÁ. Abordaje de la ansiedad del paciente adulto en la consulta odontológica: propuesta interdisciplinaria. Odontol Vital. 2016; 1(24): 21–8. doi: https://doi.org/10.59334/ROV.v1i24.256
Copyright (c) 2025 Dental Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Dental Journal (Majalah Kedokteran Gigi).
- Publication rights to manuscript content published by the Dental Journal (Majalah Kedokteran Gigi) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
- The Dental Journal (Majalah Kedokteran Gigi) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
