Can the Fear of the Chair be Worsened by Dental Appointments?

Introduction: Limitations in dental access and challenges associated with service delivery often necessitates the usage of an appointment system in patient care. This research aimed to determine the association between levels of dental anxiety in dental patients and dental treatment appointment at t...

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Main Authors: Afolabi Oyapero, Augustine Edomwonyi, Abiola A Adeniyi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Dental Hypotheses
Subjects:
Online Access:http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2018;volume=9;issue=3;spage=56;epage=63;aulast=Oyapero
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author Afolabi Oyapero
Augustine Edomwonyi
Abiola A Adeniyi
author_facet Afolabi Oyapero
Augustine Edomwonyi
Abiola A Adeniyi
author_sort Afolabi Oyapero
collection DOAJ
description Introduction: Limitations in dental access and challenges associated with service delivery often necessitates the usage of an appointment system in patient care. This research aimed to determine the association between levels of dental anxiety in dental patients and dental treatment appointment at the Lagos State University Teaching Hospital (LASUTH). Materials and Methods: A descriptive study at a tertiary hospital in Lagos State. A systematic sampling method was used to enlist 149 study patients in four clinical dental departments in LASUTH, whereas sociodemographic, clinical history, and anxiety-related data were collected using a structured interviewer-administered questionnaire. Visual analog scale (VAS) was used to assess inconvenience, whereas the Modified Dental Anxiety Scale (MDAS) was used for anxiety assessment. Data entry and analysis was performed using Statistical Package for Social Sciences version 20, P value of <0.05 was considered significant. Results: The mean age of the respondents was 25.3 ± 6.8; 53% had never had a dental visit and majority felt inconvenient by the length of dental appointment (62.7%; mean VAS = 5.95 ± 2.72); higher levels of inconvenience was significantly associated with levels of anxiety (MDAS—13.96 ± 4.8; P = 0.010). At baseline, age group ≤20 years (MDAS—15.21 ± 4.0; P = 0.026), female gender (MDAS—14.44 ± 4.8; P = 0.042), and primary level of education (MDAS—0.029; P = 15.25 ± 4.7) were significantly associated with high levels of anxiety. At baseline, 14.8% had high dental anxiety (MDAS scores of ≥19), and this increased to 18.1% on the treatment appointment day. Conclusion: Dental appointments appear to be associated with impact on anxiety levels. MDAS can be used as a screening tool to identify anxious patients to determine which treatment approach to adopt and possibly give shorter appointments.
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spelling doaj.art-43bd7785496a4a4b860f4793d982ae8f2022-12-21T23:35:01ZengWolters Kluwer Medknow PublicationsDental Hypotheses2155-82132018-01-0193566310.4103/denthyp.denthyp_39_18Can the Fear of the Chair be Worsened by Dental Appointments?Afolabi OyaperoAugustine EdomwonyiAbiola A AdeniyiIntroduction: Limitations in dental access and challenges associated with service delivery often necessitates the usage of an appointment system in patient care. This research aimed to determine the association between levels of dental anxiety in dental patients and dental treatment appointment at the Lagos State University Teaching Hospital (LASUTH). Materials and Methods: A descriptive study at a tertiary hospital in Lagos State. A systematic sampling method was used to enlist 149 study patients in four clinical dental departments in LASUTH, whereas sociodemographic, clinical history, and anxiety-related data were collected using a structured interviewer-administered questionnaire. Visual analog scale (VAS) was used to assess inconvenience, whereas the Modified Dental Anxiety Scale (MDAS) was used for anxiety assessment. Data entry and analysis was performed using Statistical Package for Social Sciences version 20, P value of <0.05 was considered significant. Results: The mean age of the respondents was 25.3 ± 6.8; 53% had never had a dental visit and majority felt inconvenient by the length of dental appointment (62.7%; mean VAS = 5.95 ± 2.72); higher levels of inconvenience was significantly associated with levels of anxiety (MDAS—13.96 ± 4.8; P = 0.010). At baseline, age group ≤20 years (MDAS—15.21 ± 4.0; P = 0.026), female gender (MDAS—14.44 ± 4.8; P = 0.042), and primary level of education (MDAS—0.029; P = 15.25 ± 4.7) were significantly associated with high levels of anxiety. At baseline, 14.8% had high dental anxiety (MDAS scores of ≥19), and this increased to 18.1% on the treatment appointment day. Conclusion: Dental appointments appear to be associated with impact on anxiety levels. MDAS can be used as a screening tool to identify anxious patients to determine which treatment approach to adopt and possibly give shorter appointments.http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2018;volume=9;issue=3;spage=56;epage=63;aulast=OyaperoAnxietyanxiety scalepatient appointment
spellingShingle Afolabi Oyapero
Augustine Edomwonyi
Abiola A Adeniyi
Can the Fear of the Chair be Worsened by Dental Appointments?
Dental Hypotheses
Anxiety
anxiety scale
patient appointment
title Can the Fear of the Chair be Worsened by Dental Appointments?
title_full Can the Fear of the Chair be Worsened by Dental Appointments?
title_fullStr Can the Fear of the Chair be Worsened by Dental Appointments?
title_full_unstemmed Can the Fear of the Chair be Worsened by Dental Appointments?
title_short Can the Fear of the Chair be Worsened by Dental Appointments?
title_sort can the fear of the chair be worsened by dental appointments
topic Anxiety
anxiety scale
patient appointment
url http://www.dentalhypotheses.com/article.asp?issn=2155-8213;year=2018;volume=9;issue=3;spage=56;epage=63;aulast=Oyapero
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AT augustineedomwonyi canthefearofthechairbeworsenedbydentalappointments
AT abiolaaadeniyi canthefearofthechairbeworsenedbydentalappointments