FEAR TO DENTAL ATTENDANCE IN ADULTS THAT ASSIST TO THE DENTAL CLINICS AT SANTO TOMAS UNIVERSITY
Abstract
Objective: to assess the relation between fear to dental treatment and the nonattendance to the appointments in adults who assist to the dental clinics at Santo Tomas University in the city of Floridablanca (Santander).
Methods: a cross sectional study was done. It included 110 adult people, both genders who attended the dental clinics from January to October 2008. Chi2 test and Fisher’s exact text were used. An alpha value of 0.05 was considered.
Results: the percentage of people with fear to dental attendance was 48.2%, 55.6% of women felt fear to their dentist and 28.2% of the population reported having ever missed dental appointments for the fear that this will generate. The syringe of anesthesia as an instrument and endodontics as a specialty had a significant relationship with the dental fear.
Conclusions: there was a relationship between fear to dental attendance and non-attendance at appointments by adults. An unpleasant experience was an etiological factor to consider fear to the consultation, as well as their perception of other people about the appearance of the patient’s teeth.
References
2. Servet S, Unalan D, Elmali F, Esen C. Adult dental anxiety and its relationship to demographic and sociocultural characteristics. Health MED 2012. Epub ahead of print.
3. Flórez M, Perdomo B. Preconceptos sobre el odontólogo y la consulta odontológica por parte de lo niños de séptimo grado en una institución rural en el Estado de Trujillo, Venezuela. Revista Odontológica de los Andes 2007; 2 (1): 44 – 50.
4. Lima M, Casanova J, Toledo A, Espeso N. Miedo al tratamiento estomatológico em pacientes de la clínica estomatológica docente provincial. Instituto Superior de Ciencias Médicas. Facultad de Estomatología. Rev Hum Med 2007 [en línea] 7 (1). URL disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-81202007000100006&lng=es.
5. Canto, L. Ansiedad y fobia dental. 2007 [en línea]. URL disponible en: http://www.odontologia.com/index.htm
6. Santos J, Álvarez C, García T, Pernía, I. Odontología de baja agresividad: esto ya es el presente. Gaceta Dental. Industria y Profesiones 2005; 162: 106 – 126.
7. Cohen SM, Fiske J, Newton T. The impact of dental anxiety on daily living. Br Dent J 2000; 189 (7): 385 - 390.
8. De Tommaso M. Atendimento ao paciente odontofóbico. Jornal do Site Odonto 2003, Año V (64). URL disponible en: http://www.jornaldosite.com.br/index. html
9. Fonseca D, Pacini C. Um estudio epidemiológico sobre a fobia dental. Arquivos em Odontología 2005; 41 (1): 41 – 51.
10. López JC. Manual de Odontología Pediátrica. McGraw-Hill Interamericana: México; 1997. p. 5 - 9.
11. Doe, P, Lang P, Nyquist L, Ronis D. Factors associated with dental anxiety. J Am Dent Assoc 1998; 129 (8): 1111 – 1119.
12. Lázarus R, Folkman H. Estrés y procesos cognitivos. Editorial Martínez Roca: España; 1986. Capitulo 1.
13. Rojas A, Misrachi L. La interacción paciente-dentista, a partir del significado psicológico de la boca. Avances en Odontoestomatología 2004; 20 (4): 185 – 191.
14. Erten H, Akarslan Z, Bodrumulu, E. Niveles de miedo y ansiedad dental en pacientes de una clínica dental. Quintessence Int 2007; XX (2). 122 - 128.
15. Barlow DY. (1988). Diseño experimental de caso único. Editorial Martinez Roca; 1988. Pág 107 – 131
16. Cárdenas D. Conducta y manejo del paciente niño. En: Fundamentos de Odontología. Odontología pediátrica. Corporación para Investigaciones Biológicas: Medellín; 1996. P. 22 – 29.
17. Márquez R, Navarro M, Cruz D, Gil J. ¿Por qué se le tiene miedo al dentista? RCOE, 2004; 19 (2): 165 – 174.
18. Marcano A, Dubraska L, Machado MH. Técnicas para el manejo de las manifestaciones del miedo a la consulta odontológica en los pacientes que acuden a la facultad de odontología de la Universidad de Carabobo. Odous Científica 2007; VIII (1): 20.
19. Rivera I, Fernández A. Ansiedad y miedos dentales en escolares hondureños. Revista Latinoamericana de Psicología 2005; 37 (3): 461 – 475.
20. Chanpong B, Haas DA, Locker D. Need and demand for sedation or general anesthesia in dentistry: a national survey of the Canadian population. Anesth Prog 2005; 52: 3 - 11.
21. Milgrom P, Coldwell S, Getz T, Weinstein P. Four dimensions of fear of dental injections. J Am Dent Assoc 1997; 128: 756 - 762.
22. Armfield JM, Slade GD, Spencer AJ. Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol 2009; 37: 220 - 230.
23. McGrath C, Bedi R. The association between dental anxiety and oral health related quality of life in Britain. Community Dent Oral Epidemiol 2004; 32: 67 - 72.
24. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984; 109 (2): 247 - 251.
25. Armfield JM. A preliminary investigation of the relationship of dental fear to other specific fears, general fearfulness, disgust sensitivity and harm sensitivity. Community Dent Oral Epidemiol 2008; 36: 128 – 136.
26. Aguilera F, Osorio R, Toledano M. Causas, factores y consecuencias implicados en la aparición de ansiedad en la consulta dental. Rev Andal Odontol Estomatol 2002; 12: 21 - 24.
27. Locker D. Psychosocial consequences of dental fear and anxiety. Community Dent Oral Epidemiol 2003; 31: 144 - 151.
28. Rada R, Johnsosn-Leong Ch. Stress, burnout, anxiety and depression among dentists. J Am Dent Assoc 2004; 135: 788 - 794.