Do state-trait anxiety and previous unpleasant dental experiences predict the need for sedation in women having third molar surgery?
The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were...
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| Published in | British journal of oral & maxillofacial surgery Vol. 58; no. 5; pp. 530 - 534 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Scotland
Elsevier Ltd
01.06.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0266-4356 1532-1940 1532-1940 |
| DOI | 10.1016/j.bjoms.2020.02.004 |
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| Abstract | The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were asked to complete a questionnaire regarding their health, clinical and personal experience, past dental experience, result of the Indicator of Sedation Need (IOSN) scale, and of the Spielberger’s State-Trait Anxiety Inventory. The participants were categorised before analysis by the nature of their previous dental experience. The number of participants who required sedation, their mean IOSN score, and the mean degree of state anxiety were significantly higher in the unpleasant experience group. The younger the patient at the time of the experience, the worse the state-anxiety (r=−0.25). The odds that sedation would be needed were 2.24 times higher in the same group. The final model correctly predicted the need for sedation in 75.3% of the cases. Healthy women having third molar surgery who had had a previous upsetting dental experience were more likely to need sedation and had worse state-anxiety than those who had not. |
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| AbstractList | The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were asked to complete a questionnaire regarding their health, clinical and personal experience, past dental experience, result of the Indicator of Sedation Need (IOSN) scale, and of the Spielberger’s State-Trait Anxiety Inventory. The participants were categorised before analysis by the nature of their previous dental experience. The number of participants who required sedation, their mean IOSN score, and the mean degree of state anxiety were significantly higher in the unpleasant experience group. The younger the patient at the time of the experience, the worse the state-anxiety (r=−0.25). The odds that sedation would be needed were 2.24 times higher in the same group. The final model correctly predicted the need for sedation in 75.3% of the cases. Healthy women having third molar surgery who had had a previous upsetting dental experience were more likely to need sedation and had worse state-anxiety than those who had not. The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were asked to complete a questionnaire regarding their health, clinical and personal experience, past dental experience, result of the Indicator of Sedation Need (IOSN) scale, and of the Spielberger's State-Trait Anxiety Inventory. The participants were categorised before analysis by the nature of their previous dental experience. The number of participants who required sedation, their mean IOSN score, and the mean degree of state anxiety were significantly higher in the unpleasant experience group. The younger the patient at the time of the experience, the worse the state-anxiety (r=-0.25). The odds that sedation would be needed were 2.24 times higher in the same group. The final model correctly predicted the need for sedation in 75.3% of the cases. Healthy women having third molar surgery who had had a previous upsetting dental experience were more likely to need sedation and had worse state-anxiety than those who had not. The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were asked to complete a questionnaire regarding their health, clinical and personal experience, past dental experience, result of the Indicator of Sedation Need (IOSN) scale, and of the Spielberger's State-Trait Anxiety Inventory. The participants were categorised before analysis by the nature of their previous dental experience. The number of participants who required sedation, their mean IOSN score, and the mean degree of state anxiety were significantly higher in the unpleasant experience group. The younger the patient at the time of the experience, the worse the state-anxiety (r=-0.25). The odds that sedation would be needed were 2.24 times higher in the same group. The final model correctly predicted the need for sedation in 75.3% of the cases. Healthy women having third molar surgery who had had a previous upsetting dental experience were more likely to need sedation and had worse state-anxiety than those who had not.The aim of this study was to examine the need for sedation in women who had or had not had a previous unpleasant dental experience, and to assess possible contributory factors. The sample size required was estimated at 312 subjects. Healthy women listed for the surgical removal of third molars were asked to complete a questionnaire regarding their health, clinical and personal experience, past dental experience, result of the Indicator of Sedation Need (IOSN) scale, and of the Spielberger's State-Trait Anxiety Inventory. The participants were categorised before analysis by the nature of their previous dental experience. The number of participants who required sedation, their mean IOSN score, and the mean degree of state anxiety were significantly higher in the unpleasant experience group. The younger the patient at the time of the experience, the worse the state-anxiety (r=-0.25). The odds that sedation would be needed were 2.24 times higher in the same group. The final model correctly predicted the need for sedation in 75.3% of the cases. Healthy women having third molar surgery who had had a previous upsetting dental experience were more likely to need sedation and had worse state-anxiety than those who had not. |
| Author | Ay, N. Yildirimturk, S. Sirin, Y. |
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| Cites_doi | 10.1159/000357223 10.1016/S0266-4356(04)00139-1 10.1192/bjp.bp.111.096727 10.1016/j.ijom.2014.04.005 10.1016/j.ijom.2012.06.013 10.3389/fnhum.2013.00203 10.1111/j.1600-0528.2005.00229.x 10.1038/sj.bdj.2015.955 10.1034/j.1600-0528.2000.028006451.x 10.1590/1807-3107bor-2017.vol31.0036 10.1016/j.joms.2016.09.023 10.1177/00220345990780031201 10.1111/j.1600-0528.2006.00265.x 10.4317/medoral.20105 10.1016/j.tripleo.2009.07.021 10.1016/S0005-7967(98)00105-3 10.1590/2237-6089-2016-0044 10.1038/sj.bdj.2011.725 10.1016/j.joms.2010.05.073 10.1016/j.brat.2008.09.004 10.3758/BF03193146 10.4103/ams.ams_216_18 10.1111/joor.12513 |
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| Copyright | 2020 The British Association of Oral and Maxillofacial Surgeons Copyright © 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved. |
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| Keywords | State anxiety Third molar surgery Negative dental experience Indicator of sedation need Trait anxiety |
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| SubjectTerms | Anesthesia, Dental Anxiety Anxiety Disorders Conscious Sedation Dental Anxiety Female Humans Indicator of sedation need Molar, Third - surgery Negative dental experience State anxiety Surveys and Questionnaires Third molar surgery Trait anxiety |
| Title | Do state-trait anxiety and previous unpleasant dental experiences predict the need for sedation in women having third molar surgery? |
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