5.1 Dental Anxiety

Why is it important for dentists to know about dental anxiety?

10%-30% of population have significal levels of dental anxiety. This leads to: irregular attendance / follow up, total avoidance of care and poor oral health, and difficulties during the dental visit.

____% of dental clinics in the UK asses fro anxiety.

20%

About ___% of patients who have dental anxiety STILL show up for appointments despite the anxiety.

70%

Why you should do a relaxation intervention => The 2010 Stress in American Survey should that about ____% of Americans who responded to an online survey said that their stress levels are so high that they feel unhealthy.

75%

According to the British Study, who's job is it to help anxiety patients?

91% of dentists said they are stressed why treating anxious patients. 80% of dentists agreed it was their responsibility to help anxiety patients by addressing their anxiety. 50-78% dentists reported not using any anxiety management intervention because of time, training, and confidence. 50% reported they would be interested in more training.

What does DAS stand for?

Dental Anxiety Scale - Normal *Corah*'s

What can YOU as a dentist do as an intervention for a patient with dental anxiety?

Motivational Intervewing and Relaxation. ELICIT CHANGE TALK = Motivational Interviewing: 1. engage - come alongside with radical acceptance: repeat back to the patient, "Did i get you right?," "Do you feel like I understand your concern?" 2. focus - collaborative goals- "Correct me if I'm wrong", "Sounds like", "You said you would like... better teeth", 3. evoke - elicit change talk related to personal values 0 "you said you would like... to take better care of... it is important to you to change.... stop eating so much sugar.... can you tell me more about that" 4. plan - make clear manageable, collaborative plan - "Can I make a suggestion?" "now from 1-10"

Alarm bell of the brain. When sensory stimulation is too intense. Everyone has a different threshold. Triggers. Tis describes which aspect of the Stress Response? a. amygdala b. prefrontal cortex

a

For a patient who is Fearful of Specific stimuli, what dental interventions would you take to manage their anxiety? a. relaxation strategies and gradual exposure b. take full and detailed history and make sure they know you are doing it. Including allergies c. reassurance and relaxation intervention d. information and requests

a

Worry and fear of future - how would you identify the source of anxiety? a. generalized anxiety disorder b. specific phobia c. PTSD d. fear of pain e. panic

a

For a patient who is Fearful of Medical Catastrophes, what dental interventions would you take to manage their anxiety? a. relaxation strategies and gradual exposure b. take full and detailed history and make sure they know you are doing it. Including allergies c. reassurance and relaxation intervention d. information and requests

b

Regulation of emotion. Attention. Working Memory. CEO of the Brain. Tis describes which aspect of the Stress Response? a. amygdala b. prefrontal cortex

b

Something is stimulating the anxiety - how would you identify the source of anxiety? a. generalized anxiety disorder b. specific phobia c. PTSD d. fear of pain e. panic

b

For a patient who has Generalized Dental Anxiety, what dental interventions would you take to manage their anxiety? a. relaxation strategies and gradual exposure b. take full and detailed history and make sure they know you are doing it. Including allergies c. reassurance and relaxation intervention d. information and requests

c

Unclear anxiety that seems disconnected at the moment - how would you identify the source of anxiety? a. generalized anxiety disorder b. specific phobia c. PTSD d. fear of pain e. panic

c

For a patient who is Distrustful of Dental Staff, what dental interventions would you take to manage their anxiety? a. relaxation strategies and gradual exposure b. take full and detailed history and make sure they know you are doing it. Including allergies c. reassurance and relaxation intervention d. information and requests

d

True or False: Craniofacial Pain Senters: GAD-7, PHQ-9, PHQ-15 all address the type of anxiety.

false - they don't

3 hormones involved in stress response system?

increased CRH (hypothalamus) => ACTH (pituitary) => Cortisol (adrenal gland) => to immune system. [increased symatetic => increases oxygen consumption/metabolism, increased BP, increased HR)

True or False: Dental anxiety is NOT a DSM Diagnosis OR an ICD-10 disorder

true