Management of the anxious patient in the dental office

Authors: Bianca Nausica Petrescu1, Anida-Maria Băbțan1, Bianca Adina Boșca2, Bogdan Culic 3, Marius Manole3 , Anca Ștefania Mesaroș3*, Radu Septimiu Câmpian1,  Aranka Ilea1

Affiliation:

1Department of Oral Rehabilitation, Oral Health and Dental Office Management, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Romania

2Department of Histology, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Romania

3Department of Propaedeutics and Aesthetics, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Romania

Abstract

Background. Anxiety is widely known in dentistry. Even though it is a very recurrent issue, no protocol has been established yet, that could be used for undeniable results.

Aims. The aim was to review the literature in order to find effective strategies employed by the dentists that could help patients to overcome their anxiety.

Methods. The review of 24 articles on Pubmed platform used the terms: „dental anxiety”, „physical activity”, “sports” and “exercise”. We chose publications discussing the possible solutions for managing dental anxiety.

Results. The solutions proposed in the scientific literature included: Cognitive Behavioral Therapy, relaxation techniques, premedication with sedative drugs (benzodiazepine), music distraction, hypnosis, acupuncture, inhaled sedation, aromatherapy with essential oils, parental presence/absence for children and audiovisual distraction.

Conclusions. Cognitive Behavioral Therapy seems to be the most efficient method for the patients to overcome dental anxiety. Repeated exposure to dental treatment increased the efficiency of the other strategies.

Key words: dental anxiety, physical activity, cognitive-behavioral therapy, dental treatment

https://doi.org/10.26659/pm3.2018.19.4.239

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