Article

Ansiedad al tratamiento odontológico: Características y diferencias de género

Suma Psicologica 01/2008;
Source: DOAJ

ABSTRACT Este trabajo hace parte de un estudio mayor sobre la convergencia entre el reporte del odontólogo acerca de la ansiedad de sus pacientes y las respuestas de los pacientes a dos escalas de ansiedad ante el tratamiento odontológico, llevado a cabo con una muestra de 132 odontólogos y sus correspondientes 913 pacientes en Bogotá, Colombia. Se presentan los datos correspondientes a las respuestas de los pacientes a dos instrumentos de autorreporte acerca de la ansiedad ante los tratamientos odontológicos. Tanto la escala MDAS (Escala de Ansiedad Dental Modificada) como la SDAI (Inventario de Ansiedad Dental-versión corta), permitieron identificar una distribución similar en los diferentes niveles de severidad en la muestra de este estudio. Adicionalmente, se pudo observar que los contextos más ansiogenos son los que incluyen jeringas y agujas (47,2%), la anticipación de la extracción de una pieza dental (34,7%) y la anticipación del uso de la fresa dental (25,4%). Por otra parte, se observó niveles de ansiedad levemente mayores en mujeres que en hombres, este aspecto se evidencia tanto en los resultados de las escalas SDAI y MDAS como en la clasificación reportada por los odontólogos. Los resultados se discuten haciendo énfasis en la importancia de la identificación temprana de este desorden, del entrenamiento a odontólogos para su manejo; así como, del trabajo interdisciplinario para brindar al paciente una alternativa que promueva el uso de habilidades de autorregulación emocional.

0 Bookmarks
 · 
205 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Cognitive therapy has been reported for the treatment of dental phobia, but comparisons with other behavioral treatments are scarce. This study investigated the outcome of two modes of treatment for phobic dental fear. Relaxation and cognitively oriented therapy were compared in a sample of 112 adult fearful dental patients. The patient made questionnaire assessments of background and outcome variables, and the specialist dentist rated successful/non-successful outcome. It was shown that a higher number of patients who received cognitively oriented therapy completed the treatment program, while anxiety was more reduced among patients who received relaxation-oriented therapy. Dropout during the initial phobia therapy with a psychologist was related to lower motivation (willingness to engage in treatment), while failures during dental treatment after the completion of therapy were related to higher levels of general fear and anxiety. A multiple logistic regression model explaining 67% of the variance revealed that the risk of failure was only slightly increased by general fears, while patients with low (below median) motivation ran a 3.6-times-higher risk of dropping out. In conclusion, it was shown that the two treatment methods were both effective in reducing dental phobic reactions. However, while cognitively oriented therapy resulted in a higher number of patients completing therapy, relaxation-oriented treatment generally resulted in a more significant reduction in dental fear as well as in general anxiety and fear. Motivation was found to be a significant predictor of successful treatment outcome.
    Journal of Dental Research 10/2000; 79(9):1645-51. · 3.83 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Presenting problem: Female, 31, attended emergency appointment at dental surgery with pain, dental phobia prevented extraction.Aim: Manage dental phobia using hypnosis integrated into anxiety management treatment plan to facilitate extraction.Methods: Pre-treatment questionnaire assessed dental anxiety, reasons for anxiety, and ascertained management options. Post-treatment questionnaire assessed changes in dental anxiety and attitudes. Anxiety management techniques: needle desensitization and hypnosis.Results: Pre-treatment questionnaire revealed high level anxiety (16/20 Corah score, and 25/30 modified Corah score) and anticipation of pain during future dental treatment (5/10 on a Visual Analogue Scale). Following the successful extraction of the tooth, a post-treatment questionnaire revealed low level anxiety (7/20 Corah and 11/30 modified Corah) and low anticipation of future pain (1/10).Conclusion: Patient attended second emergency appointment and hypnotic intervention facilitated the removal of the troublesome tooth. Successful outcome of this treatment and new learned self-hypnosis techniques allowed patient to feel more confident about accepting future dental treatment without need for pharmacological intervention. Copyright © 2006 British Society of Experimental & Clinical Hypnosis. Published by John Wiley & Sons, Ltd.
    Contemporary Hypnosis 05/2006; 23(2):83 - 91.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A computer controlled dental anesthetic delivery system was studied with the OBJECTIVE of evaluating and comparing the unit to the traditional method of anesthetic delivery. The research design and METHOD of study involved the use of trained dentists who used both types of delivery systems on patients seen during their routine practice of dentistry. After the dental appointment was finished each dentist completed a survey concerning the injection. Patients completed a survey before the injection concerning their previous anesthetic experiences and completed another survey at the end of the dental appointment concerning the injection they had just received. Statistical analyses yielded RESULTS showing the two methods were rated very similarly by both patients and dentists. CONCLUSIONS resulting from the study are that computer controlled dental anesthetic injections and traditional anesthetic injections were accepted equally well by both dentists and patients.
    Journal of Dentistry 02/2003; 31(1):9-12. · 3.20 Impact Factor

Full-text (2 Sources)

View
44 Downloads
Available from
May 29, 2014