Anxiety Management of Patients First Time to The Dentist for Dental Extraction

Authors

  • Bambang Tri Hartomo RSGM Unsoed, Jenderal Soedirman University, Purwokerto, Jawa Tengah
  • Saraya Hasyyati Adani Department of Dentistry, Faculty of Medicine, Jenderal Soedirman University, Purwokerto

Keywords:

Dental anxiety, dental extraction, oral surgery, oral maxillofacial

Abstract

Background: Dental anxiety is a problem that often occurs in patients who will undergo dental treatment. Dental anxiety is a complex, multidimensional phenomenon, and there is no single variable that is the main cause. Dental anxiety is known to be a risk factor that causes various conditions such as pain perception, so that patients refuse to do dental work, especially invasive dental treatments such as tooth extraction. Purpose: The aim of this literature study is to provide information and knowledge about the management and treatment of dental anxiety in patients who come to the dentist for the first time for tooth extraction. Literature Study: This literature study was conducted using indexed and accredited national and international journals and provides information about the techniques that make the patient comfortable and reduce patient anxiety, as well as equipment that can be used in the extraction process that is comfortable for the patient. Discussion: Before performing tooth extraction operator needs an in-depth history to find out the patient's medical history and lifestyle. The approach technique used is influenced by the patient's attitude. At the second visit, the patient appeared to be more ready to accept the extraction procedure after providing information and descriptions to be carried out by the operator. Conclusion: Operators need to understand techniques to reduce anxiety levels in patients, especially patients who have never visited a dentist. After tooth extraction is complete, the operator must also pay attention to the consequences arising from the procedure, and pay attention to the post-extraction instructions.

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References

Appukuttan, D., Subramanian, S., Tadepalli, A., Damodaran, L., K. Dental Anxiety Among Adult: An Epidemiological Study, North American Journal of Medical Sciences. 2015; 7(1): 13-18.

Hong, B., Bulsara, Y., Gorecki, P. Minimally Invasive Vertical Versus Conventional Tooth Extraction, The Journal of American Dental Association. 2018;148 (8): 688-695.

Mihaylova, Z., Ugrinov, R., Aleksiev, E. Inflammatory Complications After Tooth Extraction. Journal of IMAB. 2019; 25(3): 663-666.

Basyuni, S., Ferro, A., Camreon, M. Oral Surgery: Mandibular Fracture Risk. British Dental Journal. 2016; 220 (4): 22-26.

Zahreni, H. Pencabutan Gigi yang Irrasional Mempercepat Penurunan Struktur Anatomis dan Fungsi Tulang Alveolar. Stomatognatic,(JKG UNEJ). 2015; 12 (2): 61-66

Shah, A., Faldu, M., Chowdhury, S. Reason for Extractions of Permanent Teeth. International Journal of Applied Dental Sciences. 2019; 5(1): 180-184.

Fukuda, K. Diagnosis and Treatment of Abnormal Dental Pain. Journal of Dental Anesthesia and Pain Medicine. 2016:16(1): 1-8.

Al-Samman, A., A., Bakr, S., Ghada, M. Development of Tooth Extraction: A Proposal of New Scale. International Journal of Dentistry and Oral Health. 2019; 5(9): 75-79.

Wang, T., F., Wu, Y., T., Tseng, C., F., Chou, C. Association Between Dental Anxiety and Postoperative Pain Following Extraction of Horizontally Impacted Wisdom Teeth. Journal List Medicine NCBI. 2017; 96(46): 27-32.

Mufti, N., Mufti, S., Mufti, K. Stress and Anxiety in Patiens Undergoing Dental Extraction. International Journal of Oral Care and Research. 2017; 5(1): 75-77.

Nurrany, B. Gambaran Kecemasan Pasien Ekstraksi Gigi Di Rumah Sakit Gigi dan Mulut (RSGM) Unsrat. Jurnal Ilmiah Farmasi. 2016; 5 (1): 39-45.

Sambrook, P., J., Goss, A., N. Contemporary Exodontia. Australian Dental Journal. 2018; 63 (1): 11-18.

Deliverska, E., G., Petkova, M. Complication after Extraction of Impacted Third Molar: Literature Review. Journal of IMAB. 2016; 22(3): 1202-11.

Bakathir, A., Sayed, N., Pasha, M. Complication of Third Molar Extraction: A Retrospective Study From a Tertiary Healthcare Center. Sultan Qaboos Medical Journal. 2019; 19(3): 230-5.

Vijayakumar, A., Sanghvi, R. The Application of Modified Mandibular Block Technique. International Journal of Oral and Maxillofacial Surgery. 2017;46(1): 280-2

Yu, F., Xiao, Y., Liu, H., Wu, F. Evaluation of Three Block Anesthesia Methods for Pain Management During Mandibular Third Molar Extraction: A Meta-analysis. Scientific Nature Research Journal. 2017;20(3): 34-8.

Sadiq, M., S., Arif, U., Qazi, S., R. Use of Gow-Gates Mandibular Nerve Block. Pakistan Oral and Dental Journal. 2017; 37 (3): 416-8.

Norton, N., S. 2016. Netter’s Head and Neck Anatomy For Dentistry, 3rd Edition. Singapore: Elsevier. 2016: 85-87.

Yongki, R., Kawulusan, N., N. Effectiveness Comparison Of Inferior Alveolar Nerve Block Anesthesia Using Direct and Indirect Technique. Journal of Dentomaxillofacial Science. 2016;1(3): 171-6.

Ireland, R. Clinical Textbook of Dental Hygiene and Therapy. Blackwell Munksgaard. 2016: 123-134.

Kenawy, M., H., Ahmed, M., S. Comparison Between Physics and Conventional Forceps in Simple Dental Extraction. Journal of Maxillofacial Oral Surgery. 2015;14 (4): 949-55.

Fragiskos, F., D. Fundamental Principles and Techniques Involved in Tooth Extraction. Springer. 2017: 73-81.

Astramskaite, I., Poskevicius, L., Juodzbalys, G. Factors Determining Tooth Extraction Anxiety and Fear in Adult Dental Patients: A Sistemic Review. International Journal of Oral And Maxillofacial Surgery. 2016; 45 (12): 1630-43.

White, A., M., Giblin, L., Boyd, L., D. The Prevalence of Dental Anxiety in Dental Practice Settings. Journal of Dental Hygiene. 2017; 91(1): 30-34.

Inceoglu, B., Yakar, E., N., Cura, N., Eren, H. Importance of Taking Anamnesis in Dentistry and Assessment of Knowledge and Attitudes of Dental Students. Journal of Contemporary Dentistry. 2015; 4(2): 87-91.

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Published

2021-08-13

How to Cite

Bambang Tri Hartomo, & Saraya Hasyyati Adani. (2021). Anxiety Management of Patients First Time to The Dentist for Dental Extraction. DENTA JURNAL KEDOKTERAN GIGI, 15(1), 9–16. Retrieved from https://journal-denta.hangtuah.ac.id/index.php/jurnal/article/view/79

Issue

Vol. 15 No. 1 (2021): Februari

Section

Articles

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