Treatment of dental caries and periodontal disease in patients with dental phobia Oral Health Dental caries, periodontal disease
Conditions
Interventions
Step 1: Recruitment and treatment provision for patients who have dental anxiety/phobia
The researcher (EH) will approach potential patients after they have been accepted for a dental
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When eligible participants also complete the ‘Section B of the study Questionnaire'. This part of the questionnaire has measures of oral health related behaviour and oral healt
Sponsors
King's College London
Guy's & St Thomas' Foundation NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Potential patients after they have been accepted for a dental treatment in the department of Sedation and Special Care Dentistry (SSCD) at Guy's and St Thomas' hospital 2. Adult patients (age 18 and over) 3. Gender: both (Male and female) 4. Have been screened and are suitable if score: 4.1. Modified Dental Anxiety Score (MDAS score >= 19), or 4.2. Specific phobia of dental injections / invasive dental treatment 4.3. There are no comorbid psychiatric conditions noted by Hospital Anxiety and Depression Score (HADS) questionnaire (HADS Anxiety < 10; HADS Depression < 10)
Exclusion criteria
Exclusion criteria: The following patient groups: 1. Those not meeting the inclusion criteria 2. Individuals with learning difficulty 3. Individuals with difficulty in communicating 4. Individuals who are unable to give informed consent 5. Potential participants who cannot understand spoken English (Not being able to speak English is not an exclusion criterion as many patients with dental phobia are not able to speak English and always have translators). 6. Individuals who cannot read and write English The above individuals will be excluded as ability to communicate clearly is essential for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility, based on the following: 1. Number of eligible patients attending screening appointment 2. Proportion of eligible patients recruited 3. Dentist adherence to intervention (assessed by independent review of case notes). This would be once the patient’s dental treatment has been completed. 4. Patient adherence with behaviour required by intervention (assessed by self report data from questionnaire based on Adult Dental Health Survey [ADHS]) at the follow-up appointment 5. Compliance, assessed by the proportion of participants who attend the follow-up appointment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Recruitment rates into this study (how many will say yes to be part of this study) 2. Adherence to the intervention (how many will stick to the proposed dental care) 3. Follow-up rates (coming back to the department again 6 months after completion of their dental treatment) within the trial (study) 4. Completion rates of outcome measures such as: 4.1. Oral health data (number of tooth surfaces that are healthy/diseased) assessed using DMFS (Decayed, Missing, Filled Tooth Surfaces) score calculated according to Adult Dental Health Survey (ADHS, 2009) protocol. 4.2. Gum disease after oral health assessment measured by plaque score and Basic Periodontal (gum) Examination [BPE]) according to Adult Dental Health Survey (ADHS, 2009) protocol. 4.3. Oral health related quality of life ( Oral Health Related Quality of life measure by Oral Health Impact Profile (OHIP 14) questionnaire at baseline and follow-up 4.4. Oral health related behaviours (Part B of the questionnaire) at baseline and follow-up 4.5. Research participants’ views of the care provided (Part C of the questionnaire: Adapted version of Treatment Evaluation Inventory (Patient) (Newton& Sturmey, 2004). Patients will complete the questionnaire (Parts A, B and C) upon return to the dental unit (SSCD). This visit will be after the patient has completed their dental treatment at least 6 months previously. | — |
Countries
England, United Kingdom
Contacts
Public ContactEllie Heidari
Outcome results
None listed