Dental Anxiety
Conditions
Keywords
Video information, Electrodermal activity, Endodontic treatment
Brief summary
This study compared the effect of the detailed video visual information and basic verbal information on patients' anxiety levels (using anxiety scales) before endodontic treatment and stress levels (using electrodermal activity method) during endodontic treatment.
Detailed description
Patients (n=120) aged between 18-65 with single-rooted teeth with the single canal that diagnosed with asymptomatic irreversible pulpitis and/or pre-prosthetic root canal treatment were included in this study. Patients were randomly divided into two groups after completing anxiety scales and socio-demographic/dental habits form. Before the treatment, visual video information was given to the video group patients, while the control group patients were routinely informed verbally. The stress levels during the endodontic treatment process were recorded by placing a electrodermal activity measurement device on the wrists of the patients. Anxiety scales and feedback-satisfaction forms were administered to all patients after the treatment process.
Interventions
OTHERInformation Types Before Endodontic Treatment
The first aim of this study is to compare the effect of detailed video information or basic verbal information on the anxiety levels of patients by using anxiety scales before treatment. The second aim is to evaluate the effect of pretreatment video or verbal information on the stress level occurring in patients during the endodontic treatment steps by using electrodermal activity. The third aim is to investigate the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics which are thought to play a role in anxiety's etiology.
Sponsors
Aydin Adnan Menderes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients between 18 - 65 years of ages 2. Patients with healthy (ASA 1) and mild systemic disease (ASA 2) according to ASA classification 3. Patients with no mental disorders in their medical history 4. Patients who do not have a psychiatric disorder that they have started, and who do not use psychotherapeutic drugs. 5. Literate and not visually impaired patients 6. Patients presenting with single-rooted teeth with a single root canal diagnosed with asymptomatic irreversible pulpitis or single-rooted vital teeth with a single root canal requiring root canal treatment due to prosthetic reasons
Exclusion criteria
1. Patients who refuse to participate this study 2. Patients have existing pain caused by another tooth 3. Patients with dermatological disease in the medical histories 4. Medically compromised patients (with immunosuppressive/systemic diseases, patients on medications) 5. The presence of spontaneous pain, swelling, or fistula in the relevant tooth 6. Teeth whose working length cannot be reached due to calcification and step formation in the root canal 7. The presence of foreign material in the root canal that prevents entry (broken instrument, post) 8. The presence of advanced periodontal disease (probing depth \> 4 mm) or root fracture in the relevant tooth 9. Patients using pain medication on the same day before treatment (within 24 hours)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety level comparison after endodontic treatment with two preoperative information types | Immediately after treatment | Modified Dental Anxiety Scale (MDAS) was used to assess anxiety levels. The Modified Dental Anxiety Scale (MDAS) consisted of 5 questions ranging from 5 (no anxiety) to 25 (highest anxiety level). Every patient was asked to mark his or her perceived dental anxiety level on the line. |
| Electrodermal activity level comparison during endodontic treatment with two preoperative information types | During endodontic treatment process | At the beginning of the endodontic treatment, the GSR device was attached to the patient's preferred wrist, and the measuring tapes of the device were placed on the patient's proximal phalanges of the index and middle finger. One-visit endodontic treatment was divided into 7 steps (anesthesia, cavity preparation, rubber dam placement, determination of root canal length, root canal shaping, root canal filling, coronal restoration and finishing) and recorded. All data transmitted to the computer via a wireless connection by a software program were recorded at the end of the treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the relationship between patients' pretreatment anxiety levels and socio-demographic characteristics and dental treatment habits | Before Endodontic Treatment | The patients were asked to fill in anxiety scales and sociodemographic/dental habits forms. Modified Dental Anxiety Scale (MDAS) was used to assess anxiety levels. The Modified Dental Anxiety Scale (MDAS) consisted of 5 questions ranging from 5 (no anxiety) to 25 (highest anxiety level). Every patient was asked to mark his or her perceived dental anxiety level on the line. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of patients satisfaction about information types | Immediately after treatment | A feedback-satisfaction form containing 4 items about information types was applied to all patients after the endodontic treatment. |
Countries
Turkey (Türkiye)
Outcome results
None listed