Dental Anxiety, Edentulous Mouth
Conditions
Keywords
complete denture, dental anxiety scale, prosthodontics, edentulism
Brief summary
This quasi-experimental study compares dental anxiety levels in edentulous patients at two specific clinical points: the primary impression appointment and the denture insertion appointment. The study aims to determine if the process of receiving first-time complete dentures significantly impacts patient anxiety levels. Data will be collected from 70 participants at the Khyber College of Dentistry over a five-week interval between the two appointments
Detailed description
Participants aged 40-70 requiring first-time complete dentures will be enrolled via non-probability consecutive sampling at the Prosthodontic Department of Khyber College of Dentistry. Dental anxiety will be measured using a specific 5-item Dental Anxiety Scale for edentulous subjects at the first visit (primary impression) and again at the insertion appointment, approximately five weeks later. A cut-off score of 19 on the scale will distinguish high-level from low-level anxiousness. Statistical analysis, including paired t-tests (for normally distributed data) or Wilcoxon signed-rank tests, will be used to compare the mean difference in dental anxiety levels at the two time points.
Interventions
A standard 5-step clinical process: primary impression, secondary impression, jaw relation, trial, and insertion. Dental anxiety is assessed using the Dental Anxiety Scale at the baseline (primary impression) and final follow-up (insertion).
Sponsors
Study design
Masking description
The Dental Anxiety Scale for edentulous subjects will be used to measure participant anxiety. This is a 4-item (or 5-item, depending on your specific version) questionnaire where each item is scored on a scale of 1 to 5. Total scores range from a minimum of 4 to a maximum of 20 (or 5 to 25). Higher scores indicate higher levels of dental anxiety. A score of 19 or higher is considered a cut-off for high anxiety.
Intervention model description
This is a quasi-experimental study using a single-group, pre-post design. All participants receive the same intervention (fabrication of conventional complete dentures). Dental anxiety is measured at baseline (primary impression) and at the final follow-up (denture insertion) to determine the mean difference in anxiety levels within the group
Eligibility
Inclusion criteria
Edentulous patients (missing all teeth) requiring first-time complete dentures.
Exclusion criteria
History of previous denture use, severe cognitive impairment, or systemic diseases contraindicating dental procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Dental Anxiety Scale (DAS) Score | Baseline (primary impression appointment) and 5 weeks (denture insertion appointment) | The Dental Anxiety Scale will be used to measure the level of anxiety in edentulous patients. It consists of items scored on a 5-point scale. Total scores range from a minimum of 4 (no anxiety) to a maximum of 20 (extreme anxiety). A higher score indicates a higher level of dental anxiety." |