Behavioural methods of control of dental anxiety

Question 1

Give some anchors fro anxiety

Answer 1

1. May start from the waiting room

2. the drill

Question 2

Give some measurements of dental anxiety

Answer 2

1. The Modified Dental Anxiety Scale
2. Dental Anxiety Inventory
3. Dental Beliefs survey
4. Dental locus of control
5. Dental self-efficacy scale

Question 3

On the Modified Dental Anxiety Scale how is anxiety measured?

Answer 3

Theres 5 questions and the answers are scaled 1-5 if total score exceeds 19 then person is highly anxiety

Question 4

What are the 5 areas of interest of the modified dental anxiety scale?

Answer 4

1. The treatment
2. Waiting room
3. Teeth drilling
4. Teeth scaling and polishing
5. LA

Question 5

Give some Physiological/Behavioural responses of dental anxiety

Answer 5

1. Needing to go to the toilet
2. Sleeping poorly
3. Clinging to the gram of the chair
4. Faster treating
5. Postponing appointments
6. unable to concentrate
   7 Clammy hands

Question 6

Give the 3 sub scales of the dental belief survey

Answer 6

1. Professionalism
2. Communication
3. Lack of control

Question 7

What worries do patients have in regards to Professionalism

Answer 7

1. Competency to complete the dental work to a high standard
2. Competency to give patients appropriate and correct information
3. Competency to care for the patients needs (e.g., if need rest, have fears etc)

Question 8

What worries do patients have in regards to communication

Answer 8

1. Concerned that the dentist do not like to take time to talk to the patient
2. Big issue of empathy
3. Feeling uncomfortable to answer question
4. Worries the dentist won’t take their fears seriously

Question 9

What worries do patients have in regards to lack of control

Answer 9

1. concerned that the dentist will do what he wants and not listen to them while they are in the chair
2. Patients fear they can not stop treatment once it has started

Question 10

Give examples of anxiety control from simple to most complicated

Answer 10

1. Communication
2. Behavioural management
3. Local anaesthetic
4. Inhalation sedation
5. Intravnous sedation
6. General anaesthetic

Question 11

What factors can the dentist change in order to effectively communicate with their patient

Answer 11

1. Open body language
2. Mirroring
3. Listen and ask open questions
4. Use appropriate jargon
5. Voice control

Question 12

How can we manage an anxious child?

Answer 12

1. Get on their level: eye level, vocab, tone
2. Show interest in the Childs feelings
3. include the child in the treatment