Evaluation on the Anxiety of Third Molar Extraction

NCT03838081 | Completed

• 1 other identifier: 36290600/69
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

This study was performed on 66 patients who were admitted for third molar extraction under local anesthesia. The patients were divided into three groups: group 1 with verbal information, group 2 with written information, and group 3 with previous surgical experience. Spielberger State Anxiety Inventory (STAI-S), Dental Fear Scale (DFS), Modified Dental Anxiety Scale (MDAS), and Visual Analog Scale (VAS) were used pre- and postoperatively to evaluate dental anxiety

Conditions

Dental Anxiety

Keywords

third molar extraction; Preoperative anxiety; Dental Anxiety

Outcome Measures

Primary Outcomes (4)

• Evaluation of anxiety with Spielberger State Anxiety Inventory(STAI-S) between groups preoperatively and postoperatively

  Spielberger State Anxiety Inventory (STAI) is one of the most frequently used scales in anxiety research, although it is not a specific scale for dental anxiety. The inventory has 2 different scales, each with 20 items, showing the state and trait anxiety levels: STAI-state is used to determine a patient's current anxiety level, and STAI-trait is used to determine a patient's underlying (ongoing/personality) anxiety level. All 20 items are rated on a 4-point scale. The total score obtained can range from 20 to 80. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80). We used only STAI-S

  2 minutes

• Evaluation of anxiety with Dental Fear Survey(DFS) between groups preoperatively and postoperatively

  DFS is a scale developed by Kleinknecht used to determine dental fear in different dimensions. This is a Likert-type scale with a score of 1-5. It has 20 items. It examines the level of fear in terms of dentist avoidance, somatic symptoms of fear, and fear of various applications in dentistry practice

  2 minutes

• Evaluation of anxiety with Modified Dental Anxiety Scale(MDAS) between groups preoperatively and postoperatively

  MDAS was developed by Humphris et al. by adding a question related to injection. The scale consists of five-point Likert-type rating with five options. The scoring in this scale varies between 5 and 25

  1 minute

• Evaluation of anxiety with Visual Analog Scale (VAS) between groups preoperatively and postoperatively

  VAS is ideal for evaluating situations that cannot be measured using digital and oral information 25. In the present study, a scale comprising 100-mm closed-end line was used to measure the anxiety level. One end of the scale was labeled as "no anxiety" and the other end as "maximum anxiety imaginable."

  1 minute

Study Arms (3)

Group 1

EXPERIMENTAL

Group 1: Patients who were given only basic information verbally

Behavioral: Spielberger State Anxiety Inventory (STAI-S),; Behavioral: Dental Fear Scale (DFS); Behavioral: Modified Dental Anxiety Scale (MDAS); Behavioral: Visual Analog Scale (VAS)

Group 2

EXPERIMENTAL

Group 2: Patients with detailed written information about preoperative, intraoperative, and postoperative periods

Behavioral: Spielberger State Anxiety Inventory (STAI-S),; Behavioral: Dental Fear Scale (DFS); Behavioral: Modified Dental Anxiety Scale (MDAS); Behavioral: Visual Analog Scale (VAS)

Group 3

EXPERIMENTAL

Group 3: Patients with previous experience and knowledge about third molar extraction

Behavioral: Spielberger State Anxiety Inventory (STAI-S),; Behavioral: Dental Fear Scale (DFS); Behavioral: Modified Dental Anxiety Scale (MDAS); Behavioral: Visual Analog Scale (VAS)

Interventions

Spielberger State Anxiety Inventory (STAI-S), BEHAVIORAL

STAI is one of the most frequently used scales in anxiety research, although it is not a specific scale for dental anxiety

Group 1; Group 2; Group 3

Dental Fear Scale (DFS) BEHAVIORAL

DFS is a scale developed by Kleinknecht used to determine dental fear in different dimensions. This is a Likert-type scale with a score of 1-5. It has 20 items. It examines the level of fear in terms of dentist avoidance, somatic symptoms of fear, and fear of various applications in dentistry practice

Group 1; Group 2; Group 3

Modified Dental Anxiety Scale (MDAS) BEHAVIORAL

MDAS was developed by Humphris et al. by adding a question related to injection. The scale consists of five-point Likert-type rating with five options. The scoring in this scale varies between 5 and 25

Group 1; Group 2; Group 3

Visual Analog Scale (VAS) BEHAVIORAL

VAS is ideal for evaluating situations that cannot be measured using digital and oral information. In the present study, a scale comprising 100-mm closed-end line was used to measure the anxiety level. One end of the scale was labeled as "no anxiety" and the other end as "maximum anxiety imaginable

Group 1; Group 2; Group 3

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 18-80 years
• American Society of Anesthesiologists physical status score I and II
• Patients without any systemic disease, or regular medication use.

You may not qualify if:

• İnability to read and understand Turkish
• Significantly impaired eyesight or hearing, an existing psychiatric disorder
• Patients aged less than 18 years

Sponsors & Collaborators

• Ankara University: lead

Study Sites (1)

Ankara University dentisry of faculty

Ankara, 06500, Turkey (Türkiye)

Location

Related Publications (5)

• Muglali M, Komerik N. Factors related to patients' anxiety before and after oral surgery. J Oral Maxillofac Surg. 2008 May;66(5):870-7. doi: 10.1016/j.joms.2007.06.662.

  PMID: 18423273 BACKGROUND

• Jaakkola S, Rautava P, Alanen P, Aromaa M, Pienihakkinen K, Raiha H, Vahlberg T, Mattila ML, Sillanpaa M. Dental fear: one single clinical question for measurement. Open Dent J. 2009 Jul 28;3:161-6. doi: 10.2174/1874210600903010161.

  PMID: 19672334 BACKGROUND

• Pell GJ. Impacted mandibular third molars: classification and modified techniques for removal. Dent Digest. 1933;39:330-338.

  BACKGROUND

• Winter GB. Principles of exodontia as applied to the impacted mandibular third molar. American Medical Book Company; 1926.

  BACKGROUND

• Ost L-g, Öst L-G, Skaret E. Cognitive behavioral therapy for dental phobia and anxiety. John Wiley & Sons; 2013

  BACKGROUND

Study Officials

• Kevser Sancak

  Ankara University Faculty of Dentısry

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Oral and Maxillofacial surgery, Principal investigator

Study Record Dates

• First Submitted: February 10, 2019
• First Posted: February 12, 2019
• Study Start: September 15, 2018
• Primary Completion: December 15, 2018
• Study Completion: January 5, 2019
• Last Updated: February 15, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)