Abstract:
AIM:To determine whether adult patients' dental anxiety levels decrease following exodontia carried out under inhalational conscious sedation with nitrous oxide and oxygen (IHS) and local anaesthetic (LA). DESIGN:Retrospective analysis of pre- and post-operative modified dental anxiety score (MDAS) questionnaires completed by patients treated in a primary care oral surgery service between 21 July 2010 and 17 December 2010. METHODOLOGY:138 patients who had undergone exodontia were divided into three groups: moderate to severe anxiety (MDAS scores 11-25) treated under IHS and LA (n = 60), mild anxiety (MDAS scores 5-10) treated under IHS and LA (n = 43) and mixed anxiety (MDAS scores 5-15) treated under LA only (n = 35). The mean pre- and post-operative MDAS scores were analysed by means of one-tailed, paired t-tests. RESULTS:The moderate to severely anxious group treated under IHS and LA showed a statistically significant decrease of 3.68 between the mean pre- and post-operative MDAS scores (p = 0.000). The IHS mildly anxious group showed a decrease of 0.07 (p = 0.392) and the LA group showed a decrease of 0.23 (p = 0.227). Neither of these results were statistically significant. CONCLUSION:These results support the use of IHS, to reduce anxiety of exodontia, in moderate to severely anxious adults undergoing minor oral surgery (MOS) procedures under LA in primary care oral surgery.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Hierons RJ,Dorman ML,Wilson K,Averley P,Girdler Ndoi
10.1038/sj.bdj.2012.839subject
Has Abstractpub_date
2012-09-01 00:00:00pages
E9issue
6eissn
0007-0610issn
1476-5373pii
sj.bdj.2012.839journal_volume
213pub_type
杂志文章abstract::The prevalence of double teeth in the primary dentition, for the British schoolchild, is 1.6%. Although primary double teeth in the anterior region of the mouth are not uncommon, double teeth in the primary molar region are rare. This case report describes the intra-oral findings, and in particular a case of a primary...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807694
更新日期:1991-11-09 00:00:00
abstract::There are many varying factors which impact on the behaviour of reluctant patients and the understanding of theoretical behavioural models can help to understand some of the key issues. This paper considers such models and the effective use of marketing communications in helping to change behaviour. The paper conclude...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800135
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abstract:OBJECTIVES:This article presents a review of published literature examining fibre-based endodontic post systems. DATA SOURCES:A MEDLINE search was carried out for any articles in dental journals pertaining to fibre-based post systems. Wherever possible articles cited were obtained from the journals and where this was ...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4810278
更新日期:2003-07-12 00:00:00
abstract::Alcohol abuse is an important problem in Britain and is imposing increasing burdens both in general practice and in the hospital service. In the absence of previous investigations of the prevalence of intoxication and dependence in dental patients, 225 consecutive patients who attended the University of Bristol Dental...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807364
更新日期:1990-11-24 00:00:00
abstract::The geographic tongue of a 23-year-old female student was examined daily for one year. The size, number and location of the lesions were recorded using transparent films. The phase of the oral contraceptive cycle appeared to have a marked effect on the initiation and duration of the circinate lesions, the tongue chang...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807618
更新日期:1991-08-10 00:00:00
abstract::North London may seem an unlikely venue for a discussion about orthodontics which takes us as far afield as South Africa and the USA, but Edgware is where I find the head office of OrthoWorld. At the time of writing OrthoWorld are the only specialist body corporate in the UK. I am meeting Dr. Morris Fine, Director of ...
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4801630
更新日期:2002-11-23 00:00:00
abstract::Many British dentists consider that because of the NHS, oral healthcare provision in Europe is more comprehensive, less controlled and more remunerative than the UK, a view that is often shared by their European colleagues. In this article, the oral healthcare systems of most European countries are classified and comp...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809719
更新日期:1998-07-11 00:00:00
abstract::Dental caries continues to affect the British population, despite advances in prevention and management options. There are many treatment and preventive treatment strategies to address dental caries. Silver diamine fluoride (SDF) is a colourless alkaline solution containing silver and fluoride, which forms a complex w...
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pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1641-4
更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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abstract::Darier's disease, a genetically transmitted, autosomal dominant hyperkeratosis is a condition only occasionally described in the dental literature. A familial study is presented, which highlights the autosomal dominant inheritance mode of the condition and emphasises the similarity between the palatal lesions and nico...
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4807086
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abstract::There are currently 9(1/2) million people in England and Wales over retirement age and nearly 4 million of these are over 75 years. Age itself is not a disease and 70% of the population over 65 are functionally independent. However, ageing is associated with an increase in the prevalence of chronic disease and disabil...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809893
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abstract::The attendance pattern of dental practitioners who resided in the West Midlands and attended postgraduate courses at Birmingham University Dental School was studied. Data were collected from the participants as to their name, the location of their practice and the type of course that they attended. Other information s...
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4807274
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abstract:OBJECTIVES:To evaluate two total purchasing (TP) sites and ascertain whether general dental practitioners (GDPs) could be successfully included in the total purchasing model of health care commissioning. Another objective was to examine the role GDPs may play in future primary care commissioning groups and trusts. DES...
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doi:10.1038/sj.bdj.4800861
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abstract::It is now more than one year since the Specialist List in Orthodontics closed on 30 June 2000. I therefore felt it appropriate that I should give my views on the list, having probably had more experience in this process than any other dentist in the UK. ...
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pub_type: 社论
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4808945
更新日期:1995-12-09 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.403
更新日期:2014-05-01 00:00:00
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journal_title:British dental journal
pub_type: 评论,杂志文章
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pub_type: 杂志文章
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更新日期:2004-07-10 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809779
更新日期:1998-09-12 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.834
更新日期:2013-09-01 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801053
更新日期:2001-06-09 00:00:00
abstract:OBJECTIVE:To quantify the level of unmet dental access need which had been reported locally and to provide information about the perceived need for dental treatment with particular reference to those not registered for continuing NHS care. DESIGN:A postal survey of adults resident in Aylesbury Vale, Buckinghamshire wa...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809622
更新日期:1998-04-11 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2008.134
更新日期:2008-03-08 00:00:00
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pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.792
更新日期:2013-08-01 00:00:00