Evaluation of Dental Anxiety Before Oral Surgery in Epileptic Patients

Evaluation of Dental Anxiety Before Oral Surgery in Epileptic Patients

Purpose: This study aimed to assess dental anxiety levels, thereby identifying factors which may contribute to dental anxiety in epileptic patients undergoing oral surgery procedures. Methods: Questionnaires were handed out to 85 epileptic patients before the planned oral surgery procedures. The assessment of dental anxiety levels was carried out with Modified Dental Anxiety Scale (MDAS) and questions regarding dental anxiety. The cut-off point ≥19 was accepted as highly anxious. Data including the patients’ demographic variables were also recorded and the results were analyzed by means of Mann-Whitney U and Chi-square tests. Results: Of 85 patients included, a rate of 17.6% (n=15) was indicated as having high dental anxiety levels. Dental anxiety had no correlation with age, age of onset, educational level, type of epilepsy, frequency of seizures, antiepileptic drug use, previous history of oral surgery, previous traumatic dental experience and the number of missing teeth (p>0.05). However, gender (p

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  • Reyes-Gilabert E, Luque-Romero LG, Bejarano-Ávila G, et al. Assessment of pre and postoperative anxiety in patients undergoing ambulatory oral surgery in primary care. Med Oral Patol Oral Cir Bucal 2017;22:e716–e722. [CrossRef]
  • Zinke A, Hannig C, Berth H. Comparing oral health in patients with different levels of dental anxiety. Head Face Med 2018;14:25. [CrossRef]
  • Zinke A, Hannig C, Berth H. Psychological distress and anxiety compared amongst dental patients-results of a cross-sectional study in 1549 adults. BMC Oral Health 2019;19:27. [CrossRef]
  • Muglali M, Komerik N. Factors related to patients’ anxiety before and after oral surgery. J Oral Maxillofac Surg 2008;66:870–877. [CrossRef]
  • Ergüven SS, Kılınç Y, Delilbaşı E, Işık B. Bir diş hekimliği fakültesi ağız, diş ve çene cerrahisi kliniğine başvuran hastaların dental kaygı düzeylerinin değerlendirilmesi. Acta Odontol Turc 2015;32:7–11. [CrossRef]
  • Turner MD, Glickman RS. Epilepsy in the oral and maxillofacial patient: current therapy. J Oral Maxillofac Surg 2005;63:996–1005. [CrossRef]
  • Schöpper M, Ludolph AC, Fauser S. Dental care in patients with epilepsy: a survey of 82 patients and their attending dentists and neurologists in southern Germany. Int Dent J 2016;66:366–374. [CrossRef]
  • Yaltırık M, Özer S, Tonguç S, Kocaelli H. Management of epileptic patients in dentistry. Surg Sci 2012;3:47–52. [CrossRef]
  • Aznar-Arasa L, Figueiredo R, Valmaseda-Castellón E, Gay-Escoda C. Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study. Int J Oral Maxillofac Surg 2014;43:1131–1136. [CrossRef]
  • 10. Tunc EP, Firat D, Onur OD, Sar V. Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol 2005;33:357–362. [CrossRef]
  • 11. Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res 2005;33:252–259. [CrossRef]
  • 12. Oosterink FM, de Jongh A, Aartman IH. What are people afraid of during dental treatment? Anxiety‐provoking capacity of 67 stimuli characteristic of the dental setting. Eur J Oral Sci 2008;116:44–51. [CrossRef]
  • 13. Hermes D, Matthes M, Saka B. Treatment anxiety in oral and maxillofacial surgery. Results of a German multi-centre trial. J Craniomaxillofac Surg 2007;35:316–321. [CrossRef]
  • 14. Sirin Y, Humphris G, Sencan S, Firat D. What is the most fearful intervention in ambulatory oral surgery? Analysis of an outpatient clinic. Int J Oral Maxillofac Surg 2012;41:1284–1290. [CrossRef]
  • 15. Zhang X, Wang B, Qiao SC, Gu YX, Shi JY, Lai HC. A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery. Clin Implant Dent Relat Res 2019;21:428–435. [CrossRef]
  • 16. Wang M, Ding D, Zhang Q, et al. Oral health and dental status in people with epilepsy in rural China. Seizure 2019;65:42–47. [CrossRef]
  • 17. Lee SA, Jeon JY, No SK, et al. Factors contributing to anxiety and depressive symptoms in adults with new-onset epilepsy. Epilepsy Behav 2018;88:325–331. [CrossRef]
  • 18. Newton T, Asimakopoulou K, Daly B, Scambler S, Scott S. The management of dental anxiety: time for a sense of proportion? Br Dent J 2012;213:271–274. [CrossRef]
  • 19. Facco E, Zanette G, Manani G. Italian version of Corah’s Dental Anxiety Scale: normative data in patients undergoing oral surgery and relationship with the ASA physical status classification. Anesth Prog 2008;55:109–115. [CrossRef]
  • 20. Astramskaitė I, Poškevičius L, Juodžbalys G. Factors determining tooth extraction anxiety and fear in adult dental patients: a systematic review. Int J Oral Maxillofac Surg 2016;45:1630–1643. [CrossRef]
  • 21. Astramskaitė I, Juodžbalys G. Scales used to rate adult patients’ psycho-emotional status in tooth extraction procedures: a systematic review. Int J Oral Maxillofac Surg 2017;46:886–898. [CrossRef]
  • 22. de Jongh A, Fransen J, Oosterink‐Wubbe F, Aartman I. Psychological trauma exposure and trauma symptoms among individuals with high and low levels of dental anxiety. Eur J Oral Sci 2006;114:286–292. [CrossRef]
  • 23. Kim Y, Kim S, Myoung H. Independent predictors of satisfaction in impacted third molar surgery patients. Community Dent Oral Epidemiol 2010;38:274–286. [CrossRef]
  • 24. Tarazona B, Tarazona-Álvarez P, Peñarrocha-Oltra D, Rojo-Moreno J, Penarrocha-Diago M. Anxiety before extraction of impacted lower third molars. Med Oral Patol Oral Cir Bucal 2015;20:e246–e250. [CrossRef]
  • 25. Egbor PE, Akpata O. An evaluation of the sociodemographic determinants of dental anxiety in patients scheduled for intraalveolar extraction. Libyan J Med 2014;9:25433. [CrossRef]
  • 26. López-Jornet P, Camacho-Alonso F, Sanchez-Siles M. Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. Br J Oral Maxillofac Surg 2014;52:1823. [CrossRef]
  • 27. Kazancioglu HO, Tek M, Ezirganli S, Demirtas N. Does watching a video on third molar surgery increase patients’ anxiety level? Oral Surg Oral Med Oral Pathol Oral Radiol 2015;119:272–277. [CrossRef]
  • 28. Akarslan ZZ, Erten H, Uzun O, Iseri E, Topuz O. Relationship between trait anxiety, dental anxiety and DMFT indexes of Turkish patients attending a dental school clinic. East Mediterr Health J 2010;16:558562. [CrossRef]
  • 29. Garip H, Abalı O, Göker K, Göktürk U, Garip Y. Anxiety and extraction of third molars in Turkish patients. Br J Oral Maxillofac Surg 2004;42:551–554. [CrossRef]
  • 30. Kaakko T, Murtomaa H. Factors predictive of anxiety before oral surgery: efficacy of various subject screening measures. Anesth Prog 1999;46:3–9.