1887
8 - The 3rd Mustansiriyah International Dental Conference
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

This cross-sectional study investigated the relationship between anxiety levels, syncope episodes, and dental procedures.

Two hundred patients were assessed for eligibility, with thirty-six meeting the inclusion criteria. Twenty participants had prior syncope experiences, while sixteen fainted during dental clinical procedures. All participants completed the Hospital Anxiety and Depression Scale (HADS) interviews, and a numerical rating scale (NRS) assessed their perceptions of anesthesia, extraction, and procedure difficulty.

It revealed that anxiety significantly increased in patients with previous syncope episodes during extractions (p = 0.002) and perceived difficulty (p = 0.017). Syncope during dental procedures correlated considerably with dental extraction (p = 0.003), difficulty assumption (p = 0.012), and overall HAD scores (p = 0.036).

Syncope-prone patients may be at higher risk for syncope during dental extractions, influenced by anxiety. Participants who fainted during procedures exhibited elevated total anxiety scores on the HAD.

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2024-12-31
2025-04-07
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References

  1. American Heart Association. Syncope (Fainting) [Internet] [cited 2021 Jan 18]; 2021. Available from https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/syncope-fainting
    [Google Scholar]
  2. Mayo Clinic. Vasovagal Syncope - Symptoms and Causes [Internet] [cited 2021 Jan 18]; 2021. Available from https://www.mayoclinic.org/diseases-conditions/vasovagal-syncope/symptoms-causes/syc-20350527
    [Google Scholar]
  3. Schleifer J, Shen W. Vasovagal Syncope: An Update on the Latest Pharmacological Therapies. Expert Opin Pharmacother. 2014; 16:(4):501–13. https://doi.org/10.1517/14656566.2015.996129
    [Google Scholar]
  4. Kaur S, Kaur M. Survey of Dental Anxiety Among People Visiting Dental Clinic. Int J Res Health Allied Sci. 2018[cited 2021 Jan 18];4(4):59–62. Available from http://www.ijrhas.com/
    [Google Scholar]
  5. Horenstein A, Heimberg R. Anxiety Disorders and Healthcare Utilization: A Systematic Review. Clin Psychol Rev. 2020; 81:101894. https://doi.org/10.1016/j.cpr.2020.101894
    [Google Scholar]
  6. Nave-Leal E, Oliveira M, Pais-Ribeiro J, Santos S, Oliveira E, Alves T, et al. Impact of Syncope on Quality of Life: Validation of a Measure in Patients. Revista Portuguesa de Cardiologia (English Edition). 2015; 34:(3):173–7. https://doi.org/10.1016/j.repc.2014.08.010
    [Google Scholar]
  7. Patel P, Quinn J. Syncope: A Review of Emergency Department Management and Disposition. Clin Exp Emerg Med. 2015; 2:(2):67–74. https://doi.org/10.15441/ceem.14.049
    [Google Scholar]
  8. Kareem DJJ, Radhi DHR, Hassan DAF. Influence of Dental Extraction on Patient’s Stress and Anxiety Levels by Assessing the Salivary Cortisol Concentration at Different Time Points During the Extraction Procedure. Mustansiria Dent J. 2012; 9:(2):208–17. https://doi.org/10.32828/mdj.v9i2.264
    [Google Scholar]
  9. Nermo H, Willumsen T, Rognmo K, Thimm JC, Wang CEA, Johnsen JK. Dental Anxiety and Potentially Traumatic Events: A Cross-Sectional Study Based on the Tromsø Study-Tromsø 7. BMC Oral Health. 2021Nov23; 21:(1):600. https://doi.org/10.1186/s12903-021-01968-4
    [Google Scholar]
  10. Seligman L, Hovey J, Chacon K, Ollendick T. Dental Anxiety: An Understudied Problem in Youth. Clin Psychol Rev. 2017; 55:25–40. https://doi.org/10.1016/j.cpr.2017.04.004
    [Google Scholar]
  11. Asl AN, Shokravi M, Jamali Z, Shirazi S. Barriers and Drawbacks of the Assessment of Dental Fear, Dental Anxiety and Dental Phobia in Children: A Critical Literature Review. J Clin Pediatr Dent. 2017; 41:(6):399–423. https://doi.org/10.17796/1053-4628-41.6.1
    [Google Scholar]
  12. Khuder JT, Ehsan AK, Adnan AM. Evaluation of the Effect of Different Complete Denture Impression Techniques on Dental Anxiety Levels. Mustansiria Dent J. 2022; 18:(1):151–9. https://doi.org/10.32828/mdj.v18i1.917
    [Google Scholar]
  13. Lionte C. Toxic and Drug-Induced Syncope in Medical Practice. Therapeut Pharmacol Clin Toxicol. 2009; 8:(4):400–8.
    [Google Scholar]
  14. Zigmond A, Snaith R. The Hospital Anxiety and Depression. Acta Psychiatrica Scandinavica. 1983; 67:(6):361–70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
    [Google Scholar]
  15. Elkins G, Staniunas R, Rajab M, Marcus J, Snyder T. Use of a Numeric Visual Analog Anxiety Scale Among Patients Undergoing Colorectal Surgery. Clin Nurs Res. 2004; 13:(3):237–44. https://doi.org/10.1177/1054773803262222
    [Google Scholar]
  16. Hussein HM, Raafat AS, Amory ZS, AL-Juboori MJ. The Influence of Endodontic Treatment on Blood Pressure Reduction in Patients with Vital Irreversible Pulpitis. Clin Cosmet Investig Dent. 2019; 11:143–55. https://doi.org/10.2147/CCIDE.S206513
    [Google Scholar]
  17. Fliah Hassan A, Alhamdani FY, Radhi H, Hussein HM. Domains of Students’ Concerns in Oral Diagnosis and Surgery Clinic. Clin Cosmet Investig Dent. 2023; 15:157–63. https://doi.org/10.2147/CCIDE.S425318
    [Google Scholar]
  18. Wieling W, Ganzeboom KS, Krediet CT, Grundmeijer HG, Wilde AA, van Dijk JG. Initial Diagnostic Strategy in the Case of Transient Losses of Consciousness: The Importance of the Medical History. Ned Tijdschr Geneeskd. 2003May3; 147:(18):849–54.
    [Google Scholar]
  19. Farhane-Medina NZ, Luque B, Tabernero C, Castillo-Mayén R. Factors Associated with Gender and Sex Differences in Anxiety Prevalence and Comorbidity: A Systematic Review. Sci Prog. 2022; 105:(4):368504221135469. https://doi.org/10.1177/00368504221135469
    [Google Scholar]
  20. Armfield J. Towards a Better Understanding of Dental Anxiety and Fear: Cognitions vs Experiences. Eur J Oral Sci. 2010; 118:(3):259–64. https://doi.org/10.1111/j.1600-0722.2010.00740.x
    [Google Scholar]
  21. Hussein HM, Saeed NA, Al-Zaka IM. Pathways of Endodontic Fear in Different Age Groups for Iraqi Endodontic Patients. Iraqi Dent J. 2017; 39:(1):27–33. https://doi.org/10.26477/idj.v39i1.118
    [Google Scholar]
  22. Saeed NA, Hussein HM, Mahmood AA. Prevalence of Dental Anxiety in Relation to Sociodemographic Factors Using Two Psychometric Scales in Baghdad. Mustansiria Dent J. 2017; 14:(1):38–50. https://doi.org/10.32828/mdj.v14i1.753
    [Google Scholar]
  23. Gracie J, Newton J, Norton M, Baker C, Freeston M. The Role of Psychological Factors in Response to Treatment in Neurocardiogenic (Vasovagal) Syncope. EP Europace. 2006; 8:(8):636–43. https://doi.org/10.1093/europace/eul073
    [Google Scholar]
  24. Hawker G, Mian S, Kendzerska T, French M. Measures of Adult Pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF). Arthr Care Res. 2011; 63:(S11):S240–S52. https://doi.org/10.1002/acr.20543
    [Google Scholar]
  25. Walawender I, Roczniak W, Nowak D, Skowron M, Waliczek M, Rogalska A, et al. Applicability of the Numeric Scale for Anxiety Evaluation in Patients Undergoing Dental Treatment. Dent Med Prob. 2015; 19:(3):253–8. https://doi.org/10.1007/s10006-014-0480-3
    [Google Scholar]
  26. Humphris G, Dyer T, Robinson PG, Bentley JM, Vernazza JL, Lindsay JD, et al. The Modified Dental Anxiety Scale: UK General Public Population Norms in 2008 with Further Psychometrics and Effects of Age. Br Dent J. 2010; 208:(2):71.
    [Google Scholar]
  27. Kendrick T, Pilling S. Common Mental Health Disorders – Identification and Pathways to Care: NICE Clinical Guideline. Br J Gen Pract. 2012; 62:(594):47–9.
    [Google Scholar]
  28. Raheem SMA, Hassan AF, Ali AH, Radhi H, Abed HH. Assessment of Hospital Anxiety and Depression Scale Associated with Oral Manifestations in Hemodialysis Iraqi Patients. J Emerg Med Trauma Acute Care. 2023; 58:(3):1–5. https://doi.org/10.5339/jemtac.2023.midc.2
    [Google Scholar]
  29. Facco E, Zanette G, Favero L, Bacci C, Sivolella S, Cavallin F, et al. Toward the Validation of Visual Analogue Scale for Anxiety. Anesth Prog. 2011; 58:(1):8–13. https://doi.org/10.2344/0003-3006-58.1.8
    [Google Scholar]
  30. Millar K, Jelicic M, Bonke B, Asbury A. Assessment of Preoperative Anxiety: Comparison of Measures in Patients Awaiting Surgery for Breast Cancer. Br J Anaesth. 1995; 74:(2):180–3. https://doi.org/doi: 10.1093/bja/74.2.180
    [Google Scholar]
  31. Endler N, Kocovski N. State and Trait Anxiety Revisited. J Anxiety Disord. 2001; 15:(3):231–45. https://doi.org/10.1016/s0887-6185(01)00060-3
    [Google Scholar]
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