Anxiety and Endodontics; How Anxiety Influence Endodontic Therapy
Usman Sana, Nabeel Zahid, Nighat Shafi, Aaisha Akber, Momal Ahmad, Lubna Yousaf
4031
ABSTRACT
Objective.: To correlate the impact of pre-operative anxiety and its
influence on endodontic treatment.
Methods: Data
of 500 patients who were scheduled for endodontic treatment were enrolled in
the study. These patients were treated in the Dental Section of Islam Dental
College, Sialkot. Modified. Dental. Anxiety.
Scale. (MDAS) was used to assess the patient’s anxiety levels during
endodontic treatment.. Numeric pain scale. was used to
document the pain perceived during endodontic therapy.
Results: Anxiety and pain
showed a statistically significant correlation-ship during endodontic treatment.
Our findings were suggestive of increased pain perception during endodontic
therapy and its association with anxiety. Minimal anxiety was found in 25
cases, mild anxiety was found in 216 cases, moderate anxiety was found in 127
cases, high anxiety was found in 129 cases and extreme anxiety was found in 3
cases. 250 patients reported with mild pain, 158 patients reported with
moderate pain and 92 cases reported severe pain.
Conclusion: Assessment of anxiety levels prior to performing endodontic procedures
can pro-actively benefit the patient and the operator. Yes, advanced methods of
pain control are available in endodontics but they need to be implicated
judiciously. Assessing patient’s anxiety and then providing endodontic care
will help improve treatment outcome.