Quick access

Share Article:
2018 Volume 9 Issue 4

A Comparative Study of the Level of Anxiety Reduction through Medication and Giving Awareness and Relaxation to Patients

Habibolah Ebrahimi, Masood Bamadi

Introduction and Objectives: Today, a large number of people visit the dental clinics with anxiety and this is significantly increasing. It seems that the origin of this anxiety is the negative experience of people in the past which is the most important reason for the emergence of this fear and anxiety from dentistry. Therefore, in this study, the reduction in anxiety was compared through medication and giving awareness and relaxation to patients visiting the dental clinic. Method: In this study, 80 patients visiting the Department of Periodontics of the dentistry faculty were divided equally between men and women into three groups: group A (anxiety reduction with diazepam), group B (reduction of anxiety by giving awareness and relaxation) and group C (anxiety reduction with Placebo). In each group, the anxiety level of the patients was compared before and after the anxiety reduction protocol. Results: In this study, it was found that in group B, which their anxiety decreased by giving awareness and relaxation, the average of anxiety before and after reduction protocol was 50.23 and 18.88, respectively, showed by P<0.001. Conclusion: Regarding the importance of decreasing anxiety in patients visiting the dental clinics, the necessity of knowledge of the patients about dentistry, and considering this study, the method of giving awareness and relaxation, in comparison with other methods, has a higher percentage in reducing anxiety.


Appukuttan, D. P. (2016). Strategies to manage patients with dental anxiety and dental phobia: literature review. Clinical, cosmetic and investigational dentistry, 8, 35.

Armfield, J. M., & Heaton, L. J. (2013). Management of fear and anxiety in the dental clinic: a review. Australian dental journal, 58(4), 390-407.

Campbell, C. (Ed.). (2017). Dental Fear and Anxiety in Pediatric Patients: Practical Strategies to Help Children Cope. Springer.

Cianetti, S., Lombardo, G., Lupatelli, E., Pagano, S., Abraha, I., Montedori, A., ... & Cianetti, S. (2017). Dental fear/anxiety among children and adolescents. A systematic review. Source European Journal of Paediatric Dentistry. 18 (2): 121-130, 2017 Jun. Local Messages Issues Held at The Bda Library from 2002 Onwards, To Request This Article from The Library Go TO. European Journal of Paediatric Dentistry, 18(2), 121-130.

Facco, E., Gumirato, E., Humphris, G., Stellini, E., Bacci, C., Sivolella, S., ... & Zanette, G. (2015). Modified dental anxiety scale: validation of the Italian version. Minerva Stomatol, 64(6), 295-307.

Hellwig, E., & Lussi, A. (2014). Oral hygiene products, medications and drugs-hidden aetiological factors for dental erosion. In Erosive Tooth Wear (Vol. 25, pp. 155-162). Karger Publishers.

Heyman, R. E., Wojda, A. K., Eddy, J. M., Haydt, N. C., Geiger, J. F., & Slep, A. S. (2018). Dentist-perceived barriers and attractors to cognitive-behavioral treatment provided by mental health providers in dental practices. Advances in dental research, 29(1), 35-41.

Hofer, D., Thoma, M. V., Schmidlin, P. R., Attin, T., Ehlert, U., & Nater, U. M. (2016). Pre-treatment anxiety in a dental hygiene recall population: a cross-sectional pilot study. BMC oral health, 16(1), 43.

Hollon, S. D., Stewart, M. O., & Strunk, D. (2006). Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annu. Rev. Psychol., 57, 285-315.

Jay, S. M., Ozolins, M., Elliott, C. H., & Caldwell, S. (1983). Assessment of children's distress during painful medical procedures. Health Psychology, 2(2), 133.

Kaviani, H., Javaheri, F., & Hatami, N. (2011). Mindfulness-based cognitive therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non-clinical population. International Journal of Psychology and Psychological Therapy, 11(2).

Khan, S., Hamedy, R., Lei, Y., Ogawa, R. S., & White, S. N. (2016). Anxiety related to nonsurgical root canal treatment: a systematic review. Journal of endodontics, 42(12), 1726-1736.

Kılıç, C., Ak, S., & Ak, H. B. (2014). Anxiety sensitivity: Another reason to separate dental fears from blood–injury fears? Journal of anxiety disorders, 28(2), 280-282.

Klingberg, G., Raadal, M. and Arnrup, K., 2016. Dental fear and behavior management problems. Pediatric Dentistry. A Clinical Approach.

Lundgren, A. M., Öhrn, K., & Jönsson, B. (2016). Dental Fear/Anxiety. Int J Dent Hygiene, 14, 220-225.

Lundgren, A. M., Öhrn, K., & Jönsson, B. (2016). Diagnosing painful conditions accurately. Int J Dent Hygiene, 14, 220-225.

McNeil, D. W., & Randall, C. L. (2014). Dental fear and anxiety associated with oral health care: conceptual and clinical issues. Behavioral dentistry, 165-192.

Morgan, A. G., & Porritt, J. (2017). Background and prevalence of dental fear and anxiety. In Dental Fear and Anxiety in Pediatric Patients (pp. 3-19). Springer, Cham.

Patel, A., Schieble, T., Davidson, M., Tran, M. C., Schoenberg, C., Delphin, E., & Bennett, H. (2006). Distraction with a hand‐held video game reduces pediatric preoperative anxiety. Pediatric Anesthesia, 16(10), 1019-1027.

Porritt, J., Rodd, H., Morgan, A., Williams, C., Gupta, E., Kirby, J., ... & Prasad, S. (2017). Development and testing of a cognitive behavioral therapy resource for children’s dental anxiety. JDR Clinical & Translational Research, 2(1), 23-37.

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour research and therapy, 24(1), 1-8.

Sanei, R. & Nabavi Chasmi,F.  Effect of Lavandula Angustifolia Extract to Prevent Test Anxiety, Entomol Appl Sci Lett, 2018, 5 (1): 1-6

Seligman, L. D., Hovey, J. D., Chacon, K., & Ollendick, T. H. (2017). Dental anxiety: An understudied problem in youth. Clinical psychology review, 55, 25-40.

Shahnavaz, S., Hedman, E., Grindefjord, M., Reuterskiöld, L., & Dahllöf, G. (2016). Cognitive Behavioral Therapy for Children with Dental Anxiety: A Randomized Controlled Trial. JDR Clinical & Translational Research, 1(3), 234-243.

Soh NHBC, Roy A. Stress, anxiety, and depression in clinical

         practice of undergraduates and awareness of its effective management -A survey. JAdv Pharm Edu Res 2017;7(2):82-85.

Thompson, N. J., Walker, E. R., Obolensky, N., Winning, A., Barmon, C., DiIorio, C., & Compton, M. T. (2010). Distance delivery of mindfulness-based cognitive therapy for depression: project UPLIFT. Epilepsy & Behavior, 19(3), 247-254.

Tvermyr, K., Hoem, A. F., & Elde, K. M. (2012). Clinical management of the adult patient with dental anxiety (Master's thesis, Universitetet i Tromsø).

van der Merwe, B., Robb, M. P., Lewis, J. G., & Ormond, T. (2011). Anxiety measures and salivary cortisol responses in preschool children who stutter. Contemporary Issues in Communication Science and Disorders, 38, 1.

Woof, C. (2014). The dentist's drug and prescription guide.

Wright, C. D., McNeil, D. W., Edwards, C. B., & Crout, R. J. (2017). Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear Casey D. Wright1, 2, Daniel W. McNeil2, 3, Cierra B. Edwards1, 2, Richard J. Crout2, 4, Kathy Neiswanger2, 5, John R. Shaffer2, 6, & Mary L. Marazita 2, 5, 6.

+ Pubmed Central, DOAJ, SCIRUS, BiologyBrowser, Chemical Abstracts, CABI, Intute catalogue, Science Central, EBSCOhost databases, Google Scholars, Genamics JournalSeek, Open J gate, Ulrich's, ResearchGate and many more.

Journal of Biochemical Technology is a peer reviewed International Journal published by the Sevas Publishing on behalf of the Biochemical Technology Society, a Registered Charity Organization from India

Areas of high interest, cover new advances in enzymatic and protein mechanims; applied molecular genetics and biotechnology; genomics and proteomics; metabolic; medical, environmental, food and agro biotechnology.

Journal Of Biochemical Technology” Provides A Medium For The Rapid Publication Of Full-Length Articles, Mini-Reviews Of New And Emerging Products And Short Communications On All Aspects Of ...

Publish with us

Call for papers

Issue 3 Volume 11 - 2020

Publishing steps

your paper
and revise
your research
and promote
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. Keywords include, Biochemical Research: Endo/exocytosis, Trafficking, Membrane Biology, Cell Migration, Cell-Matrix Organelle Biogenesis, Cytoskeleton Proteolysis, Cell Death, Cell Cycle, Cancer, Cell Growth/Death, Differentiation, Drug Targets, Gene Therapy, Models of Disease, Proteomics, Stem Cells, Bioenergetics, Mitochondria, Free Radicals, Redox Signaling, Ion Transport/Channels, Oxidative