[A PhD completed 8. Are extreme dental treatment anxiety, fainting or gagging separate or overlapping phenomena?]
- PMID: 28067923
- DOI: 10.5177/ntvt.2017.01.16237
[A PhD completed 8. Are extreme dental treatment anxiety, fainting or gagging separate or overlapping phenomena?]
Abstract
Extreme dental treatment anxiety, fainting or gagging in the dentist's chair can seriously hinder a patient's dental treatment. While a series of widely diverse studies on extreme dental treatment anxiety have been carried out, less is known about gagging and fainting. The most important questions in this dissertation research were whether dental treatment anxiety ('stimuli') can be identified and whether dental treatment anxiety and fainting or gagging are separate or overlapping phenomena. Fear of dental treatment can be divided into several subtypes: fear of invasive treatments, loss of control and aversive physical sensations. The current level of dental anxiety is closely related to various characteristics of memories underlying this fear. A combination of fainting in the dental setting and extreme fear of the dental treatment affects only a small part of the respondents (17.8%). The same applies to gagging and extreme fear of dental treatment (16.4%). Based on these findings, the conclusion can be drawn that severe forms of dental treatment anxiety, fainting or gagging in the dental setting are largely unrelated phenomena.
Extreme angst voor de tandheelkundige behandeling, flauwvallen of kokhalzen in de tandartsstoel kunnen de tandheelkundige behandeling van een patiënt ernstig belemmeren. Hoewel er reeds wijd uiteenlopend onderzoek naar extreme behandelangst is gedaan, is er minder bekend over kokhalzen en flauwvallen. De belangrijkste vragen in dit promotieonderzoek waren of er clusters van behandelangst (‘stimuli’) konden worden bepaald en of behandelangst en flauwvallen of kokhalzen losstaande of overlappende fenomenen zijn. Angst voor de tandheelkundige behandeling blijkt onder te verdelen in diverse subtypes: angst voor invasieve behandelingen, controleverlies en aversieve lichamelijke sensaties. Het huidige niveau van behandelangst hangt sterk samen met diverse kenmerken van herinneringen die ten grondslag liggen aan deze angst. Flauwvallen in de tandheelkundige praktijk en extreme behandelangst komt maar bij een klein deel van de patiënten tegelijkertijd voor (17,8%). Hetzelfde geldt voor kokhalzen en extreme behandelangst (16,4%). Op basis van het onderzoek kan worden gesteld dat angst, flauwvallen of kokhalzen in de tandheelkundige setting grotendeels losstaande fenomenen zijn.
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