Tízéves követéses vizsgálat fogászati kezeléstől kórosan félő beteg összetett ellátása során

Judit Oszlánszky; Szabolcs Gyulai-Gaál; László Kádár; Péter Schmidt; Péter Hermann

doi:10.33891/FSZ.116.3.127-135

Judit Oszlánszky Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika, Budapest https://orcid.org/0009-0000-9660-5271
Szabolcs Gyulai-Gaál Semmelweis Egyetem, Fogorvostudományi Kar, Orális Diagnosztikai Tanszék, Budapest https://orcid.org/0000-0002-0299-5975
László Kádár Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika, Budapest https://orcid.org/0000-0002-7198-7434
Péter Schmidt Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika, Budapest
Péter Hermann Semmelweis Egyetem, Fogorvostudományi Kar, Fogpótlástani Klinika, Budapest https://orcid.org/0000-0002-9148-0139

DOI: https://doi.org/10.33891/FSZ.116.3.127-135

Keywords: Dental anxiety, Dental fear, Measurement of Dental anxiety, Dental treatment, Case report, Long-term follow-up

Abstract

Introduction: Anxiety related to dental treatments is a phenomenon known to all dentists. Recognizing and alleviating
this emotional response is the dentists’ duty. When dental fear progresses into phobia, and the patient reacts to every
dental procedures related situation with such intense fear that it already affects her entire behavior and general condition,
external help may be necessary.
Material and methods: Dental fear and anxiety. It is important to be able to separate a panic attack from other lifethreatening
conditions (e.g. heart attack, anaphylactic shock). The symptoms of a panic attack are quite common and
can be extremely sever, such as shortness of breath, feeling of suffocation, tachycardia, chest pain, trembling of the
limbs, feeling of fainting, fear of death.
Measurement of dental anxiety: Several questionnaires are available to measure dental fear, the two most significant
of which (Dental Anxiety Scale and Dental Fear Survey) are also available in Hungarian.
Treatment of dental fear: The most important and fundamental method is a detailed communication with the patient.
The “tell-show-do” technique: we describe in simple words what will happen during the treatment, then we show the patient
what tools we are going to use.
Results, Case report: In our case report, we present the oral rehabilitation of a patient with severe dental fear. During
the treatment of the lady, her dental fear could be significantly reduced, her willingness to cooperate steadily improved,
and consequently a demanding dental prosthesis, including an implant prosthetic solution could be made.
Discussion: Recognition of dental anxiety from the initial steps and the use of anxiety-relieving methods (that can be
easily applied “chair side”) facilitating a significant improvement in the quality of life of a young lady. The long-term follow-
up confirm that the patient’s oral health related quality of life significantly improved.

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Dental fear and anxiety, dental rehabilitation of an anxious patient, long-term follow-up

Abstract

References

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