The Need and Demand for Anesthesia Services in Dentistry
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu13504962762021-08-03T06:06:31Z The Need and Demand for Anesthesia Services in Dentistry Jackstien, Joshua, DMD Dental Care Dentistry dental anesthesia dental fear dental anxiety anethesiology in dentistry anesthesia and dental fear emergency dental care and anesthesia <p>The aim of this study was to further investigate the need and demand for sedation and general anesthesia (GA) in the field of dentistry and to gain a better understanding of the feelings and attitudes patients have with regards to receiving dental care and the possibility of receiving adjunct anesthesia services in coordination with their dental treatment. This was accomplished through the surveying of 180 patients who presented for emergency dental care at the Ohio State University’s and Indiana University’s dental emergency clinics over a 2 month period. We found the incidence of respondents to our survey who reported being very afraid of dental treatment (16.9%) to be consistent with those found in other studies. We found that 48.6% of respondents reported delaying dental care on more than 5 occasions and 81% delaying care on more than 1 occasion. Two major factors responsible for this delay were cost (87.5%) and fear (48.8%). Those who were “very afraid” were significantly more likely to delay care on > 5 occasions (P=0.036) and of this same group, 76.7% were never offered sedation while 69% had never been offered GA as an adjunct to their dental care. We found that 55.2% of those described as “very afraid” were unaware that sedation or GA was available for their care, and that the inverse relationship comparing fear/anxiety levels to the knowledge/availability of anesthesia services was found to be statistically significant (P=0.038).</p><p>Our results also showed that when respondents were asked if they were likely to choose sedation or GA in the future as a supplement to their dental treatment 83.4% of all respondents said yes, with 87% of those in the “somewhat fearful/very fearful” category indicating yes. Interestingly 76.8% of those in the “not at all afraid” category indicated that they would like to receive sedation or GA for future dental care. 63% of those patients likely to choose some form of adjunct anesthesia for their future treatment stated general anesthesia would be their preference. This comparison of likely future use and preference for general anesthesia was found to be significant (P<0.0001). Conclusion: In this patient population, the level of fear/anxiety still played a significant role in the delaying of dental care and there is a significant positive relationship that exists between patients being unaware that sedation and GA were available for dental treatment and their level of fear and anxiety. The studied patient population also had a strong preference for GA when considering the use of adjunct anesthesia services for future dental care.</p> 2012-12-17 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1350496276 http://rave.ohiolink.edu/etdc/view?acc_num=osu1350496276 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
language |
English |
sources |
NDLTD |
topic |
Dental Care Dentistry dental anesthesia dental fear dental anxiety anethesiology in dentistry anesthesia and dental fear emergency dental care and anesthesia |
spellingShingle |
Dental Care Dentistry dental anesthesia dental fear dental anxiety anethesiology in dentistry anesthesia and dental fear emergency dental care and anesthesia Jackstien, Joshua, DMD The Need and Demand for Anesthesia Services in Dentistry |
author |
Jackstien, Joshua, DMD |
author_facet |
Jackstien, Joshua, DMD |
author_sort |
Jackstien, Joshua, DMD |
title |
The Need and Demand for Anesthesia Services in Dentistry |
title_short |
The Need and Demand for Anesthesia Services in Dentistry |
title_full |
The Need and Demand for Anesthesia Services in Dentistry |
title_fullStr |
The Need and Demand for Anesthesia Services in Dentistry |
title_full_unstemmed |
The Need and Demand for Anesthesia Services in Dentistry |
title_sort |
need and demand for anesthesia services in dentistry |
publisher |
The Ohio State University / OhioLINK |
publishDate |
2012 |
url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1350496276 |
work_keys_str_mv |
AT jackstienjoshuadmd theneedanddemandforanesthesiaservicesindentistry AT jackstienjoshuadmd needanddemandforanesthesiaservicesindentistry |
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1719431065699876864 |