Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis
Objective: The aims were to describe the dental status and mental and somatic health profile of patients with severe dental anxiety requiring dental treatment under general anesthesia (GA) in Rogaland County, Norway (2018–2021), and to compare patients with and without reported abuse history. Mat...
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Medical Journals Sweden
2025-02-01
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| Series: | Acta Odontologica Scandinavica |
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| Online Access: | https://medicaljournalssweden.se/actaodontologica/article/view/42895 |
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| author | Vilde Aardal Caroline Hol Anne Rønneberg Sudan Prasad Neupane Tiril Willumsen |
| author_facet | Vilde Aardal Caroline Hol Anne Rønneberg Sudan Prasad Neupane Tiril Willumsen |
| author_sort | Vilde Aardal |
| collection | DOAJ |
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Objective: The aims were to describe the dental status and mental and somatic health profile of patients with severe dental anxiety requiring dental treatment under general anesthesia (GA) in Rogaland County, Norway (2018–2021), and to compare patients with and without reported abuse history.
Material and methods: Dental status was assessed by panoramic X-rays. General health variables were collected from patient records. Statistical comparisons of patients with and without abuse experience by tests of association (significance level p < 0.05).
Results: 38 women and 18 men (mean ± standard deviation [SD]: 37.9 ± 9.2 years) were included; 27 reported abuse experience. Dental assessment showed 4.6 ± 3.8 missing teeth, 4.8 ± 3.0 root remnants, 5.8 ± 3.7 teeth with caries and 2.6 ± 1.9 teeth with apical periodontitis, among patients with ≥1 of the respective findings. 57.1% used analgesics due to dental pain. 55.4% had comorbid psychiatric conditions; 35.7% used psychopharmaceuticals. There were no statistical differences in dental variables but the abuse experience group had higher frequencies of comorbid psychiatric disorders (p = 0.01) and mixed somatic conditions (p = 0.03).
Conclusions: Patients with severe dental anxiety requiring dental treatment under GA have complex health problems. They need access to treatment under GA, as treatment of serious odontogenic conditions is otherwise unmanageable.
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| format | Article |
| id | doaj-art-4028a1ed7b9648d3ba012dda96ebc368 |
| institution | Kabale University |
| issn | 0001-6357 1502-3850 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Odontologica Scandinavica |
| spelling | doaj-art-4028a1ed7b9648d3ba012dda96ebc3682025-02-04T14:11:15ZengMedical Journals SwedenActa Odontologica Scandinavica0001-63571502-38502025-02-018410.2340/aos.v84.42895Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesisVilde Aardal 0https://orcid.org/0000-0002-7409-3401Caroline Hol 1https://orcid.org/0000-0002-4469-0096Anne Rønneberg 2https://orcid.org/0000-0001-6349-6670Sudan Prasad Neupane3https://orcid.org/0000-0002-7389-4178Tiril Willumsen4https://orcid.org/0000-0003-1089-8929Oral Health Centre of Expertise in Rogaland, Stavanger, Norway; Institute of Clinical Dentistry, University of Oslo, Oslo, NorwayInstitute of Clinical Dentistry, University of Oslo, Oslo, NorwayInstitute of Clinical Dentistry, University of Oslo, Oslo, NorwayOral Health Centre of Expertise in Rogaland, Stavanger, Norway; National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayInstitute of Clinical Dentistry, University of Oslo, Oslo, Norway Objective: The aims were to describe the dental status and mental and somatic health profile of patients with severe dental anxiety requiring dental treatment under general anesthesia (GA) in Rogaland County, Norway (2018–2021), and to compare patients with and without reported abuse history. Material and methods: Dental status was assessed by panoramic X-rays. General health variables were collected from patient records. Statistical comparisons of patients with and without abuse experience by tests of association (significance level p < 0.05). Results: 38 women and 18 men (mean ± standard deviation [SD]: 37.9 ± 9.2 years) were included; 27 reported abuse experience. Dental assessment showed 4.6 ± 3.8 missing teeth, 4.8 ± 3.0 root remnants, 5.8 ± 3.7 teeth with caries and 2.6 ± 1.9 teeth with apical periodontitis, among patients with ≥1 of the respective findings. 57.1% used analgesics due to dental pain. 55.4% had comorbid psychiatric conditions; 35.7% used psychopharmaceuticals. There were no statistical differences in dental variables but the abuse experience group had higher frequencies of comorbid psychiatric disorders (p = 0.01) and mixed somatic conditions (p = 0.03). Conclusions: Patients with severe dental anxiety requiring dental treatment under GA have complex health problems. They need access to treatment under GA, as treatment of serious odontogenic conditions is otherwise unmanageable. https://medicaljournalssweden.se/actaodontologica/article/view/42895Dental anxietydental statusabusegeneral anesthesiapatient profile |
| spellingShingle | Vilde Aardal Caroline Hol Anne Rønneberg Sudan Prasad Neupane Tiril Willumsen Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis Acta Odontologica Scandinavica Dental anxiety dental status abuse general anesthesia patient profile |
| title | Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis |
| title_full | Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis |
| title_fullStr | Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis |
| title_full_unstemmed | Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis |
| title_short | Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis |
| title_sort | who requires dental treatment under general anesthesia due to pain and severe dental anxiety findings from panoramic x ray images and anamnesis |
| topic | Dental anxiety dental status abuse general anesthesia patient profile |
| url | https://medicaljournalssweden.se/actaodontologica/article/view/42895 |
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