Our results indicate that there is clinical meaningfulness for a variety of powerful psychosocial and cultural influences that come to bear on the perceived need for anesthetic in tooth drilling. Although gender and age affected Scandinavians to some degree, pain beliefs by […]
Avoiding Disturbing Effects of Numbness.
Although nonuse of anesthetic among Anglo-Americans was rare, American dentists most frequently said that Anglo-American patients wanted to avoid the feeling of numbness after the appointment to have full control of their tongue, lips, and cheeks. These often have social implications such as embarrassment, as a 40-yr-old male Anglo-American dentist described:
Frequency Distributions for Nonuse of Local Anesthetic
American dentists (n = 51) reported a median of 1% of patients not using anesthetic compared with 90% among Chinese (n = 31) and 37.5% among Scandinavian dentists (n = 40). American patients (n = 112) reported 6% nonuse of anesthetic compared with 90% of 159 Chinese and 54% of 125 Scandinavians (Danes = 54/87; Swedes = 13/38). Danes were over three times […]
Subjects were 163 Anglo-Americans from Seattle, WA (n = 112) and Columbus, OH (n = 51), 195 Mandarin Chinese from Taipei, Taiwan (n = 140) and mainland China (n = 55) and 167 Scandinavians (n = 112 Danes from Arhus, Denmark and n = 55 Swedes from Go-teborg and Linkoping, Sweden); a total of 129 dentists and 396 patients. The pool of subjects was drawn from public and private dental […]
Even though pain has elements of both physiological response and psychosocial conditioning, only a few studies have tried to reveal how pain attains meaning or emotional significance from the nature of the social or cultural context […]
At our center, induction was accomplished in the majority of patients using IV access with the help of patient restraint by the dental surgeon, assistants, registered nurse, and patient’s guardians, parents, or caretakers. Once the IV was established, induction was achieved with either 2.5 to 3 […]
The majority of dental procedures may be done in the office usually without sedation or general anesthesia. More complicated procedures and/or patients who are uncooperative or suffering from phobias may require a general anesthetic to provide their dental treatment. Providing anesthesia for the mentally challenged, combative, and uncooperative patient presents a unique challenge to the health care team. The increased fear and anxiety caused by their separation from familiar surroundings, […]
Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.