Online ISSN: 2515-8260

Keywords : Fear

Distraction techniques in management of apprehensive child in dental practice. Systematic review of randomized controlled trials

Suhael Ahmed, Maram Fahaid M Al Hemaidani, May Ahmed Alfaleh, Aalia Trad Alharthi, Asmaa Khaleel Alhazmi, Rana Mohammed S Bin Mandeel, Aisha Moajel Alshammari, Ahmed Alghamdi, Arub Abdullah Batil Albatil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 8606-8620

Anxiety is characterized as a combination of an emotional reaction such as fear, apprehension, tension, uneasiness, and a physiological reaction such as sweating, feeling tense
symptoms that can arise out of a variety of reasons. Both patients and dentists face challenges dealing with dental anxiety. Aim of this systematic review is to provide an overview of the most relevant studies on non-pharmacological behaviour management techniques for contemporary alpha children, who undergo dental treatment. Data extraction was done according to the standard Cochrane systematic review methodology. Pubmed, Web of Science, Scopus, and Embase databases were searched from the year 2010 to 2022, for randomized clinical trials (RCT)and observational studies. Search strategy was performed for children younger than 10 years old according to definitions set by the World Health Organisation

Fear of avascular necrosis in COVID survivors is real: A rare case series

Dr. Arjun A, Dr. Gopi HG, Dr. Kiran V, Dr. Chaithra CM, Dr. Nagesh Sherikar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1249-1252

COVID-19’ can affect different body systems. At present, osteo necrosis of femoral head as a sequalae of ’COVID-19’ is rarely documented. By large-scale use of life-saving corticosteroids in COVID-19 cases, we anticipate that there will be a resurgence of AVN cases. We report a series of two cases in which patients developed AVN of the femoral head after being treated for COVID-19 infection. The mean dose of corticosteroid used in these cases was 600 mg (400–1250mg), which is less than the mean cumulative dose of around 2000 mg steroid, documented in the literature as causative for AVN. Patients were symptomatic and developed early AVN of bilateral hip at a mean of 42 days after COVID-19 diagnosis as compared with the literature which shows that it generally takes 6 months to 1 year to develop AVN post steroid exposure. Both the patient had significant dysfunction of coagulation with altered parameters. Thorough ophthalmic examination was done to both. literature has showed micro thrombi in eye, heart, liver, kidney, etc. Is corticosteroid being just a confounding factor??

COVID-19: Fear and anxiety among healthcare students in Saudi Arabia: A cross-sectional study

Sameer Shaikh; Syed Fareed Mohsin; Muhammad Atif Saleem Agwan; Saqib Ali; Ziyad Ahmad Alsuwaydani; Saleh Ahmad AlSuwaydani

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 1638-1647

Coronavirus disease of 2019 (COVID-19) is a newly discovered respiratory syndrome which has adversely affected millions of people around the world. The study aims to estimate the psychological impacts of COVID-19 in the form of fear and anxiety among the healthcare students of the Central Region of Saudi Arabia. A cross-sectional study was conducted amongst health care students in Saudi Arabia. A non-probability convenience samplingapproach was adopted to collect data by mean of an online questionnaire on social media. The sample size was determined by using Epi info software; the minimum sample required for this study was 567. Likert scale with five points was used to measure healthcare students' fear and anxiety level. Data were analysed using SPSS version 23. The descriptive data were expressed as frequencies and percentages. Spearman correlation was used to determine the strength of the relationship between variables. Amongst 571 health care students, 359 were males, and 212 were females. Data revealed that 84 (15%) of students had a severe level of anxiety, 438 (77%) had a moderate level of anxiety and 49 (9%) of the students had mild level of anxiety. Correlation coefficient was found insignificant between gender, academic year and institute (=0.066, p=0.116), (=0.018, p=0.661) and (=0.034, p=0.423) respectively. The COVID-19 pandemic has a negative impact on higher education because of the long-lasting pandemic situation. Our study's results illustrate the critical need to implement approaches and prevention measures to address healthcare students' mental health.

Assessment of anxiety and fear of getting infected among dentists while working in current corona virus disease outbreak- A study

Vidyut Prince; Ankita Bhargava; Lubna Nazneen; Ami Rawal; Raksha Thakur; Challagondla Bhargavi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 5263-5268

Background: Health care workers and dentists in particular are categorized as at high risk of catching Covid- 19 infection. The present study assessed anxiety and fear among dentists while working in current corona virus pandemic.
Materials & Methods: 150 dentists of both genders were provided with a questionnaire. Each positive response “Yes” was marked as “1” while “No” was marked with “0.” The frequency of the positive/negative responses was used to assess the dentists’ anxiety.
Results: Out of 150 subjects, males were 90 and females were 60. 70 were BDS, 80 were MDS, 50 were working in clinic, 60 in hospital and 40 in both, 95 were working in private sector and 55 in government sector. The anxiety of being infected with COVID-19 was seenin 67%, afraid of providing treatment for any patient was seen in 70%, anxious talking tothe patients in close proximity in 65%, afraid that you could carry the infection from your practice back to your family in 84%, feel anxious when you hear that one of your coworkers or colleagues has been infected with COVID-19 in 80% and 72% knew the illness problems associated with COVID-19 virus. The difference was significant (P< 0.05).
Conclusion: Dentists had anxiety and fear while working in Covid- 19 pandemic.

“McGurk Effect” in Pediatric Dental Practice - A review

Umamaheswari N. MDS; Saranyan. MDS; Jeyshree Mohan. MDS; Raj Mohan. MDS,Ph.D; Sharath Asokan. MDS, Ph.D; Thanga Kumaran. S MDS.Ph.D

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 1119-1128

Background: In Pediatric Dentistry, Fear and anxiety associated with dental treatment are a well recognized factor which has a negative impact on the child’s willingness towards dental treatment. The role of a dentist in managing a child is to treat the problem with which the child report with anxiety and to modify and shape the behavior of a child towards a positive dental response.
Aim: This review article aims to discuss the development of dental anxiety, various coping strategies and whether the newer psychological approach of McGurk Effect in Attention Focused Coping Strategy can be acceptable at the reduction of dental anxiety in children in near future.
Methods: An electronic search was performed using databases such as Google Scholar, PubMed, PubMed Central, Science Direct, and Scopus by using keywords such as (“McGurk Effect”) AND(“Coping Strategy” OR “Coping Style” OR “Distraction”) AND (“Fear” OR “Anxiety”) AND (“Behavior” OR “Behavior management”) AND/OR (“Pediatric Dentistry” OR “dentistry”). The last search was performed in March 2020. Exclusion criteria included studies published in a language other than English and abstracts from congress.
Results: The McGurk Effect based Attention focused coping style with incongruent audiovisual stimuli can be an innovative behavioral technique in pediatric dentistry in reducing the child’s anxiety regarding dental drill.
Conclusion: It seems that the highly structured McGurk Effect based Attention focused coping style can be effective in managing the internal perceptions and emotions (e.g., anxiety, fear) that are aroused during the dental restorative procedure and can guide favorably the child’s behavior in the dental setting However, more evidence is required regarding the clinical outcome of applying this new coping strategy in behavioral pedodontics in near future