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Sample records for adult dental fear

  1. Psychometric properties of Spanish-language adult dental fear measures

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    Heaton Lisa J

    2008-05-01

    Full Text Available Abstract Background It would be useful to have psychometrically-sound measures of dental fear for Hispanics, who comprise the largest ethnic minority in the United States. We report on the psychometric properties of Spanish-language versions of two common adult measures of dental fear (Modified Dental Anxiety Scale, MDAS; Dental Fear Survey, DFS, as well as a measure of fear of dental injections (Needle Survey, NS. Methods Spanish versions of the measures were administered to 213 adults attending Hispanic cultural festivals, 31 students (who took the questionnaire twice, for test-retest reliability, and 100 patients at a dental clinic. We also administered the questionnaire to 136 English-speaking adults at the Hispanic festivals and 58 English-speaking students at the same college where we recruited the Spanish-speaking students, to compare the performance of the English and Spanish measures in the same populations. Results The internal reliabilities of the Spanish MDAS ranged from 0.80 to 0.85. Values for the DFS ranged from 0.92 to 0.96, and values for the NS ranged from 0.92 to 0.94. The test-retest reliabilities (intra-class correlations for the three measures were 0.69, 0.86, and 0.94 for the MDAS, DFS, and NS, respectively. The three measures showed moderate correlations with one another in all three samples, providing evidence for construct validity. Patients with higher scores on the measures were rated as being more anxious during dental procedures. Similar internal reliabilities and correlations were found in the English-version analyses. The test-retest values were also similar in the English students for the DFS and NS; however, the English test-retest value for the MDAS was better than that found in the Spanish students. Conclusion We found evidence for the internal reliability, construct validity, and criterion validity for the Spanish versions of the three measures, and evidence for the test-retest reliability of the Spanish

  2. Dental fear in Japan: Okayama Prefecture school study of adolescents and adults.

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    Weinstein, P.; Shimono, T.; Domoto, P.; Wohlers, K.; Matsumura, S.; Ohmura, M.; Uchida, H.; Omachi, K.

    1992-01-01

    A total of 3,041 students and staff in middle school in Okayama Prefecture, Japan, were surveyed regarding dental fear. Over 88% reported fear, with 42.1% classified as having high fear. Almost 70% reported acquiring dental fear prior to junior high school. A majority reported being hurt at the last appointment. Delay of dental work was also reported for over 50% of the sample. Coping, pattern of physiological upset, nondental fears, and sex and age differences were also reported. Results suggest intervention is needed to address the major dental public health problems associated with dental fear. PMID:8250343

  3. Dental Fear among Medical and Dental Undergraduates

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    H. Hakim

    2014-01-01

    Full Text Available Objective. To assess the prevalence and level of dental fear among health related undergraduates and to identify factors causing such fear using Kleinknecht’s Dental Fear Survey (DFS questionnaire. Methods. Kleinknecht’s DFS questionnaire was used to assess dental fear and anxiety among the entire enrollment of the medical and dental undergraduates’ of the University of Malaya. Results. Overall response rate was 82.2%. Dental students reported higher prevalence of dental fear (96.0% versus 90.4%. However, most of the fear encountered among dental students was in the low fear category as compared to their medical counterpart (69.2 versus 51.2%. Significantly more medical students cancelled dental appointment due to fear compared to dental students (P=0.004. “Heart beats faster” and “muscle being tensed” were the top two physiological responses experienced by the respondents. “Drill” and “anesthetic needle” were the most fear provoking objects among respondents of both faculties. Conclusion. Dental fear and anxiety are a common problem encountered among medical and dental undergraduates who represent future health care professionals. Also, high level of dental fear and anxiety leads to the avoidance of the dental services.

  4. Cognitive vulnerability and dental fear

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    Spencer A John

    2008-01-01

    Full Text Available Abstract Background The Cognitive Vulnerability Model proposes that perceptions of certain characteristics of a situation are critical determinants of fear. Although the model is applicable to all animal, natural environment and situational fears, it has not yet been applied specifically to dental fear. This study therefore aimed to examine the association between dental fear and perceptions of dental visits as uncontrollable, unpredictable and dangerous. Methods The study used a clustered, stratified national sample of Australians aged 15 years and over. All participants were asked in a telephone interview survey to indicate their level of dental fear. Participants who received an oral examination were subsequently provided with a self-complete questionnaire in which they rated their perceptions of uncontrollability, unpredictability and dangerousness associated with dental visiting. Results 3937 participants were recruited. Each of the three vulnerability-related perceptions was strongly associated with the prevalence of high dental fear. In a logistic regression analysis, uncontrollability and dangerousness perceptions were significantly associated with high dental fear after controlling for age and sex. However, unpredictability perceptions did not have a statistically significant independent association with dental fear after controlling for all other variables. Conclusion Results are mostly consistent with the Cognitive Vulnerability Model of the etiology of fear, with perceptions of uncontrollability, unpredictability and dangerousness each showing a strong bivariate relationship with high dental fear prevalence. However, more extensive measures of vulnerability perceptions would be valuable in future investigations.

  5. The Phenomenon of Dental Fear

    DEFF Research Database (Denmark)

    Moore, Rod

    Odontophobia is a rather unique phobia with special psychosomatic components that impact on the dental health of odontophobic persons. It also has psychosocial components largely as a result of destruction of the teeth and subsequent embarrassment that can affect a person and cause a vicious cycle...... of dental fear (see fig. 1). The phenomenon is facilitated by misunderstandings and myths generated by both patients and dentists (see table 1 for examples). The most common reasons given in the literature for such strong fears of dental treatment are: 1) bad experiences in childhood for 85% of cases, 2......) feeling of powerlessness and lack of control over personal emotional reactions and over the social situation in the dental chair, 3) social learning processes in which the image of the dentist is cast in a negative light by the mass media or by the person's relatives or friends and 4) that the person has...

  6. Factors of Child Dental Fear : A Literature Review of Dental Fear in Children

    OpenAIRE

    Nakata, Ayumi; Sato, Yoko

    2011-01-01

    Objectives. To provide an overview of the literature investigating dental fear in children during the past ten years and to review factors of child dental fear. Methods. The literature was systematically retrieved from an electronic database. The thirty four literatures which were written about the fear of dentistry, psychology and behavior during dental treatment were chosen. Results. The terms of fear being used were “Shika-kyoufu”, “Dental fear”, etc. However, the terms were not de...

  7. The role of negative and positive memories in fear of dental treatment

    DEFF Research Database (Denmark)

    Staugaard, Søren Risløv; Jøssing, Marit; Krohn, Christina

    2016-01-01

    is influenced by memories of positive and negative childhood experiences with dental care. More specifically, we predicted that the emotional impact, sense of reliving, rehearsal, and belief in the accuracy of a negative treatment memory would be associated with increased dental fear, while positive treatment...... memories would show the opposite relation. Methods One hundred thirty-six young adults leaving childhood dental care responded to a online measures of dental fear, the most negative and most positive memory of dental treatment, and symptoms of posttraumatic stress disorder. Results Negative memories...... of events that involved pain and dentist behaviors such as impatience or scolding were frequently described and significantly associated with dental fear and symptoms of posttraumatic stress. Positive memories were more frequent, but did not show a consistent relationship with dental fear. Conclusions...

  8. Gagging and Associations with Dental Care-Related Fear, Fear of Pain, and Beliefs about Treatment

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    Randall, Cameron L.; Shulman, Grant P.; Crout, Richard J.; McNeil, Daniel W.

    2014-01-01

    Background Gagging is a behavioral response that interferes with oral health care and has been suggested to relate to dental care-related fear. Little is known, however, about the epidemiology of gagging during dental treatment. Methods To explore this phenomenon, 478 participants were recruited from the waiting area of an oral diagnosis clinic. Participants completed the Dental Fear Survey, the Short Form-Fear of Pain Questionnaire, Dental Beliefs Scale, and a demographics questionnaire that included items about problems with gagging. Results Over half of the participants reported gagging on at least one occasion during dental visits, with 7.5% almost always, or always gagging. With higher frequency of problems with gagging, patients were more likely to have greater levels of dental care-related fear, fear of pain, and more negative beliefs of dental professionals and dental treatment. Further, participants who gagged more readily had greater dental care-related fear than other gaggers. Conclusion Gagging in the dental clinic is a prevalent problem, and dental care-related fear and fear of pain are associated with more frequent gagging. Clinical Implications Given the prevalence of patients reporting problem gagging, it may be helpful for providers to assess for this barrier to treatment. By targeting dental care-related fear, fear of pain, and negative beliefs about dental care in patients who often gag in the clinic, gagging may be reduced in frequency or intensity, potentially making treatment more comfortable for patients and easier for dental care providers. PMID:24789238

  9. Association between Childhood Dental Experiences and Dental Fear among Dental, Psychology and Mathematics Undergraduates in Brazil

    OpenAIRE

    Serra-Negra, Júnia M.; Vale, Miriam P.; Paiva, Saul M.; Maurício A. Oliveira; Ferreira, Meire C.; Bendo, Cristiane B.

    2012-01-01

    The aim of the present study was to evaluate the association between childhood dental experiences and dental fear in adulthood among dentistry, psychology and mathematics undergraduate students. A cross-sectional study of 1,256 students from the city of Belo Horizonte, Brazil, was performed. Students responded to the Brazilian version of the Dental Fear Survey (DFS) and a questionnaire regarding previous dental experiences. Both the DFS and the questionnaire were self-administered. Associatio...

  10. Prevalence of Dental Fear and Anxiety amongst Patients in Selected Dental Clinics in Ghana

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    Ofori, Marian A.; Adu-Ababio, F.; Nyako, E. A.; Ndanu, Tom A.

    2009-01-01

    Objective: To find out the prevalence of dental anxiety and fear amongst patients in various selected dental clinics in Accra, Ghana. Study design: Dental patients (n = 279) who had either been exposed to dental treatments or had no prior dental exposure, attending four selected dental clinics in Accra were randomly sampled. They were interviewed…

  11. Fear of Pain Mediates the Association between MC1R Genotype and Dental Fear.

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    Randall, C L; McNeil, D W; Shaffer, J R; Crout, R J; Weyant, R J; Marazita, M L

    2016-09-01

    Fear of pain is experienced in acute and chronic pain populations, as well as in the general population, and it affects numerous aspects of the orofacial pain experience, including pain intensity, pain-related disability, and pain behavior (e.g., avoidance). A related but separate construct-dental fear-is also experienced in the general population, and it influences dental treatment-seeking behavior and oral and systemic health. Minimal work has addressed the role of genetics in the etiologies of fear of pain and dental fear. Limited available data suggest that variants of the melanocortin 1 receptor (MC1R) gene may predict greater levels of dental fear. The MC1R gene also may be etiologically important for fear of pain. This study aimed to replicate the finding that MC1R variant status predicts dental fear and to determine, for the first time, whether MC1R variant status predicts fear of pain. Participants were 817 Caucasian participants (62.5% female; mean ± SD age: 34.7 ± 8.7 y) taking part in a cross-sectional project that identified determinants of oral diseases at the community, family, and individual levels. Participants were genotyped for single-nucleotide polymorphisms on MC1R and completed self-report measures of fear of pain and dental fear. Presence of MC1R variant alleles predicted higher levels of dental fear and fear of pain. Importantly, fear of pain mediated the relation between MC1R variant status and dental fear (B = 1.60, 95% confidence interval: 0.281 to 3.056). MC1R variants may influence orofacial pain perception and, in turn, predispose individuals to develop fears about pain. Such fears influence the pain experience and associated pain behaviors, as well as fears about dental treatment. This study provides support for genetic contributions to the development/maintenance of fear of pain and dental fear, and it offers directions for future research to identify potential targets for intervention in the treatment of fear of pain and dental

  12. Prevalence and characteristics of dental anxiety in Danish adults

    DEFF Research Database (Denmark)

    Moore, Rod; Birn, H.; Kirkegaard, E.;

    1993-01-01

    Prevalence, characteristics and consequences of dental anxiety in a randomly selected sample of 645 Danish adults were explored in telephone interviews. Participation rate was 88%. Demographics, fear of specific procedures, negative dentist contacts, general fear tendency, treatment utilization...... and perceived oral conditions were explored by level of dental anxiety using a modified Dental Anxiety Scale (DAS). A Seattle fear survey item and a summary item from the Dental Fear Survey (DFS) were also included for fear description comparisons. Correlation between these indices (DAS-DFS: rs = 0.72; DAS......-Seattle item: rs = 0.68) aided semantic validation of DAS anxiety intensity levels. Extreme dental anxiety (DAS > or = 15) was found in 4.2% of the sample and 6% reported moderate anxiety (DAS scores 14-12). Bivariate (B) and logistic regression (L) odds ratios (OR) showed that high dental anxiety...

  13. [To finish with fear of dental care].

    Science.gov (United States)

    Bohl, J B; Bracconi, M; Herve, C; Pirnay, P

    2015-06-01

    The patient facing the dentist knows fear, anxiety. The symbolism of the mouth and teeth from childhood is an entirely specific nature of the human body. The terrifying image of dental treatment and dentist that has long been stigmatized through painting, literature, theater and cinema can change today. Many therapeutic options to the management of anxiety in dental phobia; anesthesia, conscious sedation, combined with a soothing cabinet, a caring dentist, targeted use of medications or milder alternative methods; homeopathy, herbal medicine, acupuncture, psychotherapy, places the patient's interests at the center of the caregiving relationship. But this treatment panel is also offered him the difficulty of the choice. This exercise without systematization, according to the patient with competence and kindness. Some patients may be sent or processed in collaboration with other health professionals. PMID:26934774

  14. Changes in children's dental fear: a longitudinal study

    NARCIS (Netherlands)

    M.A. Klaassen; J.S.J. Veerkamp; J. Hoogstraten

    2008-01-01

    Aim: The study aimed to evaluate the development of dental fear in a low fear group and a fearful group of children aged between 8 and 13 years of age and to assess the diff e rences between these groups over time taking into account general variables, such as gender, and treatment variables, such a

  15. Dental fear of Japanese residents in the United States.

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    Domoto, P.; Weinstein, P.; Kamo, Y.; Wohlers, K.; Fiset, L.; Tanaka, A.

    1991-01-01

    The purpose of this study was to investigate dental fear in a sample of Japanese adults and to make preliminary comparisons with a previously described US sample. The survey instrument was translated into Japanese and then translated back into English and was sent to 839 Japanese residing in the Seattle area. A total of 419 (49.9%) usable questionnaires were returned. Results indicate a level of fear higher than the US population (only 17.9% were not at all afraid). Fear level did not vary by age; most respondents (73.3%) acquired their fear in early childhood. While reported utilization was lower than the American sample, the percentage of Japanese respondents who reported being hurt at the last appointment was high (68.0%). Japanese respondents indicated that 35% of dentists appeared to be in a hurry, hurry being associated with being hurt. Japanese coping practices appeared to differ from the American sample. For example, 14.7% of the Japanese whereas 28.2% of the US sample requested the dentist to stop treatment. PMID:1814250

  16. Pretreatment modeling. A technique for reducing children's fear in the dental operatory.

    Science.gov (United States)

    Greenbaum, P E; Melamed, B G

    1988-10-01

    Research on modeling indicates that this technique offers dentists a means of reducing fear in child patients of all ages. As a preventive measure used with children who have had no prior exposure to dental treatment, it can be particularly efficacious. Based on the assumption that much of adult dental avoidance is based on dental fears acquired in childhood treatment, the reduction of children's dental fear would have a positive effect on the individual's tendency to seek out dental health care throughout his or her lifespan. For the dentist, there are also short- and long-term benefits. Dental management of the child is prerequisite to providing good dental care. Pedodontics as a specialty recognizes behavioral management of the child cannot be separated from the quality of the dentist's work. Fear has been identified as an important factor in disruptive behavior of school age children in the dental office. Practicing dentists consider the fearful, disruptive child to be among the most troublesome of problems in their clinical work. The child must cooperate or at least passively comply with the dentist's procedures in order to have the technical work completed. By reducing disruptive patient behavior (crying, screaming children whose peripheral and gross motor movements often make direct contact with the dentist or his equipment) the most unpalatable aspect of pediatric dentistry is minimized. Further, the actual time for treatment becomes shorter rather than longer. Although modeling is not restricted to videotape media, the emergence of current videotape technology provides the practitioner with the means for incorporating patient viewing of prerecorded modeling tapes as part of the usual waiting period. Such a procedure would mean that in the long run, the dentist will spend more time doing dentistry and less in behavioral management tasks.

  17. Child dental fear and behavior: The role of environmental factors in a hospital cohort

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    B S Suprabha

    2011-01-01

    Full Text Available Introduction: Information on the origin of dental fear and uncooperative behavior in a child patient is important for behavior management strategy. The effects of environmental factors have been comparatively less studied, especially in an Indian scenario. Objectives: To find the association of (1 age, gender, family characteristics, previous medical, and dental experiences with dental fear and behavior (2 dental fear with dental behavior. Materials and Methods: A cross-sectional questionnaire study involving 125 children aged between 7 and 14 years undergoing dental treatment under local anesthesia. The parent completed a questionnaire on family situation, medical history, and past dental experiences of the child. Child′s dental fear was recorded using Children′s Fear Survey Schedule-Dental Subscale and behavior was rated using Frankl Behaviour Rating Scale. Statistical Analysis: Data were analyzed using chi square test and binary logistic regression analysis. Results: Unpleasant experience in dental clinic and age of the child significantly influenced dental behavior. Visited pediatrician in the past one year, prior history of hospital admission, previous visit to dentist, experience at the first dental visit, and age of the child were contributing factors for dental fear. There was also significant association between dental fear levels and behavior. Conclusions: In 7 to 14 year olds, dental fear influences dental behavior, but the factors affecting them are not the same. Although dental fear decreases and dental behavior improves with age, experiences at the previous dental visits seem to influence both dental fear and behavior. Past medical experiences are likely to influence dental fear but not dental behavior.

  18. Appraisal of dental anxiety and fear questionnaires: a review.

    NARCIS (Netherlands)

    A.H.B. Schuurs; J. Hoogstraten

    1993-01-01

    This article reviews and assesses six dental anxiety and fear questionnaires. The construct aimed at by the questionnaires, the data collected, their reliability, validity and normative scores are considered. Some attention is given to the correlations between the questionnaires, their ambiguity, th

  19. The relationship of dental caries and dental fear in Malaysian adolescents: a latent variable approach

    OpenAIRE

    Esa, Rashidah; Leng Ong, Ali; Humphris, Gerald Michael; Freeman, Ruth

    2014-01-01

    This paper is funded by University Malaya. Background To investigate the role of geography (place of residence) as a moderator in the relationship between dental caries disease and treatment experience and dental fear in 16-year-olds living in Malaysia. Methods A multi-stage-stratified sampling method was employed. Five hundred and three, 16-year-olds from 6 government secondary schools participated in this study. The questionnaire examined participants' demographic profile and assessed th...

  20. Dental fear, tobacco use and alcohol use among university students in Finland: a national survey

    OpenAIRE

    Pohjola, Vesa; Rannanautio, Lauri; Kunttu, Kristina; Virtanen, Jorma I.

    2014-01-01

    Background Tobacco- and alcohol use are associated with psychological problems. Individuals with high dental fear also more often report other psychological problems than do those with lower level of dental fear. We evaluated the association between dental fear and tobacco- and alcohol use while controlling for age, gender, general mood and feelings in social situations. Methods The data (n = 8514) were collected from all universities in Finland with an electronic inquiry sent to all first-ye...

  1. Are there differences in oral health and oral health behavior between individuals with high and low dental fear?

    NARCIS (Netherlands)

    Schuller, Annemarie A; Willumsen, Tiril; Holst, Dorthe

    2003-01-01

    Epidemiological studies of the relationship between dental fear, use of dental services, and oral health in different age groups in a common population are scarce. Dental fear and its relationships are usually described in individuals with high dental fear only. The purposes of this study were to de

  2. Epidemiological Survey of Dental Fear and Anxiety in Children Living in Transylvania

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    Gyergyay Réka

    2014-08-01

    Full Text Available Aims The objectives of the present survey were: 1 a systematic epidemiological investigation of dental fear and anxiety among children living in the central part of Romania and 2 to identify the most fearful aspects of dental care perceived by these children.

  3. A dental fears typology of oral surgery patients: matching patients to anxiety interventions.

    Science.gov (United States)

    Litt, M D; Kalinowski, L; Shafer, D

    1999-11-01

    Two studies are described in which dental patients were administered the Dental Fear Survey (DFS) and then received 1 of 5 anxiety reduction interventions to prepare them for extraction of 3rd-molar teeth. Interventions included standard clinic treatment, oral premedication, and several relaxation-based procedures. Dependent variables were self-reported and observer-rated distress. In the 1st study (N = 231), cluster analyses of the DFS subscales revealed that patients could be subtyped as low-fear, high-fear, or cue-anxious patients who admitted fear only in response to specific stimuli. Dental fear subtypes were distinguishable by situational cognitions reported, and fear subtype interacted with anxiety intervention to predict distress. These results were replicated in the 2nd study (N = 150). The results are seen as supportive of a multidimensional view of dental anxiety. PMID:10619535

  4. Applying the Cognitive Vulnerability Model to the analysis of cognitive and family influences on children's dental fear.

    Science.gov (United States)

    Crego, Antonio; Carrillo-Diaz, Maria; Armfield, Jason M; Romero, Martin

    2013-06-01

    Negative experiences, cognitions, and family variables are involved in the etiology of child dental fear, but previous research has frequently considered them separately. This study uses the Cognitive Vulnerability Model to explore the influence of negative dental experiences and family members on children's dental anxiety. The participants were 185 children who completed a questionnaire comprising measures of dental fear and cognitive vulnerability-related perceptions. Measures were obtained for 88 of the participants' fathers and for 97 of the participants' mothers. Cognitive vulnerability perceptions had the strongest association with children's dental fear (β = 0.40), explaining 14-21% of the variance in dental fear scores beyond that explained by other variables. Furthermore, vulnerability perceptions mediated the relationship between negative dental experiences and dental fear. Children's dental fear and cognitive vulnerability perceptions were significantly associated with those of their fathers (r = 0.23 and r = 0.40, respectively) and mothers (r = 0.28 and r = 0.35, respectively). Moreover, fathers' (β = 0.24) and mothers' (β = 0.31) levels of cognitive vulnerability significantly predicted the children's levels of dental fear. The Cognitive Vulnerability Model offers a framework to understand child dental fear. Furthermore, this cognitive approach may help explain why some children develop dental fear problems after suffering a negative dental experience and how dental anxiety is passed on from parents to children.

  5. Child′s dental fear: Cause related factors and the influence of audiovisual modeling

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    Jayanthi Mungara

    2013-01-01

    Full Text Available Background: Delivery of effective dental treatment to a child patient requires thorough knowledge to recognize dental fear and its management by the application of behavioral management techniques. Children′s Fear Survey Schedule - Dental Subscale (CFSS-DS helps in identification of specific stimuli which provoke fear in children with regard to dental situation. Audiovisual modeling can be successfully used in pediatric dental practice. Aim: To assess the degree of fear provoked by various stimuli in the dental office and to evaluate the effect of audiovisual modeling on dental fear of children using CFSS-DS. Materials and Methods: Ninety children were divided equally into experimental (group I and control (group II groups and were assessed in two visits for their degree of fear and the effect of audiovisual modeling, with the help of CFSS-DS. Results: The most fear-provoking stimulus for children was injection and the least was to open the mouth and having somebody look at them. There was no statistically significant difference in the overall mean CFSS-DS scores between the two groups during the initial session (P > 0.05. However, in the final session, a statistically significant difference was observed in the overall mean fear scores between the groups (P < 0.01. Significant improvement was seen in group I, while no significant change was noted in case of group II. Conclusion: Audiovisual modeling resulted in a significant reduction of overall fear as well as specific fear in relation to most of the items. A significant reduction of fear toward dentists, doctors in general, injections, being looked at, the sight, sounds, and act of the dentist drilling, and having the nurse clean their teeth was observed.

  6. Effects of Lidocaine with Epinephrine on Fear Related Arousal Among Dental Phobics

    OpenAIRE

    Fiset, Louis; Ramsay, Douglas; Milgrom, Peter; Weinstein, Philip

    1986-01-01

    The effects of 2% lidocaine containing 72 μg epinephrine on fear related arousal were tested using a cross-over design on dental patients fearful of injections and other dental procedures. Heart rate and body movement in the dental operatory were monitored, and subjects' self-reported upset in the Epinephrine condition than in the No-Epinephrine condition (F = 4.8, p = .04), but the clinical significance was negligible. No interaction between initial fear levels and the drug condition could b...

  7. Characteristics of dental fear among Arabic-speaking children: a descriptive study

    OpenAIRE

    El-Housseiny, Azza A; Alamoudi, Najlaa M.; Farsi, Najat M.; El Derwi, Douaa A.

    2014-01-01

    Background Dental fear has not only been linked to poor dental health in children but also persists across the lifespan, if unaddressed, and can continue to affect oral, systemic, and psychological health. The aim of this study was to assess the factor structure of the Arabic version of the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS), and to assess the difference in factor structure between boys and girls. Methods Participants were 220 consecutive paediatric dental patients 6–12...

  8. The use of dental services by adult Singaporeans.

    Science.gov (United States)

    Lo, G L

    1993-06-01

    The aims of this study were to assess the rate of dental service utilisation amongst the adult Singaporeans and to examine factors influencing their service utilisation. 1959 subjects aged between 18-75 years participated in a questionnaire survey. Respondents were asked whether they had seen a dentist in the past twelve months. It was found that 57% of the subjects had not seen a dentist in the past year. The reasons given for non-attendance were "felt it was unnecessary" (69.7%), "lack of time" (13.8%), "fear" (5.7%) and "cost" (2.4%). The low level of dental awareness appeared to be the major block to utilisation of dental services in this population. PMID:9582690

  9. Child dental fear and general emotional problems: a pilot study

    NARCIS (Netherlands)

    J.B. Krikken; J.M. ten Cate; J.S.J. Veerkamp

    2010-01-01

    AIM: This was to investigate the relation between general emotional and behavioural problems of the child and dental anxiety and dental behavioural management problems. BACKGROUND: Dental treatment involves many potentially unpleasant stimuli, which all may lead to the development of dental anxiety

  10. Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies.

    Science.gov (United States)

    Coric, Anka; Banozic, Adriana; Klaric, Miro; Vukojevic, Katarina; Puljak, Livia

    2014-01-01

    An association between dental fear and anxiety (DFA) has been confirmed for children younger than 8 years, but this association in older children is less clear. The aim of this study was to fill this knowledge gap by studying DFA in older children and their parents with validated measures. This cross-sectional study, conducted at Community Health Centre Mostar, Bosnia and Herzegovina, included 114 children and their parents. DFA, coping, and sociodemographic variables were studied using Corah Dental Anxiety Questionnaire (CDAS), Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS), Dental Cope Questionnaire, and sociodemographic questionnaire. Maternal CDAS scores had significant positive correlation with child DFA measured with CFSS-DS (r=0.35, P<0.001) and CDAS (r=0.32, P<0.001). Fathers' CDAS scores were not associated with child CFSS-DS, but showed a moderate correlation with child CDAS (r=0.19, P<0.05). There were no significant differences in children's fear and anxiety based on age, sex, or socioeconomic variables. Children used internal coping strategies most frequently and external coping strategies were rated by the children as the most effective. We did not find differences in number and type of effective coping strategies in children with high DFA compared with children with low DFA. In conclusion, there is evidence of the coexistence of dental fear in parents and older children. These findings may help to devise interventions that will prevent or alleviate children's DFA. PMID:25187737

  11. A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear

    DEFF Research Database (Denmark)

    Spindler, Helle; Staugaard, Søren Risløv; Nicolaisen, Camilla;

    2015-01-01

    The objective of this study was to examine the effect of a brief cognitive-behavioral intervention for patients with dental fear in a private dental clinic. Patients presenting with subjectively reported dental fear were randomly assigned to either an immediate intervention (n = 53) or a waiting...... list (n = 51) group. Both groups received an identical intervention, but delayed by 4-6 weeks in the waiting list group. Participants were asked to fill out two self-report questionnaires of dental fear at pre- and post-intervention, and again at a 2-year follow-up assessment. Analysis of variance...... showed that dental fear was significantly reduced in the immediate intervention group (d = 1.5-2.2), compared with the waiting list group (d = 0.3-0.4). Additionally, all participants showed a significant reduction of dental fear following the brief intervention, and in the subgroup available for follow...

  12. Genetic variations associated with red hair color and fear of dental pain, anxiety regarding dental care and avoidance of dental care

    Science.gov (United States)

    Binkley, Catherine J.; Beacham, Abbie; Neace, William; Gregg, Ronald G.; Liem, Edwin B.; Sessler, Daniel I.

    2009-01-01

    Background Red hair color is caused by variants of the melanocortin-1 receptor (MC1R) gene. People with naturally red hair are resistant to subcutaneous local anesthetics and, therefore, may experience increased anxiety regarding dental care. The authors tested the hypothesis that having natural red hair color, a MC1R gene variant or both could predict a patient's experiencing dental care–related anxiety and dental care avoidance. Methods The authors enrolled 144 participants (67 natural red-haired and 77 dark-haired) aged 18 to 41 years in a cross-sectional observational study. Participants completed validated survey instruments designed to measure general and dental care–specific anxiety, fear of dental pain and previous dental care avoidance. The authors genotyped participants' blood samples to detect variants associated with natural red hair color. Results Eighty-five participants had MC1R gene variants (65 of the 67 red-haired participants and 20 of the 77 dark-haired participants) (P < .001). Participants with MC1R gene variants reported significantly more dental care–related anxiety and fear of dental pain than did participants with no MC1R gene variants. They were more than twice as likely to avoid dental care as were the participants with no MC1R gene variants, even after the authors controlled for general trait anxiety and sex. Conclusion Dental care–related anxiety, fear of dental pain and avoidance of dental care may be influenced by genetic variations. Clinical Implications Dentists should evaluate all patients, but especially those with naturally red hair, for dental care–related anxiety and use appropriate modalities to manage the patients' anxiety. PMID:19571053

  13. Disgust sensitivity, blood-injection-injury fear, and dental anxiety

    NARCIS (Netherlands)

    Merckelbach, H; Muris, P; de Jong, Peter; de Jongh, Addy

    1999-01-01

    The present studies evaluated whether high disgust sensitivity is associated with high levels of blood-injection-injury (BII) fear. The first study found no evidence for a connection between disgust sensitivity and BII fear in a sample of undergraduate students (N = 1.66). In contrast, the second st

  14. Dental health practices in Norwegian adults.

    Science.gov (United States)

    Helöe, L A; Aarö, L E; Sögaard, A J

    1982-12-01

    A nationwide sample of 1511 Norwegian adults were interviewed in 1979-80 concerning health habits, including dental habits. While daily toothbrushing and regular treatment attendance appeared to have become the rule among young and middle aged individuals, use of dental floss and especially of fluoride tablets or rinses, still are the exception. Dental health habits were clustered around the variable treatment attendance with slightly different patterns for men and for women. Measures of sugar consumptions were only slightly correlated with background variables and dental health behavior. While the latter was socially dependent, consumption of sugar probably was attached to personal characteristics or situational factors. The correlations between dental health behavior and other health behavior practices were generally weak, and somewhat different for men and women. Two separate types of motives for preventive behavior were distinguished between: health motives and cosmetic motives.

  15. The Level of Dental Anxiety and Dental Status in Adult Patients

    OpenAIRE

    Dobros, Katarzyna; Hajto-Bryk, Justyna; Wnek, Anna; Zarzecka, Joanna; Rzepka, Dominik

    2014-01-01

    Background: The present study aimed to assess potential correlation between dental anxiety and overall dental status in adult patients, in consideration of the frequency of dental appointments and individual dental hygiene practices. Materials and Methods: Individual dental anxiety levels were assessed with the aid of the Corah’s dental anxiety scale (DAS). The study embraced 112 patients of the University Dental Clinic, Kraków. Following clinical and X-ray exams, r...

  16. Contextual fear conditioning differs for infant, adolescent, and adult rats.

    Science.gov (United States)

    Esmorís-Arranz, Francisco J; Méndez, Cástor; Spear, Norman E

    2008-07-01

    Contextual fear conditioning was tested in infant, adolescent, and adult rats in terms of Pavlovian-conditioned suppression. When a discrete auditory-conditioned stimulus (CS) was paired with footshock (unconditioned stimulus, US) within the largely olfactory context, infants and adolescents conditioned to the context with substantial effectiveness, but adult rats did not. When unpaired presentations of the CS and US occurred within the context, contextual fear conditioning was strong for adults, weak for infants, but about as strong for adolescents as when pairings of CS and US occurred in the context. Nonreinforced presentations of either the CS or context markedly reduced contextual fear conditioning in infants, but, in adolescents, CS extinction had no effect on contextual fear conditioning, although context extinction significantly reduced it. Neither CS extinction nor context extinction affected responding to the CS-context compound in infants, suggesting striking discrimination between the compound and its components. Female adolescents showed the same lack of effect of component extinction on response to the compound as infants, but CS extinction reduced responding to the compound in adolescent males, a sex difference seen also in adults. Theoretical implications are discussed for the development of perceptual-cognitive processing and hippocampus role.

  17. Reliability and validity of Serbian version of children's dental fear questionnaire

    Directory of Open Access Journals (Sweden)

    Lalić Maja

    2015-01-01

    Full Text Available Background/Aim. Dental anxiety leads to avoidance of dental treatment and could lead to impaired oral health. The aim of this study was to determine the reliability of the Serbian version of Children’s Fear Survey Schedule Dental Subscale (CFSS-DS and the relations between dental anxiety and oral health status in a sample of Serbian schoolchildren. Methods. The CFSS-DS scale was translated into Serbian and administered to 231 (12-year old patients of the Pediatric Dental Department, Public Health Center Čukarica, Belgrade. The number of healthy, decayed, missing and filled teeth (DMFT score in children was determined by a clinical exam. Results. The average CFSS-DS score was 26.47 ± 10.33. The girls reported higher anxiety than the boys (p < 0.05. Most common fears were drilling, choking, going to the hospital and anesthesia. Lower CFSS-DS scores were recorded in children with all healthy teeth (p < 0.05. Children with higher CFSS-DS scores mostly visit the dentist due to pain or parental insistence, and those with lower anxiety scores more often visited dentist due to regular check-ups or non-invasive treatments (p < 0.01. A high value of the Cronbach's coefficient of internal consistency (α = 0.88 was found in the entire scale. Conclusion. The Serbian version of CFSS-DS questionnaire is reliable and valid psychometric instrument for evaluation of dental fear in Serbian children. Dental anxiety negatively affects dental attendance and oral health of the examined schoolchildren.

  18. Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies

    Directory of Open Access Journals (Sweden)

    Coric A

    2014-08-01

    Full Text Available Anka Coric,1 Adriana Banozic,2 Miro Klaric,3 Katarina Vukojevic,4 Livia Puljak5 1School of Medicine, University of Mostar, Health Center Mostar, Mostar, Bosnia and Herzegovina; 2Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia; 3Department of Psychiatry, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; 4Department of Anatomy, University of Split School of Medicine, Split, Croatia; 5Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia Abstract: An association between dental fear and anxiety (DFA has been confirmed for children younger than 8 years, but this association in older children is less clear. The aim of this study was to fill this knowledge gap by studying DFA in older children and their parents with validated measures. This cross-sectional study, conducted at Community Health Centre Mostar, Bosnia and Herzegovina, included 114 children and their parents. DFA, coping, and sociodemographic variables were studied using Corah Dental Anxiety Questionnaire (CDAS, Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS, Dental Cope Questionnaire, and sociodemographic questionnaire. Maternal CDAS scores had significant positive correlation with child DFA measured with CFSS-DS (r=0.35, P<0.001 and CDAS (r=0.32, P<0.001. Fathers' CDAS scores were not associated with child CFSS-DS, but showed a moderate correlation with child CDAS (r=0.19, P<0.05. There were no significant differences in children's fear and anxiety based on age, sex, or socioeconomic variables. Children used internal coping strategies most frequently and external coping strategies were rated by the children as the most effective. We did not find differences in number and type of effective coping strategies in children with high DFA compared with children with low DFA. In conclusion, there is evidence of the coexistence of dental fear in parents and older children. These findings

  19. The dentist's care-taking perspective of dental fear patients - a continuous and changing challenge.

    Science.gov (United States)

    Gyllensvärd, K; Qvarnström, M; Wolf, E

    2016-08-01

    The aim was to analyse the care taking of dental fear patients from the perspective of the dentist, using a qualitative methodology. In total, 11 dentists from both the private and public dental service were selected through a purposive sampling according to their experience of treating dental fear patients, their gender, age, service affiliation and location of undergraduate education. Data were obtained using one semi-structured interview with each informant. The interviews were taped and verbatim transcribed. The text was analysed using qualitative content analysis. The theme, 'The transforming autodidactic process of care taking', covering the interpretative level of data content was identified. The first main category covering the descriptive level of data was 'The continuous and changing challenge', with the subcategories 'The emotional demand' and 'The financial stress'. The second main category identified was 'The repeated collection of experience', with the subcategories 'The development of resources' and 'The emotional change'. The dentists' experience of treating dental fear patients was considered a challenging self-taught process under continuous transformation. The competence and routine platform expanded over time, parallel to a change of connected emotions from frustration towards safety, although challenges remained. PMID:27152865

  20. Acoustic Noise Levels of Dental Equipments and Its Association with Fear and Annoyance Levels among Patients Attending Different Dental Clinic Setups in Jaipur, India

    Science.gov (United States)

    Ganta, Shravani; Nagaraj, Anup; Pareek, Sonia; Atri, Mansi; Singh, Kushpal; Sidiq, Mohsin

    2014-01-01

    Background: Noise is a source of pervasive occupational hazard for practicing dentists and the patients. The sources of dental sounds by various dental equipments can pose as a potential hazard to hearing system and add to the annoyance levels of the patients. The aim of the study was to analyze the noise levels from various equipments and evaluate the effect of acoustic noise stimulus on dental fear and annoyance levels among patients attending different dental clinic setups in Jaipur, India. Methodology: The sampling frame comprised of 180 patients, which included 90 patients attending 10 different private clinics and 90 patients attending a Dental College in Jaipur. The levels of Acoustic Noise Stimulus originating from different equipments were determined using a precision sound level meter/decibulometer. Dental fear among patients was measured using Dental Fear Scale (DFS). Results: Statistical analysis was performed using chi square test and unpaired t-test. The mean background noise levels were found to be maximum in the pre-clinical setup/ laboratory areas (69.23+2.20). Females and the patients attending dental college setup encountered more fear on seeing the drill as compared to the patients attending private clinics (p<0.001). Conclusion: The sources of dental sounds can pose as a potential hazard to hearing system. It was analyzed that the environment in the clinics can directly have an effect on the fear and annoyance levels of patients. Hence it is necessary control the noise from various dental equipments to reduce the fear of patients from visiting a dental clinic. PMID:24959512

  1. The dental amalgam toxicity fear: a myth or actuality.

    Science.gov (United States)

    Rathore, Monika; Singh, Archana; Pant, Vandana A

    2012-05-01

    Amalgam has been used in dentistry since about 150 years and is still being used due to its low cost, ease of application, strength, durability, and bacteriostatic effect. When aesthetics is not a concern it can be used in individuals of all ages, in stress bearing areas, foundation for cast-metal and ceramic restorations and poor oral hygiene conditions. Besides all, it has other advantages like if placed under ideal conditions, it is more durable and long lasting and least technique sensitive of all restorative materials, but, concern has been raised that amalgam causes mercury toxicity. Mercury is found in the earth's crust and is ubiquitous in the environment, so even without amalgam restorations everyone is exposed to small but measurable amount of mercury in blood and urine. Dental amalgam restorations may raise these levels slightly, but this has no practical or clinical significance. The main exposure to mercury from dental amalgam occurs during placement or removal of restoration in the tooth. Once the reaction is complete less amount of mercury is released, and that is far below the current health standard. Though amalgam is capable of producing delayed hypersensitivity reactions in some individuals, if the recommended mercury hygiene procedures are followed the risks of adverse health effects could be minimized. For this review the electronic databases and PubMed were used as data sources and have been evaluated to produce the facts regarding amalgam's safety and toxicity.

  2. Dental anxiety reduction and dental attendance after treatment in a dental fear clinic: A follow-up study.

    NARCIS (Netherlands)

    I.H.A. Aartman; A. de Jongh; P.C. Makkes; J. Hoogstraten

    2000-01-01

    The aim of the present study was to assess treatment outcome in terms of dental anxiety reduction at a post-treatment assessment and dental anxiety reduction and dental attendance one year later. Furthermore, it was determined to what extent psychopathological characteristics were related to treatme

  3. Fear and anxiety previous to dental treatment in children from Acaraú-CE

    Directory of Open Access Journals (Sweden)

    Karyne Barreto Gonçalves Marques

    2010-12-01

    Full Text Available Objective: To identify the main causing factors of fear and anxiety of children previously to dental treatment. Methods: A descriptive and qualitative study held in the municipal district of Acaraú - CE with 10 children aged 4 to 6 years old, who did not present strong pain between August and September, 2006. At first, we applied the modified VPT (Venham Picture Test, an instrument containing a set of figures of children in different emotional states, which were presented to each child so that he pointed to what he considered to be further identified at the time. The second test, held before the consultation, consisted in asking to the children to free-hand draw the dental office, the dentist and auxiliary personnel asking to each child: what do you think about the dental office and the dentist? The drawings were submitted to idiographic analysis and categorized in units of significance for interpretation. Results: Three children on VPT and nine children on the drawings presented an increased level of anxiety. Causing factors such as the motor (high speed rotation, tooth extraction and white clothes could be found. Final considerations: By means of drawing we were able to efficiently obtain results in identifying some factors that cause fear and anxiety to the child patient. The modified VPT showed to be quick, easy to apply and acceptable to children, but sometimes was contradictory with the drawings.

  4. [The phenomenon of dental fear - on science, people and technology] Fænomenet tandlægeskræk - om videnskab, mennesker og teknologi

    DEFF Research Database (Denmark)

    Moore, R.

    1993-01-01

    for 80 odontophobic patients indicated that the majority (46%) had a social phobic reaction in the presence of dental personnel, 35% had complicating general anxiety tendencies and only 19% had a well-defined fear of dental procedures or resultant pain; ie. it was not just fear of drilling, but mostly......Inspite of technological development in dentistry, historically there has always been a new set of instruments or procedures to provide people with symbols of fear (Figs. 2 and 3). The dental consequences of treatment avoidance due to fear are often dramatic (Fig. 4). Diagnosis of the problem...... dental fear adequately and continued to be reduced even after a year at a private dentist of the patients' choosing. Conclusion: The phenomenon of dental fear illustrates that new technological developments in dentistry must be accompanied by improved social and psychological understanding in the future...

  5. Fear and anxiety previous to dental treatment in children from Acaraú-CE

    OpenAIRE

    Karyne Barreto Gonçalves Marques; Morgana Pontes Brasil Gradvohl; Maria Cristina Germano Maia

    2010-01-01

    Objective: To identify the main causing factors of fear and anxiety of children previously to dental treatment. Methods: A descriptive and qualitative study held in the municipal district of Acaraú - CE with 10 children aged 4 to 6 years old, who did not present strong pain between August and September, 2006. At first, we applied the modified VPT (Venham Picture Test), an instrument containing a set of figures of children in different emotional states, which were presented to each child so th...

  6. Dental Care among Young Adults with Intellectual Disability

    Science.gov (United States)

    Kancherla, Vijaya; Van Naarden Braun, Kim; Yeargin-Allsopp, Marshalyn

    2013-01-01

    Dental care among young adults with intellectual disability (ID) is poorly documented and largely unmet. By using population-based data from the Metropolitan Atlanta Developmental Disabilities Follow-Up Study, we assessed factors associated with at least one or two dental visits per year among young adults with and without ID. Significantly fewer…

  7. Effects of neonatal amygdala lesions on fear learning, conditioned inhibition, and extinction in adult macaques.

    Science.gov (United States)

    Kazama, Andy M; Heuer, Eric; Davis, Michael; Bachevalier, Jocelyne

    2012-06-01

    Fear conditioning studies have demonstrated the critical role played by the amygdala in emotion processing. Although all lesion studies until now investigated the effect of adult-onset damage on fear conditioning, the current study assessed fear-learning abilities, as measured by fear-potentiated startle, in adult monkeys that had received neonatal neurotoxic amygdala damage or sham-operations. After fear acquisition, their abilities to learn and use a safety cue to modulate their fear to the conditioned cue, and, finally, to extinguish their response to the fear conditioned cue were measured with the AX+/BX- Paradigm. Neonatal amygdala damage retarded, but did not completely abolish, the acquisition of a learned fear. After acquisition of the fear signal, four of the six animals with neonatal amygdala lesions discriminated between the fear and safety cues and were also able to use the safety signal to reduce the potentiated-startle response and to extinguish the fear response when the air-blast was absent. In conclusion, the present results support the critical contribution of the amygdala during the early phases of fear conditioning that leads to quick, robust responses to potentially threatening stimuli, a highly adaptive process across all species and likely to be present in early infancy. The neonatal amygdala lesions also indicated the presence of amygdala-independent alternate pathways that are capable to support fear learning in the absence of a functional amygdala. This parallel processing of fear responses within these alternate pathways was also sufficient to support the ability to flexibly modulate the magnitude of the fear responses.

  8. Dietary behavior and knowledge of dental erosion among Chinese adults

    Directory of Open Access Journals (Sweden)

    Pang Karie KL

    2010-06-01

    Full Text Available Abstract Objectives To study the dietary behavior and knowledge about dental erosion and self-reported symptoms that can be related to dental erosion among Chinese adults in Hong Kong. Methods Chinese adults aged 25-45 years were randomly selected from a list of registered telephone numbers generated by computer. A telephone survey was administered to obtain information on demographic characteristics, dietary habits, dental visits, and knowledge of and presence of self-reported symptoms that can be related to dental erosion. Results A total of 520 participants were interviewed (response rate, 75%; sampling error, ± 4.4% and their mean age was 37. Most respondents (79% had ever had caries, and about two thirds (64% attended dental check-ups at least once a year. Respondents had a mean of 5.4 meals per day and 36% had at least 6 meals per day. Fruit (89% and lemon tea/water (41% were the most commonly consumed acidic food and beverage. When asked if they ever noticed changes in their teeth, most respondents (92% said they had experienced change that can be related to erosion. However, many (71% had never heard about dental erosion and 53% mixed up dental erosion with dental caries. Conclusion Hong Kong Chinese adults have frequent intake of food and many have experienced symptoms that can be related to dental erosion. Their level of awareness of and knowledge about dental erosion is generally low, despite most of them have regular dental check-ups. Dental health education is essential to help the public understand dental erosion and its damaging effects.

  9. Early adversity disrupts the adult use of aversive prediction errors to reduce fear in uncertainty

    Directory of Open Access Journals (Sweden)

    Kristina M Wright

    2015-08-01

    Full Text Available Early life adversity increases anxiety in adult rodents and primates, and increases the risk for developing post-traumatic disorder (PTSD in humans. We hypothesized that early adversity impairs the use of learning signals – negative, aversive prediction errors – to reduce fear in uncertainty. To test this hypothesis, we gave adolescent rats a battery of adverse experiences then assessed adult performance in probabilistic Pavlovian fear conditioning and fear extinction. Rats were confronted with three cues associated with different probabilities of foot shock: one cue never predicted shock, another cue predicted shock with uncertainty, and a final cue always predicted shock. Control rats initially acquired fear to all cues, but rapidly reduced fear to the non-predictive and uncertain cues. Early adversity rats were slower to reduce fear to the non-predictive cue and never fully reduced fear to the uncertain cue. In extinction, all cues were presented in the absence of shock. Fear to the uncertain cue in discrimination, but not early adversity itself, predicted the reduction of fear in extinction. These results demonstrate early adversity impairs the use of negative, aversive prediction errors to reduce fear, especially in situations of uncertainty.

  10. Adults with Disabilities and Proper Dental Care

    Science.gov (United States)

    Waldman, H. Barry; Perlman, Steven P.; Cinotti, Debra A.

    2009-01-01

    Repeated studies of graduating dental students indicate limited preparation to provide services for individuals with special healthcare needs. By the end of the 1990s and into the present decade, more than half of the U.S. dental schools provided less than five hours of class room presentations and about three quarters of the schools provided 0-5…

  11. Trans-adapted, reliability, and validity of children fear survey schedule-dental subscale in Bahasa Indonesia

    Directory of Open Access Journals (Sweden)

    Arlette Suzy

    2015-03-01

    Full Text Available Background: The most frequently used measuring instrument for determination of dental fear in children nowadays is the children’s fear survey schedule-dental scale (CFSS-DS. Purpose: The purpose of this study was to explore the reliability and validity of the scale with Indonesian trans adapted version of the scale, thus the scale can be reliable to be used in other similar research in Indonesia. Methods: Total of 113 participants, who were parent’s 3 to 12 years old children. Children were divided into two age groups, group I 3-6 year old (83 children and group II 7-12 year old (30 children. Eighty three children from the first group were divided into first dental visit group (30 children and non first dental visit group (53 children. Test-retest approach was applied to 30 first dental visit children aged 3-6 year old. Original scale was translated to Indonesian language. Result: The result showed the high value of the Cronbach’s coefficient of internal consistency α=0.956. Three factors were extracted by screen test method with Eigen values higher than 1, which explained 93.05% variance of results. Conclusion: CFSS-DS scale is reliable and valid psychometric instrument for dental fear evaluation in children in Bahasa Indonesia. The differences between this study and those of others may appear due to many factors. Normal 0 false false false EN-US X-NONE X-NONE

  12. Factors influencing dental care access in Jordanian adults

    OpenAIRE

    Obeidat, Suhair Ref’at; Alsa’di, Amani Ghassan; Taani, Dafi Sultan

    2014-01-01

    Background The aims of this study are to assess the influences of demographic and personal factors on Jordanian adults’ abilities to use dental services and the barriers to regular attendance. Methods A self-administered questionnaire was distributed to a sample of 650 Jordanian adults attending King Abdullah University Hospital (KAUH) (n = 200), Jordan University of Science and Technology–Dental Health Teaching Center (JUST–DHTC) (n = 150), Yarmouk University Health Clinics (YUHC) (n = 150),...

  13. Abandonment Fears in Persons with Alzheimer's at Adult Day Care Centers

    OpenAIRE

    Judkins, Wayne A

    1999-01-01

    In my research, I examined abandonment fears in persons with Alzheimerâ s disease at the Salem Veterans Affairs adult day care center. I observed fifty hours at the center, and conducted open-ended interviews with two of the participants and their respective caregivers. These two participants (Ellen and Opel) at the center expressed abandonment fears much more frequently than any of the other participants. I found that most of the time, these two women would express their abandonment f...

  14. Adult heavy and low users of dental services: treatment provided.

    Science.gov (United States)

    Nihtilä, Annamari; Widström, Eeva; Elonheimo, Outi

    2016-01-01

    The aim of this study was to compare treatment provided to adult heavy and low users of dental services in the Finnish Public Dental Service (PDS) and to analyse changes in patients' oral health status. We assigned all adults who attended the PDS in Espoo in 2004 to a group of heavy users (n = 3,173) if they had made six or more dental visits and to a comparison group of low users (n = 22,820), if they had made three or fewer dental visits. Data were obtained from the patient register of the PDS. A sample of 320 patients was randomly selected from each group. Baseline information (year 2004) on age, sex, number and types of visits, oral health status and treatment provided was collected from treatment records. Both groups were followed-up for five years. Restorative treatment measures dominated the heavy and low users'treatments; 88.8% of heavy users and 79.6% low users had received restorations during the five-year period. Fixed prosthetic treatments were provided to just 2% of the heavy users and 0.8% of the low users. Emergency visits were more common for heavy users (74.8%) than for low users (21.6%) (p therapy was seldom used. Immediately after the major dental care reform in Finland, the PDS in Espoo had problems providing good quality dental care for the new adult patients. Older patients with lower social class background were not accustomed to regular dental care and the PDS did not actively propose proper comprehensive regular care for adults.

  15. Adult heavy and low users of dental services: treatment provided.

    Science.gov (United States)

    Nihtilä, Annamari; Widström, Eeva; Elonheimo, Outi

    2016-01-01

    The aim of this study was to compare treatment provided to adult heavy and low users of dental services in the Finnish Public Dental Service (PDS) and to analyse changes in patients' oral health status. We assigned all adults who attended the PDS in Espoo in 2004 to a group of heavy users (n = 3,173) if they had made six or more dental visits and to a comparison group of low users (n = 22,820), if they had made three or fewer dental visits. Data were obtained from the patient register of the PDS. A sample of 320 patients was randomly selected from each group. Baseline information (year 2004) on age, sex, number and types of visits, oral health status and treatment provided was collected from treatment records. Both groups were followed-up for five years. Restorative treatment measures dominated the heavy and low users'treatments; 88.8% of heavy users and 79.6% low users had received restorations during the five-year period. Fixed prosthetic treatments were provided to just 2% of the heavy users and 0.8% of the low users. Emergency visits were more common for heavy users (74.8%) than for low users (21.6%) (p < 0.001). Fewer than half of the heavy (46.1%) or low (46.5%) users were examined twice. Typical for heavy use of oral health services was a cycle of repetitive repair or replacement of restorations, often as emergency treatment, a lack of proper examinations and preventive care; crown therapy was seldom used. Immediately after the major dental care reform in Finland, the PDS in Espoo had problems providing good quality dental care for the new adult patients. Older patients with lower social class background were not accustomed to regular dental care and the PDS did not actively propose proper comprehensive regular care for adults. PMID:27464379

  16. Dental Stem Cell in Tooth Development and Advances of Adult Dental Stem Cell in Regenerative Therapies.

    Science.gov (United States)

    Tan, Jiali; Xu, Xin; Lin, Jiong; Fan, Li; Zheng, Yuting; Kuang, Wei

    2015-01-01

    Stem cell-based therapies are considered as a promising treatment for many clinical usage such as tooth regeneration, bone repairation, spinal cord injury, and so on. However, the ideal stem cell for stem cell-based therapy still remains to be elucidated. In the past decades, several types of stem cells have been isolated from teeth, including dental pulp stem cells (DPSCs), stem cells from human exfoliated deciduous teeth (SHED), periodontal ligament stem cells (PDLSCs), dental follicle progenitor stem cells (DFPCs) and stem cells from apical papilla (SCAP), which may be a good source for stem cell-based therapy in certain disease, especially when they origin from neural crest is considered. In this review, the specific characteristics and advantages of the adult dental stem cell population will be summarized and the molecular mechanisms of the differentiation of dental stem cell during tooth development will be also discussed.

  17. Cough and fear of sleep: early clinical signs of Bordetella pertussis in an adult

    Directory of Open Access Journals (Sweden)

    Thomas C. Jones

    2004-08-01

    Full Text Available Pertussis is increasing in frequency among adults, but early diagnosis requires special attention to details in the medical history. We describe a 64 year-old male with classic signs and symptoms of pertussis and documented Bordetella pertussis infection that were overlooked because he presented with a chief complaint of cough and fear of falling asleep. Coughing paroxysms and a feeling of suffocation (30-60 seconds only occurred at night after short periods of deep sleep (30-45 minutes. The physicians did not observe these episodes during daytime examinations, and the basis of the patient's fear of sleep was not explored. We recommend reassessment of how adults describe symptoms of pertussis, including fear of sleep, and we suggest the use of PCR technology to allow early diagnosis and prompt treatment.

  18. SALIVARY ALPHA-AMYLASE AS A BIOMARKER OF DENTAL FEAR AND ANXIETY IN CHILDREN

    OpenAIRE

    Réka GYERGYAY; Béla KOVÁCS; Nagy, Előd; Krisztina MÁRTHA; Cristina BICĂ; Melinda SZÉKELY

    2015-01-01

    Dental treatment represents a stress factor for most children. The aim of the study was to analyse the variation of salivary alpha-amylase concentration in children after a video viewing on dental treatments. In this study, 7 to 10 year-old school children were evaluated (n=119). Unstimulated whole saliva was collected before and after viewing a 15 min video on dental treatments performed on children. Changes in salivary alpha-amylase levels have been assessed. Video viewing on dental ...

  19. The relationship of adult attachment dimensions to pain-related fear, hypervigilance, and catastrophizing.

    Science.gov (United States)

    McWilliams, Lachlan A; Asmundson, Gordon J G

    2007-01-01

    Despite the prominence of fear-avoidance models of chronic pain, there is a paucity of research regarding the origins of pain-related fear. Based on the premise that insecure attachment could be a developmentally based origin of elevated fear of pain, associations between adult attachment dimensions and constructs included in fear-avoidance models of chronic pain were investigated. Consistent with Bartholomew and Horowitz's [Bartholomew K, Horowitz LM. Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol 1991;61:226-44.] model, attachment was conceptualized as being comprised of a model of self dimension (i.e., degree of anxiety regarding rejection based on beliefs of personal unworthiness) and a model of others dimension (i.e., degree of interpersonal mistrust and discomfort with interpersonal closeness). A large university student sample free of chronic pain (N=278) completed a measure of adult romantic attachment (i.e., Experiences in Close Relationships Questionnaire; [Brennan KA, Clark CL, Shaver PR. Self-report measurement of adult attachment: an integrative overview. In: Simpson JA, Rholes WS, editors. Attachment theory and close relationships. New York: The Guilford Press, 1998. p. 46-76.]), the Fear of Pain Questionnaire-III [McNeil DW, Rainwater AJ. Development of the fear of pain questionnaire - III. J Behav Med 1998;21:389-410.], the Pain Vigilance and Awareness Questionnaire [McCracken LM. Attention to pain in persons with chronic pain: a behavioural approach. Behav Ther 1997;28:271-84.], and the Pain Catastrophizing Scale [Sullivan MJ, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess 1995;7:24-532.]. It was hypothesized that insecure attachment would be positively associated with reports of pain-related fear, hypervigilance, and catastrophizing and that the model of self dimension would be the attachment variable most strongly associated with these variables

  20. Effects of propranolol on fear of dental extraction: Study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    S.A. Steenen (Serge A.); A.J. van Wijk (Arjen); R. van Westrhenen (Roos); J. de Lange (Jan); A. de Jongh (Ad)

    2015-01-01

    textabstractBackground: Undergoing an extraction has been shown to pose a significantly increased risk for the development of chronic apprehension for dental surgical procedures, disproportionate forms of dental anxiety (that is, dental phobia), and symptoms of post-traumatic stress. Evidence sugges

  1. Effects of propranolol on fear of dental extraction: study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    S.A. Steenen; A.J. van Wijk; R. van Westrhenen; J. de Lange; A. de Jongh

    2015-01-01

    Background Undergoing an extraction has been shown to pose a significantly increased risk for the development of chronic apprehension for dental surgical procedures, disproportionate forms of dental anxiety (that is, dental phobia), and symptoms of post-traumatic stress. Evidence suggests that intru

  2. Factors Associated with Fear of Falling among Community-Dwelling Older Adults in the Shih-Pai Study in Taiwan.

    Directory of Open Access Journals (Sweden)

    Hsiao-Ting Chang

    Full Text Available Fear of falling is an important risk indicator for adverse health related outcomes in older adults. However, factors associated with fear of falling among community-dwelling older adults are not well-explored.To explore the quality of life and associated factors in fear of falling among older people in the Shih-Pai area in Taiwan.This community-based survey recruited three thousand eight hundred and twenty-four older adults aged ≥ 65 years. The measurements included a structured questionnaire, including quality of life by using Short-Form 36, and information of fear of falling, fall history, demographics, medical conditions, insomnia, sleep quality, depression and subjective health through face-to-face interviews.A total of 53.4% of participants reported a fear of falling. The rate of fear of falling was higher in female subjects. Subjects with fear of falling had lower Short Form-36 scores both for men and women. Falls in the previous year, older age, insomnia, depression and worse subjective health were correlates of fear of falling for both sexes. Male-specific associations with fear of falling were the accessibility of medical help in an emergency, diabetes mellitus and stroke. In parallel, cardiovascular diseases were a female-specific correlate for fear of falling.Fear of falling is prevalent among community-dwelling older adults. It is seems that there are gender differences in fear of falling with respect to the prevalence and associated factors in older adults. Gender differences should be considered when planning prevention and intervention strategies for fear of falling among older people.

  3. Dental treatment of fearful children using nitrous oxide. Part 4: Results after 2 years

    NARCIS (Netherlands)

    J.S.J. Veerkamp; W.E. van Amerongen; RJ.M. Gruythuysen; J. Hoogstraten

    1993-01-01

    A group of highly fearful children were treated using behavioral management, or nitrous oxide and behavioral management. This article describes the childrens' fears during the first curative treatment one to two years after the first treatment phase, and to study whether the reduction in the child's

  4. 口腔修复患者牙科畏惧症的心理护理%Psychological nursing of patients with oral cavity repair dental fear

    Institute of Scientific and Technical Information of China (English)

    郑富菊; 刘晓花

    2014-01-01

    Objective The relevant content of dental fear in patients with oral cavity repair of dental fear, and the needle phobia solutions. Methods Dental patients collected 100 cases of our hospital, by asking the way of questionnaire investigation and relevant information to the patient's dental fear for collection,And according to these information to discuss how to carry out psychological nursing for dental patients with dental fear. Result The patients with oral repair dental fear related information collected, and for patients withthese information pertinent psychological nursing,All patients were able to successfully treated, at the same time in the treatment of the actual process of emotional stability, with a high degree of. Conclusion According to the psychological nursing method in patients with dental fear the actual conditionand detailed and thoughtful can reduce or eliminate the patient's dental fear, worth in clinical application.%目的:探讨口腔修复患者的牙科畏惧症的相关内容,并且针对牙科畏惧症探讨解决方法。方法收集100例我院收治的牙科修复患者,采用询问以及问卷调查的方式对患者的牙科畏惧症的相关信息进行收集,并且针对这些信息讨论出如何对有牙科畏惧症的口腔修复患者进行心理护理。结果通过采集到的口腔修复患者的牙科畏惧症相关信息,并且针对这些信息对患者进行针对性的心理护理,所有患者均能够顺利地进行治疗,同时在实际的治疗过程中情绪稳定,配合度较高。结论针对患者的牙科畏惧症实际病情采取详细周到的心理护理方式能够较好的减轻或消除患者的牙科畏惧症,在临床上值得推广应用。

  5. Influences on modern multifactorial falls prevention interventions and fear of falling in non-frail older adults: a literature review.

    Science.gov (United States)

    Svantesson, Ulla; Babagbemi, Buki; Foster, Lakicia; Alricsson, Marie

    2014-10-01

    This review explores underlying features that may influence fear of falling and the effectiveness of multifactorial falls prevention programs in community dwelling non-frail adults aged 65 and older. It also examines the interrelationship between fear of falling and multifactorial falls prevention interventions. A literature search of medical databases was conducted to identify articles that address the fear of falling and multifactorial programs as either a primary or secondary component of their findings. Multifactorial interventions were assessed in terms of their program content, design, demographics, implementation techniques, and cost-effectiveness. Falls are a common, but preventable, cause of morbidity and injury in older adults 65 and over. In addition to physiological variables, fear of falling and self-efficacy are psychosocial factors that impact the incidence of falls in this population. Addressing fear of falling in addition to physiological parameters may influence the success of multifactorial falls prevention programs for adults 65 and over.

  6. Barriers to social participation among lonely older adults: the influence of social fears and identity.

    Directory of Open Access Journals (Sweden)

    Johanna C Goll

    Full Text Available Loneliness among older adults is a major public health problem that may be associated with processes of social participation and identity. This study therefore sought to examine the relationship between social participation and identity in a sample of lonely older adults living independently in London, England.An inductive qualitative approach, based on semi-structured interviews and thematic analysis, was employed.Participants commonly spoke of barriers to social participation that have been reported elsewhere, including illness/disability, loss of contact with friends/relatives, lack of a supportive community, and lack of acceptable social opportunities. However, novel findings were also derived. In particular, participants commonly minimised the difficulties they faced alone, and described attempts to avoid social opportunities. These behaviours were linked to fears about engaging in social participation opportunities, including fears of social rejection and/or exploitation, and fears of losing valued aspects of identity.It is concluded that social participation amongst lonely older people will not improve through the removal of previously reported barriers alone; instead, older peoples' beliefs, fears and identities must be addressed. Suggestions for implementing these findings within community organisations are provided.

  7. Assessment of Negative Self-Image and Fear of Negative Evaluation Among Adolescents and Young Adults

    Institute of Scientific and Technical Information of China (English)

    Agbu Jane-Frances; Ibida Ebele

    2014-01-01

    Concern with real or imagined defect in physical appearance can become a major preoccupation during adolescence and young adult years. This is because, changes of puberty, rapid physical growth, and resulting sexual maturation that characterizes this age can trigger feelings of self-consciousness and awkwardness about body-image perceptions. In addition, the "perfect" body-image as dictated in the social culture could become a measure of self-worth, and this is capable of triggering negative self-image and social anxiety among adolescents. This study seeks to assess the incidence of negative self-image (preoccupation with real or imagined defect in physical appearance) and social anxiety characterized by fear of negative evaluation, among adolescents and young adults. Samples of 329 participants in the age range of 16-25 were drawn from the first and second years students of Federal University Wukari and University of Lagos, Nigeria. Participants completed a socio-demographic data sheet as well as NSII (Negative Self-Image Inventory) and revalidated version of FNE (Fear of Negative Evaluation). Findings revealed that there is a correlation between negative self-image and fear of negative evaluation; males manifested higher symptoms of negative self-image than females; young adults aged 21-25 presented higher negative self-image that those aged 16-20, adolescents and young adults from Lagos metropolis experience higher manifestation of fear of negative evaluation than those from Wukari axis. This study therefore adds to knowledge in this area.

  8. Anxiety and panic fear in adults with asthma: prevalence in primary care

    OpenAIRE

    Cooper, C.L.; Parry, G.D.; Saul, C.; Morice, A H; Hutchcroft, B J; J. Moore; Esmonde, L.

    2007-01-01

    Background Patients may find it difficult to distinguish between the symptoms of anxiety and those of asthma. Findings are equivocal on whether there is a specific link between anxiety and asthma. The aims of this study were to i) to identify the prevalence of anxiety, depression and panic fear in adults with asthma compared with that of the general population ii) to investigate whether there is a specific relationship between asthma and anxiety. Methods An epidemiological survey ...

  9. Prevalence of Dental Caries in Kosovar Adult Population

    Science.gov (United States)

    Begzati, Agim; Kelmendi, Jeta; Ilijazi, Donika; Kqiku, Lumnije

    2016-01-01

    Objectives. The aim of this study was to assess the prevalence of dental caries in the Kosovar adult population. Materials and Methods. A cross-sectional study in Kosovo was conducted examining 9387 patients, aged 18 upwards, between January 2010 and December 2011. Clinical evaluation was done using WHO criteria for evaluation of dental health status and data collection. Results. The prevalence of caries for the whole study was 72.80%. The mean DMFT index was 9.61 (±5.12) in the 18–34-year age group, 11.6 (±6.42) in the 35–44-year age group, 13.68 (±8.12) among the 45–64-year age group, 17.98 (±9.81) in the 65–74-year age group, and 23.19 (±9.41) in the age group of 75+ years, respectively. A significant difference of mean DMFT and its each component was observed between the ages (P < 0.001). Conclusion. This study comes out with the significant levels of dental caries among young Kosovar population (18–34 years old). PMID:27516774

  10. Prevalence of Dental Caries in Kosovar Adult Population

    Directory of Open Access Journals (Sweden)

    Blerim Kamberi

    2016-01-01

    Full Text Available Objectives. The aim of this study was to assess the prevalence of dental caries in the Kosovar adult population. Materials and Methods. A cross-sectional study in Kosovo was conducted examining 9387 patients, aged 18 upwards, between January 2010 and December 2011. Clinical evaluation was done using WHO criteria for evaluation of dental health status and data collection. Results. The prevalence of caries for the whole study was 72.80%. The mean DMFT index was 9.61 (±5.12 in the 18–34-year age group, 11.6 (±6.42 in the 35–44-year age group, 13.68 (±8.12 among the 45–64-year age group, 17.98 (±9.81 in the 65–74-year age group, and 23.19 (±9.41 in the age group of 75+ years, respectively. A significant difference of mean DMFT and its each component was observed between the ages (P<0.001. Conclusion. This study comes out with the significant levels of dental caries among young Kosovar population (18–34 years old.

  11. 牙科恐惧心理的现况调查研究%Investigation and Study on the Status of Dental Fear

    Institute of Scientific and Technical Information of China (English)

    田丽萍

    2013-01-01

    Objectives To investigate the prevalence of dental fear and the influencing factors.To search for the method and countermeasures about how to reduce patient's psychological fear.Methods 242 patients were investigated randomly by dental anxiety scale and self-made scale of general conditions.Results The prevalence of dental fear was 64.9% and the average DAS score was 9.68±3.87.Significant differences were found among different sex and different education level (P<0.01).The most popular reason for dental fear were being afraid of pain (72%) , being worried about unskilled doctor (44.6%) and personal experience of dental treatment (36.4%).Conclusions The prevalence of fear in this survey was high.It is relative to many kinds of factors.Dentists should gain a better understanding of this status, pay more attention to this, try to avoid or reduce the fear, and take effective measures to make clinical treatment smoothly.%目的 探讨影响牙科恐惧心理的相关因素,寻找减轻患者恐惧心理的方法及对策.方法采用Coach's牙科焦虑量表(Dental Anxiety Scale,DAS)及自制一般状况问卷调查表,随机选择医院口腔门诊患者242名进行调查分析.结果 牙病患者存在恐惧心理157人,占总数64.9%,DAS平均得分(9.68±3.87)分.不同性别及不同文化程度人群心理恐惧差异具有统计学意义(P<0.01).心理恐惧的主要原因为害怕疼痛(72%)、担心医生技术不好(44.6%),自身不愉快看牙经历(36.4%).结论牙科恐惧症的发生率较高,它与多种因素相关,口腔医生应对其有足够的认识和了解,尽量降低患者的恐惧状态,使牙科治疗顺利进行.

  12. A cross-sectional survey of dental caries, oral hygiene, and Helicobacter pylori infection in adults.

    Science.gov (United States)

    Liu, Peng; Yue, Ji; Han, Shufang; Deng, Tianzheng; Fu, Chongjian; Zhu, Guoxiong; Chen, Dong

    2013-07-01

    We explored the epidemiological risk factors for dental caries to help explain differences in the prevalence of adult dental caries. We examined 841 people for the presence of Helicobacter pylori in their dental plaque and for dental caries. Of the 841 subjects, 574 (68.25%) were infected with H pylori, and 516 (61.36%) were diagnosed with dental caries. Among the 574 subjects with H pylori, the prevalence of dental caries was 73.52% (422/574), while the prevalence among the 267 cases without H pylori was 35.21% (94/267). A correlation existed between the presence of H pylori and the occurrence of dental caries (χ(2) = 112.8, P caries and poor dental hygiene.

  13. Ablation of mouse adult neurogenesis alters olfactory bulb structure and olfactory fear conditioning

    Directory of Open Access Journals (Sweden)

    Matthew Valley

    2009-11-01

    Full Text Available Adult neurogenesis replenishes olfactory bulb (OB interneurons throughout the life of most mammals, yet during this constant fl ux it remains unclear how the OB maintains a constant structure and function. In the mouse OB, we investigated the dynamics of turnover and its impact on olfactory function by ablating adult neurogenesis with an x-ray lesion to the subventricular zone (SVZ. Regardless of the magnitude of the lesion to the SVZ, we found no change in the survival of young adult born granule cells (GCs born after the lesion, and a gradual decrease in the population of GCs born before the lesion. After a lesion producing a 96% reduction of incoming adult born GCs to the OB, we found a diminished behavioral fear response to conditioned odor cues but not to audio cues. Interestingly, despite this behavioral defi cit and gradual anatomical changes, we found no electrophysiological changes in the GC population assayed in vivo through dendro-dendritic synaptic plasticity and odor-evoked local fi eld potential oscillations. These data indicate that turnover in the granule cell layer is generally decoupled from the rate of adult neurogenesis, and that OB adult neurogenesis plays a role in a wide behavioral system extending beyond the OB.

  14. Analysis on dental fear between dentists and the child patients%儿童患者牙科恐惧症原因分析

    Institute of Scientific and Technical Information of China (English)

    赵鑫; 秦满

    2011-01-01

    Objective: To investigate the difference of dental fear between dentists and the child patients. Methods: 104 pediatric dentists and 107 children were randomly selected and asked to complete the questionnaire regarding pain cognition of dental fear in pediatric dentistry. Results: Dentists'opinion on the reasons of dental fear differed from children. The main reason of dental fear for children was injection, followed by chocking; while dentists with less than 5 years professional experience believed drilling noise was the main reason, and dentists working more than 16 years considered the main reason was pain( P < 0.001 ). 25.7% of dentists would not inform their patients of pain in advance, and 74. 7% of children expected to know whether the dental treatment is painful or not before treatment. Conclusion: The opinion on the reasons of dental fear differed between dentists and children.%目的:调查儿童患者牙科恐惧症的因素,分析医患间对这些因素感知的差异.方法:随机选择104 名儿童口腔科医师及4~9 岁的儿童口腔科患儿107 人分别填写调查问卷,内容涉及对口腔科治疗时疼痛的认识.结果:患儿害怕口腔治疗的主要原因,医患间存在显著差异(P<0.001),患儿自述害怕就诊的首要原因是打针,其次为口内有水;从医时间长于15 年的医师多认为是治疗时的疼痛感,从医时间短于5 年的医生认为是牙钻等的声音导致患儿惧怕看牙.74.3%的医生在出现疼痛的操作前预告知患儿,从医时间延长,告知患儿的比率越低(P<0.001).74.7%的患儿术前希望获知治疗是否疼痛.结论:医患间在惧怕口腔治疗的原因上存在差异.

  15. Inductive effect of parental dental anxiety on child dental fear%父母牙科焦虑诱导儿童牙科畏惧症行为的影响

    Institute of Scientific and Technical Information of China (English)

    吴家媛; 李洁; 李帅; 丁芳; 刘丽; 顾瑜; 张绍伟; 王胜; 刘建国

    2011-01-01

    AIM: To investigate the inductive effect of parental dental anxiety (PDA) on child dental fear(CDF). METHODS: Two hundred and forty children with CDF and their parents with PDA were divided into the control group and the test group by stratified randomization. In the test group, parents with PDA accepted behavior induction before inducing children with CDF, and in the control group only behavior induction was giren to CDF. RESULTS:The induction of PDA could effectively promote the induction of CDF. The difference between the test and control group was statistically significant ( P < 0. 05). CONCLUSION: There is significant relationship between parental and child dental fear. Induction of parental dental anxiety plays an important role in the induction of CDF.%目的:观察父母牙科焦虑(parental dental anxiety,PDA)在对儿童牙科畏惧症(child dental fear,CDF)行为诱导中的作用.方法:240例同时伴有CDF和PDA的家庭,按照儿童年龄进行分层随机分组.实验组CDF在实施诱导前首先进行家长PDA的行为诱导.对照组仅对CDF实施行为诱导.结果:对PDA的诱导可有效促进CDF的行为诱导效果,与对照组相比具有统计学意义(P<0.05).结论:对伴随家长 PDA的CDF诱导过程中,父母(家长)PDA的行为诱导具有重要作用.

  16. [Validity and utility of self-perceived need for dental treatment by adults and elderly].

    Science.gov (United States)

    Nascimento, Alex Rodrigues do; Andrade, Fabíola Bof de; César, Cibele Comini

    2015-08-01

    This study aimed to determine the validity of self-rated measures as an indicator of dental treatment needs in adults and the elderly. The sample consisted of individuals that participated in the National Oral Health Survey and the Survey on Oral Health Conditions in Minas Gerais State. Self-rated needs for dental treatment and total prostheses were compared to need based on dental examination, defined as the gold standard. The quality of measures was assessed by sensitivity, specificity, and predictive values. Sensitivity varied from 51% to 90%, and specificity from 56% to 90%. Positive predictive values were 11% to 95% and negative predictive values were 23% to 99%. Self-rated need for dental treatment in adults and for total prostheses in the elderly showed acceptable validity. Meanwhile, self-rated need for dental treatment in the elderly and for total prostheses in adults were not considered useful, due to their low performance.

  17. High individual consistency in fear of humans throughout the adult lifespan of rural and urban burrowing owls

    Science.gov (United States)

    Carrete, Martina; Tella, José L.

    2013-12-01

    Human-induced rapid environmental changes challenge individuals by creating evolutionarily novel scenarios, where species encounter novel enemies, the new species sometimes being humans themselves. However, little is known about how individuals react to human presence, specifically whether they are able to habituate to human presence, as frequently assumed, or are selected based on their fear of humans. We tested whether fear of humans (measured as flight initiation distance in a diurnal owl) is reduced through habituation to human presence (plasticity) or whether it remains unchanged throughout the individuals' life. Results show an unusually high level of individual consistency in fear of humans throughout the adult lifespan of both rural (r = 0.96) and urban (r = 0.90) birds, lending no support to habituation. Further research should assess the role of inter-individual variability in fear of humans in shaping the distribution of individuals and species in an increasingly humanized world.

  18. The Relationships between Cognitive Ability and Dental Status in a National Sample of USA Adults

    Science.gov (United States)

    Sabbah, Wael; Sheiham, Aubrey

    2010-01-01

    There are very few studies on the relationship between cognitive ability and dental status in middle aged and younger adults. We postulate that lower cognitive ability is directly related to poorer dental status and that this relationship operates through the relationship between cognitive ability and health-related behaviors. The objectives of…

  19. The Psychometric analysis in dental fear patients%牙科畏惧症患者的异常心理分析

    Institute of Scientific and Technical Information of China (English)

    吴承芳; 范江宏; 王旭; 郭德惠; 张文婷; 牟凌丹; 吴亚楠; 孟秀华

    2014-01-01

    目的:探讨不同年龄段牙科畏惧症患者的抑郁、焦虑状态、对人性的信心以及自信。方法:选取329名牙痛患者,填写抑郁自评量表(SDS),焦虑自评量表(SAS),信赖他人量表(FPA),状态-特质焦虑问卷(STAI),得到各评分值,用牙科畏惧(DF)量表筛选出畏惧症患者,将无畏惧症者作为正常对照组与畏惧症患者进行比较,并根据年龄段分组,进行统计学分析。结果:牙科畏惧症患者与正常对照组的抑郁自评量表评分经统计学处理有显著性差异。男女患者在牙科畏惧症评分上有显著性差异,女性的畏惧程度较男性要严重。青年组和中年组畏惧症患者的抑郁自评量表与正常对照组比较有统计学差异。青年组的状态焦虑评分有统计学意义。结论:牙科畏惧症患者具有异常的心理状态。%Objectives: To investigate depression and anxiety state, faith and ability of self-confident in dental fear patients. Methods: All patients in this investigation ,total 329, were asked to fill out self-rating depression scale (SDS), self-rating anxiety scale (SAS), faith in people scale (FPA) and state-trait anxiety inventory (STAI), and got the result. The participants who responded to dental fear scale were screened as dental fear patients.The data were analyzed using one-way analysis of variance stratified by age between normal and dental fear patients. Results:Statistically significant differences were found between patients with and without dental fear using SDS scale. Significant sex differences based on the DAS score indicated female patients suffered from more severe anxiety than male counterparts did. For patients 18~30 and 46~60 years old, significant difference were found between patients with or without dental fear based on SDS scores. There were statistical significance of state anxiety in patients of 18~30 years old. Conclusion:Dental fear patients have abnormal psychology.

  20. Predictors of dental avoidance among Australian adults with different levels of dental anxiety

    NARCIS (Netherlands)

    J.M. Armfield; M. Ketting

    2015-01-01

    Objectives: It has been proposed that avoidance of dental visits might be the main determinant of poor oral health outcomes in people with high dental anxiety (HDA). This study aimed to determine the predictors of dental avoidance among people with HDA and also whether these predictors differed from

  1. Progress on diagnosis and treatment of children’s dental fear%儿童牙科畏惧症诊治进展

    Institute of Scientific and Technical Information of China (English)

    王晖; 刘中林; 彭澜

    2014-01-01

    比较了行为测试、心理测试、生理测试及投射测试等儿童牙科畏惧症的评估方法,并就儿童牙科畏惧症的防治进展进行综述。笑气作为镇静剂在国外儿童牙科得到了广泛应用,表面麻醉下的局部麻醉是国内儿童牙科最常用的疼痛控制方法,侵袭疗法临床应慎用。儿童牙科畏惧症已具备较成熟的评估方法和多元化干预策略,但我国口腔科医护人员对此重视不够。%It compared the assessment methods of children’s dental fear in-cluding behavioral tests,psychological tests,physiological tests and proj ec-tion testing.And it reviewed the progress on the prevention and treatment of children’s dental fear.Nitrous oxide as a sedative in pediatric dentistry in a-broad has been widely applied.However,local anesthesia under surface anes-thesia is the most common pain control method in children’s dental clinic in China.And clinical application of invasion therapy should be with caution. Children’s dental fear already has more mature assessment methods and in-tervention strategies for diversification,but health care workers in dentistry department do not pay attention to it in China.

  2. Dental anxiety among adults: An epidemiological study in South India

    Directory of Open Access Journals (Sweden)

    Devapriya Appukuttan

    2015-01-01

    Full Text Available Background: Dental anxiety is a major barrier for dental care utilization. Hence, identifying anxious individuals and their appropriate management becomes crucial in clinical practice. Aim: The study aims to assess dental anxiety, factors influencing dental anxiety, and anxiety towards tooth extraction procedure among patients attending a dental hospital in India. Materials and Methods: The study sample consisted of 1,148 consecutive patients aged 18-70 years. The assessment tools consisted of a consent form, history form, a questionnaire form containing the Modified Dental Anxiety Scale (MDAS which was used to assess the level of dental anxiety, and an additional question on anxiety towards dental extraction procedure. Results: Among the study group, 63.7% were men and 36.3% were women. Based on the MDAS score, 45.2% of the participants were identified to be less anxious, 51.8% were moderately or extremely anxious, and 3% were suffering from dental phobia. Mean MDAS total score was 10.4 (standard deviation (SD = 3.91. Female participants and younger subjects were more anxious (P < 0.001. Subjects who were anxious had postponed their dental visit (P < 0.001. Participants who had negative dental experience were more anxious (P < 0.05. Notably, 82.6% reported anxiety towards extraction procedure. Significant association was seen between anxiety towards extraction procedure and the respondents gender (P < 0.05, age (P < 0.001, education level (P < 0.05, employment status (P < 0.001, income (P < 0.001, self-perceived oral health status (P < 0.05, and their history of visit to dentist (P < 0.05. Conclusion: Significant percentage of population was suffering from dental anxiety in this study population. A plethora of factors like age, gender, education level, occupation, financial stability, and previous bad dental experience influences dental anxiety to various levels. Extraction followed by drilling of tooth and receiving local anesthetic injection

  3. Long-term patterns of dental attendance and caries experience among British adults: a retrospective analysis.

    Science.gov (United States)

    Aldossary, Arwa; Harrison, Victoria E; Bernabé, Eduardo

    2015-02-01

    There is inconclusive evidence on the value of regular dental attendance. This study explored the relationship between long-term patterns of dental attendance and caries experience. We used retrospective data from 3,235 adults, ≥ 16 yrs of age, who participated in the Adult Dental Health Survey in the UK. Participants were classified into four groups (always, current, former, and never regular-attenders) based on their responses to three questions on lifetime dental-attendance patterns. The association between dental-attendance patterns and caries experience, as measured using the decayed, missing, or filled teeth (DMFT) index, was tested in negative binomial regression models, adjusting for demographic (sex, age, and country of residence) and socio-economic (educational attainment, household income, and social class) factors. A consistent pattern of association between long-term dental attendance and caries experience was found in adjusted models. Former and never regular-attenders had a significantly higher DMFT score and numbers of decayed and missing teeth, but fewer filled teeth, than always regular-attenders. No differences in DMFT or its components were found between current and always regular-attenders. The findings of this study show that adults with different lifetime trajectories of dental attendance had different dental statuses. PMID:25521216

  4. "Perhaps I will die young." Fears and worries regarding disease and death among Danish adolescents and young adults with cancer

    DEFF Research Database (Denmark)

    Hølge-Hazelton, Bibi; Timm, Helle U.; Graugaard, Christian;

    2016-01-01

    Purpose: A cross-sectional national study was initiated in order to evaluate healthcare services and survivorship from the perspective of Danish adolescents and young adults (AYAs) with cancer. The purpose of the paper was to examine (Q1) to what extend Danish AYAs experienced fears and worries a...

  5. [Fear of recurrent falls and associated factors among older adults from Florianópolis, Santa Catarina State, Brazil].

    Science.gov (United States)

    Antes, Danielle Ledur; Schneider, Ione Jayce Ceola; Benedetti, Tânia Rosane Bertoldo; d'Orsi, Eleonora

    2013-04-01

    Fear of falling is characterized by anxiety when walking or excessive worry about falling. This study aimed to investigate the factors associated with fear of recurrent falls among older adults in Florianópolis, Santa Catarina State, Brazil. A total of 266 older adults who had fallen in the previous year were studied based on a population-based cross-sectional survey. Statistical analysis used Poisson regression to assess the association between fear of recurrent falls and the covariates (socioeconomic variables, physical activity, diseases, cognitive impairment, socializing with friends, characteristics of falls, and self-rated health), respecting the hierarchy between the variables. Among the sample, 57.1% feared recurrent falls. The adjusted analysis yielded a significant association between the outcome and female gender (p = 0.013), less socializing with friends (p = 0.015), diseases of the spinal column (p = 0.022), and limitation of daily activities after the fall (p = 0.001). Thus, campaigns to prevent fear of new falls should particularly target women with limitations due to previous falls and low social interaction.

  6. Fear and anxiety previous to dental treatment in children from Acaraú-CE - doi: 10.5020/18061230.2010.p358

    Directory of Open Access Journals (Sweden)

    Karyne Barreto Gonçalves Marques

    2012-01-01

    Full Text Available Objective: To identify the main causing factors of fear and anxiety of children previously to dental treatment. Methods: A descriptive and qualitative study held in the municipal district of Acaraú - CE with 10 children aged 4 to 6 years old, who did not present strong pain between August and September, 2006. At first, we applied the modified VPT (Venham Picture Test, an instrument containing a set of figures of children in different emotional states, which were presented to each child so that he pointed to what he considered to be further identified at the time. The second test, held before the consultation, consisted in asking to the children to free-hand draw the dental office, the dentist and auxiliary personnel asking to each child: what do you think about the dental office and the dentist? The drawings were submitted to idiographic analysis and categorized in units of significance for interpretation. Results: Three children on VPT and nine children on the drawings presented an increased level of anxiety. Causing factors such as the motor (high speed rotation, tooth extraction and white clothes could be found. Final considerations: By means of drawing we were able to efficiently obtain results in identifying some factors that cause fear and anxiety to the child patient. The modified VPT showed to be quick, easy to apply and acceptable to children, but sometimes was contradictory with the drawings.

  7. Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models

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    Chaudhari Monica

    2012-07-01

    Full Text Available Abstract Background About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. Methods Data included secondary enrollment and demographic data from Washington Dental Service (WDS and Group Health Cooperative (GH, clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. Results We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p  0.001. Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77, fillings (OR = 0.80 and crowns (OR = 0.84 (p 0.005 for all and higher odds of receiving periodontal maintenance (OR = 1.24, non-surgical periodontal procedures (OR = 1.30, extractions (OR = 1.38 and removable prosthetics (OR = 1.36 (p  Conclusions Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes.

  8. Gender Differences in Longitudinal Links between Neighborhood Fear, Parental Support, and Depression among African American Emerging Adults

    Directory of Open Access Journals (Sweden)

    Shervin Assari

    2015-03-01

    Full Text Available The transition to adulthood is a developmental period marked by increased stress, especially among African Americans. In addition to stress related to emerging adulthood, neighborhood fear may contribute to depressive symptoms for African Americans. We examined gender differences in longitudinal associations between changes in perceived neighborhood fear, parental support, and depressive symptoms among African American youth who were in transition to adulthood. Five hundred and thirteen African American youths (235 males and 278 females were included in the study. An increase in perceived neighborhood fear was associated with an increase in depressive symptoms, and change in perceived maternal support was predictive of depressive symptoms among males, but not females. The findings suggest that policies and programs should help parents provide support to young adult children who live in violent neighborhoods as a strategy to prevent depressive symptoms during emerging adulthood.

  9. Dental pain, socioeconomic status, and dental caries in young male adults from southern Brazil

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    João Luiz Dornelles Bastos

    2005-10-01

    Full Text Available The aim of this study was to assess dental pain prevalence and its association with dental caries and socioeconomic status in 18-year-old males from Florianópolis, Santa Catarina, Brazil. A cross-sectional study was conducted in a random sample (n = 414 selected from the Brazilian Army conscription list in 2003. Dental pain during the 12 months prior to the interview was recorded as the outcome. Socioeconomic data were obtained through a questionnaire. Dental caries experience was registered according to the DMFT Index. Analyses included simple and multiple non-conditional logistic regression following a hierarchical approach. Response rate was 95.6%. High rates of inter-examiner agreement were achieved (kappa > 0.83. Dental pain prevalence was 21.2% (95%CI: 17.3-25.1. After adjustment, individuals with one or more untreated caries were 3.2 times more likely (95%CI: 1.7-5.8 to have dental pain compared to caries-free subjects. Conscripts with low family income were 1.8 times more likely (95%CI: 1.0-3.3 to have dental pain than those with higher income.

  10. ON PSYCHOLOGICAL DISTRESS AND FEAR OF DENTISTRY

    OpenAIRE

    Magdalena IORGA; Tudor CIUHODARU

    2016-01-01

    Anxiety and fear are normal reactions in humans when situations are evaluating as being painful. In medical dentistry, anxiety and fear characterize in fact o problematic patient with special reactions during dental interventions and avoidance behavior, both behaviors having a great impact on patient’s dental health. The paper presents some aspects on the psychological profile of odontophobics, causes and consequences of dental fear on patient’s dental health, and some considerations on psych...

  11. Changes in lower dental arch dimensions and tooth alignment in young adults without orthodontic treatment

    OpenAIRE

    Bruno Aldo Mauad; Robson Costa Silva; Mônica Lídia Santos de Castro Aragón; Luana Farias Pontes; Newton Guerreiro da Silva Júnior; David Normando

    2015-01-01

    OBJECTIVE: The aim of this longitudinal study, comprising young adults without orthodontic treatment, was to assess spontaneous changes in lower dental arch alignment and dimensions. METHODS: Twenty pairs of dental casts of the lower arch, obtained at different time intervals, were compared. Dental casts obtained at T1 (mean age = 20.25) and T2 (mean age = 31.2) were compared by means of paired t-test (p < 0.05). RESULTS: There was significant reduction in arch dimensions: 0.43 mm for interca...

  12. The protein kinase KIS impacts gene expression during development and fear conditioning in adult mice.

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    Valérie Manceau

    Full Text Available The brain-enriched protein kinase KIS (product of the gene UHMK1 has been shown to phosphorylate the human splicing factor SF1 in vitro. This phosphorylation in turn favors the formation of a U2AF(65-SF1-RNA complex which occurs at the 3' end of introns at an early stage of spliceosome assembly. Here, we analyzed the effects of KIS knockout on mouse SF1 phosphorylation, physiology, adult behavior, and gene expression in the neonate brain. We found SF1 isoforms are differently expressed in KIS-ko mouse brains and fibroblasts. Re-expression of KIS in fibroblasts restores a wild type distribution of SF1 isoforms, confirming the link between KIS and SF1. Microarray analysis of transcripts in the neonate brain revealed a subtle down-regulation of brain specific genes including cys-loop ligand-gated ion channels and metabolic enzymes. Q-PCR analyses confirmed these defects and point to an increase of pre-mRNA over mRNA ratios, likely due to changes in splicing efficiency. While performing similarly in prepulse inhibition and most other behavioral tests, KIS-ko mice differ in spontaneous activity and contextual fear conditioning. This difference suggests that disregulation of gene expression due to KIS inactivation affects specific brain functions.

  13. Changes in lower dental arch dimensions and tooth alignment in young adults without orthodontic treatment

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    Bruno Aldo Mauad

    2015-06-01

    Full Text Available OBJECTIVE: The aim of this longitudinal study, comprising young adults without orthodontic treatment, was to assess spontaneous changes in lower dental arch alignment and dimensions. METHODS: Twenty pairs of dental casts of the lower arch, obtained at different time intervals, were compared. Dental casts obtained at T1 (mean age = 20.25 and T2 (mean age = 31.2 were compared by means of paired t-test (p 0.05. Furthermore, incisors irregularity at T2 could not be predicted due to the severity of this variable at T1 (p = 0.5051. CONCLUSION: Findings suggest that post-growth maturation of the lower dental arch leads to a reduction of dental arch dimensions as well as to a mild, yet significant, increase in dental crowding, even in individuals without orthodontic treatment. Furthermore, dental alignment in the third decade of life cannot be predicted based on the severity of dental crowding at the end of the second decade of life.

  14. Computerized Tool to Manage Dental Anxiety: A Randomized Clinical Trial.

    Science.gov (United States)

    Tellez, M; Potter, C M; Kinner, D G; Jensen, D; Waldron, E; Heimberg, R G; Myers Virtue, S; Zhao, H; Ismail, A I

    2015-09-01

    Anxiety regarding dental and physical health is a common and potentially distressing problem, for both patients and health care providers. Anxiety has been identified as a barrier to regular dental visits and as an important target for enhancement of oral health-related quality of life. The study aimed to develop and evaluate a computerized cognitive-behavioral therapy dental anxiety intervention that could be easily implemented in dental health care settings. A cognitive-behavioral protocol based on psychoeducation, exposure to feared dental procedures, and cognitive restructuring was developed. A randomized controlled trial was conducted (N = 151) to test its efficacy. Consenting adult dental patients who met inclusion criteria (e.g., high dental anxiety) were randomized to 1 of 2 groups: immediate treatment (n = 74) or a wait-list control (n = 77). Analyses of covariance based on intention-to-treat analyses were used to compare the 2 groups on dental anxiety, fear, avoidance, and overall severity of dental phobia. Baseline scores on these outcomes were entered into the analyses as covariates. Groups were equivalent at baseline but differed at 1-mo follow-up. Both groups showed improvement in outcomes, but analyses of covariance demonstrated significant differences in dental anxiety, fear, avoidance, and overall severity of dental phobia in favor of immediate treatment at the follow-up assessment. Of the patients who met diagnostic criteria for phobia at baseline, fewer patients in the immediate treatment group continued to meet criteria for dental phobia at follow-up as compared with the wait-list group. A new computer-based tool seems to be efficacious in reducing dental anxiety and fear/avoidance of dental procedures. Examination of its effectiveness when administered in dental offices under less controlled conditions is warranted (ClinicalTrials.gov NCT02081365). PMID:26202996

  15. How fear of falling can increase fall-risk in older adults: Applying psychological theory to practical observations

    OpenAIRE

    Young, WR; A Mark Williams

    2013-01-01

    This article was made available through the Brunel Open Access Fund. It is widely reported that fear of falling (FOF) has a profound and largely detrimental effect on balance performance in older adults. However, the mechanisms by which FOF influence postural stability are poorly understood. In the current article, we use psychological theory to explain FOF-related changes to postural control. First, we review literature describing associations between FOF and the 'stiffening' strategies o...

  16. Application of Comprehensive Psychological Intervention to Children's Dental Fear%综合心理干预在儿童牙科畏惧症中的应用

    Institute of Scientific and Technical Information of China (English)

    徐月娥

    2011-01-01

    目的:为减少儿童牙科畏惧症的产生,提高儿童牙病的诊疗效果.方法:对本院儿童口腔保健科就诊的具有牙科畏惧症的470名患儿按年龄分4组,初诊行为分4型,在治疗前、中、后进行综合心理干预,最后记录患儿合作行为,并对合作程度及不同性别的干预效果进行分析.结果:各年龄组患儿合作程度干预效果比较:A组(1~3岁)无显著差异,其他各年龄组均有显著差异(P<0.05);各年龄组不同性别比较结果:B组(4~6岁)中男、女均有显著性差异,男孩(P<0.01),女孩(P<0.05),其他各组无显著性差异.结论:综合心理干预能有效地减少或消除儿童牙科畏惧症,随着患儿年龄的增长,显著性差异有下降的趋势.%Objective: To reduce children's dental fear and to improve children's dental clinic effect. Methods: 470 children with dental fear were divided into 4 groups by age. Initial seeking behavior was divided into 4 types. Comprehensive psychological intervention In the preoperative, intraoperative and postoperative , record with cooperative behavior at the end, and analysed was performed the interference effect which to the cooperation degree and different gender. Results: The intervention effect to various age groups of children's cooperative degree was: group A( 1 - 3 ) had no significant difference; the other age groups had significant difference (P<0. 05 ); for different gender, group B ( 4 - 6 ) has significant difference in the male and female, the other groups had no significant difference. Conclusion: Comprehensive psychological intervention can effectively reduce or eliminate the children's dental fear. As children grow old, the difference has a tendency to fall.

  17. The interaction of disrupted type II neuregulin 1 and chronic adolescent stress on adult anxiety- and fear-related behaviors.

    Science.gov (United States)

    Taylor, S B; Taylor, A R; Koenig, J I

    2013-09-26

    The incidence of anxiety, mood, substance abuse disorders and schizophrenia increases during adolescence. Epidemiological evidence confirms that exposure to stress during sensitive periods of development can create vulnerabilities that put genetically predisposed individuals at increased risk for psychiatric disorders. Neuregulin 1 (NRG1) is a frequently identified schizophrenia susceptibility gene that has also been associated with the psychotic features of bipolar disorder. Previously, we established that Type II NRG1 is expressed in the hypothalamic-pituitary-adrenal (HPA) axis neurocircuitry. We also found, using a line of Nrg1 hypomorphic rats (Nrg1(Tn)), that genetic disruption of Type II NRG1 results in altered HPA axis function and environmental reactivity. The present studies used the Nrg1(Tn) rats to test whether Type II NRG1 gene disruption and chronic stress exposure during adolescence interact to alter adult anxiety- and fear-related behaviors. Male and female Nrg1(Tn) and wild-type rats were exposed to chronic variable stress (CVS) during mid-adolescence and then tested for anxiety-like behavior, cued fear conditioning and basal corticosterone secretion in adulthood. The disruption of Type II NRG1 alone significantly impacts rat anxiety-related behavior by reversing normal sex-related differences and impairs the ability to acquire cued fear conditioning. Sex-specific interactions between genotype and adolescent stress also were identified such that CVS-treated wild-type females exhibited a slight reduction in anxiety-like behavior and basal corticosterone, while CVS-treated Nrg1(Tn) females exhibited a significant increase in cued fear extinction. These studies confirm the importance of Type II NRG1 in anxiety and fear behaviors and point to adolescence as a time when stressful experiences can shape adult behavior and HPA axis function. PMID:23022220

  18. Analysis on Investigation and Correlation Factors in Patients with Dental Fear in Karashar County in Xinjiang%新疆焉耆县牙科恐惧症患者调查及其相关因素分析

    Institute of Scientific and Technical Information of China (English)

    杨芳; 韩祥祯; 魏薇

    2015-01-01

    目的 调查新疆巴州第二师焉耆医院口腔科成人患者的牙科恐惧症发生情况,并进行比较研究,为其防治提供相关依据.方法 主要采用Corah's牙科焦虑量表,抽样调查236名口腔患者恐惧、焦虑情况,并对其进行相关因素分析.结果AS平均分值为10.12±3.10,DF患病率为18.2%.女性DF患病率明显高于男性;17-35岁人群的患病率最高,大于60岁人群患病率最低;汉族人群的患病率明显高于少数民族,且差异存在统计学意义.而DF的主要影响因素为疼痛,担心治疗意外、疗效不好以及对牙科器械及诊疗过程不了解所造成的恐惧.结论 牙科焦虑症的形成与多种因素有关,临床口腔医生治疗时应注意观察和沟通,了解患者的需求,从不同方面着手预防和缓解牙科恐惧症,从而提高口腔医疗质量.%Objective TTo investigate the second division Yanqi Bazhou hospital dentistry adult patients the incidence of dental fear, and comparative studies provide evidence for its prevention. Methods The main use Corah's Dental Anxiety Scale, sampling 236 patients with oral fear, anxiety situation, and its related factors. Results DAS average score was 10.12 ± 3.10, DF prevalence rate of 18.2%. DF female prevalence was significantly higher than the male;the highest prevalence of 17-35-year-olds, 60-year-old population prevalence is greater than the minimum; Han population prevalence was significantly higher than minorities, and the difference was statistically significant. The main factors for DF is pain, treat accident, poor efficacy and treatment of dental instruments and do not understand the fear caused by the process. Conclusion The formation of dental anxiety related to many factors, clinical dentist treatment should observe and communicate and understand the needs of patients, begin prevention and mitigation from different aspects of dental phobia, to improving the quality of oral health care.

  19. ON PSYCHOLOGICAL DISTRESS AND FEAR OF DENTISTRY

    Directory of Open Access Journals (Sweden)

    Magdalena IORGA

    2016-03-01

    Full Text Available Anxiety and fear are normal reactions in humans when situations are evaluating as being painful. In medical dentistry, anxiety and fear characterize in fact o problematic patient with special reactions during dental interventions and avoidance behavior, both behaviors having a great impact on patient’s dental health. The paper presents some aspects on the psychological profile of odontophobics, causes and consequences of dental fear on patient’s dental health, and some considerations on psychological interventions meant at reducing anxiety and fear during dental treatment.

  20. Testicular hormones do not regulate sexually dimorphic Pavlovian fear conditioning or perforant-path long-term potentiation in adult male rats.

    Science.gov (United States)

    Anagnostaras, S G; Maren, S; DeCola, J P; Lane, N I; Gale, G D; Schlinger, B A; Fanselow, M S

    1998-04-01

    We recently reported that Pavlovian fear conditioning and hippocampal perforant-path long-term potentiation (LTP) are sexually dimorphic in rats. Males show greater contextual fear conditioning, which depends on the hippocampus, as well as greater hippocampal LTP. In order to examine the role of circulating gonadal hormones in adult male rats, animals were castrated in two experiments, and Pavlovian fear conditioning and in vivo perforant-path LTP were examined. It was found that sexually-dimorphic LTP and fear conditioning are not regulated by the activational effects of testicular hormones in adult male rats. That is, in every respect, castrated male rats were similar to intact male rats in Pavlovian fear conditioning and hippocampal LTP. It is likely that sexual dimorphism in this system is established earlier in development by the organizational effects of gonadal hormones.

  1. Differences Among Older Adults in the Types of Dental Services Used in the United States.

    Science.gov (United States)

    Manski, Richard J; Hyde, Jody Schimmel; Chen, Haiyan; Moeller, John F

    2016-01-01

    The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services. The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals aged 55 years and older in the United States. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics. The most commonly used service category was fillings, inlays, or bonding, reported by 43.6% of those with any utilization. Just over one third of those with any utilization reported a visit for a crown, implant, or prosthesis, and one quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth. Our results provide insights into the need for public policies to address inequalities in access to dental services among an older US population. Our findings show that lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist. These results suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future. PMID:27284127

  2. The persuasive power of oral health promotion messages: a theory of planned behavior approach to dental checkups among young adults.

    Science.gov (United States)

    Anderson, Christina N; Noar, Seth M; Rogers, Brandi D

    2013-01-01

    Although routine dental checkups are important for both oral and overall health, several factors influence young adults' use or nonuse of dental services. The two studies included in this report tested the theory of reasoned action (TRA), the theory of planned behavior (TPB), and an expanded TPB model in predicting young adults' routine dental checkups. Additionally, the study tested the perceived message effectiveness of TPB-based messages. Results support the use of an expanded TPB model (particularly adding satisfaction with the dentist and environmental constraints to the traditional model) for an understanding of routine dental checkup intention and behavior, and, most notably, provide support for the use of subjective norm-based messages to prompt dental checkups. This study lays the groundwork for a health communication campaign encouraging routine dental checkups among young adults. The use of targeting and tailoring to design effective oral health media campaign messages is discussed.

  3. 恐惧心理对口腔门诊病人就诊行为和服务需求的影响%Influence of dental fear on patient behavior and oral care needs

    Institute of Scientific and Technical Information of China (English)

    成凡平; 武玉海; 冯金兰; 高赐凤

    2012-01-01

    目的:调查影响口腔门诊病人产生恐惧心理的相关因素,分析恐惧心理对就诊行为以及就诊服务需求的影响.方法:采用系统抽样的方式按照纳入标准选取831名口腔门诊病人作为问卷调查对象,问卷内容包括人口统计学资料、就诊心理状态、就诊行为、对服务舒适度需求等.结果:831人中有恐惧心理503人(60.5%),其中男性173人,女性330人,男女之间有显著性差异(P<0.05);有无恐惧心理在不同年龄、不同职业、不同受教育程度人群中也有显著性差异(P<0.05);有、无恐惧心理两组人群在定期口腔检查、按时复诊两个就诊行为中有显著性差异(P<0.05);在就诊前是否了解医生情况方面无显著差异;两组人群对就诊过程中与服务舒适度相关的因素感到不安的程度由高到低依次均为①牙钻声、②出血、③气味、④灯光、⑤体位,各因素不安程度有显著性差异(P<0.05).结论:恐惧心理在口腔门诊大多数病人中存在,其形成与性别、年龄、职业、受教育程度相关;与无恐惧心理人群相比,有恐惧心理人群更难定期口腔检查,但更容易按时复诊,对就诊服务舒适度的潜在需求明显增高.%AIM: To investigate the effects of dental fear on patient behavior when seeing a dentist and on patient needs when seeking dental care. METHODS: Eight hundred and thirty-one patients who met the inclusion criteria from Huadu Maternal & Child Health Care Hospital of Guangzhou were included in this study. Subjects were asked to fill a self- reported questionnaire. Questions in the questionnaire included demographic information, psychological state, patient behavior, and dental service needs. RESULTS; Among the 831 subjects, 503 (173 male, 330 female) reported dental fear, a significant genial difference was found. Age, occupation, and education level also showed significant influence on dental fear (P<0.05). Patients with

  4. Socio-Economic Determinants of the Need for Dental Care in Adults.

    Directory of Open Access Journals (Sweden)

    Gilda Trohel

    Full Text Available Oral health has improved in France. However, there are still inequalities related to the socio-economic status.The aim of this study was to measure the prevalence of dental care needs in an adult population and to identify the demographic, socio-economic and behavioral variables that may explain variations in this parameter.A cross-sectional analysis of the French SIRS cohort (n = 2,997 adults from the Paris region; 2010 data was carried out to determine the prevalence of self-reported dental care needs relative to demographic, socio-economic and behavioral variables. A logistic regression model was used to identify the variables that were most strongly associated with the level of need.In 2010, the prevalence of the need for dental care in the SIRS cohort was 35.0% (95% CI [32.3-37.8]. It was lower in people with higher education levels (31.3% [27.9-34.6], without immigrant background (31.3% [28.0-34.6] and with comprehensive health insurance (social security + complementary health cover; 32.8% [30.2-35.4]. It decreased as the socio-economic status increased, but without following a strict linear change. It was also lower among individuals who had a dental check-up visit in the previous two years. In multivariate analyses, the socioeconomic variables most strongly associated with the need for dental care were: educational attainment (OR = 1.21 [1.02-1.44], income level (OR = 1.66 [1.92-2.12] and national origin (OR = 1.53 [1.26-1.86].These results confirm that the prevalence of dental care needs is higher among adults with low socio-economic status. Education level, income level and also national origin were more strongly associated with the need for dental care than insurance cover level.

  5. Preventive care delivered within Public Dental Service after caries risk assessment of young adults

    DEFF Research Database (Denmark)

    Hänsel Petersson, G; Ericson, E; Twetman, S

    2016-01-01

    OBJECTIVES: To study preventive care provided to young adults in relation to their estimated risk category over a 3-year period. METHODS: The amount and type of preventive treatment during 3 years was extracted from the digital dental records of 982 patients attending eight public dental clinics...... adults attending public dental service. Further research is needed how to reach those with the greatest need of primary and secondary prevention....... score was constructed and dichotomized to 'basic prevention' and 'additional prevention'. RESULTS: More additional preventive care was provided to the patients in the 'low-risk' and 'some risk' categories than to those classified as 'high' or 'very high' risk (OR = 2.0, 95% CI 1.4-3.0; P

  6. Exogenous prenatal corticosterone exposure mimics the effects of prenatal stress on adult brain stress response systems and fear extinction behavior.

    Science.gov (United States)

    Bingham, Brian C; Sheela Rani, C S; Frazer, Alan; Strong, Randy; Morilak, David A

    2013-11-01

    Exposure to early-life stress is a risk factor for the development of cognitive and emotional disorders later in life. We previously demonstrated that prenatal stress (PNS) in rats results in long-term, stable changes in central stress-response systems and impairs the ability to extinguish conditioned fear responding, a component of post-traumatic stress disorder (PTSD). Maternal corticosterone (CORT), released during prenatal stress, is a possible mediator of these effects. The purpose of the present study was to investigate whether fetal exposure to CORT at levels induced by PNS is sufficient to alter the development of adult stress neurobiology and fear extinction behavior. Pregnant dams were subject to either PNS (60 min immobilization/day from ED 14-21) or a daily injection of CORT (10mg/kg), which approximated both fetal and maternal plasma CORT levels elicited during PNS. Control dams were given injections of oil vehicle. Male offspring were allowed to grow to adulthood undisturbed, at which point they were sacrificed and the medial prefrontal cortex (mPFC), hippocampus, hypothalamus, and a section of the rostral pons containing the locus coeruleus (LC) were dissected. PNS and prenatal CORT treatment decreased glucocorticoid receptor protein levels in the mPFC, hippocampus, and hypothalamus when compared to control offspring. Both treatments also decreased tyrosine hydroxylase levels in the LC. Finally, the effect of prenatal CORT exposure on fear extinction behavior was examined following chronic stress. Prenatal CORT impaired both acquisition and recall of cue-conditioned fear extinction. This effect was additive to the impairment induced by previous chronic stress. Thus, these data suggest that fetal exposure to high levels of maternal CORT is responsible for many of the lasting neurobiological consequences of PNS as they relate to the processes underlying extinction of learned fear. The data further suggest that adverse prenatal environments constitute a

  7. The opinions and attitudes of dental school academic staff towards oral healthcare education for older adults.

    Science.gov (United States)

    Haresaku, S; Mariño, R; Naito, T; Morgan, M V

    2016-08-01

    The term 'oral health care for older adults' has various interpretations, and its meaning is not clear among dental school academic staff. Additionally, there are no theoretical or practical stand-alone courses on oral health care for older adults in Japanese dental schools. To improve oral health care education, we investigated the opinions and attitudes toward oral health care education for older adults among academic staff in dental schools. Data were collected in seven dental schools from May to September 2013 via an online questionnaire survey. Five-hundred-fifty-eight academics (428 male, 130 female) participated (response rate 57%). The average number of years since they had completed a university degree was 20.2 (SD 10.2) years. The majority (Over 90%) of participants perceived that oral health care should be provided in nursing facilities, hospitals, and at home. Its treatments and instructions should include, not only methods of keeping good oral hygiene, but also improvement of oral function such as swallowing training and salivary glands massage. The majority (84.2%) suggested oral health care education should be combined as a one-credit, stand-alone course. Findings indicate that dental academics have an understanding the need for a course in oral health care for older adults. Participants supported the need for further development of education in oral health care for older adults' in Japan, as a separate course on its own right. However there were some different views about content by teaching field. The need for a national core program for teaching oral health care education was suggested. PMID:26083002

  8. Oral health disparity in older adults: dental decay and tooth loss.

    Science.gov (United States)

    Friedman, Paula K; Kaufman, Laura B; Karpas, Steven L

    2014-10-01

    Progress has been made in reducing dental caries and edentulism in older adults, but disparities continue to exist related to race, ethnicity, socioeconomic level, and sex. Lack of training in treating medically complex patients, economic factors including absence of coverage for oral health services in Medicare and as a required service for adults in Medicaid, and attitudinal issues on the part of patients, caregivers, and providers contribute to barriers to care for older adults. In addition to the impact of oral health on overall health, oral health impacts quality of life and social and employment opportunities. PMID:25201540

  9. Aplikasi teori belajar sosial dalam penatalaksanaan rasa takut dan cemasan anak pada perawatan gigi (Application of social learning theory in the management of children dental fear and anxiety

    Directory of Open Access Journals (Sweden)

    Arlette Suzy Setiawan

    2014-06-01

    Full Text Available Background: Dental anxiety is a prevalent problem faced by dentists till nowadays, especially in treating child patients. Several methods in managing anxiety are available, but there is no single method can be applied extensively. Purpose: This article was aimed to describe the application of social learning theory in preventing or reducing dental anxiety in children. Literature review: Anxiety and fear are psych feelings that is experienced by a person. A child developed these feelings by learning from their own past experienced or by information obtained from their environment. If fear and anxiety can be learned by a child, thus the opposite term which is preventing the feelings is assumed can be also offered to learned. This application actually being applied in the field of dentistry as modeling, but the exploration of how this process is due is often being ignored. Conclusion: Social learning theory provides an easy preventive approach and effective intervention that can be applied to children in 4-9 years old to reduce dental anxiety.Latar belakang: Kecemasan pada perawatan gigi merupakan hal yang paling sering dijumpai dan merupakan masalah yang dihadapi oleh dokter gigi sampai saat ini, terutama pada pasien anak. Berbagai metode penatalaksanaan kecemasan banyak tersedia, namun tidak satu pun metode yang dapat diterapkan secara luas. Tujuan: Makalah ini disusun untuk membahas mengenai aplikasi teori belajar sosial dalam mencegah kecemasan pada anak saat perawatan gigi. Tinjauan pustaka: Rasa cemas dan takut merupakan perasaan psikis yang dialami seorang individu. Perasaan ini pada seorang anak lebih banyak didapat dari proses belajar dalam menyerap informasi berdasarkan pengalaman pribadi ataupun informasi dari lingkungan sekitar. Bila rasa cemas dan takut dapat dipelajari oleh seorang anak, maka diasumsikan bahwa menghindari timbulnya perasaan ini dapat pula diajarkan pada anak. Aplikasi hal tersebut sebenarnya telah diterapkan di bidang

  10. National Survey of Oral/Dental Conditions Related to Tobacco and Alcohol Use in Mexican Adults

    Directory of Open Access Journals (Sweden)

    Carlo Eduardo Medina-Solís

    2014-03-01

    Full Text Available Oral diseases are a major burden on individuals and health systems. The aim of this study was to determine whether consumption of tobacco and alcohol were associated with the prevalence of oral/dental problems in Mexican adults. Using data from the National Performance Evaluation Survey 2003, a cross-sectional study part of the World Health Survey, dental information from a representative sample of Mexico (n = 22,229, N = 51,155,740 was used to document self-reported oral/dental problems in the 12 months prior to the survey. Questionnaires were used to collect information related to sociodemographic, socioeconomic, and other risk factors. Three models were generated for each age group (18–30, 31–45 and 46–98 years. The prevalence of oral/dental conditions was 25.7%. Adjusting for sex, schooling, socioeconomic position, diabetes, and self-reported health, those who used tobacco (sometimes or daily (OR = 1.15, p = 0.070; OR = 1.24, p < 0.01; and OR = 1.16, p < 0.05, for each age group respectively or alcohol (moderate or high (OR = 1.26, p < 0.001; OR = 1.18, p < 0.01 and OR = 1.30, p < 0.001, for each age group respectively had a higher risk of reporting oral/dental problems. Because tobacco and alcohol use were associated with self-reported oral/dental problems in one out of four adults, it appears advisable to ascertain how direct is such link; more direct effects would lend greater weight to adopting measures to reduce consumption of tobacco and alcohol for the specific purpose of improving oral health.

  11. Development of dental charts according to tooth development and eruption for Turkish children and young adults

    International Nuclear Information System (INIS)

    In this study, we aimed to develop dental charts for Turkish children and young adults of both genders within the age group of 4.5-22.5 years according to tooth mineralization and eruption in a format similar to that proposed by AlQahtani et al. In total, 753 digital panoramic radiographs from 350 males and 403 females were assessed. The permanent teeth were evaluated according to the classification system described by Demirjian et al. The eruption stage was assessed with Bengston's system, which was modified by AlQahtani et al at four points. Teeth generally developed earlier in females than in males. This was particularly notable in the age group of 5-14 years. However, this difference was usually visible in only one stage, not in all teeth. It has been determined that the mixed dentition period ended with the shedding of the second deciduous molars in both genders. The dental charts presented here included information that could be beneficial to dental clinicians in making appropriate diagnosis and planning orthodontic and surgical procedures. These charts also provided datasets for preliminary dental age estimation in Turkish children and young adults.

  12. Development of dental charts according to tooth development and eruption for Turkish children and young adults

    Energy Technology Data Exchange (ETDEWEB)

    Karadayl, Beytullah; Ozaslan, Abdi [University of Istanbul, Cerrahpasa Faculty of Medicine, Forensic Medicine Department, Istanbul (Turkey); Afsin, Hueseyin [University of Istanbul, Cerrahpasa Faculty of Medicine, Forensic Medicine Department, Istanbul (Turkey); Karadayi, Suekriye [Public Health Agency, Istanbul (Turkey)

    2014-06-15

    In this study, we aimed to develop dental charts for Turkish children and young adults of both genders within the age group of 4.5-22.5 years according to tooth mineralization and eruption in a format similar to that proposed by AlQahtani et al. In total, 753 digital panoramic radiographs from 350 males and 403 females were assessed. The permanent teeth were evaluated according to the classification system described by Demirjian et al. The eruption stage was assessed with Bengston's system, which was modified by AlQahtani et al at four points. Teeth generally developed earlier in females than in males. This was particularly notable in the age group of 5-14 years. However, this difference was usually visible in only one stage, not in all teeth. It has been determined that the mixed dentition period ended with the shedding of the second deciduous molars in both genders. The dental charts presented here included information that could be beneficial to dental clinicians in making appropriate diagnosis and planning orthodontic and surgical procedures. These charts also provided datasets for preliminary dental age estimation in Turkish children and young adults.

  13. Treatment of Orally Handicapped Edentulous Older Adults Using Dental Implants.

    Science.gov (United States)

    Zahedi, Charles

    2016-07-01

    The oral handicap of complete edentulism is the terminal outcome of a multifactorial process involving biological factors and patient-related factors. Fully edentulous orally handicapped older adults have been neglected because removable acrylic dentures have been the classic therapy for complete edentulism but are only rehabilitative, not therapeutic. Not replacing missing teeth with stable dentures could prevent adequate food intake. Osseointegrated endosseous implants used as a therapeutic adjunct can reduce the problem of long-term bone resorption to less than 0.1 mm per year. Implant-borne prostheses substantially increase the overall health and quality of life of orally handicapped fully edentulous older adults. PMID:27264857

  14. Childhood brain tumours : Health and function in adult survivors and parental fears

    OpenAIRE

    Anclair, Malin

    2009-01-01

    The general aim of the present research was to investigate health and functional ability of patients treated for childhood brain tumour and systematically examine parental fears after a child s brain tumour. The aims were realised through two part-studies. Childhood cancer once regarded as an acute fatal illness has become a life threatening disease. Previous studies of the long-term sequelae in survivors of children treated for a brain tumour reflect the fact that most ...

  15. Recruitment of rural and cognitively impaired older adults for dental research

    OpenAIRE

    Wu, Bei; Goedereis, Eric A.; Crout, Richard J.; Plassman, Brenda L.; DiNapoli, Elizabeth A.; McNeil, Daniel W.; Wiener, Michael; Boone, Martin L.; Wiener, R Constance; Kao, Elizabeth; Bai, Lina

    2010-01-01

    The recruitment of community-dwelling older adults, particularly those with cognitive impairment and those residing in rural areas, has been consistently challenging for researchers, especially in the dental field. This study reports on recruitment experiences from an ongoing study investigating the association between oral health and cognitive status in later life. Multiple recruitment strategies, including educational presentations and traveling to participants’ homes, were used to enroll r...

  16. Isolation and Culture of Dental Epithelial Stem Cells from the Adult Mouse Incisor

    OpenAIRE

    Chavez, Miquella G.; Hu, Jimmy; SEIDEL, KERSTIN; Li, Chunying; Jheon, Andrew; Naveau, Adrien; Horst, Orapin; Klein, Ophir D.

    2014-01-01

    Understanding the cellular and molecular mechanisms that underlie tooth regeneration and renewal has become a topic of great interest1-4, and the mouse incisor provides a model for these processes. This remarkable organ grows continuously throughout the animal's life and generates all the necessary cell types from active pools of adult stem cells housed in the labial (toward the lip) and lingual (toward the tongue) cervical loop (CL) regions. Only the dental stem cells from the labial CL give...

  17. Radiation dose evaluation of dental cone beam computed tomography using an anthropomorphic adult head phantom

    Science.gov (United States)

    Wu, Jay; Shih, Cheng-Ting; Ho, Chang-hung; Liu, Yan-Lin; Chang, Yuan-Jen; Min Chao, Max; Hsu, Jui-Ting

    2014-11-01

    Dental cone beam computed tomography (CBCT) provides high-resolution tomographic images and has been gradually used in clinical practice. Thus, it is important to examine the amount of radiation dose resulting from dental CBCT examinations. In this study, we developed an in-house anthropomorphic adult head phantom to evaluate the level of effective dose. The anthropomorphic phantom was made of acrylic and filled with plaster to replace the bony tissue. The contour of the head was extracted from a set of adult computed tomography (CT) images. Different combinations of the scanning parameters of CBCT were applied. Thermoluminescent dosimeters (TLDs) were used to measure the absorbed doses at 19 locations in the head and neck regions. The effective doses measured using the proposed phantom at 65, 75, and 85 kVp in the D-mode were 72.23, 100.31, and 134.29 μSv, respectively. In the I-mode, the effective doses were 108.24, 190.99, and 246.48 μSv, respectively. The maximum percent error between the doses measured by the proposed phantom and the Rando phantom was l4.90%. Therefore, the proposed anthropomorphic adult head phantom is applicable for assessing the radiation dose resulting from clinical dental CBCT.

  18. Dental anxiety and pain related to ART

    Directory of Open Access Journals (Sweden)

    Soraya Coelho Leal

    2009-01-01

    Full Text Available Atraumatic Restorative Treatment (ART is considered to be well accepted, both by children and by adult patients. The objective of this review is to present and discuss the evidence regarding the acceptability of ART, from the patient's perspective. Aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. CONCLUSIONS: The ART approach has been shown to cause less discomfort than other conventional approaches and is, therefore, considered a very promising "atraumatic" management approach for cavitated carious lesions in children, anxious adults and possibly, for dental-phobic patients.

  19. Association between dental pain and depression in Korean adults using the Korean National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Yang, S E; Park, Y G; Han, K; Min, J A; Kim, S Y

    2016-01-01

    The purpose of this study was to evaluate the relationships between the prevalence of depression and dental pain using a well characterised, nationally representative, population-based study. This study analysed data from the 2012 Korea National Health and Nutrition Examination Survey (n = 4886). Oral health status was assessed using the oral health questionnaire, and oral examination was performed by trained dentists. Depression was defined as the participant having been diagnosed as depression during the previous year. Logistic regression was applied to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI), controlling for a range of covariates. Results demonstrated that participants included in 'root canal treatment is necessary' showed higher prevalence of self-reported dental pain; in particular, participants with depression presented more dental pain than those without depression. After adjusting for sociodemographic factors, self-reported dental pain increased in participants with depression. The AOR (95% CI) for having self-reported dental pain was 1·58 (1·08-2·33) in dentists' diagnosis of no dental pain/depression group, 1·62 (1·32-1·98) in dentists' diagnosis of dental pain/no depression group and 2·84 (1·10-7·37) in dentists' diagnosis of dental pain/depression group. It was concluded that depression was associated with dental pain after adjustment for potential confounders in Korean adults. Thus, dentists should consider the possible presence of psychopathology when treating patients with dental pain. PMID:26337763

  20. Objective assessment of the influence of the parental presence on the fear and behavior of anxious children during their first restorative dental visit

    Science.gov (United States)

    Pani, Sharat C.; AlAnazi, Ghazi S.; AlBaragash, Abdulrahman; AlMosaihel, Mohammad

    2016-01-01

    Aims and Objectives: Parents play an important role in the dental behavior of a child patient. This study aimed to assess the effect of parental presence on the behavior of the child and objectively measure the behavior using pulse oximetry. Materials and Methods: The study was registered with the clinical trials registry of the National Institutes of Health (NCT02619981). The children were divided into three groups, those who had no accompanying parent, those accompanied by their fathers, and those accompanied by their mothers. The Venham anxiety and behavior scores were used for subjective measurements whereas the objective measurement of fear was done by measuring the heart rate using a portable pulse oximeter at six critical clinical situations. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 21 (IBM corp. Armonk, NY, USA). Results: One hundred and twenty two children aged between 6 years and 8 years completed the study. Most of the children accompanied by fathers were males while most of the children accompanied by their mother were females. It was seen that females showed a higher mean heart rate than males at all steps. Children who had their parents outside the operatory exhibited lower anxiety and behavior scores than those whose parents were present; however, they showed a significantly higher pulse rate at all procedures. Boys had higher anxiety and behavior scores than girls, however, these differences were not statistically significant. Conclusion: The results of this study suggest that the presence of the parent in the operatory reduces the physiological manifestations of anxiety in children in their first restorative dental visit. PMID:27652248

  1. Increases in the numerical density of GAT-1 positive puncta in the barrel cortex of adult mice after fear conditioning.

    Directory of Open Access Journals (Sweden)

    Ewa Siucinska

    Full Text Available Three days of fear conditioning that combines tactile stimulation of a row of facial vibrissae (conditioned stimulus, CS with a tail shock (unconditioned stimulus, UCS expands the representation of "trained" vibrissae, which can be demonstrated by labeling with 2-deoxyglucose in layer IV of the barrel cortex. We have also shown that functional reorganization of the primary somatosensory cortex (S1 increases GABAergic markers in the hollows of "trained" barrels of the adult mouse. This study investigated how whisker-shock conditioning (CS+UCS affected the expression of puncta of a high-affinity GABA plasma membrane transporter GAT-1 in the barrel cortex of mice 24 h after associative learning paradigm. We found that whisker-shock conditioning (CS+UCS led to increase expression of neuronal and astroglial GAT-1 puncta in the "trained" row compared to controls: Pseudoconditioned, CS-only, UCS-only and Naïve animals. These findings suggest that fear conditioning specifically induces activation of systems regulating cellular levels of the inhibitory neurotransmitter GABA.

  2. Lentiviral Silencing of GSK-3β in Adult Dentate Gyrus Impairs Contextual Fear Memory and Synaptic Plasticity

    Directory of Open Access Journals (Sweden)

    Benjamin eChew

    2015-06-01

    Full Text Available Attempts have been made to use glycogen synthase kinase-3 beta (GSK3β inhibitors for prophylactic treatment of neurocognitive conditions. However the use of lithium, a non-specific inhibitor of GSK3β results in mild cognitive impairment in humans. The effects of global GSK3β inhibition or knockout on learning and memory in healthy adult mice are also inconclusive. Our study aims to better understand the role of GSK3β in learning and memory through a more regionally, targeted approach, specifically performing lentiviral-mediated knockdown of GSK3β within the dentate gyrus (DG. DG-GSK3β-silenced mice showed impaired contextual fear memory retrieval. However, cue fear memory, spatial memory, locomotor activity and anxiety levels were similar to control. These GSK3β-silenced mice also showed increased induction and maintenance of dentate gyrus long-term potentiation (DG-LTP compared to control animals. Thus, this region-specific, targeted knockdown of GSK3β in the DG provides better understanding on the role of GSK3β in learning and memory.

  3. Effects of CB1 receptor agonism and antagonism on behavioral fear and physiological stress responses in adult intact, ovariectomized, and estradiol-replaced female rats.

    Science.gov (United States)

    Simone, J J; Malivoire, B L; McCormick, C M

    2015-10-15

    There is growing interest in the development of cannabis-based therapies for the treatment of fear and anxiety disorders. There are a few studies, but none in females, of the effects of the highly selective cannabinoid receptor type 1 (CB1) agonist, arachidonyl 2'-chlorethylamide (ACEA), on behavioral fear. In experiment 1 involving gonadally-intact females, ACEA (either 0.1 or 0.01 mg/kg) was without effect in the elevated plus maze (EPM), and the lower dose decreased anxiety in the open field test (OFT). AM251 increased anxiety in the EPM and decreased locomotor activity in the OFT. Twenty-four hours after fear conditioning, neither ACEA nor AM251 affected generalized fear or conditioned fear recall. AM251 and 0.1 mg/kg ACEA impaired, and 0.01 mg/kg ACEA enhanced, within-session fear extinction. AM251 increased plasma corticosterone concentrations after the fear extinction session, whereas ACEA was without effect. Based on evidence that estradiol may moderate the effects of CB1 receptor signaling in females, experiment 2 involved ovariectomized (OVX) rats provided with 10-μg 17β-Estradiol and compared with OVX rats without hormone replacement (oil vehicle). Irrespective of hormone treatment, AM251 increased anxiety in the EPM, whereas ACEA (0.01 mg/kg) was without effect. Neither hormone nor drug altered anxiety in the OFT, but estradiol increased and AM251 decreased distance traveled. After fear conditioning, AM251 decreased generalized fear. Neither hormone nor drug had any effect on recall or extinction of conditioned fear, however, ACEA and AM251 increased fear-induced plasma corticosterone concentrations. Further, when results with intact rats were compared with those from OVX rats, gonadal status did not moderate the effects of either AM251 or ACEA, although OVX displayed greater anxiety and fear than did intact rats. Thus, the effects of CB1 receptor antagonism and agonism in adult female rats do not depend on ovarian estradiol.

  4. Effects of CB1 receptor agonism and antagonism on behavioral fear and physiological stress responses in adult intact, ovariectomized, and estradiol-replaced female rats.

    Science.gov (United States)

    Simone, J J; Malivoire, B L; McCormick, C M

    2015-10-15

    There is growing interest in the development of cannabis-based therapies for the treatment of fear and anxiety disorders. There are a few studies, but none in females, of the effects of the highly selective cannabinoid receptor type 1 (CB1) agonist, arachidonyl 2'-chlorethylamide (ACEA), on behavioral fear. In experiment 1 involving gonadally-intact females, ACEA (either 0.1 or 0.01 mg/kg) was without effect in the elevated plus maze (EPM), and the lower dose decreased anxiety in the open field test (OFT). AM251 increased anxiety in the EPM and decreased locomotor activity in the OFT. Twenty-four hours after fear conditioning, neither ACEA nor AM251 affected generalized fear or conditioned fear recall. AM251 and 0.1 mg/kg ACEA impaired, and 0.01 mg/kg ACEA enhanced, within-session fear extinction. AM251 increased plasma corticosterone concentrations after the fear extinction session, whereas ACEA was without effect. Based on evidence that estradiol may moderate the effects of CB1 receptor signaling in females, experiment 2 involved ovariectomized (OVX) rats provided with 10-μg 17β-Estradiol and compared with OVX rats without hormone replacement (oil vehicle). Irrespective of hormone treatment, AM251 increased anxiety in the EPM, whereas ACEA (0.01 mg/kg) was without effect. Neither hormone nor drug altered anxiety in the OFT, but estradiol increased and AM251 decreased distance traveled. After fear conditioning, AM251 decreased generalized fear. Neither hormone nor drug had any effect on recall or extinction of conditioned fear, however, ACEA and AM251 increased fear-induced plasma corticosterone concentrations. Further, when results with intact rats were compared with those from OVX rats, gonadal status did not moderate the effects of either AM251 or ACEA, although OVX displayed greater anxiety and fear than did intact rats. Thus, the effects of CB1 receptor antagonism and agonism in adult female rats do not depend on ovarian estradiol. PMID:26311003

  5. Are the dental health needs of adults with illegal drug dependence being met by current service provision in the United Kingdom?: a literature review.

    Science.gov (United States)

    Hewson, Victoria; Wray, Jane

    2012-10-01

    This literature review outlines the current issues and debates relating to the dental health of adults with drug dependence. The dental health of adults with illegal drug dependence (IDD) continues to be under debate throughout dental practice, and the most appropriate model of care suitable to meet the high complex needs of this client group remains uncertain. The study aims to review and critically analyze available research relating to the oral health effects of illegal drug misuse and the dental health needs and status of adults with drug dependence. Second, it aims to identify and critically evaluate current models of dental service/care delivery, including relevant best practice guidance and potential barriers to dental access for adults with IDD. The available literature pertaining to dental health and adults with drug dependence are systematically reviewed and critically analyzed and evaluated in order to execute a rigorous investigation. The oral effects along with general medical complications associated with IDD are increasingly being recognized. There are substantive negative effects of IDD on oral health, particularly for those with opioid dependence; therefore, these clients have high complex dental needs and low use of dental services. Adults with drug dependence comprise a group with special dental needs and therefore need greater access to dental care than most people due to their high level of need. A high awareness of the implications for oral health care for adults with drug dependence is essential. Dental professionals have a key role in supporting the rehabilitation of these patients from potentially severe or fatal addictions. There is a distinct lack of national policy and guidance relating specifically to adults with drug dependence, and therefore, problems persist. Key findings and recommendations are presented to enhance the development of dental services for adults with IDD.

  6. Detection and Proportion of Very Early Dental Caries in Independent Living Older Adults

    Science.gov (United States)

    Holtzman, Jennifer S.; Kohanchi, Daniel; Biren-Fetz, John; Fontana, Margherita; Ramchandani, Manisha; Osann, Kathryn; Hallajian, Lucy; Mansour, Stephanie; Nabelsi, Tasneem; Chung, Na Eun; Wilder-Smith, Petra

    2015-01-01

    Background and Objectives Dental caries is an important healthcare challenge in adults over 65 years of age. Integration of oral health screening into non-dental primary care practice may improve access to preventive dental care for vulnerable populations such as the elderly. Such integration would require easy, fast, and accurate early caries detection tools. Primary goal of this study was to evaluate the diagnostic performance of optical coherence tomography (OCT) imaging for detecting very early caries in the elderly living in community-based settings. The International Caries Detection and Assessment System (ICDAS) served as gold standard. Secondary goal of this study was to provide baseline prevalence data of very early caries lesions in independent living adults aged 65+ years. Materials and Methods Seventy-two subjects were recruited from three sites in Southern California: a retirement community, a senior health fair, and a convalescent hospital. Clinical examination was performed using the ICDAS visual criteria and this was followed by OCT imaging. The two-dimensional OCT images (B-scan) were analyzed with simple software. Locations with a log of back-scattered light intensity (BSLI) below 2.9 were scored as sound, and areas equaling or exceeding 2.9 BSLI were considered carious. Diagnostic performance of OCT imaging was compared with ICDAS score. Results OCT-based diagnosis demonstrated very good sensitivity (95.1%) and good specificity (85.8%). 54.7% of dentate subjects had at least one tooth with very early coronal caries. Conclusions Early coronal decay is prevalent in the unrestored pits and fissures of coronal surfaces of teeth in independent living adults aged 65+ years. Though OCT imaging coupled with a simple diagnostic algorithm can accurately detect areas of very early caries in community-based settings, existing devices are expensive and not well-suited for use by non-dental health care providers. Simple, inexpensive, fast, and accurate tools

  7. Comparison of the dental health of adults and children living in NSW with their counterparts in the US and UK.

    Science.gov (United States)

    Blinkhorn, Anthony S

    2009-01-01

    This paper aims to place the findings of the NSW Adult and Child Dental Health Surveys in an international context. The comparator countries are the US and the UK, both of which have well-documented epidemiological dental health data. The US has a mainly private system of dental care, similar to NSW, whereas the UK has primarily a government-funded dental care program. The adult data collected in the last 20 years in all three locations indicates greatly improved oral health with a decline in the proportions of people with no natural teeth. The majority of children have few dental problems but inequality remains with some children in lower socioeconomic groups still having high levels of dental ill health, which contributes to a lower quality of life. Improving population levels of oral health in all three countries will require collective decision-making by stakeholders and politicians to finance plans for action and manage change to help those individuals for whom dental disease is still a major problem. PMID:19401069

  8. Substance use, dental hygiene, and physical activity in adult patients with single ventricle physiology

    DEFF Research Database (Denmark)

    Overgaard, Dorthe; Schrader, Anne-Marie; Lisby, Karen H;

    2013-01-01

    was mailed to the patients. Nonresponders did not differ significantly from the included participants on age, gender, or physical function. SETTING: The study was conducted at the Heart Center of Copenhagen University Hospital or the Department of Cardiology, Aarhus University Hospital. RESULTS...... differences in overall health behaviors between SVP patients and controls, SVP patients are less physically active and are less likely to binge drink.......OBJECTIVES: The study aims to describe substance use, dental hygiene, and physical activity in adult survivors with single ventricle physiology (SVP) and to compare the behaviors with matched controls, while the patients are particularly at risk for general health problems. DESIGN: The present...

  9. 3种不同龋病治疗方法对儿童牙科畏惧症的影响%Influence of different caries treatments on children′s dental fear and anxiety

    Institute of Scientific and Technical Information of China (English)

    王慧民; 汪俊; 陈曦; 冯希平

    2014-01-01

    Objective To compare the influence of three different caries treatments,including traditional application of rotary instru-ments,atraumatic restorative treatment(ART)and chemo-mechanical method,on children′s dental fear and anxiety.Methods Ninety pediatric patients aged 5-1 2 years who suffered from dental caries were randomly divided into different treatment groups:conventional bur caries group,ART group and chemo-mechanical caries removal group.Dental fear during the treatments was assessed using Facial Image Scale (FIS).Chi square test was performed with SPSS1 9.0 statistical software.Results The degrees of fear among three groups were significantly different.The group using traditional method had higher rate of fear than other two groups.Conclusions The Atrau-matic restorative treatment and the chemo-mechanical technique are more effective in easing children′s dental fear and anxiety and a-chieving better physical and psychological health of children.%目的:比较3种不同龋病治疗方法对儿童牙科畏惧症的影响。方法选择乳磨牙患Ⅱ度龋的90例患儿,随机分为不同龋病治疗组:传统车针去龋组、非创伤性修复(atraumatic restorative treatment,ART)组、化学-机械去龋组。运用面部表情分级法(Facial Image Scale,FIS)比较3组患儿的畏惧程度。采用SPSS19.0软件包进行卡方检验统计学处理。结果3组畏惧程度有显著性差异(P<0.05),传统去龋组的畏惧程度高于其他两组,其与 ART组之间的差异具有统计学意义(P<0.05)。结论非创伤性修复法和化学-机械去龋法可较为有效地缓解儿童牙科畏惧。

  10. Dental anxiety and pain related to ART

    OpenAIRE

    Soraya Coelho Leal; Danielle Matos de Menezes Abreu; FRENCKEN, Jo. E.

    2009-01-01

    Atraumatic Restorative Treatment (ART) is considered to be well accepted, both by children and by adult patients. The objective of this review is to present and discuss the evidence regarding the acceptability of ART, from the patient's perspective. Aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. CONCLUSIONS: The ART approach has been shown to cause less discomfort than...

  11. Neonatal Whisker Trimming Impairs Fear/Anxiety-Related Emotional Systems of the Amygdala and Social Behaviors in Adult Mice

    Science.gov (United States)

    Soumiya, Hitomi; Godai, Ayumi; Araiso, Hiromi; Mori, Shingo; Furukawa, Shoei; Fukumitsu, Hidefumi

    2016-01-01

    Abnormalities in tactile perception, such as sensory defensiveness, are common features in autism spectrum disorder (ASD). While not a diagnostic criterion for ASD, deficits in tactile perception contribute to the observed lack of social communication skills. However, the influence of tactile perception deficits on the development of social behaviors remains uncertain, as do the effects on neuronal circuits related to the emotional regulation of social interactions. In neonatal rodents, whiskers are the most important tactile apparatus, so bilateral whisker trimming is used as a model of early tactile deprivation. To address the influence of tactile deprivation on adult behavior, we performed bilateral whisker trimming in mice for 10 days after birth (BWT10 mice) and examined social behaviors, tactile discrimination, and c-Fos expression, a marker of neural activation, in adults after full whisker regrowth. Adult BWT10 mice exhibited significantly shorter crossable distances in the gap-crossing test than age-matched controls, indicating persistent deficits in whisker-dependent tactile perception. In contrast to controls, BWT10 mice exhibited no preference for the social compartment containing a conspecific in the three-chamber test. Furthermore, the development of amygdala circuitry was severely affected in BWT10 mice. Based on the c-Fos expression pattern, hyperactivity was found in BWT10 amygdala circuits for processing fear/anxiety-related responses to height stress but not in circuits for processing reward stimuli during whisker-dependent cued learning. These results demonstrate that neonatal whisker trimming and concomitant whisker-dependent tactile discrimination impairment severely disturbs the development of amygdala-dependent emotional regulation. PMID:27362655

  12. Neonatal Whisker Trimming Impairs Fear/Anxiety-Related Emotional Systems of the Amygdala and Social Behaviors in Adult Mice.

    Directory of Open Access Journals (Sweden)

    Hitomi Soumiya

    Full Text Available Abnormalities in tactile perception, such as sensory defensiveness, are common features in autism spectrum disorder (ASD. While not a diagnostic criterion for ASD, deficits in tactile perception contribute to the observed lack of social communication skills. However, the influence of tactile perception deficits on the development of social behaviors remains uncertain, as do the effects on neuronal circuits related to the emotional regulation of social interactions. In neonatal rodents, whiskers are the most important tactile apparatus, so bilateral whisker trimming is used as a model of early tactile deprivation. To address the influence of tactile deprivation on adult behavior, we performed bilateral whisker trimming in mice for 10 days after birth (BWT10 mice and examined social behaviors, tactile discrimination, and c-Fos expression, a marker of neural activation, in adults after full whisker regrowth. Adult BWT10 mice exhibited significantly shorter crossable distances in the gap-crossing test than age-matched controls, indicating persistent deficits in whisker-dependent tactile perception. In contrast to controls, BWT10 mice exhibited no preference for the social compartment containing a conspecific in the three-chamber test. Furthermore, the development of amygdala circuitry was severely affected in BWT10 mice. Based on the c-Fos expression pattern, hyperactivity was found in BWT10 amygdala circuits for processing fear/anxiety-related responses to height stress but not in circuits for processing reward stimuli during whisker-dependent cued learning. These results demonstrate that neonatal whisker trimming and concomitant whisker-dependent tactile discrimination impairment severely disturbs the development of amygdala-dependent emotional regulation.

  13. Older Adults and the Fear of Death: The Protective Function of Generativity.

    Science.gov (United States)

    Major, Rochelle J; Whelton, William J; Schimel, Jeff; Sharpe, Donald

    2016-06-01

    Terror management theory (TMT) posits that cultural worldviews function to allay concerns about human mortality. Preliminary research with older adults has indicated that seniors do not respond to death reminders in the same way as their younger counterparts. The purpose of the current study was to test a developmentally relevant construct that may buffer death anxiety in later life. It was hypothesized that Erikson's concept of generativity may encompass death-denying properties for older adults. One hundred and seventy-nine seniors were recruited to determine if subtle mortality salience inductions would lead participants to rate their own generativity as higher than after a blatant induction, or no induction, after controlling for pre-induction generativity. As expected, participants exposed to subtle death primes rated themselves as having higher levels of generativity than the other two groups after co-varying pre-induction generativity. Explanations are discussed in light of the literatures on TMT and generativity. PMID:27118066

  14. Design of the Prevention of Adult Caries Study (PACS: A randomized clinical trial assessing the effect of a chlorhexidine dental coating for the prevention of adult caries

    Directory of Open Access Journals (Sweden)

    Snyder John J

    2010-10-01

    Full Text Available Abstract Background Dental caries is one of the primary causes of tooth loss among adults. It is estimated to affect a majority of Americans aged 55 and older, with a disproportionately higher burden in disadvantaged populations. Although a number of treatments are currently in use for caries prevention in adults, evidence for their efficacy and effectiveness is limited. Methods/Design The Prevention of Adult Caries Study (PACS is a multicenter, placebo-controlled, double-blind, randomized clinical trial of the efficacy of a chlorhexidine (10% w/v dental coating in preventing adult caries. Participants (n = 983 were recruited from four different dental delivery systems serving four diverse communities, including one American Indian population, and were randomized to receive either chlorhexidine or a placebo treatment. The primary outcome is the net caries increment (including non-cavitated lesions from baseline to 13 months of follow-up. A cost-effectiveness analysis also will be considered. Discussion This new dental treatment, if efficacious and approved for use by the Food and Drug Administration (FDA, would become a new in-office, anti-microbial agent for the prevention of adult caries in the United States. Trial Registration Number NCT00357877

  15. Equal pain – Unequal fear response: Enhanced susceptibility of tooth pain to fear conditioning

    Directory of Open Access Journals (Sweden)

    Michael Lukas Meier

    2014-07-01

    Full Text Available Experimental fear conditioning in humans is widely used as a model to investigate the neural basis of fear learning and to unravel the pathogenesis of anxiety disorders. It has been observed that fear conditioning depends on stimulus salience and subject vulnerability to fear. It is further known that the prevalence of dental-related fear and phobia is exceedingly high in the population. Dental phobia is unique as no other body part is associated with a specific phobia. Therefore, we hypothesized that painful dental stimuli exhibit an enhanced susceptibility to fear conditioning when comparing to equal perceived stimuli applied to other body sites. Differential susceptibility to pain-related fear was investigated by analyzing responses to an unconditioned stimulus (UCS applied to the right maxillary canine (UCS-c versus the right tibia (UCS-t. For fear conditioning, UCS-c and USC-t consisted of painful electric stimuli, carefully matched at both application sites for equal intensity and quality perception. UCSs were paired to simple geometrical forms which served as conditioned stimuli (CS+. Unpaired CS+ were presented for eliciting and analyzing conditioned fear responses. Outcome parameter were 1 skin conductance changes and 2 time-dependent brain activity (BOLD responses in fear-related brain regions such as the amygdala, anterior cingulate cortex, insula, thalamus, orbitofrontal cortex and medial prefrontal cortex.A preferential susceptibility of dental pain to fear conditioning was observed, reflected by heightened skin conductance responses and enhanced time-dependent brain activity (BOLD responses in the fear network. For the first time, this study demonstrates fear-related neurobiological mechanisms that point towards a superior conditionability of tooth pain. Beside traumatic dental experiences our results offer novel evidence that might explain the high prevalence of dental-related fears in the population.

  16. Differential effects of CB1 receptor agonism in behavioural tests of unconditioned and conditioned fear in adult male rats.

    Science.gov (United States)

    Simone, Jonathan J; Green, Matthew R; Hodges, Travis E; McCormick, Cheryl M

    2015-02-15

    We investigated the effects of the highly selective CB1 receptor agonist ACEA and the CB1 receptor antagonist/inverse agonist AM251 on two behavioural tests of unconditioned fear, the elevated plus maze (EPM) and open field test (OFT), as well as on the recall and extinction of a conditioned auditory fear. Both ACEA and AM251 increased anxiety-like behaviour in the EPM and OFT. There was no effect of either drug on recall of the conditioned fear, and ACEA enhanced and AM251 impaired fear extinction. Further, though both the low (0.1 mg/kg) and high (0.5 mg/kg) dose of ACEA facilitated fear extinction, the low dose attenuated, and the high dose potentiated, fear induced corticosterone release suggesting independent effects of the drug on fear and stress responses. Although the extent to which cannabinoids are anxiogenic or anxiolytic has been proposed to be dose-dependent, these results indicate that the same dose has differential effects across tasks, likely based in differences in sensitivities of CB1 receptors to the agonist in the neural regions subserving unconditioned and conditioned fear.

  17. Stimulus fear-relevance and the vicarious learning pathway to childhood fears

    OpenAIRE

    Askew, C.; Dunne, G.; Ozdil, A; Reynolds, G; Field, A.P.

    2013-01-01

    Enhanced fear learning for fear-relevant stimuli has been demonstrated in procedures with adults in the laboratory. Three experiments investigated the effect of stimulus fear-relevance on vicarious fear learning in children (aged 6-11 years). Pictures of stimuli with different levels of fear-relevance (flowers, caterpillars, snakes, worms, and Australian marsupials) were presented alone or together with scared faces. In line with previous studies, children's fear beliefs and avoidance prefere...

  18. Dental caries and tooth loss in adults in a Brazilian southeastern state

    Directory of Open Access Journals (Sweden)

    Lilian Berta Rihs

    2009-10-01

    Full Text Available OBJECTIVE: The purpose of this study was to analyze dental caries experience of adults living in the southeastern state of São Paulo, Brazil, according to some socio-demographic conditions of this population. MATERIAL AND METHODS: The sample consisted of 1,159 school teachers and workers (35 to 44 years old from 29 cities of the state of São Paulo, Brazil. RESULTS: 92.3% were dentate and the DMFT index (number of decayed, missing and filled teeth was 21.0 and the mean number of decayed teeth was 1.1, with no significant difference among adults from regions with and without fluoridation. Male subjects presented the highest mean values of "D" (decayed teeth and "M" (missing teeth components. The percentage of caries-free subjects was higher among white subjects, as well as the mean number of teeth present in the mouth. The mean values of the "F" component (filled teeth [9.81] and present teeth [19.3] were higher for adults from fluoridated water regions. CONCLUSIONS: In this study, the worse condition observed was the early tooth loss in all groups. In addition, people with worse socio-demographic conditions had worse oral health conditions. It is expected that oral health programs targeted to this population could be established with the goal of improving the oral health conditions of this population and hence the maintenance of the teeth for a longer period in function.

  19. Blocking glucocorticoid receptors at adolescent age prevents enhanced freezing between repeated cue-exposures after conditioned fear in adult mice raised under chronic early life stress.

    Science.gov (United States)

    Arp, J Marit; Ter Horst, Judith P; Loi, Manila; den Blaauwen, Jan; Bangert, Eline; Fernández, Guillén; Joëls, Marian; Oitzl, Melly S; Krugers, Harm J

    2016-09-01

    Early life adversity can have long-lasting impact on learning and memory processes and increase the risk to develop stress-related psychopathologies later in life. In this study we investigated (i) how chronic early life stress (ELS) - elicited by limited nesting and bedding material from postnatal day 2 to 9 - affects conditioned fear in adult mice and (ii) whether these effects can be prevented by blocking glucocorticoid receptors (GRs) at adolescent age. In adult male and female mice, ELS did not affect freezing behavior to the first tone 24h after training in an auditory fear-conditioning paradigm. Exposure to repeated tones 24h after training also resulted in comparable freezing behavior in ELS and control mice, both in males and females. However, male (but not female) ELS compared to control mice showed significantly more freezing behavior between the tone-exposures, i.e. during the cue-off periods. Intraperitoneal administration of the GR antagonist RU38486 during adolescence (on postnatal days 28-30) fully prevented enhanced freezing behavior during the cue-off period in adult ELS males. Western blot analysis revealed no effects of ELS on hippocampal expression of glucocorticoid receptors, neither at postnatal day 28 nor at adult age, when mice were behaviorally tested. We conclude that ELS enhances freezing behavior in adult mice in a potentially safe context after cue-exposure, which can be normalized by brief blockade of glucocorticoid receptors during the critical developmental window of adolescence. PMID:27246249

  20. 全程心理诱导对儿童窝沟封闭效果的观察%Experience in the Clinical Application of Psychological Induction Intervention in Children’s Dental Fear

    Institute of Scientific and Technical Information of China (English)

    马静娴; 阙荣萍

    2013-01-01

      目的:探讨心理诱导在儿童牙科畏惧症患者中临床应用的价值。方法:选择松江区一年级6~7岁儿童,随机分为诱导组和对照组,进行心理学诱导介入。结果:通过心理学诱导,窝沟封闭操作效率有所提高。结论:临床医疗活动中心心理诱导对提高窝沟封闭效率起到一定的作用。%Objective:To discuss the clinical application value of psychological induction in children’s dental fear patient was investigated. Method:6-7-year-old children were selected in Songjiang district.The children had been divided into induction group and control group with the random number table.Then,psychological induction was intervened.Result:Abscission ratio of fissure sealant decreased greatly.Conclusion:It is good to induce children’s dental fear by psychological induction during the process of clinical.

  1. A scoping review of the implications of adult obesity in the delivery and acceptance of dental care.

    Science.gov (United States)

    Marshall, A; Loescher, A; Marshman, Z

    2016-09-01

    Background Due to the increasing prevalence of obesity within the general population it is presumed that the prevalence of overweight and obese adults accessing dental services will also increase. For this reason dentists need to be aware of implications of managing such patients.Methods A scoping review was carried out. Both Medline via OVID and Scopus databases were searched along with grey literature databases and the websites of key organizations. Inclusion and exclusion criteria were established. The data were collected on a purpose-made data collection form and analysed descriptively.Results The review identified 28 relevant published articles and two relevant items of grey literature. Following review of this literature three themes relating to adult obesity in the delivery and acceptance of dental care emerged; clinical, service delivery and patient implications. The majority of the papers focused on the clinical implications.Conclusion On the topic of adult obesity and dental care, the majority of published and grey literature focuses on the clinical implications. Further research is needed on both the patients' perspectives of being overweight or obese and the delivery and acceptance of dental care and the service delivery implications. PMID:27608579

  2. Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

    DEFF Research Database (Denmark)

    Hänsel Petersson, Gunnel; Ericson, Ewa; Isberg, Per-Erik;

    2012-01-01

    to the PDS guidelines. A research team collected whole saliva samples and information from a questionnaire and a structured interview in order to calculate risk according to the Cariogram model. Results. The mean DFS value was 4.9 and 23% of the patients were registered as caries-free (DFS = 0). The PDS risk......Abstract Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental...

  3. Mild Traumatic Brain Injury with Social Defeat Stress Alters Anxiety, Contextual Fear Extinction, and Limbic Monoamines in Adult Rats

    OpenAIRE

    Davies, Daniel R.; Olson, Dawne; Meyer, Danielle L.; Scholl, Jamie L.; Watt, Michael J.; Manzerra, Pasquale; Renner, Kenneth J.; Forster, Gina L.

    2016-01-01

    Mild traumatic brain injury (mTBI) produces symptoms similar to those typifying posttraumatic stress disorder (PTSD) in humans. We sought to determine whether a rodent model of stress concurrent with mTBI produces characteristics of PTSD such as impaired contextual fear extinction, while also examining concurrent alterations to limbic monoamine activity in brain regions relevant to fear and anxiety states. Male rats were exposed to social stress or control conditions immediately prior to mTBI...

  4. Mild traumatic brain injury with social defeat stress alters anxiety, contextual fear extinction, and limbic monoamines in adult rats

    OpenAIRE

    Daniel eDavies; Dawne eOlson; Danielle eMeyer; Jamie eScholl; Michael eWatt; Pasquale eManzerra; Kenneth eRenner; Forster, Gina L.

    2016-01-01

    Mild traumatic brain injury (mTBI) produces symptoms similar to those typifying posttraumatic stress disorder (PTSD) in humans. We sought to determine whether a rodent model of stress concurrent with mTBI produces characteristics of PTSD such as impaired contextual fear extinction, while also examining concurrent alterations to limbic monoamine activity in brain regions relevant to fear and anxiety states. Male rats were exposed to social stress or control conditions immediately prior to mT...

  5. Psychosocial determinants of dental service utilization among adults: Results from a population-based survey (Urban HEART-2) in Tehran, Iran

    OpenAIRE

    Bahramian, Hoda; Mohebbi, Simin Z.; Khami, Mohammad R; Asadi-Lari, Mohsen; Shamshiri, Ahmad R.; Hessari, Hossein

    2015-01-01

    Objectives: To evaluate the association between dental service utilization and mental health in an adult population in the context of the socioeconomic status of the participants. Subjects and Methods: Multi-stage cluster random sampling was performed in Tehran, Iran, in 2011. Data were collected on dental service utilization, barriers of dental visit, self-perceived oral health, mental health, age, gender, education, and wealth status. The complex sample analysis method in SPSS and the surve...

  6. Adult dental anxiety and related dentist beliefs in Danish private practices

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.

    1997-01-01

    A qualitative study about the effects of dental anxiety on private dental practices in Denmark was made. Characteristics of 53 anxious patients were surveyed from 42 randomly selected private practices (PP) in Århus, Denmark. Samples from the specialist dental phobia treatment center, Forsknings-...

  7. Mouthwash Use in General Population: Results from Adult Dental Health Survey in Grampian, Scotland

    Directory of Open Access Journals (Sweden)

    Kirstin Rhodes

    2010-10-01

    Full Text Available Objectives: The purpose of this study was to determine the pattern of mouthwash use and to investigate the associated factors in general population.Material and Methods: An Adult Dental Health Survey was conducted on 3,022 residents of Grampian region of Scotland (adjusted participation rate 58.2%. Participants received a questionnaire consisting of questions on oral health and behavioural factors.Results: The majority of participants (38.1% have never used mouthwash, 17.5% used mouthwash less than once a month, 19.4% used mouthwash once every few days and 25.1% used mouthwash daily.Prevalence of use decreased with age (P < 0.001. Woman were more likely to use mouthwash than men (P = 0.004. Mouthwash use decreased with decrease in the level of deprivation (P < 0.001. Never-smokers were less likely to use mouthwash (40.3% compared to smokers (53.1% or those who stopped smoking (46.5% (P < 0.001. Mouthwash was used by smaller proportion of people drinking alcohol on daily basis (36.6%, than by abstainers (42.2% (P = 0.012.There was a positive relationship between flossing or brushing pattern and mouthwash use (P < 0.001. There was statistically significant relationship between mouthwash use and reasons for the last dental visit (P = 0.009.When compared to healthy individuals, mouthwash was used by higher proportion of people reporting that they had gum disease (P = 0.001, ulcers (P = 0.001, oral infections or swelling (P = 0.002 or other problems (P = 0.025.Conclusions: Mouthwash use in general population is associated with socio-demographic, health and behavioural factors.

  8. The relationship between neighborhood empowerment and dental caries experience: a multilevel study in adolescents and adults

    Directory of Open Access Journals (Sweden)

    Bianca Marques Santiago

    2014-01-01

    Full Text Available OBJECTIVE: To investigate the relationship of contextual social capital (neighborhood empowerment and individual social capital (social support and social network with dental caries experience in adolescents and adults. METHODS: A population-based multilevel study was conducted involving 573 subjects, 15-19 and 35-44 years of age, from 30 census tracts in three cities of Paraíba, Brazil. A two-stage cluster sampling was used considering census tracts and households as sampling units. Caries experience was assessed using the DMFT index (decayed, missing and filled teeth and participants were divided into two groups according to the median of the DMFT index in low and high caries experience. Demographic, socioeconomic, behaviors, use of dental services and social capital measures were collected through interviews. Neighborhood empowerment was obtained from the mean scores of the residents in each census tract. Multilevel multivariate logistic regression was used to test the relationship between neighborhood empowerment and caries experience. RESULTS: High caries experience was inversely associated with neighborhood empowerment (OR = 0.58; 95%CI 0.33 - 0.99. Individual social capital was not associated with caries experience. Other associated factors with caries experience were age (OR = 1.15; 95%CI 1.12 - 1.18 and being a female (OR = 1.72; 95%CI 1.08 - 2.73. CONCLUSION: The association between neighborhood empowerment and caries experience suggests that the perception of features of the place of residence should be taken into account in actions of oral health promotion.

  9. Mild traumatic brain injury with social defeat stress alters anxiety, contextual fear extinction, and limbic monoamines in adult rats

    Directory of Open Access Journals (Sweden)

    Daniel eDavies

    2016-04-01

    Full Text Available Mild traumatic brain injury (mTBI produces symptoms similar to those typifying posttraumatic stress disorder (PTSD in humans. We sought to determine whether a rodent model of stress concurrent with mTBI produces characteristics of PTSD such as impaired contextual fear extinction, while also examining concurrent alterations to limbic monoamine activity in brain regions relevant to fear and anxiety states. Male rats were exposed to social stress or control conditions immediately prior to mTBI induction, and 6 days later were tested either for anxiety-like behavior using the elevated plus maze (EPM, or for contextual fear conditioning and extinction. Brains were collected 24 hr after EPM testing, and tissue from various limbic regions analyzed for content of monoamines, their precursors and metabolites using HPLC with electrochemical detection. Either social defeat or mTBI alone decreased time spent in open arms of the EPM, indicating greater anxiety-like behavior. However, this effect was enhanced by the combination of treatments. Further, rats exposed to both social defeat and mTBI exhibited greater freezing within extinction sessions compared to all other groups, suggesting impaired contextual fear extinction. Social defeat combined with mTBI also had greater effects on limbic monoamines than either insult alone, particularly with respect to serotonergic effects associated with anxiety and fear learning. The results suggest social stress concurrent with mTBI produces provides a relevant animal model for studying the prevention and treatment of post-concussive psychobiological outcomes.

  10. Mild Traumatic Brain Injury with Social Defeat Stress Alters Anxiety, Contextual Fear Extinction, and Limbic Monoamines in Adult Rats.

    Science.gov (United States)

    Davies, Daniel R; Olson, Dawne; Meyer, Danielle L; Scholl, Jamie L; Watt, Michael J; Manzerra, Pasquale; Renner, Kenneth J; Forster, Gina L

    2016-01-01

    Mild traumatic brain injury (mTBI) produces symptoms similar to those typifying posttraumatic stress disorder (PTSD) in humans. We sought to determine whether a rodent model of stress concurrent with mTBI produces characteristics of PTSD such as impaired contextual fear extinction, while also examining concurrent alterations to limbic monoamine activity in brain regions relevant to fear and anxiety states. Male rats were exposed to social stress or control conditions immediately prior to mTBI induction, and 6 days later were tested either for anxiety-like behavior using the elevated plus maze (EPM), or for contextual fear conditioning and extinction. Brains were collected 24 h after EPM testing, and tissue from various limbic regions analyzed for content of monoamines, their precursors and metabolites using HPLC with electrochemical detection. Either social defeat or mTBI alone decreased time spent in open arms of the EPM, indicating greater anxiety-like behavior. However, this effect was enhanced by the combination of treatments. Further, rats exposed to both social defeat and mTBI exhibited greater freezing within extinction sessions compared to all other groups, suggesting impaired contextual fear extinction. Social defeat combined with mTBI also had greater effects on limbic monoamines than either insult alone, particularly with respect to serotonergic effects associated with anxiety and fear learning. The results suggest social stress concurrent with mTBI produces provides a relevant animal model for studying the prevention and treatment of post-concussive psychobiological outcomes. PMID:27147992

  11. Evaluation of dentistry nurse’s communication in converse children dental fear%口腔科护士在儿童牙科畏惧症中作用初探

    Institute of Scientific and Technical Information of China (English)

    张菊; 曾娟; 朱晔; 葛兵

    2014-01-01

    Objective:Evaluation of dentistry nurse’s communication in converse children dental fear.Methods:186 dental fear children were selected by DAS from pedodontical patient in Suzhou Huaxia stomatological hospital between January to march in 2013.The children were put in test team and control team randomly.The children which in test team were communicated with nurse,watched cartoon and showed other patient before checked.The control team was communicated with their parents.At last,the children who checked and operated were counted to“cooperate”,others were counted to“not fit”.Re-sult:76“cooperate”,17“not fit”in test team;31“cooperate”,62“not fit”in control team.The result control ed by X2 test was statistical significance.Conclusion:The communication between nurse and dental fear children was useful in clinic.%目的::探讨护士术前沟通在克服儿童牙科畏惧症中的作用。方法:2013年1月-2013年3月苏州市华夏口腔医院口腔内科初诊儿科患者通过填写DAS量表筛选出牙科畏惧症患者186名,随机分入试验组和对照组,试验组由护士通过语言沟通、动画视频、带领观察其他小患者等方式进行术前沟通。对照组则由家长进行说服。比较两组患者的临床配合程度。能配合进行检查并完成操作者计为“配合”;无法进行检查者或不能完成操作者计为“不配合”。结果:试验组配合者76名,不配合者17名;对照组配合者31名,不配合者62名,经卡方检验有统计学意义。讨论:对于牙科畏惧症的儿童通过护士的术前沟通有利于临床诊疗。

  12. [Determinants of dental services utilization by adults: a population-based study in Florianópolis, Santa Catarina State, Brazil].

    Science.gov (United States)

    Miranda, Camila Dal-Bó Coradini; Peres, Marco Aurélio

    2013-11-01

    This study aimed to estimate the prevalence of dental services utilization by adults and to identify associated socioeconomic, demographic, behavioral, and self-awareness factors. A cross-sectional population-based study was conducted with adults living in the urban area of Florianópolis, Santa Catarina State, Brazil, in 2009. Associations were tested between use of dental services and predisposing, enabling, and needs-based variables. Multivariate analysis was conducted using Poisson regression with estimates of prevalence ratios and was stratified by place of last dental appointment. Prevalence of dental services utilization was 66% (95%CI: 62.9-70.7). Dental visits were 20% more frequent among women and 72% more frequent among individuals with more schooling (the latter in both public and private dental services). Individuals with private dental plans used dental services 13% more than those without. Schooling was the most important variable in predicting utilization. The study's results show the importance of monitoring associated factors in order to promote more equitable use of dental services.

  13. Reliability of Dental Attrition as a Sole Parameter for Age Estimation among North Western Adult Indians

    Directory of Open Access Journals (Sweden)

    J. Arora

    2014-09-01

    Full Text Available Dental ageing is important in medico legal cases when teeth are the only material available to the investigating agencies for identification of the deceased. Attrition, which is the wear of occlusal surface of tooth (a physiological change; can be used as a determinant parameter for this purpose. The present study has been undertaken to examine the reliability of attrition as a sole parameter for age estimation among North Western adult Indians. 109 (43males, 66 females single rooted freshly extracted teeth ranging in age from 18-75years were studied. Teeth were fixed, cleaned and sectioned labiolingually upto thickness of 1mm. Sections were then mounted and attrition was graded from 0-3 according to Gustafson’s method. Scores were subjected to regression equation to estimate age of an individual. Results of the present study revealed that this parameter is reliable in individuals of ≤ 60 years with an error of ±10years. However, periodontal disease severely affected the accuracy of age estimation from this parameter as is evident from the results. Statistically no significant difference was noted in absolute mean error of age in different age groups. No significant difference was observed in absolute mean error of age in both the sexes.

  14. Price and the efficacy of the polytetrafluoroethylene (PTFE) tape for the removal of the proximal dental biofilm compared to the common nylon dental floss in adolescents and young adults.

    OpenAIRE

    Jorge Eduardo Tascón; Julio César Giraldo; Alejandro Madrid; Mónica del Pilar Gallego

    2009-01-01

    Objective: To identify the price and the efficacy of the polytetrafluoroethylene PTFE tape as an oral hygiene method for the removal of the proximal dental biofilm, compared to the common nylon dental floss in adolescents and young adults. Methods: The polytetrafluoroethylene tape was used as a method for the removal of the proximal dental biofilm. By a randomized procedure the sample size was of 87 (31 men and 56 women) between 16 and 28 years old. The oral hygiene of the participants was s...

  15. Anxiety, Fears, and Phobias (For Parents)

    Science.gov (United States)

    ... fears that stem from childhood experiences. An adult's fear of public speaking may be the result of embarrassment in front of peers many years before. It's important for parents to recognize and identify the signs and symptoms of kids' anxieties so that fears don't get in the way of everyday ...

  16. Psychological distress and emotional pain among adult attendees of a dental clinic: a case-control study

    Directory of Open Access Journals (Sweden)

    Adebayo Rasheed Erinfolami

    2016-05-01

    Full Text Available We set out to carry out a case-control evaluation of psychological distress and emotional pain among adult attendees of a Nigerian dental clinic. A total of 201 subjects, made up of 101 dental patients (test group matched with age and sex with 100 normal subjects (controls, was recruited into the study. All participants completed a designed socio-demographic questionnaire. General Health Question naire and Psyche ache Assessment Schedule were also administered to assess psychological distress based on cut-off scores ≥3 and emotional pain based on cut-off scores ≥28 respectively. The mean ages of study and control group were 33 (±12 and 36 (±13 years respectively, and both study and control groups were not significantly different in all the assessed socio-demographic parameters. Overall, 21.8% (n=22 of the subjects had psychological distress, while only 7% of the control group had psychological distress. This difference was statistically significant (P=0.003. Similarly, there was significant difference in the experience of psyche ache (unbearable psychological pain as over a third of the dental patients (37.6%, n=38 had emotional pain, while only 13% of the controls experienced psych ache (P<0.001. In this study, the burden of psychological distress and emotional pain was many-fold in dental patients when compared with the controls.

  17. Psychological Distress and Emotional Pain Among Adult Attendees of a Dental Clinic: A Case-Control Study.

    Science.gov (United States)

    Erinfolami, Adebayo Rasheed; Olagunju, Andrew Toyin; Oshodi, Yewande Olufunmilayo; Akinbode, Abiola Adelphine; Fadipe, Babatunde; Adeyemo, Wasiu Lanre

    2016-05-18

    We set out to carry out a case-control evaluation of psychological distress and emotional pain among adult attendees of a Nigerian dental clinic. A total of 201 subjects, made up of 101 dental patients (test group) matched with age and sex with 100 normal subjects (controls), was recruited into the study. All participants completed a designed socio-demographic questionnaire. General Health Question naire and Psyche ache Assessment Schedule were also administered to assess psychological distress based on cut-off scores ≥3 and emotional pain based on cut-off scores ≥28 respectively. The mean ages of study and control group were 33 (±12) and 36 (±13) years respectively, and both study and control groups were not significantly different in all the assessed socio-demographic parameters. Overall, 21.8% (n=22) of the subjects had psychological distress, while only 7% of the control group had psychological distress. This difference was statistically significant (P=0.003). Similarly, there was significant difference in the experience of psyche ache (unbearable psychological pain) as over a third of the dental patients (37.6%, n=38) had emotional pain, while only 13% of the controls experienced psych ache (P<0.001). In this study, the burden of psychological distress and emotional pain was many-fold in dental patients when compared with the controls. PMID:27403272

  18. Phenotypic characterizations and comparison of adult dental stem cells with adipose-derived stem cells

    Directory of Open Access Journals (Sweden)

    Razieh Alipour

    2010-01-01

    Conclusions: Both cell populations derived from adipose tissue and dental pulp showed common phenotypic markers of mesenchymal stem cells. In conclusion, mesenchymal stem cells could be isolated and cultured successfully from dental pulp of human exfo-liated deciduous teeth, they are very good candidates for treatment and prevention of human diseases.

  19. A clinician guide to patients afraid of dental injections and numbness.

    Science.gov (United States)

    Armfield, Jason M; Milgrom, Peter

    2011-01-01

    Fears of dental injections remain a clinical problem often requiring cognitive behavioural psychology counselling and sedation in order to carry out needed dental treatment. This study, based on a national survey in Australia, compared patient concerns about numbness caused by local anaesthesia and fears of the injection itself. It also examined associations between dental fearfulness and avoidance associated with patient self-reported negative experiences and treatment need. Clinical advice on how to approach such patients is offered. Relatively high levels of dental anxiety and fear have been reported in several industrialised Western societies (McGrath & Bedi, 2004; Armfield, Spencer & Stewart, 2006; Lahti et al., 2007; Enkling, Marwinski Jöhren, 2006). In the U.K., almost one in three adults consider themselves to always be anxious about going to the dentist (Nuttall et al., 2001). Of concern is that this dental fear may be passed on to the children of anxious adults (Nuttall, Gilbert & Morris, 2008), leading to an inter-generational perpetuation of the problem. There is considerable evidence that dental fear is related to poorer oral health, reduced dental attendance and increased treatment stress for the attending dentist. There are many aspects of going to a dentist that might elicit feelings of apprehension, concern or anxiety in prospective patients (Liddell & Gosse, 1998; Oosterink, de Jongh & Aartman, 2008). One of the most commonly reported concerns relates to receiving injections. Indeed, fear of needles and the treatment of injection fear has been an important focus of a research in the U.K. (Boyle, Newton & Milgrom, 2010). Needle fear, in particular, is a major issue given that the delivery of local anaesthesia via injection is the central plank of pain relief techniques in dentistry (Malamed, 2009) and dentists as well as patients often avoid difficult injections as a consequence, resulting in poor pain control. A less well described anxiety of

  20. Bacterial diversity and community structure of supragingival plaques in adults with dental health or caries revealed by 16S pyrosequencing

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    Cuicui Xiao

    2016-07-01

    Full Text Available Dental caries has a polymicrobial etiology within the complex oral microbial ecosystem. However, the overall diversity and structure of supragingival plaque microbiota in adult dental health and caries are not well understood. Here, 160 supragingival plaque samples from patients with dental health and different severities of dental caries were collected for bacterial genomic DNA extraction, pyrosequencing by amplification of the 16S rDNA V1–V3 hypervariable regions, and bioinformatic analysis. High-quality sequences (2,261,700 clustered into 10,365 operational taxonomic units (OTUs; 97% identity, representing 453 independent species belonging to 122 genera, 66 families, 34 orders, 21 classes, and 12 phyla. All groups shared 7522 OTUs, indicating the presence of a core plaque microbiome. Smooth rarefaction curves were suggestive of plaque microbial diversity. α diversity analysis showed that healthy plaque microbial diversity exceeded that of dental caries, with the diversity decreasing gradually with the severity of caries. The dominant phyla of plaque microbiota included Bacteroidetes, Actinobacteria, Proteobacteria, Firmicutes, Fusobacteria, and TM7. The dominant genera included Capnocytophaga, Prevotella, Actinomyces, Corynebacterium, Neisseria, Streptococcus, Rothia, and Leptotrichia. β diversity analysis showed that the plaque microbial community structure was similar in all groups and that group members were relatively constant, only showing differences in abundance. Analysis of composition differences identified 10 health-related and 21 caries-related genera. Key genera (27 that potentially contributed to plaque microbiota distributions between groups were identified. Finally, co-occurrence network analysis and function prediction were performed. Treatment strategies directed toward modulating microbial interactions and their functional output should be further developed.

  1. A Multilevel Approach on Self-Reported Dental Caries in Subjects of Minority Ethnic Groups: A Cross-Sectional Study of 6440 Adults.

    Science.gov (United States)

    Ardila, Carlos M; Posada-López, Adriana; Agudelo-Suárez, Andrés A

    2016-02-01

    Regional contextual factors and dental caries using multilevel modeling related to adults in minority ethnic groups have been scantily explored. The influence of the socioeconomic context on self-reported dental caries (SRDC) in individuals of minority ethnic groups (IEG) in Colombia was studied. Data from the 2007 National Public Health Survey were collected in 34,843 participants of the population. The influence of different factors on SRDC in IEG was investigated with logistic and multilevel regression analyses. A total of 6440 individuals belonged to an ethnic group. Multilevel analysis showed a significant variance in SRDC that was smaller in IEG level than between states. Multilevel multivariate analysis also associated SRDC with increasing age, lower education level, last dental visit >1 year, unmet dental need and low Gross Domestic Product (GDP). Minority ethnic groups were at risk to report higher dental caries, where low GDP was an important variable to be considered.

  2. Hypnosis compared with group therapy and individual desensitization for dental anxiety

    DEFF Research Database (Denmark)

    Moore, Rod; Abrahamsen, Randi; Brødsgaard, I

    1996-01-01

    Effects of hypnotherapy (HT) and self-hypnosis training on extreme dental anxiety in adults aged 19-65 years were compared with group therapy (GT) and individual desensitization (SD) using scales of dental anxiety, dental beliefs, and fear of a next dentist (after specialist treatment). All...... experimental groups were demographically comparable and showed reduced anxiety and improved dental beliefs compared with 51 control patients. The 25 HT patients did not differ significantly in numbers of dropouts during training compared with the 30 GT patients or 68 SD patients. For patients completing...... treatment, HT (n = 22) reduced dental anxiety to the same degree as GT (n = 24) and SD (n = 60). HT and SD patients required more therapist hours per patient than did GT, but total dropouts at 1 yr after specialist treatment were significantly greater in HT (13/ 25) than for SD rehearsals (5/34) or SD video...

  3. Adolescent and adult rats differ in the amnesic effects of acute ethanol in two hippocampus-dependent tasks: Trace and contextual fear conditioning.

    Science.gov (United States)

    Hunt, Pamela S; Barnet, Robert C

    2016-02-01

    Experience-produced deficits in trace conditioning and context conditioning have been useful tools for examining the role of the hippocampus in learning. It has also been suggested that learning in these tasks is especially vulnerable to neurotoxic effects of alcohol during key developmental periods such as adolescence. In five experiments we systematically examined the presence and source of age-dependent vulnerability to the memory-disrupting effects of acute ethanol in trace conditioning and contextual fear conditioning. In Experiment 1a pre-training ethanol disrupted trace conditioning more strongly in adolescent (postnatal day, PD30-35) than adult rats (PD65-75). In Experiment 1b when pre-training ethanol was accompanied by pre-test ethanol no deficit in trace conditioning was observed in adolescents, suggesting that state-dependent retrieval failure mediated ethanol's disruption of trace conditioning at this age. Experiment 2a and b examined the effect of ethanol pretreatment on context conditioning. Here, adult but not adolescent rats were impaired in conditioned freezing to context cues. Experiment 2c explored state-dependency of this effect. Pre-training ethanol continued to disrupt context conditioning in adults even when ethanol was also administered prior to test. Collectively these findings reveal clear age-dependent and task-dependent vulnerabilities in ethanol's disruptive effects on hippocampus-dependent memory. Adolescents were more disrupted by ethanol in trace conditioning than adults, and adults were more disrupted by ethanol in context conditioning than adolescents. We suggest that adolescents may be more susceptible to changes in internal state (state-dependent retrieval failure) than adults and that ethanol disrupted performance in trace and context conditioning through different mechanisms. Relevance of these findings to theories of hippocampus function is discussed.

  4. Diabetes and Tooth Loss in a National Sample of Dentate Adults Reporting Annual Dental Visits

    OpenAIRE

    Julie M. Kapp, PhD, MPH; Suzanne Austin Boren, PhD; Shumei Yun, PhD; Joseph LeMaster, MD, MPH

    2007-01-01

    Introduction Periodontal disease has been associated with tooth loss and reported as more prevalent among people with diabetes than among those without diabetes. Having an annual dental examination is a national goal of Healthy People 2010. Our objective was to examine whether an association exists between diabetes and tooth loss among a population reporting an annual dental visit. Methods We used data from the 2004 Behavioral Risk Factor Surveillance System to examine the association between...

  5. Assessment of exposures and potential risks to the US adult population from wear (attrition and abrasion) of gold and ceramic dental restorations.

    Science.gov (United States)

    Richardson, G Mark; Clemow, Scott R; Peters, Rachel E; James, Kyle J; Siciliano, Steven D

    2016-01-01

    Little has been published on the chemical exposures and risks of dental restorative materials other than from dental amalgam and composite resins. Here we provide the first exposure and risk assessment for gold (Au) alloy and ceramic restorative materials. Based on the 2001-2004 US National Health and Nutrition Examination Survey (NHANES), we assessed the exposure of US adults to the components of Au alloy and ceramic dental restorations owing to dental material wear. Silver (Ag) is the most problematic component of Au alloy restorations, owing to a combination of toxicity and proportional composition. It was estimated that adults could possess an average of four tooth surfaces restored with Au alloy before exceeding, on average, the reference exposure level (REL) for Ag. Lithium (Li) is the most problematic component of dental ceramics. It was estimated that adults could possess an average of 15 tooth surfaces restored with ceramics before exceeding the REL for Li. Relative risks of chemical exposures from dental materials decrease in the following order: Amalgam>Au alloys>ceramics>composite resins. PMID:25805253

  6. Anti-dentine Salivary SIgA in young adults with a history of dental trauma in deciduous teeth

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    Gabriela Fleury SEIXAS

    2015-01-01

    Full Text Available Anti-dentin autoantibodies are associated with inflammatory root resorption in permanent teeth and are modulated by dental trauma and orthodontic force. However, it is not known whether deciduous tooth trauma can stimulate the development of a humoral immune response against dentin. The aim of this study was to evaluate the levels of salivary SIgA reactivity against human dentin extract in young adults with a history of trauma in the primary dentition. A sample of 78 patients, aged 18 to 25, who had completed an early childhood (0 to 5 years old caries prevention program years earlier at the Universidade Estadual de LondrinaPediatric Clinic, underwent radiographic examination and salivary sampling. Anti-dentin SIgA levels were analyzed by immunoenzymatic assay and Western blotting. Although dental trauma to deciduous teeth had occurred in 34 (43.6% of the patients, no differences in SIgA levels were detected between individuals who had experienced trauma and those who had not (p > 0.05. Multivariate regression analysis showed no association between dental trauma and SIgA levels (p > 0.05. Patients with a history of deciduous trauma presented low levels of anti-dentin antibodies, associated with orthodontic root resorption (p

  7. Radiographic evaluation of dental age of adults using Kvaal′s method

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    Ridhima Sharma

    2010-01-01

    Full Text Available Introduction: It is a well-known fact that the assessment of the dental development can be related to an individual′s age, but after the age of 21 years when the wisdom teeth also complete their development, there arises a need for an optimal age estimation procedure. With advancing age, there is a reduction in the size of the pulp due to secondary dentin deposition and a measurement of this reduction can also be used as a parameter to assess the age of the individuals, both in the living and dead. Aims and Objectives: The purpose of the present study was to evaluate the feasibility of this approach in the estimation of age of adults, using Kvaal′s method in the set sample. Materials and Methods: The material consisted of the digital long-cone intraoral periapical radiographs from 50 subjects of either sex in the age group of 15-60 years, who were selected after evaluation for the set inclusion and exclusion criteria. The pulp width and length from radiographs of 6 selected teeth, namely, maxillary central incisor, lateral incisor, and second premolar and mandibular lateral incisor, canine, and first premolar of either right or left side were measured using the RVG trophy software [Trophy® Windows is a software program supplied by Trophy Radiologie (Trophy Windows Version 5.03, Copyright 1993-2002,Trophy RVG patented by Trophy, Chicago]. In order to compensate for the differences in magnification and angulation, various ratios were calculated and the mean of all ratios (M was taken as the first predictor, while the difference between the mean of 2 width ratios and the mean of 2 length ratios (W − L was taken as the second predictor. Different regression formulae for all 6 teeth, 3 maxillary teeth, 3 mandibular teeth, and each of the individual teeth were derived and the age was assessed. The assessed age was then co-related with the actual age of the patient using the Student′s t test. Results: The results showed that the coefficient of

  8. Detection of Common Dental Diseases by Dental Hygiene-Therapists

    OpenAIRE

    Macey, Richard John

    2016-01-01

    Thesis submitted to the University of Manchester by Richard Macey for the Degree of Doctor of Philosophy entitled “Detection of Common Dental Diseases by Dental Hygiene-Therapists”, February 2016.Many adult patients that attend NHS dental practices on a regular basis are asymptomatic and do not need any further treatment other than a routine dental examination (“check-up”). As the oral health of the adult population is predicted to improve further, using the General Dental Practitioner to und...

  9. Prevalence of dentine hypersensitivity in Chinese rural adults with dental fluorosis.

    Science.gov (United States)

    Zhang, Y; Cheng, R; Cheng, G; Zhang, X

    2014-04-01

    The aim of this study was to estimate the prevalence of dentine hypersensitivity (DH) among residents of rural China with dental fluorosis aged 30-69 years. A village located in northern China in which dental fluorosis was common was selected. Some 1250 residents with fluorosis ranging in age from 30 to 69 years completed a structured questionnaire and underwent clinical examination. Diagnosis of DH was based on the combination of the subject's self-evaluation and clinical examination. Dental fluorosis was evaluated using Dean's index (DI). In the village, the fluoride concentration in drinking water was 1.15-1.50 mg L(-1) . The community fluorosis index was 1.47, and 74 (9.7%) of the participants with dental fluorosis were diagnosed with DH. There was no significant difference between men and women. DH was most commonly observed in the lower incisors, and the most common cause of DH was cold stimulation. Logistic regression analysis showed acid reflux to be the only risk factor for DH in the current study. Among subjects with DH, none took treatment measures, visited a hospital or clinic, or used antisensitivity toothpaste. The prevalence of DH in the selected subjects with dental fluorosis was 9.7%. Acid reflux was found to be a risk factor for DH in the current study.

  10. Prevalence of dentine hypersensitivity in Chinese rural adults with dental fluorosis.

    Science.gov (United States)

    Zhang, Y; Cheng, R; Cheng, G; Zhang, X

    2014-04-01

    The aim of this study was to estimate the prevalence of dentine hypersensitivity (DH) among residents of rural China with dental fluorosis aged 30-69 years. A village located in northern China in which dental fluorosis was common was selected. Some 1250 residents with fluorosis ranging in age from 30 to 69 years completed a structured questionnaire and underwent clinical examination. Diagnosis of DH was based on the combination of the subject's self-evaluation and clinical examination. Dental fluorosis was evaluated using Dean's index (DI). In the village, the fluoride concentration in drinking water was 1.15-1.50 mg L(-1) . The community fluorosis index was 1.47, and 74 (9.7%) of the participants with dental fluorosis were diagnosed with DH. There was no significant difference between men and women. DH was most commonly observed in the lower incisors, and the most common cause of DH was cold stimulation. Logistic regression analysis showed acid reflux to be the only risk factor for DH in the current study. Among subjects with DH, none took treatment measures, visited a hospital or clinic, or used antisensitivity toothpaste. The prevalence of DH in the selected subjects with dental fluorosis was 9.7%. Acid reflux was found to be a risk factor for DH in the current study. PMID:24484047

  11. Effect of Psvchological Intervention on the Treatment of Children's Dental Fear%心理干预对儿童牙科畏惧症治疗的影响

    Institute of Scientific and Technical Information of China (English)

    宋春林

    2012-01-01

    目的 通过生理测试法观察有无心理干预对儿童牙科畏惧症的影响. 方法 选取90例6~7岁符合标准的乳磨牙中龋初诊患儿为实验对象,随机分为A、B两组,每组45例,所有患儿均进行常规龋洞充填术.A组给予心理干预,B组无心理干预.分别在T0(分诊时)、T1(治疗开始时)、T2(治疗开始后5 min)、T3(治疗结束5 min)不同时间点测患儿的血压、脉搏. 结果 二组患儿在T0时的各项生理值比较差异无统计学意义(P>0.05);二组患儿在T1时生理值均较T0时升高,B组升高较A组更为明显,两组比较差异有统计学意义(P<0.05);二组患儿在T2时生理值均较T1时有所下降,A组下降较为明显,两组比较差异有统计学意义(P<0.05);二组患儿在T3时的生理值均降至最低值,两组比较差异无统计学意义(P>0.05). 结论 在患儿牙科诊疗过程中进行心理干预可缓解儿童牙科畏惧症.%Objective To observe the impact of psychological intervention in the treatment of children' s dental fear through physiological test method. Methods Ninety children aged from 6 to 7 year with standard untreated caries in deciduous molars were selected as experimental subjects. They were randomly divided into group A and group B (each n= 45). All the children were received routine dental caries plombage. Group A was given psychological intervention, while group B had no psychological intervention. Blood pressure and pulse of the children were tested in the different time points, including TO (triage time), Tl (treatment start- time), T2 (5 minutes after treatment start), and T3 (5 minutes after treatment end). Results The physiological values at TO in children of two groups showed no statistically significant difference (P > 0.05). The physio-logical values at Tl were all higher than those at TO in children of two groups, group B was significantly increased than group A, and the difference was statistically significant between

  12. Study on Relieving Dental Fear by Employing the Technique of Computer-aided Virtual Impacted Tooth Extraction%计算机虚拟阻生牙拔除术演示缓解牙科畏惧症研究

    Institute of Scientific and Technical Information of China (English)

    葛光华; 李晋芳; 江小平; 罗和平

    2014-01-01

    目的:探讨计算机虚拟阻生牙拔除术演示缓解青年大学生牙科畏惧症(Dental fear,DF)的临床效果,为防治DF提供参考依据.方法:选择2010年6月以来广东工业大学医院口腔科青年大学生阻生牙拔除术患者252例,随机分为2组,每组126例,实验组采取术前计算机虚拟阻生牙拔除术演示+心理辅导+阻生牙拔除术,对照组仅行常规拔牙术,采用Corah牙科焦虑量表(Corah's dental anxiety scale,CDAS)对实验组演示前后和对照组术前进行测查以评定临床效果.结果:实验组计算机虚拟阻生牙拔除术演示前后DAS值比较差异有统计学意义(P<0.001);实验组演示后与对照组术前DAS值比较差异亦有统计学意义(P<0.001);实验组演示前与对照组术前DAS值比较差异无统计学意义.结论:计算机虚拟阻生牙拔除术临床应用可较好地缓解患者对拔牙术的焦虑和恐惧.

  13. Influence of Carisolv caries removal on 155 children's dental fear%Carisolv去腐对155例牙科畏惧症患儿影响的观察

    Institute of Scientific and Technical Information of China (English)

    汤根兄; 李静; 吴国英; 周淑

    2011-01-01

    目的 比较Carisoly去腐和传统车针去腐对牙科畏惧症患儿的影响.方法 选择门诊龋齿患儿300例,其中采用Carisoly去腐155例,传统车针去腐145例,比较2组患儿的CFSS-DS评分值、术中行为分级、疼痛情况和去腐时间.结果 2组患儿CFSS-DS评分值治疗前无显著性差异,治疗后有显著性差异;2组患儿术中行为分级、疼痛率和去腐时间均有显著性差异.结论 Carisoly去腐可有效缓解儿童对牙科的畏惧,值得临床推广.%Objective To compare the influence of Carisolv and traditional bur caries removal on the childrens dental fear. Methods 300 children patients with dental caries were choosen.and devided into two groups; 155 patients with Carisolv caries removal and 145 patients traditional bur caries removal. The CFSS-DS,behavioral measure,the state of pain and treatment time were compared between the two groups. Results The average CFSS-DS scores had no significant differences before treatment,while there were significant differences after treatment. There were significant differences with behavioral measure,the incidence rate of pain and treatment time between the two groups. Conclusions The Carisolv removal of caries can effectively relieve DF in children,and future appliance is suggested.

  14. Self – perceived and clinically diagnosed dental and periodontal health status among young adults and their implications for epidemiological surveys

    Directory of Open Access Journals (Sweden)

    Sgan-Cohen Harold D

    2003-07-01

    Full Text Available Abstract Background Clinical (normative and subjective (self-assessment evaluation of caries and periodontal diseases have been reported to demonstrate a significant disparity. The dental public health team is obligated to recognize and understand this gap. The objectives of the study were to investigate the practical values of using questionnaires (self–perceived assessment as compared to clinical examinations (normative assessment and to evaluate the implications of the results in understanding the public's perception of oral health. Methods The investigation was performed on 4920, 21 year-old Israeli adults upon release from compulsory military service between 1996 and 1998. Participants were asked to fill in a questionnaire inquiring how they would rate their personal dental and periodontal health levels. Clinical examinations, employing the DMFT and CPITN indices, were performed to determine normative oral health status. Perceived and normative assessments were compared for sensitivity, specificity, positive and negative predictive values and overall proportions using the clinical examinations as a gold standard. Results The sensitivity (disease perception for dental status was found to be 0.34, while the specificity (health perception was found to be 0.83. The positive predictive value for perceived dental status was found to be 0.68, whereas the negative predictive value was found to be 0.54. The sensitivity for perceived periodontal status was found to be 0.28, while the specificity was found to be 0.83. The positive predictive value for perceived periodontal status was found to be 0.05, whereas the negative predictive value was found to be 0.97. Regarding the overall proportions, a large discrepancy was found between self–assessment and professional assessment for both dental and periodontal health status. Conclusions Self-assessment questionnaires were of low value in evaluating oral health status both in the individual and public

  15. Prevalence of Root Dilaceration in Adult Patients Referred to Shiraz Dental School (2005-2010

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    Nabavizadeh MR.

    2013-12-01

    Full Text Available Statement of Problem: Dilaceration is defined as a sudden change in the axial inclination of root or between the crown and the root of a tooth. There is no previous study evaluating its prevalence in south of Iran.Purpose: This study evaluates the prevalence of root dilaceration on the basis of its location in dental arch in a sample of dental patients referring to Shiraz dental school, Iran. Materials and Method: This retrospective study was performed using full mouth periapical radiographs of 250 patients who were referred to Shiraz dental school. Buccal and lingual dilaceration was determined by its known” bull’s eye” appearance in the radiographs or if the deviation was in the mesial or distal directions; the angle of 90 degree or greater between the deviation and the axis of root was the inclusion criteria. Results: Root dilaceration was detected in 0.3% of teeth and 7.2% of patients. It was distributed equally between the maxilla and mandible. Mandibular second molar was the most frequent dilacerated tooth (1.6% followed by maxillary first molar (1.3% and mandibular first molar (0.6%. The alveolar nerve was the most common anatomic structure near dilacerated teeth.Conclusion: According to this study, root dilaceration is an uncommon developmental anomaly which occurs mostly in the posterior teeth.

  16. Diabetes and Tooth Loss in a National Sample of Dentate Adults Reporting Annual Dental Visits

    Directory of Open Access Journals (Sweden)

    Julie M. Kapp, PhD, MPH

    2007-07-01

    Full Text Available IntroductionPeriodontal disease has been associated with tooth loss and reported as more prevalent among people with diabetes than among those without diabetes. Having an annual dental examination is a national goal of Healthy People 2010. Our objective was to examine whether an association exists between diabetes and tooth loss among a population reporting an annual dental visit.MethodsWe used data from the 2004 Behavioral Risk Factor Surveillance System to examine the association between self-reported diabetes and tooth removal due to decay or periodontal disease among 155,280 respondents reporting a dental visit within the past year. We calculated prevalence estimates, odds ratios, and 95% confidence intervals. Multiple logistic regression allowed for adjustment.ResultsThe overall prevalence of tooth removal among the people in the study was 38.3%. People with diabetes had a significantly higher prevalence of tooth removal. In a multivariable model adjusting for selected covariates, respondents with diabetes were 1.46 times as likely (95% CI, 1.30–1.64 to have at least one tooth removed than respondents without diabetes. A stronger association between diabetes and tooth loss was observed among people in the younger age groups than among those in the older age groups.ConclusionEven among people reporting a recent dental visit, diabetes was independently associated with tooth loss. Multidisciplinary efforts are needed to raise awareness of the risk of tooth loss among younger people with diabetes. Good oral hygiene as well as annual dental examinations are important for preventing tooth loss.

  17. DENTAL CAST STUDY OF ADULT PATIENTS WITH UNTREATED UNILATERAL CLEFT-LIP OR CLEFT-LIP AND PALATE IN INDONESIA COMPARED WITH SURGICALLY TREATED PATIENTS IN THE NETHERLANDS

    NARCIS (Netherlands)

    SPAUWEN, PHM; HARDJOWASITO, W; BOERSMA, J; LATIEF, BS

    1993-01-01

    To determine differences in maxillary and dentoalveolar relationships between untreated and treated patients having unilateral clefts of the lip and alveolus (UCLA) or lip and palate (UCLP), dental cast assessments were done on 70 untreated adult Indonesian patients (UCLA-I, UCLP-I) and 67 Dutch pat

  18. Application of third molar development and eruption models in estimating dental age in Malay sub-adults.

    Science.gov (United States)

    Mohd Yusof, Mohd Yusmiaidil Putera; Cauwels, Rita; Deschepper, Ellen; Martens, Luc

    2015-08-01

    The third molar development (TMD) has been widely utilized as one of the radiographic method for dental age estimation. By using the same radiograph of the same individual, third molar eruption (TME) information can be incorporated to the TMD regression model. This study aims to evaluate the performance of dental age estimation in individual method models and the combined model (TMD and TME) based on the classic regressions of multiple linear and principal component analysis. A sample of 705 digital panoramic radiographs of Malay sub-adults aged between 14.1 and 23.8 years was collected. The techniques described by Gleiser and Hunt (modified by Kohler) and Olze were employed to stage the TMD and TME, respectively. The data was divided to develop three respective models based on the two regressions of multiple linear and principal component analysis. The trained models were then validated on the test sample and the accuracy of age prediction was compared between each model. The coefficient of determination (R²) and root mean square error (RMSE) were calculated. In both genders, adjusted R² yielded an increment in the linear regressions of combined model as compared to the individual models. The overall decrease in RMSE was detected in combined model as compared to TMD (0.03-0.06) and TME (0.2-0.8). In principal component regression, low value of adjusted R(2) and high RMSE except in male were exhibited in combined model. Dental age estimation is better predicted using combined model in multiple linear regression models.

  19. Price and the efficacy of the polytetrafluoroethylene (PTFE tape for the removal of the proximal dental biofilm compared to the common nylon dental floss in adolescents and young adults.

    Directory of Open Access Journals (Sweden)

    Jorge Eduardo Tascón

    2009-11-01

    Full Text Available Objective: To identify the price and the efficacy of the polytetrafluoroethylene PTFE tape as an oral hygiene method for the removal of the proximal dental biofilm, compared to the common nylon dental floss in adolescents and young adults. Methods: The polytetrafluoroethylene tape was used as a method for the removal of the proximal dental biofilm. By a randomized procedure the sample size was of 87 (31 men and 56 women between 16 and 28 years old. The oral hygiene of the participants was suspended during a period of 12 hours. A suitable disclosing solution was used to paint the dental surfaces. The removal of the biofilm was made by the same operator who used the same technique with the two materials (polytetrafluoroethylene tape and nylon dental floss. The information was collected using the coronal division (in thirds of the Greene and Vermillion Oral Hygiene Index. This index was modified to evaluate proximal surfaces only. Results: In the group of dental floss the presence of the proximal biofilm was 72.6% before and 11.2% after its removal. In the group of PTFE was 72.9% before and 11% after. After the comparison of the two methods the differences are not significant. PTFE price is 2.7 times lower than common nylon dental floss. Conclusions: The similarity in the removal of the proximal biofilm of the PTFE tape when compared to the nylon floss was significant. Thanks to its biocompatibility, tolerance and its low price, the PTFE tape is an alternative method for the removal of the biofilm in these proximal areas. Results of this study open a way for the investigation on non orthodox techniques, but effective, for the maintenance of the oral health with the only purpose of improving life quality of poor populations.

  20. Geographic variations in dental services provided to older adults in Ontario, Canada.

    Science.gov (United States)

    Locker, D; Clarke, M

    1999-08-01

    In an initial study, Leake et al. (J Public Health Dent 1996; 52: 182-90) found that older Ontarians living in metropolitan communities received almost twice the amount of dental care than older Ontarians living in non-metropolitan communities. Since data were collected for the 2 years prior to the enrollment of subjects in a longitudinal study, factors responsible for this variation could not be explored. This paper extends these findings by examining the volume of dental services received by these subjects in the 3 years between the baseline and follow-up phases of the longitudinal study. During this 3-year period, geographic variations in the volume of services provided were also observed. In a regression analysis, geographic location remained a significant predictor of the number of services received after controlling for six other explanatory variables: insurance coverage, number of teeth, restorative treatment need, self-rated oral health, regular dental visits and use of specialist services. Together, these explained only 24% of the variance in service provision. Since patient-reported outcomes were better in the communities with higher volumes of provision, further research concerning the patient and dentist factors influencing treatment provision is warranted. PMID:10403087

  1. Dental Amalgam

    Science.gov (United States)

    ... Devices Products and Medical Procedures Dental Devices Dental Amalgam Dental Amalgam Share Tweet Linkedin Pin it More sharing options ... a discussion with your dentist. More in Dental Amalgam About Dental Amalgam Fillings Alternatives to Dental Amalgam Related Resources ...

  2. Main and Interactive Effects of Emotion Dysregulation and Breath-Holding Duration in Relation to Panic-Relevant Fear and Expectancies about Anxiety-Related Sensations among Adult Daily Smokers

    OpenAIRE

    Brandt, Charles P.; Johnson, Kirsten A.; Schmidt, Norman B.; Zvolensky, Michael J.

    2011-01-01

    The current study investigated the main and interactive effects of emotion dysregulation and distress tolerance in relation to panic-relevant variables among daily smokers. The sample consisted of 172 adults (61.2% male; Mage = 31.58, SD = 11.51), who reported smoking an average of 15.99 cigarettes per day (SD = 10.00). Results indicated that both emotion dysregulation and distress tolerance were significantly related to interoceptive fear and agoraphobia. Additionally, emotion dysregulation,...

  3. Oral impact on daily performance: need and use of dental prostheses among Brazilian adults.

    Science.gov (United States)

    Ilha, L; Martins, A B; Abegg, C

    2016-02-01

    Although there is a large amount of evidence that demonstrates the relationship between oral health status and oral impact daily performance, there are few studies that have evaluated the impact of prosthetic status, particularly the need for a dental prosthesis. Therefore, the aim of this study was to investigate the relationship between need and use of dental prostheses and the prevalence of oral impact on daily performance. A sample of 720 subjects, aged between 50 and 74 years, was evaluated using a cross-sectional study. Participants were selected through a multistage proportional random sampling. The impact of oral health status on daily performance (oral impact on daily performance--OIDP) and socio-demographic data was assessed using a standardised questionnaire, and clinical data were assessed by oral examination. The outcome was the prevalence of impact. The association between the explanatory variables and the outcome was analysed through two models of multivariate Poisson regression. In the adjusted model, the variables need of upper and lower prosthesis and use of lower prosthesis maintained a statistically significant association. No statistically relevant relation between socio-demographic variables and outcomes was found. Findings show that the need and use and of a prosthesis are related to oral health quality of life.

  4. Transforming Growth Factor-ß1 (TGF-ß1 immunoreactivity in heterotopic grafts of adult dental apical papilla.

    Directory of Open Access Journals (Sweden)

    Telmo José Mezadri

    2015-02-01

    Full Text Available ABSTRACT Objective: To analyze the expression of transforming growth factor-ß1 in heterotopic grafts of adult dental apical papillae. Methodology: Adult apical papillae of Wistar rats were grafted in the ear of the same donor rats. 1, 3, 7 and 14 days after grafting, rats were perfused and the tissue containing the graft was processed for histological conventional technique and for immunohistochemical detection of transforming growth factor-ß1. Results: Heterotopically grafted apical papilla developed osteoid dentine. In an early post-grafting stage, odontoblast-like cells organized themselves in palisade and synthesized dentine. However, newly formed dentine possessed the structural appearance of reactive osteoid dentine, which was systematically destroyed by the activity of osteoclaste-like cells. Transforming Growth Factor-ß1 was observed in mesenchymal cells, extracellular matrix of the graft and surrounding host tissue, while odontoblast-like cells were systematically devoid of immunoreactivity. Conclusion: The different expression of transforming growth factor-ß1 between normal tissue and grafted tissue development suggests that in heterotopic graft conditions the inflammatory mediation of the transforming growth factor-ß1 prevails against its morphogenetic role.

  5. Surface expression of hippocampal NMDA GluN2B receptors regulated by fear conditioning determines its contribution to memory consolidation in adult rats

    Science.gov (United States)

    Sun, Yan-Yan; Cai, Wei; Yu, Jie; Liu, Shu-Su; Zhuo, Min; Li, Bao-Ming; Zhang, Xue-Han

    2016-01-01

    The number and subtype composition of N-methyl-d-aspartate receptor (NMDAR) at synapses determines their functional properties and role in learning and memory. Genetically increased or decreased amount of GluN2B affects hippocampus-dependent memory in the adult brain. But in some experimental conditions (e.g., memory elicited by a single conditioning trial (1 CS-US)), GluN2B is not a necessary factor, which indicates that the precise role of GluN2B in memory formation requires further exploration. Here, we examined the role of GluN2B in the consolidation of fear memory using two training paradigms. We found that GluN2B was only required for the consolidation of memory elicited by five conditioning trials (5 CS-US), not by 1 CS-US. Strikingly, the expression of membrane GluN2B in CA1was training-strength-dependently increased after conditioning, and that the amount of membrane GluN2B determined its involvement in memory consolidation. Additionally, we demonstrated the increases in the activities of cAMP, ERK, and CREB in the CA1 after conditioning, as well as the enhanced intrinsic excitability and synaptic efficacy in CA1 neurons. Up-regulation of membrane GluN2B contributed to these enhancements. These studies uncover a novel mechanism for the involvement of GluN2B in memory consolidation by its accumulation at the cell surface in response to behavioral training. PMID:27487820

  6. Surface expression of hippocampal NMDA GluN2B receptors regulated by fear conditioning determines its contribution to memory consolidation in adult rats.

    Science.gov (United States)

    Sun, Yan-Yan; Cai, Wei; Yu, Jie; Liu, Shu-Su; Zhuo, Min; Li, Bao-Ming; Zhang, Xue-Han

    2016-01-01

    The number and subtype composition of N-methyl-d-aspartate receptor (NMDAR) at synapses determines their functional properties and role in learning and memory. Genetically increased or decreased amount of GluN2B affects hippocampus-dependent memory in the adult brain. But in some experimental conditions (e.g., memory elicited by a single conditioning trial (1 CS-US)), GluN2B is not a necessary factor, which indicates that the precise role of GluN2B in memory formation requires further exploration. Here, we examined the role of GluN2B in the consolidation of fear memory using two training paradigms. We found that GluN2B was only required for the consolidation of memory elicited by five conditioning trials (5 CS-US), not by 1 CS-US. Strikingly, the expression of membrane GluN2B in CA1was training-strength-dependently increased after conditioning, and that the amount of membrane GluN2B determined its involvement in memory consolidation. Additionally, we demonstrated the increases in the activities of cAMP, ERK, and CREB in the CA1 after conditioning, as well as the enhanced intrinsic excitability and synaptic efficacy in CA1 neurons. Up-regulation of membrane GluN2B contributed to these enhancements. These studies uncover a novel mechanism for the involvement of GluN2B in memory consolidation by its accumulation at the cell surface in response to behavioral training. PMID:27487820

  7. 成人根管治疗患者的牙科焦虑症对根管治疗选择及治疗的影响分析%Survey of dental anxiety of adult patients with root canal therapy and effects of dental anxiety on root canal therapy and choices

    Institute of Scientific and Technical Information of China (English)

    黄琰; 高义军

    2011-01-01

    Objeetive To survey dental anxiety of adult patients with root canal therapy and effects of dental anxiety on root canal therapy and choices. Methods 340 adult patients with root canal therapy were investigated by means of questionnaire on dental anxiety scales. Adult patients with root canal therapy were divided into two groups according to scores of questionnaire. Root canal therapy choices were analyzed and reasons for not choosing root canal therapy were included, 30 adult patients were selected randomly in each group. Root canal therapy were carried on two groups respectively. The change of DA level were measured in patients of two groups during treatment period. The data before and after root canal therapy were analyzed. Results 1 The incidence ratio of DA among 340 adult patients with root canal therapy was 32. 94%, 35. 71 % ul DA choosed root canal therapy,63. 16% in the other group. There were statistical differences in root canal therapy choices between two groups(P < 0. 01). 2 Primary reasons for not choosing root canal therapy were fear of pain and breaking needie. 3 The level of DA decreased along with the increasing of treatment frequency. There were statistical difference between different treatment period in the DA of same group(P<0. 01). There were statistical difference in the DA of the same treatment period between two groupsCP <0. 01). Conclusion adult patients with dental anxiety choose root canal therapy less likely than those without dental anxiety. Improving people's knowledge about root canal therapy and relief of dental anxiety for root canal therapy will make them choose root canal therapy and receive the better root canal therapy.%目的:了解成人根管治疗患者的牙科焦虑症(dental anxiety,DA)情况和牙科焦虑症对根管治疗选择及治疗的影响.方法:采用改良牙科焦虑量表(MDAS)对340名成人根管治疗患者进行问卷调查,分析牙科焦虑症情况.并按问卷得分将研究

  8. Validity and sensitivity to change of the falls efficacy scales international to assess fear of falling in older adults with and without cognitive impairment

    DEFF Research Database (Denmark)

    Hauer, Klaus A; Kempen, Gertrudis I J M; Schwenk, Michael;

    2011-01-01

    Measures of fear of falling have not yet been validated in patients with dementia, leaving a methodological gap that limits research in a population at high risk of falling and fall-related consequences....

  9. Intakes of calcium, vitamin D, and dairy servings and dental plaque in older Danish adults

    DEFF Research Database (Denmark)

    Adegboye, Amanda Ra; Christensen, Lisa Bøge; Holm-Pedersen, Poul;

    2013-01-01

    BACKGROUND: To investigate whether intakes of calcium and dairy-servings within-recommendations were associated with plaque score when allowing for vitamin D intakes. METHODS: In this cross-sectional study, including 606 older Danish adults, total dietary calcium intake (mg/day) was classified...

  10. Self-speech and self-regulation of high- and low-anxious children in the dental situation: An interview study

    NARCIS (Netherlands)

    P.J.M. Prins

    1985-01-01

    Assessed 40 8-12 yr old children's self-speech and self-regulation during a dental visit. Ss, who were interviewed individually in the dental clinic, included 20 children with high, phobiclike dental fear and 20 with low dental fear. Results show that two-thirds of Ss, equally distributed over the h

  11. Assessment of the changes in the stress-related salivary cortisol levels to the various dental procedures in children

    Directory of Open Access Journals (Sweden)

    Sharmila J Patil

    2015-01-01

    Full Text Available Background: Fear and pain are the factors producing stress and there is evidence that dental fear acquired in childhood may persist to influence adult behavior. Dental treatment is often considered as anxiety producing and stressful. Aim: To assess the levels of stress displayed by the healthy children undergoing routine dental procedures like oral examination, restoration, and extraction by analyzing salivary levels of cortisol before, during, and after the procedures. Materials and Methods: Twenty healthy children aged between 4 and 8 years having their first dental visit and requiring at least one restoration and one extraction were selected. In each patient, three procedures were carried out: (i Routine dental examination, (ii restoration, and (iii extraction. Unstimulated salivary samples were collected 10 min before, during the procedure, and 30 min after each procedure at three different visits for comparison of cortisol production in response to anxiety and stress over time. Total 180 samples were collected to determine salivary cortisol levels using UBI-MAGIWEL TM kit and the readings were noted. Statistical Analysis Used: Statistical Package for Social Sciences (SPSS software with paired t-test, two independent sample t-tests, and analysis of variance (ANOVA were used to analyze the findings. Results: A correlation between salivary cortisol and stress in dental procedure was noticed. Cavity preparation is more stressful procedure in children, so alternative methods can be used in anxious children. Stress associated with extraction persists to a postoperative period. No correlation exists in between Corah′s anxiety scale and salivary cortisol.

  12. Evaluation of the face and dental morphologic alterations in adult individuals with labial incompetence

    Directory of Open Access Journals (Sweden)

    Heloisa Cristina Valdrighi

    2008-01-01

    Full Text Available Objective: To evaluate certain facial and dental characteristics by comparing individuals with labial incompetence and individuals withpassive labial sealing. Method: The study analyzed fifty lateral teleradiographs of which 25 were of subjects with labial incompetence, with minimum opening of 4 mm, and 25 of subjects with labial sealing, none of the subjects having undergone orthodontic treatment, all being between 15 and 30 years of age, irrespective of gender and malocclusion, with slight tendency towards vertical growth. The following cephalometric variables were used: Nfp – Nfa with the objective of determining the width of the upper airway, Sn – St to measure the length of the upper lip, Sn –IIs for the vertical length of the maxilla and 1.NA to determine the inclination of the maxillary incisor. Results: The measurements obtained in the group of passive lip sealing (G1 and labial incompetence (G2 respectively, were as follows: 14.12 mm (G1 and 12.76 mm (G2 for width of the upper airway; 24.24 mm (G1 and 23.80 mm (G2 for the length of the upper lip; 26.92 mm (G1 and 28.64 mm (G2 for the vertical length of the maxilla and 26.76º (G1 and 30.76º (G2 for the inclination of themaxillary incisor. Conclusion: The results allowed one to conclude that the individual with labial incompetence presented width of the upper airway similar to that of the individual with passive lip sealing. Individuals with labial incompetence presented increased vertical length of the maxilla and not shortening of the upper lip. The presence of vestibularized maxillary incisors is a condition inherent to the subject with labial incompetence, who will consequently present hypotonicity of the upper lip.

  13. The Relation between Youth Fear and Avoidance of Crime in School and Academic Experiences

    Science.gov (United States)

    Barrett, Kimberly L.; Jennings, Wesley G.; Lynch, Michael J.

    2012-01-01

    Despite decades of research analyzing fear of crime among adults, little is known about youth fear of crime in general and youth fear of crime in school, specifically. Moreover, among existing studies most emphasize causes of fear, with little discussion of avoidance or the academic consequences of these feelings and behaviors in school. This…

  14. Patologías dentales en incisivos, caninos y primer premolar en caballos chilenos adultos Dental pathologies in incisors, canines and first premolar in adult Chilean horses

    Directory of Open Access Journals (Sweden)

    L Muñoz

    2010-01-01

    Full Text Available Las patologías dentales han ido tomando mayor relevancia clínico veterinaria, aumentando el número de consultas, tratamientos y procedimientos preventivos. En caballos chilenos, la información existente de patologías dentales es nula, por lo que se hace primordial la investigación y recolección de datos en esta raza. Se analizaron 100 caballos pertenecientes a la Asociación de Rodeo Concepción, entre los meses de junio y septiembre del año 2007. Los materiales que se utilizaron fueron puro, linterna, sonda odontológica y espejo odontológico. El examen incluyó reseña, anamnesis y examen dental, registrando todo lo encontrado en una ficha odontológica. Ochenta y ocho ejemplares presentaron algún tipo de patología dental (88%. Las patologías más frecuentes fueron fracturas con 46%, tártaro con 33% y braquignatia con 32%, todos estos ubicados en los incisivos (’01-‘03. Sesenta y siete caballos (55 machos y 22 hembras poseían uno o más caninos (77%. De éstos, 38 (49,35% presentaba patologías en caninos, siendo lo más frecuente caninos ciegos (24,67%. Se encontraron 16 equinos (13 machos y 3 hembras con uno o más primeros premolares (diente de lobo (16%, ninguno mandibular. Sólo se encontró un caso de patología en un primer premolar que correspondió a enfermedad periodontal. Se encontraron diferencias estadísticas asociadas al sexo, para boca en declive en incisivos y caninos ciegos.Dental pathologies have reached a higher veterinary clinical relevance, increasing the number of consultations, treatments and preventive proceedings. In Chilean horses, the information of dental pathologies is inexistent making the research and the data collection in this breed interesting. One hundred horses that came from the Asociación de Rodeo de Concepción, were analyzed between June and September 2007. The materials used were nosetwitch, flashlight, dental probe and intra-oral mirror. The visit started with an interview, followed

  15. Research challenges to recruitment and retention in a study of homebound older adults: lessons learned from the nutritional and dental screening program.

    Science.gov (United States)

    Ritchie, C S; Dennis, C S

    1999-01-01

    This paper attempts to describe the many reasons why it is difficult to recruit homebound older adults to participate in research studies. The reasons, not surprisingly, are more practical than theoretical. Complicated procedures for participants to follow, cross-cultural communication, fear of the medical establishment, convoluted consent forms, making contact on the telephone, finding the participants' homes, and a host of other nagging problems combine to erect enormous barriers to running successful studies. It is our hope that in identifying these difficulties we will also shed light on how to design studies that minimize their impact. PMID:10835797

  16. Dor de origem dental como motivo de consulta odontológica em uma população adulta Dental pain as the reason for visiting a dentist in a Brazilian adult population

    Directory of Open Access Journals (Sweden)

    Josimari Telino de Lacerda

    2004-06-01

    reason for visiting a dentist among adults. METHODS: A cross-sectional study was carried out among 860 workers aged 18-58 years at a cooperative located in the State of Santa Catarina, in 1999. The clinical examinations and interviews were carried out by dentists who had received prior guidance. Complaints of dental pain as the reason for the last visit to a dentist were analyzed as the dependent variable, in relation to the socioeconomic and demographic conditions, access to dental services, shift pattern and caries (via the DMFT index, as the independent variables. Non-conditional multiple logistic regression analysis was utilized. RESULTS: The prevalence of dental pain as the reason for the last visit to a dentist was 18.7% (CI 95%: 15.9-20.1 and the mean DMFT index (decayed, missing and filled teeth was 20.2 (CI 95%: 19.7-20.7, with 54% represented by the 'missing' component. The following were independently associated with the presence of dental pain: schooling of less than or equal to eight years (OR=1.9; CI 95%: 1.1-3.1; four to fifteen teeth lost due to caries (OR=2.6; CI 95%: 1.4-4.9; 16 to 32 teeth lost due to caries (OR=2.5; CI 95%: 1.1-5.8; and not having visited the company's dental service (OR=2.8; CI 95%: 1.6-5.1. CONCLUSIONS: Dental pain reflects the severity of the dental caries, expressed by the 'missing' component of the DMFT and non-usage of the company's dental services. These factors are determined by social conditions and represented by the schooling level.

  17. Training adults and children with an autism spectrum disorder to be compliant with a clinical dental assessment using a TEACCH-based approach.

    Science.gov (United States)

    Orellana, Lorena M; Martínez-Sanchis, Sonia; Silvestre, Francisco J

    2014-04-01

    The specific neuropsychological and sensory profile found in persons with autism spectrum disorders complicate dental procedures and as a result of this, most are treated under general anesthesia or unnecessary sedation. The main goal of the present study was to evaluate the effectiveness of a short treatment and education of autistic and related communication-handicapped children-based intervention program (five sessions) to facilitate a 10-component oral assessment in children (n = 38, aged 4-9 years) and adults (n = 34, aged 19-41) with autism spectrum disorder (with or without associated intellectual disability). The assessment ranges from entering into the examination room to the evaluation of the dental occlusion. There were statistically significant differences in the number of components reached and in compliance before and after the training program.

  18. Fear of nuclear war increases the risk of common mental disorders among young adults: a five-year follow-up study

    Directory of Open Access Journals (Sweden)

    Tuulio-Henriksson Annamari

    2004-09-01

    Full Text Available Abstract Background Evidence on the relation between fear of war and mental health is insufficient. We carried out a prospective cohort study to find out whether fear of nuclear war is related to increased risk of common mental disorders. Methods Within two months preceding the outbreak of Persian Gulf War in January 1991, 1518 adolescents [mean age 16.8 years, SD 0.9] filled in a self-administered questionnaire. Of the 1493 respondents, 47% gave their written informed consent to participate in the follow-up study. There were no material differences between those who chose to respond anonymously and those who volunteered to give their name and address for the follow-up study. In 1995, the response to the follow-up questionnaire was 92%. Common mental disorders were assessed by 36-item version of the General Health Questionnaire [GHQ]. A score 5 or higher was considered to indicate caseness. We excluded 23 cases which had used mental health services in the year 1991 or earlier and two cases with deficient responses to GHQ. This left 626 subjects for analysis [400 women]. Results After adjusting for significant mental health risk factors in logistic regression analysis, the risk for common mental disorders was found to be significantly related to the increasing frequency of fear for nuclear war, high scores of trait anxiety and high scores of immature defense style. Elevated risk was confined to the group reporting fear of nuclear war once a week or more often [odds ratio 2.05; 95% confidence interval 1.29–3.27]. Conclusion Frequent fear of nuclear war in adolescents seems to be an indicator for an increased risk for common mental disorders and deserves serious attention.

  19. Fears and Phobias

    Science.gov (United States)

    ... the situation calls for. Many people have a fear of public speaking . Whether it's giving a report in class, speaking ... cloudy. A guy with social phobia experiences intense fear of public speaking or interacting, and may be afraid to answer ...

  20. Dental caries vaccine

    Directory of Open Access Journals (Sweden)

    Shivakumar K

    2009-01-01

    Full Text Available Dental caries is one of the most common diseases in humans. In modern times, it has reached epidemic proportions. Dental caries is an infectious microbiologic disease of the teeth that results in localized dissolution and destruction of the calcified tissue. Dental caries is a mulitifactorial disease, which is caused by host, agent, and environmental factors. The time factor is important for the development and progression of dental caries. A wide group of microorganisms are identified from carious lesions of which S. mutans , Lactobacillus acidophilus , and Actinomyces viscosus are the main pathogenic species involved in the initiation and development of dental caries. In India, surveys done on school children showed caries prevalence of approximately 58%. Surveys among the U.S. population showed an incidence of 45.3% in children and 93.8% in adults with either past or present coronal caries. Huge amounts of money and time are spent in treating dental caries. Hence, the prevention and control of dental caries is the main aim of public health, eventually the ultimate objective of public health is the elimination of the disease itself. Recently, dental caries vaccines have been developed for the prevention of dental caries. These dental caries vaccines are still in the early stages.

  1. Evaluation of the Frails' Fall Efficacy by Comparing Treatments (EFFECT on reducing fall and fear of fall in moderately frail older adults: study protocol for a randomised control trial

    Directory of Open Access Journals (Sweden)

    Chandran Manju

    2011-06-01

    Full Text Available Abstract Background Falls are common in frail older adults and often result in injuries and hospitalisation. The Nintendo® Wii™ is an easily available exercise modality in the community which has been shown to improve lower limb strength and balance. However, not much is known on the effectiveness of the Nintendo® Wii™ to improve fall efficacy and reduce falls in a moderately frail older adult. Fall efficacy is the measure of fear of falling in performing various daily activities. Fear contributes to avoidance of activities and functional decline. Methods This randomised active-control trial is a comparison between the Nintendo WiiActive programme against standard gym-based rehabilitation of the older population. Eighty subjects aged above 60, fallers and non-fallers, will be recruited from the hospital outpatient clinic. The primary outcome measure is the Modified Falls Efficacy Scale and the secondary outcome measures are self-reported falls, quadriceps strength, walking agility, dynamic balance and quality of life assessments. Discussions The study is the first randomised control trial using the Nintendo Wii as a rehabilitation modality investigating a change in fall efficacy and self-reported falls. Longitudinally, the study will investigate if the interventions can successfully reduce falls and analyse the cost-effectiveness of the programme. Trial registration Australia and New Zealand Clinical Trials Register (ANZCTR: ACTRN12610000576022

  2. A climate of fear

    DEFF Research Database (Denmark)

    Garner, Tom Alexander; Grimshaw, Mark Nicholas

    2011-01-01

    This paper proposes a framework that incorporates fear, acoustics, thought processing and digital game sound theory; with the potential to not only improve understanding of our relationship with fear, but also generate a foundation for reliable and significant manipulation of the fear experience....

  3. CORRELATION BETWEEN DENTAL CARIES WITH SALIVARY FLOW, PH, AND BUFFERING CAPACITY IN ADULT SOUTH INDIAN POPULATION: AN IN-VIVO STUDY

    OpenAIRE

    Chitharanjan Shetty; Hegde, Mithra N; Darshana Devadiga

    2013-01-01

    Aim of the study is to evaluate the correlation between dental caries and salivary flow, pH and buffering capacity in young adult South Indian population. According to DMFT scores eighty subjects between 20 to 30 years of age were divided into four groups. Saliva samples collected were estimated for salivary flow, pH and buffering capacity and the data was statistically analysed. The pH, flow rate, buffering capacity showed a steady decrease with an increase in the DMFT values; which was stat...

  4. Effects of Abnormal Early Rearing Environments on Fear Memory in Adult Rats%大鼠成年前异常生活环境对其成年后恐惧记忆的影响

    Institute of Scientific and Technical Information of China (English)

    李传玉; 张波; 李振邦; 黄伏连; 田绍文; 胡新天

    2009-01-01

    In the present experiment, Pavlovian fear conditioning was adopted to study the effects of different early rearing environments on fear conditioning in adult rats. Weaned rats were reared in three manipulable environments (enriched, social and isolated conditions). After 8 weeks, fear conditioning (characterized by percentage of freezing) was observed and analyzed, and rats' weight, locomoter activity and foot-shock sensitivity were operated too. The results showed that: (1) Compared with control group, the level of conditioned fear was significantly increased in enriched group, but significantly decreased in isolated group; (2) Enriched and isolated conditions influenced rat's weight significantly; (3) Different rearing conditions have no effect on locomoter activity and foot-shock sensitivity. These results indicated that early enriched condition could improve the tone-evoked fear conditioning response, while isolated condition impaired the response.%为了探讨早期饲养环境对成年后大鼠条件化恐惧的影响,实验采用巴氏恐惧条件化的方法对不同饲养环境下的大鼠进行了行为检测.具体操作为:把断奶后的大鼠饲养在3个不同的人工控制的环境中(丰富环境、社群环境和贫瘠环境);8周后进行恐惧条件化训练和测试(指标为僵直百分比),以及检测不同饲养环境下的大鼠的体重、自发活动和足部电击敏感性.结果显示:与社群组相比,丰富组的大鼠条件化僵直水平明显增加,而贫瘠组的明显减少;丰富和贫瘠环境明显的影响了大鼠的体重;不同环境对自发活动和足部电击敏感性没有影响.这些结果说明幼年期的丰富环境能提高成年后大鼠的由声音诱发的条件化恐惧反应,而贫瘠环境则削弱了这种反应.

  5. Dental Anxiety and its Association with Behavioral Factors in Children

    OpenAIRE

    POPESCU, SANDA MIHAELA; DASCĂLU, IONELA TEODORA; SCRIECIU, MONICA; Mercuţ, Veronica; Iren MORARU; ŢUCULINĂ, MIHAELA JANA

    2014-01-01

    Background: Dental anxiety is a condition that causes a decrease in population addressability to the dentist with adverse consequences for long-term oral health. Assessment of behavioral factors that correlate with dental anxiety is important for accurate evaluation of dental fear. Its diagnosis in childhood is important for establishing therapeutic management strategies to reduce anxiety and promote oral health. Objective: To determine the prevalence of dental anxiety in a group of Romanian ...

  6. Dental Implant Systems

    Directory of Open Access Journals (Sweden)

    Yoshiki Oshida

    2010-04-01

    Full Text Available Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities.

  7. Skin Conductance Fear Conditioning Impairments and Aggression: A Longitudinal Study

    OpenAIRE

    Gao, Yu; Tuvblad, Catherine; Schell, Anne; Baker, Laura; Raine, Adrian

    2014-01-01

    Autonomic fear conditioning deficits have been linked to child aggression and adult criminal behavior. However, it is unknown if fear conditioning deficits are specific to certain subtypes of aggression, and longitudinal research is rare. In the current study, reactive and proactive aggression were assessed in a sample of males and females when aged 10, 12, 15, and 18 years old. Skin conductance fear conditioning data were collected when they were 18 years old. Individuals who were persistent...

  8. Extreme Dental Compensation in an Adult Skeletal Class III Malocclusion: 3-Year Follow-up of a Successfully Compromised Treatment.

    Science.gov (United States)

    Estelita, Sérgio; Janson, Guilherme; Chiqueto, Kelly

    2015-01-01

    Nonsurgical orthodontic treatment of a patient with severe skeletal Class III malocclusion, negative overjet, increased overbite and maxillary crowding is described Although the treatment options included an orthodontic-surgical approach, high cost of the surgical procedure was the main reason for extreme dental compensation to have been performed. Four-premolar extraction protocol associated with intermaxillary Class III elastics were used to correct the malocclusion at the expense of increasing the initial dental compensation without producing any noticeable skeletal change. Satisfactory and stable occlusion was achieved with dental and smile esthetics improvement, but the amount of facial changes was limited by the nonsurgical protocol. The clinical results and implications of compensatory treatment as well as its relevance within the patient context are discussed based on scientific evidences. PMID:26349294

  9. Dental care - adult

    Science.gov (United States)

    Tooth decay and gum disease are caused by plaque, a sticky combination of bacteria and food. Plaque begins ... cleaned well each day, plaque will lead to tooth decay. If you do not remove plaque, it turns ...

  10. Using Cognitive Behavioral Therapy for Dental Fear of Disease of Children in Oral Treatment Effect A-nalysis%运用认知行为疗法对牙科畏惧症儿童在口腔治疗中的效果分析

    Institute of Scientific and Technical Information of China (English)

    王素平

    2015-01-01

    Objective To explore the cognitive behavioral therapy (CBT) in disease of dental fear (DF) in the treatment of children′s oral effect and meaning.Methods From August 2014 ~March 2015, I division, in children with dental decay, existed in children with dental fear of disease, 110 cases were randomly selected as the research ob-ject.Randomized divided into observation group (55) cases, control group (55).Implement routine dental caries filling treatment for control group and observation group based on the combined with cognitive behavior therapy, to observe the effect of two groups of treatment.Results The observation group treated adherence with 90.91%success rate was sig-nificantly higher than the control group 69.09%, 94.55%and 69.09%.Observation group the rate of good therapeutic effect for 58.18%, 81.82%significantly higher than that of control group 38.18%and 61.82%.The observation group after treatment with fear score before treatment and after treatment compared control group, the differences were statistically significant (P<0.05).Observation group patients was 63.64%, the follow-up 63.64%fear rate was sig-nificantly higher than the control group were 40.00%, 41.82%.And the observation group had a significantly higher rate of return without fear when to begin.were statistically significant differences ( all P<0.05 ) .Conclusions Chil-dren with dental fear disease implementation of cognitive behavior therapy to treat, can significantly improve the rate of children with fear, and improve the treatment adherence.High security is worth to recommend.%目的:探究认知行为疗法( CBT)在牙科畏惧症( DF)儿童口腔治疗中的效果。方法从2014年8月~2015年3月龋病患儿中,存在牙科畏惧症患儿中随机选取110例作为研究对象。随机分组法分为观察组和对照组各55例。对照组予以常规龋齿填充治疗,观察组在此基础上结合认知行为疗法治疗,对比两组治疗效果。

  11. Phobic dimensions : IV. The structure of animal fears

    NARCIS (Netherlands)

    Arrindell, WA

    2000-01-01

    Research designed to determine the number and kind of dimensions- underlying self-reports of animal fears is relatively rare. To contribute further knowledge to this area of study, Davey's methodology [Davey, G. C. L. (1994a). Self-reported fears to common indigenous animals in an adult UK populatio

  12. Fear in horses

    OpenAIRE

    Christensen, Janne Winther

    2006-01-01

    Fear is generally considered to be an undesirable emotional state that may reduce welfare, growth and reproductive performance in animals. Fear in horses is additionally problematic, because fear reactions can cause serious injury to both horse and human. Horses are primarily used for sports and leisure for a large number of children and young women. Unfortunately, horse riding ranks as one of the most dangerous sports in terms of the number and seriousness of accidents, and the ability of a ...

  13. Attachment Without Fear

    OpenAIRE

    Bell, David C.

    2009-01-01

    John Bowlby hypothesized an attachment system that interacts with caregiving, exploration, and fear systems in the brain, with a particular emphasis on fear. Neurobiological research confirms many of his hypotheses and also raises some new questions. A psychological model based on this neurobiological research is presented here. The model extends conventional attachment theory by describing additional attachment processes independent of fear. In this model, the attachment elements of trust, o...

  14. Fear load: The psychophysiological over-expression of fear as an intermediate phenotype associated with trauma reactions.

    Science.gov (United States)

    Norrholm, Seth Davin; Glover, Ebony M; Stevens, Jennifer S; Fani, Negar; Galatzer-Levy, Isaac R; Bradley, Bekh; Ressler, Kerry J; Jovanovic, Tanja

    2015-11-01

    Psychophysiological measures of fear expression provide observable intermediate phenotypes of fear-related symptoms. Research Domain Criteria (RDoC) advocate using neurobiological intermediate phenotypes that provide dimensional correlates of psychopathology. Negative Valence Systems in the RDoC matrix include the construct of acute threat, which can be measured on a physiological level using potentiation of the acoustic startle reflex assessed via electromyography recordings of the orbicularis oculi muscle. Impairments in extinction of fear-potentiated startle due to high levels of fear (termed fear load) during the early phases of extinction have been observed in posttraumatic stress disorder (PTSD). The goals of the current work were to examine dimensional associations between fear-related symptoms of PTSD and fear load variables to test their validity as an intermediate phenotype. We examined extinction of fear-potentiated startle in a cohort (n=269) of individuals with a broad range of civilian trauma exposure (range 0-13 traumatic events per person, mean=3.5). Based on previously reported findings, we hypothesized that fear load would be significantly associated with intrusion and fear memories of an index traumatic event. The results indicated that early extinction was correlated with intrusive thoughts (p=0.0007) and intense physiological reactions to trauma reminders (p=0.036). Degree of adult or childhood trauma exposure, and depression severity were not associated with fear load. After controlling for age, sex, race, income, level of prior trauma, and level of fear conditioning, fear load during extinction was still significantly predictive of intrusive thoughts (p=0.004). The significance of these findings is that they support dimensional associations with symptom severity rather than diagnostic category and, as such, fear load may emerge as a transdiagnostic intermediate phenotype expressed across fear-related disorders (e.g., specific phobia, social

  15. Recall of Dental Pain and Anxiety in a Cohort of Oral Surgery Patients.

    Science.gov (United States)

    Kyle, B N; McNeil, D W; Weaver, B; Wilson, T

    2016-06-01

    Dental patients generally recall more pain than they originally report, with ratings of pain related to state anxiety and dental fear, but the role of depression in recall of dental pain remains uncertain. This study examined the relative contributions of different variables in explaining dental pain recalled after tooth extraction. Patients presenting for tooth extraction, prior to extraction, rated their current dental pain and state anxiety, prediction of pain and state anxiety during extraction, depression, and dental fear. Immediately postprocedure and then 1 mo later, patients rated their pain and state anxiety during extraction. Hierarchical linear regression equations were used to explain variance in recalled pain and state anxiety. In addition, patients were divided into high and low dental fear and depression groups and compared on ratings of pain and state anxiety across time. In a final sample of 157 patients, the most important predictors of recalled pain were pain reported during extraction (β = .53) and recalled state anxiety (β = .52). Dental fear and depression had a significant interaction: only when patients reported less depression did those patients who reported more dental fear also report more pain than patients who reported less dental fear (P < 0.05, ω(2) = .07). Patients who reported more depression entered the dental operatory reporting more pain, but all patients generally reported less pain during extraction than they predicted or recalled. Memory of state anxiety and pain reported during tooth extraction, not depression or state anxiety at the time of extraction, were critical factors in memory of the pain associated with the procedure. At higher levels of depression, patients higher and lower in dental fear did not differ in report of pain. Future studies are needed to further clarify interactions of depression and dental fear over time. PMID:26908629

  16. Dental Sealants

    Science.gov (United States)

    ... Internships for... High School and College Students Recent College Graduates Dental and Medical Students See All Careers & Training Opportunities Job Openings Loan Repayment Programs Careers in Dental Research ...

  17. Knockdown of the glucocorticoid receptor alters functional integration of newborn neurons in the adult hippocampus and impairs fear-motivated behavior

    NARCIS (Netherlands)

    Fitzsimons, C. P.; van Hooijdonk, L. W. A.; Schouten, M.; Zalachoras, I.; Brinks, V.; Zheng, T.; Schouten, T. G.; Saaltink, D. J.; Dijkmans, T.; Steindler, D. A.; Verhaagen, J.; Verbeek, F. J.; Lucassen, P. J.; de Kloet, E. R.; Meijer, O. C.; Karst, H.; Joels, M.; Oitzl, M. S.; Vreugdenhil, E.

    2013-01-01

    Glucocorticoids (GCs) secreted after stress reduce adult hippocampal neurogenesis, a process that has been implicated in cognitive aspects of psychopathology, amongst others. Yet, the exact role of the GC receptor (GR), a key mediator of GC action, in regulating adult neurogenesis is largely unknown

  18. Psychological treatment of fearful and phobic special needs patients.

    Science.gov (United States)

    Peltier, Bruce

    2009-01-01

    Dental fears and phobias trouble patients with and without special needs, and they are a problem for dentists, as well. This article reviews current research and literature related to methods used to alleviate dental fear and concludes that while some important psychological methods are available, much work is left to be done in this area. It is clear that there is an important role for psychological and behavioral input to the dentist-patient interaction. While dental phobia represents a class of special needs itself, patients with other important disabilities (e.g., physical or cognitive impairments) are sometimes comorbidly phobic, a condition often missed or misdiagnosed by treating practitioners. Office-based techniques that focus on relaxation, breathing, imagery, hypnosis, and effective use of operatory language are described. The methods advocated here can be used with patients having mild or moderate cognitive impairments. Readings are recommended for the dentist or auxiliary practitioner interested in learning these techniques. PMID:19152568

  19. Fearing religious satire

    DEFF Research Database (Denmark)

    Brink, Dennis Meyhoff

    2015-01-01

    The article examines the history of the fear of religious satire in modern Europe. The article argues that this fear primarily concerns the potential dissolution of 'the social bond of society' or 'the moral and social order'. From the 17th Century until today, censorship measures and blasphemy l...

  20. Fear Extinction in Rodents

    OpenAIRE

    Chang, Chun-hui; Knapska, Ewelina; Orsini, Caitlin A.; Rabinak, Christine A.; Zimmerman, Joshua M; Maren, Stephen

    2009-01-01

    Pavlovian conditioning paradigms have become important model systems for understanding the neuroscience of behavior. In particular, studies of the extinction of Pavlovian fear responses are yielding important information about the neural substrates of anxiety disorders in humans. These studies are germane to understanding the neural mechanisms underlying behavioral interventions that suppress fear, including exposure therapy. This chapter described detailed behavioral protocols for examining ...

  1. A Real Fear

    Science.gov (United States)

    Ruffins, Paul

    2007-01-01

    For years, mainstream thinking about math anxiety assumed that people fear math because they are bad at it. However, a growing body of research shows a much more complicated relationship between math ability and anxiety. It is true that people who fear math have a tendency to avoid math-related classes, which decreases their math competence.…

  2. Measurement of Natural Dental Neck Data of Normal Adults and Its Clinical Significance on Guiding Implant Restoration

    Institute of Scientific and Technical Information of China (English)

    Mingxu Sun; Fang Gu; Hongwei Qin; Chenyuan Zhou; Jianjun Yang

    2015-01-01

    Purpose:Provide reference basis for the clinical implant restoration to select implant diameter through measuring each data of 7 teeth in the dental neck of bilateral upper and lower jaws of the young volunteers with normal dentition. Methods:Select 30 healthy young volunteers with complete dentition but no malocclusion,take cone beam CT (CBCT),apply mimics 10.0 to measure the mesiodistal and buccolingual dis-tance of the tooth root at 1.5mm from 14 teeth (bilateral upper and lower jaws)to alveolar crest,adopt Photoshop CS3 to trace out the outline of each tooth neck in this layer,calculate the cross sectional area and roundness of each tooth neck according to pixel value calibration,and then carry out statistical processing. Results:Complete the data col ection and processing of mesiodistal length,buccolingual width,cross sectional area,and cross sectional roundness of the dental neck at 1.5mm from these seven teeth of the bilateral upper and lower jaws to the alveolar crest of 30 volunteers,and calculate the mean value,variance,and reference value range of medical science of each index. Conclusion:CBCT can ef ectively obtain the image information of the cross section of the dental neck.Through mimics 10.0 and Photoshop CS3,it is possible to accurately calculate the dental neck length and width,and cross sectional area of each tooth according to CBCT image information.This result can provide reference basis for the implant restoration of the clinical teeth to select implant diameter and restoration base.

  3. Evaluation of adult dental patterns on orthopantomograms and its implication for personal identification: A retrospective observational study

    OpenAIRE

    Sumit Bhateja; Geetika Arora; Ruchita Katote

    2015-01-01

    Background: Establishing a person′s identity is a very complex process and is one of the main objectives of the forensic science also. Dental radiographs are certainly one of the most desirable pieces of antemortem evidence because of their highly objective nature as compared with other records. The aim of the present study is to establish the utility of orthopantomography for human identification. Materials and Methods: A total of 300 digital orthomopantographs were randomly selected from th...

  4. Dental age assessment of adolescents and emerging adults in United Kingdom Caucasians using censored data for stage H of third molar roots.

    Science.gov (United States)

    Boonpitaksathit, Teelana; Hunt, Nigel; Roberts, Graham J; Petrie, Aviva; Lucas, Victoria S

    2011-10-01

    The root of the third permanent molar is the only dental structure that continues development after completion of growth of the second permanent molar. It is claimed that the lack of a clearly defined end point for completion of growth of the third permanent molar means that this tooth cannot be used for dental age assessment. The aim of this study was to estimate the mean age of attainment of the four stages (E, F, G, and H) of root development of the third molar. The way in which the end point of completion of stage H can be identified is described. A total of 1223 dental panoramic tomographs (DPTs) available in the archives of the Eastman Dental Hospital, London, were used for this study. The ages of the subjects ranged from 12.6 to 24.9 years with 63 per cent of the sample being female. Demirjan's tooth development stages (TDSs), for the first and second molars, were applied to the third molars by a single examiner. For each of stages E, F, and G and for stage H censored data, the mean ages of the males and females were compared, separately within each tooth morphology type using the two sample t-test (P ages of the upper and lower third molars on each side, separately for each gender. The mean age of attainment and the 99 per cent confidence interval (CI) for each TDS were calculated for each third molar. The final stage H data were appropriately censored to exclude data above the age of completion of root growth. The results showed that, for each gender, the age in years at which individuals attained each of the four TDSs was approximately normally distributed. The mean age for appropriately censored data was always lower than the corresponding mean age of the inappropriately censored data for stage H (male UR8 19.57, UL8 19.53, LL8 19.91, and LR8 20.02 and female UR8 20.08, UL8 20.13, LL8 20.78, and LR8 20.70). This inappropriately censored data overestimated the mean age for stage H. The appropriately censored data for the TDSs of the third molar may be

  5. A 5-year retrospective study of rampant dental caries among adult patients in a Nigerian Teaching Hospital

    OpenAIRE

    M Ajayi Deborah; M F Abiodun-Solanke Iyabode; O Gbadebo Shakeerah

    2015-01-01

    Background: Rampant caries in adults has not been a focus of many researches unlike the childhood form of the disease. The disease is an interesting finding in an adult patient. When the condition occurs in children, it has been described as nursing bottle caries, baby bottle tooth decay, and the most recently adopted term, "early childhood caries". Aim: The aim was to determine the prevalence of rampant caries among adult patients. Materials and Methods: Cases of rampant caries were id...

  6. THE FEAR OF FEAR CONCEPT - EVIDENCE IN FAVOR OF MULTIDIMENSIONALITY

    NARCIS (Netherlands)

    ARRINDELL, WA

    1993-01-01

    In recent years, questions have been raised regarding the dimensionality of existing measures of fear of fear. This is an important issue that needs to be addressed if the dimensions(s) of any scale purporting to assess fear of fear are to guide theory and research. One of the most widely used measu

  7. Multidisciplinary treatment of tooth wear in a patient with Asperger’s Syndrome and dental anxiety

    NARCIS (Netherlands)

    P. Wetselaar; J.H. Vermaire; F. Lobbezoo

    2013-01-01

    This case report describes a patient who is referred by his home physician to a centre for special dental care because of the presence of severe oral pain with an existing dental phobia. The patient has Asperger's Syndrome. Besides his extreme fear for dental treatment and several deep carious lesio

  8. [Fear of childbirth].

    Science.gov (United States)

    Rouhe, Hanna; Saisto, Terhi

    2013-01-01

    Fear of childbirth casts a shadow in 10% of the pregnancies. It can cause fear, mental illnesses and previous experiences of violence or bad experiences in giving birth. It is treated at the phobia clinic with the support of a midwife and an obstetrician. Psychoeducative group therapy intended for primigravid women has proven to be the most effective form of therapy. In addition to obstetric assessment, its cornerstones include hearing and supporting of the phobic patient. For most women fearing childbirth, proper therapy will encourage them and abandon their wish for cesarean section. Nobody should, however, be forced into vaginal delivery. PMID:23520896

  9. The Biology of Fear

    OpenAIRE

    Adolphs, Ralph

    2013-01-01

    Each of us has felt afraid, and we can all recognize fear in many animal species. Yet there is no consensus in the scientific study of fear. Some argue that “fear” is a psychological construct rather than discoverable through scientific investigation. Others argue that the term “fear” cannot properly be applied to animals because we cannot know whether they feel afraid. Studies in rodents show that there are highly specific brain circuits for fear, whereas findings from human neuroimaging see...

  10. How to estimate dental age in paleodontology?

    Directory of Open Access Journals (Sweden)

    Vedran Šebečić

    2010-06-01

    Full Text Available Nowadays there are many methods available for dental age estimation: morphological, radiological, biochemical. Some methods require sample sectioning while other non-destructive methods are more appropriate for use in paleodontology. Children’s dental age assessment is based on phases in growth and development of the deciduous and permanent dentition, while age assessment in the adult dentition is based upon changes in the structure of hard dental tissue caused by aging. Dental age calculating software enables automated age calculations.

  11. How to estimate dental age in paleodontology?

    OpenAIRE

    Vedran Šebečić; Andrea Hoch; Maja Sabalić

    2010-01-01

    Nowadays there are many methods available for dental age estimation: morphological, radiological, biochemical. Some methods require sample sectioning while other non-destructive methods are more appropriate for use in paleodontology. Children’s dental age assessment is based on phases in growth and development of the deciduous and permanent dentition, while age assessment in the adult dentition is based upon changes in the structure of hard dental tissue caused by aging. Dental age calculati...

  12. Nuclear fear revisited

    Science.gov (United States)

    Crease, Robert P.

    2010-10-01

    In 1988 the science historian Spencer Weart published a groundbreaking book called Nuclear Fear: A History of Images, which examined visions of radiation damage and nuclear disaster in newspapers, television, film, literature, advertisements and popular culture.

  13. The Fears of Adolescents

    Science.gov (United States)

    Bamber, James H.

    1974-01-01

    This study investigated the self-reported fears and some personality characteristics of a sample of 1112 adolescents ranging in age from 12 to 18 years (attending grammar and secondary schools in Northern Ireland). (CS)

  14. Association between dental-oral health in young adults and salivary glutathione, lipid peroxidation and sialic acid levels and carbonic anhydrase activity

    Directory of Open Access Journals (Sweden)

    L.K. Öztürk

    2008-11-01

    Full Text Available The aim of the present study was to evaluate the relationship between salivary oxidative stress and dental-oral health. Healthy young adults, matched for gender and age, with (N = 21, 10 men, mean age: 20.3 ± 1 years and without (N = 16, 8 men, mean age: 21.2 ± 1.8 years caries were included in this study. The World Health Organization (WHO caries diagnostic criteria were used for determining the decayed, missing, filled teeth (DMFT index. The oral hygiene and gingival status were assessed using the simplified oral hygiene index and gingival index, respectively. Unstimulated salivary total protein, glutathione (GSH, lipid peroxidation and total sialic acid levels, carbonic anhydrase activity, and salivary buffering capacity were determined by standard methods. Furthermore, salivary pH was measured with pH paper and salivary flow rate was calculated. Simplified oral hygiene index and gingival index were not significantly different between groups but DMFT scores were significant (P < 0.01. Only, GSH values were significantly different (P < 0.05 between groups (2.2 and 1.6 mg/g protein in young adults without caries and with caries, respectively. There was a significant negative correlation between DMFT and GSH (r = -0.391; P < 0.05; Pearson's correlation coefficient. Our results suggest that there is an association between caries history and salivary GSH levels.

  15. Aromatized testosterone attenuates contextual generalization of fear in male rats.

    Science.gov (United States)

    Lynch, Joseph F; Vanderhoof, Tyler; Winiecki, Patrick; Latsko, Maeson S; Riccio, David C; Jasnow, Aaron M

    2016-08-01

    Generalization is a common symptom of many anxiety disorders, and females are 60% more likely to suffer from an anxiety disorder than males. We have previously demonstrated that female rats display significantly accelerated rates of contextual fear generalization compared to male rats; a process driven, in part, by activation of ERβ. The current study was designed to determine the impact of estrogens on contextual fear generalization in male rats. For experiment 1, adult male rats were gonadectomized (GDX) and implanted with a capsule containing testosterone proprionate, estradiol, dihydrotestosterone proprionate (DHT), or an empty capsule. Treatment with testosterone or estradiol maintained memory precision when rats were tested in a different (neutral) context 1day after training. However, male rats treated with DHT or empty capsules displayed significant levels of fear generalization, exhibiting high levels of fear in the neutral context. In Experiment 2, we used acute injections of gonadal hormones at a time known to elicit fear generalization in female rats (e.g. 24h before testing). Injection treatment followed the same pattern of results seen in Experiment 1. Finally, animals given daily injections of the aromatase inhibitor, Fadrozole, displayed significant fear generalization. These data suggest that testosterone attenuates fear generalization likely through the aromatization testosterone into estradiol as animals treated with the non-aromatizable androgen, DHT, or animals treated with Fadrozole, displayed significant generalized fear. Overall, these results demonstrate a sex-dependent effect of estradiol on the generalization of contextual fear. PMID:27368147

  16. A BDNF Sensitive Mechanism Is Involved in the Fear Memory Resulting from the Interaction between Stress and the Retrieval of an Established Trace

    Science.gov (United States)

    Giachero, Marcelo; Bustos, Silvia G.; Calfa, Gaston; Molina, Victor A.

    2013-01-01

    The present study investigates the fear memory resulting from the interaction of a stressful experience and the retrieval of an established fear memory trace. Such a combination enhanced both fear expression and fear retention in adult Wistar rats. Likewise, midazolam intra-basolateral amygdala (BLA) infusion prior to stress attenuated the…

  17. Differences in functional outcomes for adult patients with prosthodontically-treated and -untreated shortened dental arches: a systematic review.

    Directory of Open Access Journals (Sweden)

    Saadika Khan

    Full Text Available This review examined differences in functional outcomes and patient satisfaction when shortened dental arches are left untreated compared to their restoration to complete arch lengths with different prosthodontic interventions.A protocol was developed according to the criteria for a systematic review. All relevant databases were searched to identify appropriate clinical trials regardless of language or publication status. Predetermined eligibility criteria were applied, trial quality assessed and data extracted for each study. Relevant outcomes assessed were: functioning ability, patient satisfaction and harmful effects on oral structures.Searches yielded 101 articles: 81 from electronic databases and 20 from reference lists of retrieved articles (PEARLing searches. Sixty-nine citations were assessed for eligibility after removing 32 duplicate records. After reading titles and abstracts, a total of 41 records were excluded and the full-texts of the remaining 28 records were read. Only 21 records were included for the SR because 7 records were excluded after reading the full-text reports. These 21 records report the outcomes of four randomized controlled trials (RCTs and one non-randomized clinical trial (CT which were pre-specified and used for this review. No on-going studies were found and no eligible studies were excluded for failure to report the reviewer's pre-specified outcomes. Outcomes were reported in the retrieved 21 articles. A narrative explanation of the pre-specified outcomes is reported for the 3 comparison groups (which were based on the different interventions used for the individual clinical trials. The shortened dental arch as a treatment option is encouraging in terms of functioning, patient satisfaction and cost-effectiveness. By using only high quality studies it was expected that the results would be more reliable when making conclusions and recommendations, but some of the included studies had to be downgraded due to

  18. Childhood abuse and fear of childbirth--a population-based study

    DEFF Research Database (Denmark)

    Lukasse, Mirjam; Vangen, Siri; Øian, Pål;

    2010-01-01

    Childhood abuse affects adult health. The objective of this study was to examine the association between a self-reported history of childhood abuse and fear of childbirth.......Childhood abuse affects adult health. The objective of this study was to examine the association between a self-reported history of childhood abuse and fear of childbirth....

  19. PSYCHICAL THERAPY OF CHILDREN‘S FEARS DUE TO DISEASES AND SOMATIC INJURIES

    Directory of Open Access Journals (Sweden)

    Ivajlo PETROV

    2004-12-01

    Full Text Available Human civilization in all phases of its development has been accompanied by different kinds of fear related to disease, death, injury, separation, pain, loneliness, darkness, imagined creatures, natural appearances etc. Fear has become a constant part of human life and it has always required appropriate mechanisms for defense. It is very important to be mentioned that fears occur with children as well. Fears acquire specific form with physically disabled, ill children and children with poor health etc.A great number of authors explain children’s fears from many aspects connected with the factor and manifestations of certain forms of children’s fear.In that sense, it is pointed out that the reasons for children’s fears can be divided in three categories: innate, endured and imagined.Fear, both with adults and children, is accompanied by concrete physiological processes mainly of biochemical and functional nature.

  20. Factors influencing use of dental services in rural and urban communities: considerations for practitioners in underserved areas.

    Science.gov (United States)

    Heaton, Lisa J; Smith, Timothy A; Raybould, Ted P

    2004-10-01

    Individuals' utilization of dental services depends upon an array of factors, including access to care, financial restrictions, attitudes toward dental care, and dental fear. These factors, in turn, may vary across geographic locations and demographic groups. The goals of this study were to assess the use of dental services in both rural and urban areas of Kentucky and to examine challenges facing practitioners in rural areas. Individuals sampled from a rural population and patients in rural and urban dental clinics completed questionnaires about use of dental services, self-rated dental health, and dental fear. While these variables were strongly interrelated, differences emerged across locations. Patients in the urban area reported having more dental insurance but not better dental health. Patients in more rural areas reported seeking more emergency dental treatment but not more dental fear. While these factors are important considerations across locations, dental practitioners in rural areas in particular should be aware of barriers to dental care facing individuals in these areas. They have unique opportunities to provide education to their patients regarding the importance of dental care and the role of oral health in overall physical health. PMID:15466058

  1. Mozart effect on dental anxiety in 6–12 year old children

    OpenAIRE

    Arlette Suzy Setiawan; Hilnia Zidnia; Inne Suherna Sasmita

    2010-01-01

    Background: Children anxiety in dental treatment often becomes a barrier for dentist to perform optimum dental treatment procedure. Various methods to manage anxiety and fear in children have been applied including listening to classical music during dental treatment. One of the classical music usually used is music by Mozart. Purpose: This study is aimed to discover the role of classical music by Mozart in dental anxiety changes. Method: This study was a quasi experimental study using purpos...

  2. Do Health-Related Feared Possible Selves Motivate Healthy Eating?

    OpenAIRE

    Samar Noureddine; Bonnie Metzger

    2014-01-01

    The question of what motivates individuals to assume healthy eating habits remains unanswered. The purpose of this descriptive survey is to explore health-related feared possible selves in relation to dietary beliefs and behavior in adults. A convenience sample of 74 middle-aged employees of a health maintenance organization completed self-administered questionnaires. Health-related feared selves, current health perception, knowledge of diet-health association, dietary self-efficacy, dietary ...

  3. Adult Stem Cells Properties in Terms of Commitment, Aging and Biological Safety of Grit-Blasted and Acid-Etched Ti Dental Implants Surfaces

    OpenAIRE

    Gardin, Chiara; Ferroni, Letizia; Bressan, Eriberto; Calvo - Guirado, José L.; Degidi, Marco; Piattelli, Adriano; Zavan, Barbara

    2014-01-01

    Titanium (Ti) is one of the most widely used biomaterials for manufacturing dental implants. The implant surface properties strongly influence osseointegration. The aim of the present study was to in vitro investigate the characteristics of Ti dental implants in terms of mutagenicity, hemocompatibility, biocompatibility, osteoinductivity and biological safety. The Ames test was used to test the mutagenicity of the Ti dental implants, and the hemolysis assay for evaluating their hemocompatibil...

  4. Effect of an oxygenating agent on oral microorganisms in vitro and on dental plaque composition in healthy young adults

    Directory of Open Access Journals (Sweden)

    Mercedes eFernandez y Mostajo

    2014-07-01

    Full Text Available Oral bacteria live in symbiosis with the host. Therefore, when mouthwashes are indicated, selective inhibition of taxa contributing to disease is preferred instead of broad-spectrum antimicrobials. The potential selectivity of an oxygenating mouthwash, Ardox-X® (AX, has not been assessed. The aim of this study was to determine the antimicrobial potential of AX and the effects of a twice-daily oral rinse on dental plaque composition. Material and methods: In vitro, 16 oral bacterial strains were tested using agar diffusion susceptibility, minimum inhibitory and minimum bactericidal concentration tests. A pilot clinical study was performed with 25 healthy volunteers. Clinical assessments and microbiological sampling of supragingival plaque were performed at one month before the experiment (Pre-exp, at the start of the experiment (Baseline and after the one-week experimental period (Post-exp. During the experiment individuals used AX mouthwash twice daily in absence of other oral hygiene measures. The microbiological composition of plaque was assessed by 16S rRNA gene amplicon sequencing. Results: AX showed high inter-species variation in microbial growth inhibition. The tested Prevotella strains and Fusobacterium nucleatum showed the highest sensitivity, while streptococci and Lactobacillus acidophilus were most resistant to AX. Plaque scores at Pre-exp and Baseline visits did not differ significantly (p = 0.193, nor did the microbial composition of plaque during a period of 7-days non-brushing but twice daily rinsing. Plaque scores increased from 2.21 (0.31 at Baseline to 2.43 (0.39 Post-exp. A significant microbial shift in composition was observed: genus Streptococcus and Veillonella increased while Corynebacterium, Haemophilus, Leptotrichia, Cardiobacterium and Capnocytophaga decreased (p ≤ 0.001. Conclusion: AX has the potential for selective inhibition of oral bacteria. The shift in oral microbiome after one week of rinsing deserves

  5. Dorky Poll Scientific Fears

    CERN Multimedia

    2008-01-01

    The questions posed in yesterday's posts about hopes for 2008 were half of what we were asked by the Powers That Be. The other half: What scientific development do you fear you'll be blogging or reading about in 2008?

  6. Fear of the Formal

    DEFF Research Database (Denmark)

    du Gay, Paul; Lopdrup-Hjorth, Thomas

    2016-01-01

    term this ‘fear of the formal’, outlining key elements of its genealogy and exploring its contemporary manifestation in relation to recent and ongoing reforms of organisational life in a range of contexts. At the same time, we seek to indicate the continuing constitutive significance of formality...

  7. Animal Models of Fear Relapse

    OpenAIRE

    Goode, Travis D.; Maren, Stephen

    2014-01-01

    Whereas fear memories are rapidly acquired and enduring over time, extinction memories are slow to form and are susceptible to disruption. Consequently, behavioral therapies that involve extinction learning (e.g., exposure therapy) often produce only temporary suppression of fear and anxiety. This review focuses on the factors that are known to influence the relapse of extinguished fear. Several phenomena associated with the return of fear after extinction are discussed, including renewal, sp...

  8. Visibility of dental pulp spaces in dental ultrasound

    OpenAIRE

    Szopinski, K T; Regulski, P

    2013-01-01

    The purpose of this study was to assess the feasibility of dental ultrasound with conventional sonographic equipment. The teeth of three adult volunteers who had cone beam CT examinations performed previously with clinical indications and one extracted tooth were examined using linear and compact (hockey stick) sonographic probes. The sonographic images were compared with cone beam CT images reconstructed accordingly. Dental pulp spaces were demonstrated in all teeth not covered with prosthet...

  9. METUS REVEALED. HOBBES ON FEAR

    Directory of Open Access Journals (Sweden)

    RAFFAELLA SANTI

    2011-11-01

    Full Text Available Fear is a universal emotion, experienced by everybody. When it becomes collective and social, it can enter into the processes of political imagination, being used for political purposes. This article is a brief examination of the meanings and functions of fear(s in Hobbes’s thought. Some of his views may be ‘historically’ related to his own time, the Seventeenth Century, and others may be linked and confined to his own theory. However, his reflections on the importance of the perturbatio animi of fear for human psychology, and its impact on human interactions and collective behaviour, are still interesting for us today. The various meanings of fear highlighted by Hobbes (especially in his political works: Elements of Law, De cive, and Leviathan are here synthetically reconstructed, with particular emphasis on fear as passion, expectation and will, and on fear in his various social aspects: mutual fear and fear of death, which give rise to the political community; fear of punishment and fear for the laws, which help to maintain the State and finally, fear of invisible power and timor Dei, from which religion originates, and the religious power that Hobbes wanted to be held by the State.

  10. Evaluation of treatment related fear using a newly developed fear scale for children: "Fear assessment picture scale" and its association with physiological response

    Directory of Open Access Journals (Sweden)

    Nishidha Tiwari

    2015-01-01

    Full Text Available Introduction: Dental treatment is usually a poignant phenomenon for children. Projective scales are preferred over psychometric scales to recognize it, and to obtain the self-report from children. Aims: The aims were to evaluate treatment related fear using a newly developed fear scale for children, fear assessment picture scale (FAPS, and anxiety with colored version of modified facial affective scale (MFAS - three faces along with physiologic responses (pulse rate and oxygen saturation obtained by pulse oximeter before and during pulpectomy procedure. Settings and Design: Total, 60 children of age 6-8 years who were visiting the dental hospital for the first time and needed pulpectomy treatment were selected. Children selected were of sound physical, physiological, and mental condition. Two projective scales were used; one to assess fear - FAPS and to assess anxiety - colored version of MFAS - three faces. These were co-related with the physiological responses (oxygen saturation and pulse rate of children obtained by pulse oximeter before and during the pulpectomy procedure. Statistical Analysis Used: Shapiro-Wilk test, McNemar′s test, Wilcoxon signed ranks test, Kruskal-Wallis test, Mann-Whitney test were applied in the study. Results: The physiological responses showed association with FAPS and MFAS though not significant. However, oxygen saturation with MFAS showed a significant change between "no anxiety" and "some anxiety" as quantified by Kruskal-Wallis test value 6.287, P = 0.043 (<0.05 before pulpectomy procedure. Conclusions: The FAPS can prove to be a pragmatic tool in spotting the fear among young children. This test is easy and fast to apply on children and reduces the chair-side time.

  11. Dental Anxiety in Elementary Schoolchildren

    Directory of Open Access Journals (Sweden)

    Elisabete Rabaldo BOTTAN

    2007-09-01

    Full Text Available Objective: To identify the percentage of students with dentalanxiety.Method: A transversal exploratory study was designed involving976 schoolchildren aged 9 to 17 years from three public schoolslocated in the urban perimeter of the city of Campos Novos (SC.Data collection instruments were questionnaires adapted from theDental Anxiety Scale (DAS and Dental Fear Survey (DFS.Results: 84% of the subjects manifested anxiety, most of thembeing classified as low-anxiety individuals. Girls were a little moreanxious than boys (87% versus 81%. The relationship betweenage group and percentage of anxious patients indicates a decreasein the frequency for older individuals. The most frequently mentionedphysiological responses were accelerated heart beat and tremors.The triggering factors were “to see” or “to hear the noise of” thedental bur and anesthesia. Most subjects (84.5% affirmed to havevisited a dental office in the past two years and 63.5% of themreported that the dental appointments were scheduled for restorativepurposes.Conclusion: Dental anxiety was present in this population in ahigh percentage.

  12. Serotonin in fear conditioning processes.

    Science.gov (United States)

    Bauer, Elizabeth P

    2015-01-15

    This review describes the latest developments in our understanding of how the serotonergic system modulates Pavlovian fear conditioning, fear expression and fear extinction. These different phases of classical fear conditioning involve coordinated interactions between the extended amygdala, hippocampus and prefrontal cortices. Here, I first define the different stages of learning involved in cued and context fear conditioning and describe the neural circuits underlying these processes. The serotonergic system can be manipulated by administering serotonin receptor agonists and antagonists, as well as selective serotonin reuptake inhibitors (SSRIs), and these can have significant effects on emotional learning and memory. Moreover, variations in serotonergic genes can influence fear conditioning and extinction processes, and can underlie differential responses to pharmacological manipulations. This research has considerable translational significance as imbalances in the serotonergic system have been linked to anxiety and depression, while abnormalities in the mechanisms of conditioned fear contribute to anxiety disorders.

  13. Reforming the mission of public dental services.

    Science.gov (United States)

    Wright, F A C; List, P F

    2012-10-01

    Australia has a complex history of providing public dental services to its communities. From the early days of Colonial settlement, the provision of dental care to the Australian public has largely been driven and influenced by organized groups and associations of dentists. The Constitution of Australia, under Section 51 xxiii A, allows for the Commonwealth to provide for medical and dental services. Unlike the United Kingdom, however, dental services have not been embedded into a universal national health service agenda. In 1974, that the Australian Government through the Australian School Dental Program provided the first funding and national direction for public dental services - and that, limited to children. The Commonwealth Dental Health Program 1993-1997 was the second national endeavor to provide public dental services, this time to financially disadvantaged adults. Since that time, public dental service responsibility has been shuttled between States/Territories and the Commonwealth. A new paradigm for public dental services in Australia requires strong Commonwealth leadership, as well as the commitment of State and Territories and the organized dental profession. The National Health and Hospitals Reform Commission provided the most recent scenario for a radical change in mission. This paper canvases the competing roles of strategic, functional, and structural issues in relationship to social network and policy issues, which must be recognized if Australians truly seek to reform public dental services. PMID:22998313

  14. Fear of holes.

    Science.gov (United States)

    Cole, Geoff G; Wilkins, Arnold J

    2013-10-01

    Phobias are usually described as irrational and persistent fears of certain objects or situations, and causes of such fears are difficult to identify. We describe an unusual but common phobia (trypophobia), hitherto unreported in the scientific literature, in which sufferers are averse to images of holes. We performed a spectral analysis on a variety of images that induce trypophobia and found that the stimuli had a spectral composition typically associated with uncomfortable visual images, namely, high-contrast energy at midrange spatial frequencies. Critically, we found that a range of potentially dangerous animals also possess this spectral characteristic. We argue that although sufferers are not conscious of the association, the phobia arises in part because the inducing stimuli share basic visual characteristics with dangerous organisms, characteristics that are low level and easily computed, and therefore facilitate a rapid nonconscious response.

  15. Fear of holes.

    Science.gov (United States)

    Cole, Geoff G; Wilkins, Arnold J

    2013-10-01

    Phobias are usually described as irrational and persistent fears of certain objects or situations, and causes of such fears are difficult to identify. We describe an unusual but common phobia (trypophobia), hitherto unreported in the scientific literature, in which sufferers are averse to images of holes. We performed a spectral analysis on a variety of images that induce trypophobia and found that the stimuli had a spectral composition typically associated with uncomfortable visual images, namely, high-contrast energy at midrange spatial frequencies. Critically, we found that a range of potentially dangerous animals also possess this spectral characteristic. We argue that although sufferers are not conscious of the association, the phobia arises in part because the inducing stimuli share basic visual characteristics with dangerous organisms, characteristics that are low level and easily computed, and therefore facilitate a rapid nonconscious response. PMID:23982244

  16. Dental radiology.

    Science.gov (United States)

    Woodward, Tony M

    2009-02-01

    Dental radiology is the core diagnostic modality of veterinary dentistry. Dental radiographs assist in detecting hidden painful pathology, estimating the severity of dental conditions, assessing treatment options, providing intraoperative guidance, and also serve to monitor success of prior treatments. Unfortunately, most professional veterinary training programs provide little or no training in veterinary dentistry in general or dental radiology in particular. Although a technical learning curve does exist, the techniques required for producing diagnostic films are not difficult to master. Regular use of dental x-rays will increase the amount of pathology detected, leading to healthier patients and happier clients who notice a difference in how their pet feels. This article covers equipment and materials needed to produce diagnostic intraoral dental films. A simplified guide for positioning will be presented, including a positioning "cheat sheet" to be placed next to the dental x-ray machine in the operatory. Additionally, digital dental radiograph systems will be described and trends for their future discussed. PMID:19410234

  17. Does women’s greater fear of snakes and spiders originate in infancy?

    OpenAIRE

    Rakison, David H.

    2009-01-01

    Previous studies with adult humans and non-human animals revealed more rapid fear learning for spiders and snakes than for mushrooms and flowers. The current experiments tested whether 11-month-olds show a similar effect in learning associative pairings between facial emotions and fear-relevant and fear-irrelevant stimuli. Consistent with the greater incidence of snake and spider phobias in women, results show that female but not male infants learn rapidly to associate negative facial emotion...

  18. The Role of Panic-fear in Comorbid Asthma and Panic Disorder

    OpenAIRE

    Feldman, Jonathan M.; Siddique, Mahmood I.; Thompson, Nigel S.; Lehrer, Paul M.

    2008-01-01

    We examined mediational models of panic-fear, panic disorder (PD), and asthma outcomes among adult asthma patients. PD was assessed by the Anxiety Disorders Interview Schedule. Twenty-one asthma-PD patients and 27 asthma-only patients completed spirometry and questionnaires. Asthma-PD patients reported greater illness-specific and generalized panic-fear than asthma-only patients, despite no differences in asthma severity or physical symptoms during asthma attacks. Illness-specific panic-fear ...

  19. The role of fear in mental health service users’ experiences: a qualitative exploration

    OpenAIRE

    Sweeney, Angela; Gillard, Steve; Wykes, Til; Rose, Diana

    2015-01-01

    Purpose Although studies suggest that fear plays an important role in shaping mental health service users’ experiences, evidence is patchy and the contexts, conditions and consequences of fear have rarely been researched. This paper explores the role of fear in adult mental health service users’ lives and describes its implications for mental health services. Methods Four community health service user focus groups (N32) were held. Each group was reconvened after 7–14 days. An initial thematic...

  20. Factors influencing the use of public dental services: An application of the Theory of Planned Behaviour

    OpenAIRE

    Spencer A John; Luzzi Liana

    2008-01-01

    Abstract Background There is limited evidence of the influence of psychosocial factors and health beliefs on public dental patient's patterns of service use in Australia. The research aims were to examine associations between dental attitudes and beliefs of public dental service users and dental visiting intention and behaviour using the Theory of Planned Behaviour. Methods 517 randomly selected adult public dental patients completed a questionnaire assessing dental attitudes and beliefs whic...

  1. Lifelong disturbance of serotonin transporter functioning results in fear learning deficits: Reversal by blockade of CRF1 receptors.

    Science.gov (United States)

    Bijlsma, Elisabeth Y; Hendriksen, Hendrikus; Baas, Johanna M P; Millan, Mark J; Groenink, Lucianne

    2015-10-01

    The inability to associate aversive events with relevant cues (i.e. fear learning) may lead to maladaptive anxiety. To further study the role of the serotonin transporter (SERT) in fear learning, classical fear conditioning was studied in SERT knockout rats (SERT(-/-)) using fear potentiation of the startle reflex. Next, fear acquisition and concomitant development of contextual conditioned fear were monitored during training. To differentiate between developmental and direct effects of reduced SERT functioning, effects of acute and chronic SSRI treatment were studied in adult rats. Considering the known interactions between serotonin and corticotropin-releasing factor (CRF), we studied the effect of the CRFR1 antagonist CP154,526 on behavioral changes observed and determined CRF1 receptor levels in SERT(-/-) rats. SERT(-/-) showed blunted fear potentiation and enhanced contextual fear, which resulted from a deficit in fear acquisition. Paroxetine treatment did not affect acquisition or expression of fear-potentiated startle, suggesting that disturbed fear learning in SERT(-/-) results from developmental changes and not from reduced SERT functioning. Although CRF1 receptor levels did not differ significantly between genotypes, CP154,526 treatment normalized both cue- and contextual fear in SERT(-/-) during acquisition, but not expression of fear-potentiated startle. The disrupted fear acquisition and concomitant increase in contextual conditioned fear-potentiated startle fear in SERT(-/-) resembles the associative learning deficit seen in patients with panic disorder and suggests that normal SERT functioning is crucial for the development of an adequate fear neuro-circuitry. Moreover, the normalization of fear acquisition by CP154,526 suggests a role for central CRF signaling in the generalization of fear.

  2. Regulating Critical Period Plasticity: Insight from the Visual System to Fear Circuitry for Therapeutic Interventions

    Directory of Open Access Journals (Sweden)

    Elisa M. Nabel

    2013-11-01

    Full Text Available Early temporary windows of heightened brain plasticity called critical periods developmentally sculpt neural circuits and contribute to adult behavior. Regulatory mechanisms of visual cortex development –the preeminent model of experience-dependent critical period plasticity- actively limit adult plasticity and have proved fruitful therapeutic targets to reopen plasticity and rewire faulty visual system connections later in life. Interestingly, these molecular mechanisms have been implicated in the regulation of plasticity in other functions beyond vision. Applying mechanistic understandings of critical period plasticity in the visual cortex to fear circuitry may provide a conceptual framework for developing novel therapeutic tools to mitigate aberrant fear responses in post traumatic stress disorder. In this review, we turn to the model of experience-dependent visual plasticity to provide novel insights for the mechanisms regulating plasticity in the fear system. Fear circuitry, particularly fear memory erasure, also undergoes age-related changes in experience-dependent plasticity. We consider the contributions of molecular brakes that halt visual critical period plasticity to circuitry underlying fear memory erasure. A major molecular brake in the visual cortex, perineuronal net formation, recently has been identified in the development of fear systems that are resilient to fear memory erasure. The roles of other molecular brakes, myelin-related Nogo receptor signaling and Lynx family proteins– endogenous inhibitors for nicotinic acetylcholine receptor, are explored in the context of fear memory plasticity. Such fear plasticity regulators, including epigenetic effects, provide promising targets for therapeutic interventions.

  3. American Dental Association

    Science.gov (United States)

    ... site Partnerships and Commissions Joint Commission on National Dental Examinations Learn about the examinations used in licensing dentists and dental hygienists Commission on Dental Accreditation Explore CODA's role ...

  4. Animal models of fear relapse.

    Science.gov (United States)

    Goode, Travis D; Maren, Stephen

    2014-01-01

    Whereas fear memories are rapidly acquired and enduring over time, extinction memories are slow to form and are susceptible to disruption. Consequently, behavioral therapies that involve extinction learning (e.g., exposure therapy) often produce only temporary suppression of fear and anxiety. This review focuses on the factors that are known to influence the relapse of extinguished fear. Several phenomena associated with the return of fear after extinction are discussed, including renewal, spontaneous recovery, reacquisition, and reinstatement. Additionally, this review describes recent work, which has focused on the role of psychological stress in the relapse of extinguished fear. Recent developments in behavioral and pharmacological research are examined in light of treatment of pathological fear in humans. PMID:25225304

  5. Dental radiology

    International Nuclear Information System (INIS)

    Since dental radiology has become a subject of the final examinations in dental medicine, there is a demand for literature presenting the basic principles of this subject field. The textbook in hand is primarily intended as an introduction for students attending the roentgenography lessons, or for students preparing for their dental medicine examinations. The book discusses the following aspects: physical principles and fundamentals; technical fundamentals of X-ray generation; image formation; X-ray films and film processing; intraoral imaging techniques; extraoral imaging techniques; special methods; panoramic technique; biological radiation effects; basic principles of radiation protection; legal aspects (X-ray Ordinance). (orig.)

  6. Fear of Failure and Student Athletes' Interpersonal Antisocial Behaviour in Education and Sport

    Science.gov (United States)

    Sagar, Sam S.; Boardley, Ian D.; Kavussanu, Maria

    2011-01-01

    Background: The link between fear of failure and students' antisocial behaviour has received scant research attention despite associations between fear of failure, hostility, and aggression. Also, the effect of sport experience on antisocial behaviour has not been considered outside of the sport context in adult populations. Further, to date, sex…

  7. Effects of Fear Appeals on Communicating Potential Health Risks of Unregulated Dietary Supplements to College Students

    Science.gov (United States)

    Kim, Hyang-Sook; Sheffield, Donna; Almutairi, Talal

    2014-01-01

    Background: Fear appeals are commonly used in health communication to reduce risk. It is not clear, however, whether familiarity with a health topic can lessen the threat intended. The use of unregulated dietary supplements among young adults is one such area that needs study. Purpose: The study examined the effect of fear appeals on…

  8. Extinction in human fear conditioning

    OpenAIRE

    Hermans, Dirk; Craske, Michelle G.; Mineka, Susan; Lovibond, Peter F.

    2006-01-01

    Although most extinction research is conducted in animal laboratories, the study of extinction learning in human fear conditioning has gained increasing attention over the last decade. The most important findings from human fear extinction are reviewed in this article. Specifically, we review experimental investigations of the impact of conditioned inhibitors, conditioned exciters, context renewal, and reinstatement on fear extinction in human samples. We discuss data from laboratory studies ...

  9. Behavioural and emotional problems in children referred to a centre for special dental care

    NARCIS (Netherlands)

    M. ten Berge; J.S.J. Veerkamp; J. Hoogstraten; P.J.M. Prins

    1999-01-01

    This study was conducted among 203 children (103 boys) referred to a centre for special dental care because of a high level of dental fear. It was under-taken to explore to what extent behavioural and emotional problems co-exist in these children compared with children of a Dutch norm group. The chi

  10. Fear of hypoglycaemia in patients with type 1 diabetes

    Directory of Open Access Journals (Sweden)

    Evgeniia Mikhaylovna Patrakeeva

    2014-05-01

    Full Text Available Independently of causes and risk factors of hypoglycaemia, its manifestations are always unfavourable and evoke fear and other negative emotions that lead to negative consequences connected with quality of diabetes control. The fear of hypoglycaemia creates an internal conflict by diminishing patients’ motivation to adhere to intensive treatment regimes. In addition to the severity of hypoglycaemia and its negative consequences, quality of life is one of the main criteria for evaluating the physical, psychological and social components of patient's life as a whole. Fear of hypoglycaemia is one of the most important factors; it either directly or indirectly affects quality of life and influences all aspects of the patient's life. Fear of hypoglycaemia is also a source of anxiety for the patient's relatives, causing damage to their familial and social relations. The negative consequences of hypoglycaemia can affect the relationship between spouses, as well as between parents and children with type 1 diabetes. The qualitative and quantitative data demonstrate that non-severe nocturnal hypoglycaemia causes more anxiety and fear in patients than daytime hypoglycaemia does. To quantify the fear of hypoglycaemia in adults with type 1 diabetes, the hypoglycaemia fear scale (HFS was developed and still is the most commonly used instrument. To assess the fear of hypoglycaemia in children and their parents, the HFS scale was adapted to be used in the paediatric population: HFS for parents (PHFS and HFS for children (CHFS. From a clinical point of view, these scales for measuring the level of fear of hypoglycaemia may be useful for monitoring adult patients and families who may need additional support, training or assistance in dealing with issues related to hypoglycaemia. The methods for regulating the fear of hypoglycaemia range from behavioural to pharmaceutical and surgical ones, and include a broad range of activities. Nevertheless, the problem

  11. Barriers to the Utilization of Dental Services in Udaipur, India

    Directory of Open Access Journals (Sweden)

    K. Asawa

    2011-06-01

    Full Text Available Objective: Regular home care and yearly dental check-ups are the best means of dental care. In spite of the information on dental care, many people fail to take these precautions. The objective of this study was to determine the barriers in regular dental care and home care and to assess their association with age, sex, education and income.Materials and Methods: A cross-sectional survey was conducted among 427 randomly selected individuals, 248 males and 179 females. Data were collected by a pre-tested, selfadministered 14 question questionnaire. The answer "very much" was scored as one, "to some degree" as two and "not at all" as three. The data was described and analyzed by frequency distribution and chi square test with P0.05, but females experienced higher dental fear (P<0.001. The younger age group had more visits within one year in comparison to the older. Increase in education, decreases the barriers for regular dental care. Income had a significantly negative correlation with dental visit (P=0.02.Conclusion: Our findings suggest that males believed in having regular dental care. Cost of the treatment also affected the dental visits, but the distance they had to travel to get the dental treatment was not much significant. Above all, felt need had a major impact on the dental visits.

  12. [Adult].

    Science.gov (United States)

    Milke-García, María Del Pilar

    2016-09-01

    Adulthood starts after youth and is characterized by the completion of growth and the achievement of organic and psychological maturity. Obesity and other preventable diseases related to lifestyle are common at this age. A complete, balanced and sufficient diet, together with exercise are important in order to prevent and treat these diseases. Several studies have brought about the mechanisms by which the incorporation of milk and dairy products to diet is beneficial in order to prevent and treat these diseases. Milk also contributes to the improvement of dental, bone and intestinal health, theoretically helps in body weight control, has a definite role on the muscular and bone mass maintenance and is an option for hydration during exercise, this being as important as diet for overweight, obesity, diabetes, dislipidemias and hypertension control. PMID:27603885

  13. [Adult].

    Science.gov (United States)

    Milke-García, María Del Pilar

    2016-09-01

    Adulthood starts after youth and is characterized by the completion of growth and the achievement of organic and psychological maturity. Obesity and other preventable diseases related to lifestyle are common at this age. A complete, balanced and sufficient diet, together with exercise are important in order to prevent and treat these diseases. Several studies have brought about the mechanisms by which the incorporation of milk and dairy products to diet is beneficial in order to prevent and treat these diseases. Milk also contributes to the improvement of dental, bone and intestinal health, theoretically helps in body weight control, has a definite role on the muscular and bone mass maintenance and is an option for hydration during exercise, this being as important as diet for overweight, obesity, diabetes, dislipidemias and hypertension control.

  14. The role of dental stem cells in regeneration

    OpenAIRE

    MAXIM, MONICA ANGELA; Soritau, Olga; BACIUT, MIHAELA; BRAN, SIMION; BACIUT, GRIGORE

    2015-01-01

    Mesenchymal stem cells (MSCs) are adult stem cells that have the capacity of rising multiple cell types. A rich source of mesenchymal stem cells is represented by the dental tissues: the periodontal ligament, the dental pulp, the apical papilla, the dental follicle and the deciduous teeth. The aim of this review is to characterize the main dental- derived mesenchymal stem cell population, and to show their important role in tissue regeneration based on their properties : the multi-potency, th...

  15. Infant dental care (image)

    Science.gov (United States)

    ... sugar water. As the child grows, establishing proper dental hygiene will promote healthy teeth and gums which are essential to overall good health. Poor dental development, dental disease, and dental trauma can result ...

  16. Fear conditioning and extinction across development: evidence from human studies and animal models.

    Science.gov (United States)

    Shechner, Tomer; Hong, Melanie; Britton, Jennifer C; Pine, Daniel S; Fox, Nathan A

    2014-07-01

    The ability to differentiate danger and safety through associative processes emerges early in life. Understanding the mechanisms underlying associative learning of threat and safety can clarify the processes that shape development of normative fears and pathological anxiety. Considerable research has used fear conditioning and extinction paradigms to delineate underlying mechanisms in animals and human adults; however, little is known about these mechanisms in children and adolescents. The current paper summarizes the empirical data on the development of fear conditioning and extinction. It reviews methodological considerations and future directions for research on fear conditioning and extinction in pediatric populations. PMID:24746848

  17. Fear conditioning and extinction across development: evidence from human studies and animal models.

    Science.gov (United States)

    Shechner, Tomer; Hong, Melanie; Britton, Jennifer C; Pine, Daniel S; Fox, Nathan A

    2014-07-01

    The ability to differentiate danger and safety through associative processes emerges early in life. Understanding the mechanisms underlying associative learning of threat and safety can clarify the processes that shape development of normative fears and pathological anxiety. Considerable research has used fear conditioning and extinction paradigms to delineate underlying mechanisms in animals and human adults; however, little is known about these mechanisms in children and adolescents. The current paper summarizes the empirical data on the development of fear conditioning and extinction. It reviews methodological considerations and future directions for research on fear conditioning and extinction in pediatric populations.

  18. Worrying affects associative fear learning: a startle fear conditioning study.

    Directory of Open Access Journals (Sweden)

    Femke J Gazendam

    Full Text Available A valuable experimental model for the pathogenesis of anxiety disorders is that they originate from a learned association between an intrinsically non-aversive event (Conditioned Stimulus, CS and an anticipated disaster (Unconditioned Stimulus, UCS. Most anxiety disorders, however, do not evolve from a traumatic experience. Insights from neuroscience show that memory can be modified post-learning, which may elucidate how pathological fear can develop after relatively mild aversive events. Worrying--a process frequently observed in anxiety disorders--is a potential candidate to strengthen the formation of fear memory after learning. Here we tested in a discriminative fear conditioning procedure whether worry strengthens associative fear memory. Participants were randomly assigned to either a Worry (n = 23 or Control condition (n = 25. After fear acquisition, the participants in the Worry condition processed six worrisome questions regarding the personal aversive consequences of an electric stimulus (UCS, whereas the Control condition received difficult but neutral questions. Subsequently, extinction, reinstatement and re-extinction of fear were tested. Conditioned responding was measured by fear-potentiated startle (FPS, skin conductance (SCR and UCS expectancy ratings. Our main results demonstrate that worrying resulted in increased fear responses (FPS to both the feared stimulus (CS(+ and the originally safe stimulus (CS(-, whereas FPS remained unchanged in the Control condition. In addition, worrying impaired both extinction and re-extinction learning of UCS expectancy. The implication of our findings is that they show how worry may contribute to the development of anxiety disorders by affecting associative fear learning.

  19. THE ROLE OF BDNF IN THE DEVELOPMENT OF FEAR LEARNING

    Science.gov (United States)

    Dincheva, Iva; Lynch, Niccola B.; Lee, Francis S.

    2016-01-01

    Brain-derived neurotrophic factor (BDNF) is a growth factor that is dynamically expressed in the brain across postnatal development, regulating neuronal differentiation and synaptic plasticity. The neurotrophic hypothesis of psychiatric mood disorders postulates that in the adult brain, decreased BDNF levels leads to altered neural plasticity, contributing to disease. Although BDNF has been established as a key factor regulating the critical period plasticity in the developing visual system, it has recently been shown to also play a role in fear circuitry maturation, which has implications for the emergence of fear-related mood disorders. This review provides a detailed overview of developmental changes in expression of BDNF isoforms, as well as their receptors across postnatal life. In addition, recent developmental studies utilizing a genetic BDNF single nucleotide polymorphism (Val66Met) knock-in mouse highlight the impact of BDNF on fear learning during a sensitive period spanning the transition into adolescent time frame. We hypothesize that BDNF in the developing brain regulates fear circuit plasticity during a sensitive period in early adolescence, and alterations in BDNF expression (genetic or environmental) have a persistent impact on fear behavior and fear-related disorders. PMID:27699937

  20. Heritability of fear: Ukrainian experience

    Directory of Open Access Journals (Sweden)

    O.V. Filiptsova

    2014-10-01

    Conclusions: The conducted research demonstrated genetic component presence for nine types of fear – psychic disorder development, complications in personal life, making responsible decisions, senility, closed spaces, sexual dysfunction, suicide commission, speaking in public, and aggressive behavior possibility to relatives. It helps to consider these fear perspectives for further molecular-genetic analysis in Ukraine.

  1. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients

    OpenAIRE

    Prabhakar A; Marwah N; Raju O

    2007-01-01

    Pain is not the sole reason for fear of dentistry. Anxiety or the fear of unknown during dental treatment is a major factor and it has been the major concern for dentists for a long time. Therefore, the main aim of this study was to evaluate and compare the two distraction techniques, viz, audio distraction and audiovisual distraction, in management of anxious pediatric dental patients. Sixty children aged between 4-8 years were divided into three groups. Each child had four dental visits - s...

  2. 口腔健康状况与牙科焦虑症影响因素的研究∗%Analysis of oral health status and affecting factors of dental anxiety

    Institute of Scientific and Technical Information of China (English)

    廖阳阳; 轩东英; 谢宝仪; 刘溦

    2015-01-01

    目的:研究牙科焦虑水平与口腔健康行为及健康状况的相关性,并调查其影响因素,为了解牙科焦虑症的发生、发展及预防提供临床依据。方法采用Corah’ s牙科焦虑量表( dental anxiety scale,DAS)和牙科畏惧量表( dental fear scale,DFS)对口腔门诊1203例成人患者进行问卷调查,并记录基本资料、牙科就诊状况以及口腔健康状况。结果1203例患者中,高度牙科焦虑症患者(DAS≥13)占23.4%。性别、年龄、文化程度、规律就诊状况、口腔健康行为和健康状况均影响牙科焦虑水平。定期洁牙的患者牙科焦虑水平较低。经常刷牙出血和牙齿酸软的患者牙科焦虑水平显著较高。牙钻和注射麻药是牙科治疗中最易诱发牙科焦虑的因素。结论我国牙科焦虑症的患病率较高,口腔健康状况和保健意识可能会影响患者的牙科焦虑水平。%Objective To investigate the correlation between adult dental anxiety and oral health status, and access the related factors contribute to dental anxiety. Methods A total of 1 203 dental patients completed a questionnaire that contained Corah” s dental anxiety scales ( DAS ) and dental fear survey ( DFS ) . The general characteristics were de-scribed, such as socio-demographic, dental attendances and oral health status. Results The prevalence of high dental anxiety ( DAS≥13) was 23. 4%. The regression analysis indicated that gender, age, education, dental attendances and oral health status were correlated with dental anxiety. The level of dental anxiety of patients with regular scaling was sig-nificant decreased. Patients with ‘always bleeding on brushing” and ‘always dentine hypersensitivity” had significantly higher level of dental anxiety. ‘Drilling with the handpiece” and ‘injecting the anesthetic” were the most important fac-tors to contribute to dental anxiety. Conclusion There was high prevalence of dental anxiety in Chinese adult

  3. Extinction during memory reconsolidation blocks recovery of fear in adolescents.

    Science.gov (United States)

    Johnson, D C; Casey, B J

    2015-01-01

    Adolescence is a time of intensified emotional experiences, during which anxiety and stress-related disorders peak. The most effective behavioral therapies for treating these disorders share exposure-based techniques as a core component. Exposure-based therapies build on the principles of fear extinction learning and involve desensitizing the individual to cues that trigger anxiety. Yet, recent evidence shows an adolescent-specific diminished capacity to extinguish fear responses, suggesting that adolescents may respond less well to exposure-based therapies than other age groups. Here we demonstrate an alternative method for blocking the recall of fear memories in adolescents, building on principles of memory reconsolidation in adults. During memory reconsolidation, a memory that is recalled becomes labile during which time it can be updated. Prior research has shown that extinction training during memory reconsolidation attenuates the recovery of fear memory in human adults and in rodents. Using this method, we show attenuation of fear memory in adolescent humans. These findings have significant implications for treating one of the most vulnerable populations to anxiety and stress related disorders - adolescents - by optimizing exposure therapy based on principles of memory reconsolidation. PMID:25749583

  4. Yoga attitudes in chronic low back pain: Roles of catastrophizing and fear of movement.

    Science.gov (United States)

    Combs, Martha A; Thorn, Beverly E

    2015-08-01

    Chronic low back pain is a significant public health problem and, although underused, yoga may be an effective complementary treatment. The current study examined associations of pain catastrophizing and fear of movement with attitudes toward yoga in adults with chronic low back pain. Participants completed three quantitative questionnaires assessing specific constructs: beliefs about yoga, fear of movement, and pain catastrophizing. A semi-structured in-person interview was then conducted to obtain specific pain-related information. Hierarchical regression and mediational analyses were used to test hypotheses. Consistent with the fear-avoidance model of chronic pain, catastrophizing and fear of movement were negatively associated with yoga attitudes. Specifically, fear of movement was a mediator between catastrophizing and attitudes toward yoga. Individuals with higher levels of catastrophizing and fear of movement may be less likely to consider a pain treatment involving physical movement. PMID:26256134

  5. Activity, balance, learning, and exposure (ABLE): A new intervention for fear of falling

    OpenAIRE

    Wetherell, JL; Johnson, K.; Chang, D; Ward, SR; Bower, ES; Merz, C; Petkus, AJ

    2015-01-01

    © 2015 John Wiley & Sons, Ltd. Objective: Fear of falling is an important problem among older adults, even those with relatively low rates of objective fall risk, who are often overlooked as targets for intervention. Method: We developed and pilot tested a new intervention, Activity, Balance, Learning, and Exposure (ABLE), in a sample of 10 older adults with excessive fear of falling. The ABLE intervention integrates exposure therapy and cognitive restructuring with a home safety evaluation a...

  6. Adversity-induced relapse of fear: neural mechanisms and implications for relapse prevention from a study on experimentally induced return-of-fear following fear conditioning and extinction.

    Science.gov (United States)

    Scharfenort, R; Menz, M; Lonsdorf, T B

    2016-01-01

    The efficacy of current treatments for anxiety disorders is limited by high relapse rates. Relapse of anxiety disorders and addiction can be triggered by exposure to life adversity, but the underlying mechanisms remain unexplored. Seventy-six healthy adults were a priori selected for the presence or absence of adverse experiences during childhood (CA) and recent past (RA; that is, past 12 months). Participants underwent fear conditioning (day 1) and fear extinction and experimental return-of-fear (ROF) induction through reinstatement (a model for adversity-induced relapse; day 2). Ratings, autonomic (skin conductance response) and neuronal activation measures (functional magnetic resonance imaging (fMRI)) were acquired. Individuals exposed to RA showed a generalized (that is, not CS- specific) fear recall and ROF, whereas unexposed individuals showed differential (that is, CS+ specific) fear recall and ROF on an autonomic level despite no group differences during fear acquisition and extinction learning. These group differences in ROF were accompanied by corresponding activation differences in brain areas known to be involved in fear processing and differentiability/generalization of ROF (that is, hippocampus). In addition, dimensional measures of RA, CA and lifetime adversity were negatively correlated with differential skin conductance responses (SCRs) during ROF and hippocampal activation. As discriminating signals of danger and safety, as well as a tendency for overgeneralization, are core features in clinically anxious populations, these deficits may specifically contribute to relapse risk following exposure to adversity, in particular to recent adversity. Hence, our results may provide first and novel insights into the possible mechanisms mediating enhanced relapse risk following exposure to (recent) adversity, which may guide the development of effective pre- and intervention programs. PMID:27434492

  7. Psychosocial Aspects of Dental Anxiety and Clinical Pain Phenomena

    DEFF Research Database (Denmark)

    Moore, Rod

    This Danish Doctoral Dissertation in the science of Odontology contains 7 chapters: 1) Introduction to a social perspective on dental treatment, anxiety and pain throughout time, 2) research models and methods to study dental anxiety and clinical pain phenomena, 3) the fear of dental treatment...... .. what it is and what it is not and how many have it, 4) clinical pain treatment, psychosocial aspects in relation to anxiety, 4) patients and dentists' roles, pain perception and anxiety, 6) psychosocial aspects of managing anxiety and pain phenomena, and 7) Conclusions and proposals for the future...

  8. Dental Calculus Arrest of Dental Caries

    Science.gov (United States)

    Keyes, Paul H.; Rams, Thomas E.

    2016-01-01

    Background An inverse relationship between dental calculus mineralization and dental caries demineralization on teeth has been noted in some studies. Dental calculus may even form superficial layers over existing dental caries and arrest their progression, but this phenomenon has been only rarely documented and infrequently considered in the field of Cariology. To further assess the occurrence of dental calculus arrest of dental caries, this study evaluated a large number of extracted human teeth for the presence and location of dental caries, dental calculus, and dental plaque biofilms. Materials and methods A total of 1,200 teeth were preserved in 10% buffered formal saline, and viewed while moist by a single experienced examiner using a research stereomicroscope at 15-25× magnification. Representative teeth were sectioned and photographed, and their dental plaque biofilms subjected to gram-stain examination with light microscopy at 100× magnification. Results Dental calculus was observed on 1,140 (95%) of the extracted human teeth, and no dental carious lesions were found underlying dental calculus-covered surfaces on 1,139 of these teeth. However, dental calculus arrest of dental caries was found on one (0.54%) of 187 evaluated teeth that presented with unrestored proximal enamel caries. On the distal surface of a maxillary premolar tooth, dental calculus mineralization filled the outer surface cavitation of an incipient dental caries lesion. The dental calculus-covered carious lesion extended only slightly into enamel, and exhibited a brown pigmentation characteristic of inactive or arrested dental caries. In contrast, the tooth's mesial surface, without a superficial layer of dental calculus, had a large carious lesion going through enamel and deep into dentin. Conclusions These observations further document the potential protective effects of dental calculus mineralization against dental caries. PMID:27446993

  9. Desigualdades contextuais e individuais da prevalência de dor dentária em adultos e idosos no Brasil Contextual and individual inequalities in dental pain prevalence among Brazilian adults and elders

    Directory of Open Access Journals (Sweden)

    Marco A. Peres

    2012-01-01

    Full Text Available O objetivo deste estudo foi conhecer a prevalência de dor dentária e fatores associados em adultos e idosos residentes nas capitais brasileiras usando os dados do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL, de 2009 (n = 54.367. Dor dentária foi a variável dependente. Macrorregião, idade, sexo, raça, escolaridade, posse de plano de saúde, tabagismo e consumo de refrigerantes foram as variáveis exploratórias. Foram realizadas regressões de Poisson multinível. A prevalência de dor dentária foi de 15,2%; Macapá e São Luís apresentaram prevalências maiores que 20% enquanto em todas as capitais do Sul e Sudeste, em Cuiabá, Campo Grande, Maceió, Recife e Natal foram encontradas prevalências menores que 15%. Residentes no Norte e Nordeste, mulheres, pretos e pardos, aqueles que não possuem plano de saúde, tabagistas e consumidores de refrigerantes apresentaram as maiores prevalências de dor dentária. A dor dentária é um problema de saúde pública que deve ser monitorado pelos sistemas de vigilância em saúde.This study aimed to assess the prevalence of dental pain among adults and older people living in Brazil's State capitals. Information was gathered from the Telephone Survey Surveillance System for Risk and Protective Factors for Chronic Diseases (VIGITEL in 2009 (n = 54,367. Dental pain was the outcome. Geographic region, age, gender, race, schooling, private health coverage, smoking, and soft drink consumption were the explanatory variables. Multilevel Poisson regression models were performed. Prevalence of dental pain was 15.2%; Macapá and São Luís had prevalence rates greater than 20%; all capitals in the South and Southeast, plus Cuiabá, Campo Grande, Maceió, Recife, and Natal had prevalence rates less than 15%. Factors associated with increased prevalence of dental pain were the North and Northeast regions, female gender, black/brown skin

  10. The Dental Amalgam Toxicity Fear: A Myth or Actuality

    OpenAIRE

    Rathore, Monika; Singh, Archana; Pant, Vandana A.

    2012-01-01

    Amalgam has been used in dentistry since about 150 years and is still being used due to its low cost, ease of application, strength, durability, and bacteriostatic effect. When aesthetics is not a concern it can be used in individuals of all ages, in stress bearing areas, foundation for cast-metal and ceramic restorations and poor oral hygiene conditions. Besides all, it has other advantages like if placed under ideal conditions, it is more durable and long lasting and least technique sensiti...

  11. Características associadas ao uso de serviços odontológicos públicos pela população adulta brasileira Characteristics associated with the use of dental services by the adult Brazilian population

    Directory of Open Access Journals (Sweden)

    Rafaela da Silveira Pinto

    2012-02-01

    Full Text Available O objetivo deste estudo foi investigar os fatores associados ao uso de serviços odontológicos públicos pela população adulta brasileira. Foram utilizados dados coletados junto a 13.356 adultos (35-44 anos, em um inquérito epidemiológico de saúde bucal, de abrangência nacional (Projeto SB-Brasil 2003. A análise dos dados baseou-se na regressão de Poisson, que produziu estimativas de Razões de Prevalências como medida de associação. A análise dos dados mostrou que o uso de serviços odontológicos públicos por adultos esteve associada com: sexo feminino, baixa escolaridade e renda, residência nas regiões Nordeste e Sul e em municípios de menor porte, queixas de dor de dente ou gengival, necessidades de prótese parcial e total, maior quantidade de dentes permanentes demandando tratamento, procura por serviço motivada por algum problema bucal e avaliação do tratamento recebido como regular. Esses resultados mostraram que a população atendida pelo serviço público era menos favorecida socioeconomicamente e apresentava maiores necessidades de tratamento. A grande necessidade acumulada reflete o histórico apartamento desse segmento populacional da atenção à saúde bucal em nosso país e coloca um grande desafio ao SUS, considerando o seu papel na redução das desigualdades e de provimento de acesso universal ao cuidado integral.The scope of this study was to investigate the factors related to the use of dental services by Brazilian adults. Data were collected from 13,356 adults (35 to 44 years of age, participating in a nationwide epidemiological survey of oral health (SB-BRASIL 2003 Project. Data analysis was based on Poisson regression, which produced estimates of Prevalence Ratios as a measure of association. Data analysis showed that the use of dental services by adults was associated with: female gender, low education and income, living in the Northeastern and Southern regions and in small cities, complaints of

  12. Implementing a National Dental Policy

    Directory of Open Access Journals (Sweden)

    Raymond Lam

    2012-05-01

    Full Text Available AbstractBackground The Chronic Dental Disease Scheme (CDSS is the first public dental policy in Australia to attract Medicare benefits for dental services. Aims This study examines the utilisation of a new federal method of funding dental care in Australia and provides an insight into the implications of government dental programs. The program titled; Chronic Dental Disease Scheme, provided government-subsidised dental care for people suffering from a chronic medical condition. Method A retrospective analysis of activity data using the relevant item numbers were extracted from the open source Medicare Benefits Schedule database (MBS for years 2007-2009. Results During the study period, a total of approximately five million dental services were provided. There was a disproportionate use of services between jurisdictions. The highest proportion (66% of services was provided in the state of New South Wales (NSW with Victoria second (22%. The adjusted value of care provided as a proportion of comprehensive examinations ranged from $1937 in the northern territory (NT to $2900 in NSW. The value of care per dentist ranged from nearly $80 000 down to less than $1000 and the value of care per adult of the population ranged between $53 and $1 across Australia. The highest was always in NSW and the lowest always being the NT. Fixed prosthodontics (reconstruction accounted for the significant costs associated with the program. Conclusion The scheme has been utilised above its budget estimate with prosthodontics accounting for the majority of expenses. Treatment plans differed between jurisdictions. The increase in utilisation of the scheme was coincident with periods of increased in subsidy and remuneration and has been postulated to be a main driver for its utilisation rather than the improvement in chronic health.

  13. Social inequality in the use and comprehensiveness of dental services.

    Science.gov (United States)

    Roberts-Thomson, K; Brennan, D S; Spencer, A J

    1995-02-01

    Fair access is a value enshrined through universal insurance for health care in Australia. However, dentistry is not included in this system. As a consequence, there is a strong likelihood of inequalities in access to dental services among adults. Data from the 1989-90 National Health Survey were analysed to determine sociodemographic factors related to use and comprehensiveness of dental services. Age, income, age of leaving school and occupation were independently associated with the use of dental services, and occupation was associated with an indicator of comprehensiveness of care: self-reported extraction at the last visit. In different adult age groups these sociodemographic factors had different effects, with the disparities in use of dental services greater in older age groups. Planning of dental services in the 1990s and beyond should include not only the removal of financial barriers to dental services among adults but also attention to the specific barriers experienced by the elderly. PMID:7734601

  14. Minimizing the Risk of Perioperative Bleeding in a Child with Hemophilia A during Dental Rehabilitation under General Anesthesia: A Case Report

    OpenAIRE

    Yehia El Batawi, Hisham

    2013-01-01

    ABSTRACT Hemophilia, among other bleeding disorders, raises concerns for dental service providers who routinely use sharp hand and rotary instruments, address highly vascular soft tissue and provide dental extractions. In pediatric dentistry, dealing with fearful or irritable children increases the possibility of trauma and subsequent bleeding risks in hemophilic pediatric dental patients. In the current report, we discuss how anesthetic, pediatric and dental management may contribute to the ...

  15. Dental Implants

    Medline Plus

    Full Text Available ... suffer from social consequences and poor nutrition. Rebuilding Bone When the supporting alveolar bone melts away , it’s gone for good, but through grafting, a skilled dental professional can recreate bone to fuse with and support an implant. This ...

  16. Dental Implants

    Medline Plus

    Full Text Available Dental Implants A fuller, more complete smile is within reach. The following information is designed to provide helpful facts so you ... found in nature. What Happens When You Lose a Tooth? When you lose a tooth, especially a ...

  17. Anxiety and personality characteristics in children undergoing dental interventions.

    Science.gov (United States)

    Pop-Jordanova, Nada; Sarakinova, Olivera; Markovska-Simoska, Silvana; Loleska, Sofija

    2013-01-01

    Anxiety about and fear of dental treatment have been recognized as sources of problems in the management of child dental patients. It has been suggested that some individuals who are fearful of or anxious about dental treatment have a constitutional vulnerability to anxiety disorders as is evidenced by the presence of multiple fears, generalized anxiety or panic disorders. Concerning the child population, maternal anxiety is considered to be a major factor affecting the behaviour of young children expecting dental intervention. The aim of the study was to the measure general anxiety of children undergoing dental intervention and to compare it with some personality characteristics, such as psychopathology, extroversion and neuroticism. The evaluated sample comprises 50 children (31 girls and 19 boys), randomly selected at the University Dental Hospital, Skopje. The mean age for girls was 11.4 (± 2.4) years, and for boys 10.7 (± 2.6) years. Two psychometric instruments were used: the General Anxiety Scale for Children (GASC) and the Eysenck Personality Questionnaire (EPQ). The study confirms the presence of a high anxiety level (evaluated with GASC) among all children undergoing dental intervention. It also confirmed differences in anxiety scores between girls and boys, girls having higher scores for anxiety. Personality characteristics (evaluated with EPQ) showed low psychopathological traits, moderate extroversion and neuroticism, but accentuated insincerity (evaluated with L scale). L scales are lower with increasing age, but P scores rise with age, which could be related to puberty. No correlation was found between personality traits (obtained scores for EPQ) and anxiety except for neuroticism, which is positively correlated with the level of anxiety. In the management of dental anxiety some response measures (psychological support, biofeedback, and relaxation techniques) are recommended. PMID:24566020

  18. MODERN IDEOLOGIES OF MANAGING FEAR

    Directory of Open Access Journals (Sweden)

    Oksana Konstantinovna Vasilchenko

    2015-11-01

    Full Text Available The subject of the article is a studying of modern ideologies of managing fear. The purpose of the article is to examine the managing fear practice and explain how it is used in the policy of homeland security. The research methodology is based on the general scientific methods such as analysis and synthesis, induction and deduction and special kind of theoretical me-thods such as studying literature about the problem. The study can be used in courses on social philosophy and political science. The author concludes that social fears are very effective instrument of influence with mass consciousness. The authorities need to legitimize their political decisions through public opinion. But before that they should form it. The author shows how policy of homeland security helps to produce fears in society and how politicians intentionally exaggerate them. In this regard the author considers a concept of homeland security which can eliminate the negative sides of homeland security in future.

  19. Sensibilidad dentaria Dental sensibility

    Directory of Open Access Journals (Sweden)

    P Tortolini

    2003-10-01

    Full Text Available La sensibilidad dentaria l es un problema común que se presenta entre el 9 y el 30% de la población adulta. La teoría hidrodinámica es aceptada como uno de los mecanismos de inducción de la respuesta pulpar dolorosa, debido a que los estímulos provocan el movimiento del fluido y para ello es necesario que la dentina este expuesta y que los túbulos dentinarios estén abiertos y permeables a la pulpa. Es fundamental realizar el diagnostico diferencial con otras causas de dolor dental e identificar los factores etiológicos y predisponentes.Dental sensitivity is a common problem and it affect 9 and 30% the adult poblation. The hidrodynamyc theory is cited as the menchanism of induction of a painful pulpal response and implies that stimuli tranmission across dentine increase the rate of fluid flow through dentinal tubules and for this to accur the dentinal tubules must be opened andpermeable to the pulp. An appropiate tretametn needs a diferential diagnosis eith other causes of dental pain and the identification of predisponing etiologic factors.

  20. Relationship between dental appointment and dental anxiety: study with a group of adolescents

    Directory of Open Access Journals (Sweden)

    Elisabete Rabaldo BOTTAN

    2008-12-01

    Full Text Available Introduction: The oral health care is essential to every human being,despite the age, education level or social class. Nevertheless most people have difficulties to access dental services, due to many factors. However,one element interferes in the behavior of many people who search for dental service: the fear.Objective: To evaluate the frequency and the motives of dental appointments in relation to dental anxiety in students of elementary school. Material and methods: Five schools situated in one city localized in the region of Foz do Rio Itajaí (SC were randomly selected and 1.806 students were evaluated. To determine the anxiety level to dental treatment it has been used an adapted tool from the Dental Anxiety Scale. To define the individuals by gender, age, frequency and causes of the appointments, it was applied a questionnaire.Results:Most of them (76.7% had taken a dental appointment in a period which is in its maximum two years before the data collection. A tendencyof linear growth in the number of realized appointment has been noticed due to reduction of anxiety or its inexistence. Among the individuals who have taken the appointments, girls between 11 and 13 years old were the highest number. The main cause of the dental appointments,for individuals with high level of anxiety, is endodontics procedures;for the group without anxiety, is preventive procedures. Conclusion: The researched group shows a relation with the anxiety level to dental treatment and the frequency and motives of dental appointments.

  1. [Pain and fear in animals].

    Science.gov (United States)

    Loeffler, K

    1993-02-01

    Pain and fear are feelings of reluctance, which result in a behaviour of avoidance. They are protective mechanisms and are only partly approachable to the quantification with natural scientific methods. It will pointed to the central role of the diencephalon, limbic system and the cerebral cortex concerning the processing and valuation of mental state. The recognition of clinical symptoms and precise behavioural observations are an essential aid to assess the state of pain and fear in animals.

  2. Commentary about fear of movement

    OpenAIRE

    K. Meyer

    2010-01-01

    Chronic pain influences many aspects of a patient’s life and often results in physical disability. There are many concepts to explain this condition of disability. For example, several psychological variables like coping with pain, depression, hypervigilance, catastrophizing and fear avoidance are considered in literature to play an important role. In Vlaeyen’s model of fear avoidance, he proposes that in a first step negative affectivity and threatening illness information could trigger the ...

  3. Dental Training Films.

    Science.gov (United States)

    Veterans Administration Medical Center, Washington, DC.

    This dental training films catalog is organized into two sections. Section I is a category listing of the films by number and title, indexed according to generalized headings; categories are as follow: anatomy, articulator systems, complete dentures, dental assisting, dental laboratory technology, dental materials, dental office emergencies,…

  4. Erasure of fear memories is prevented by Nogo Receptor 1 in adulthood.

    Science.gov (United States)

    Bhagat, S M; Butler, S S; Taylor, J R; McEwen, B S; Strittmatter, S M

    2016-09-01

    Critical periods are temporary windows of heightened neural plasticity early in development. For example, fear memories in juvenile rodents are subject to erasure following extinction training, while after closure of this critical period, extinction training only temporarily and weakly suppresses fear memories. Persistence of fear memories is important for survival, but the inability to effectively adapt to the trauma is a characteristic of post-traumatic stress disorder (PTSD). We examined whether Nogo Receptor 1 (NgR1) regulates the plasticity associated with fear extinction. The loss of NgR1 function in adulthood eliminates spontaneous fear recovery and fear renewal, with a restoration of fear reacquisition rate equal to that of naive mice; thus, mimicking the phenotype observed in juvenile rodents. Regional gene disruption demonstrates that NgR1 expression is required in both the basolateral amygdala (BLA) and infralimbic (IL) cortex to prevent fear erasure. NgR1 expression by parvalbumin expressing interneurons is essential for limiting extinction-dependent plasticity. NgR1 gene deletion enhances anatomical changes of inhibitory synapse markers after extinction training. Thus, NgR1 robustly inhibits elimination of fear expression in the adult brain and could serve as a therapeutic target for anxiety disorders, such as PTSD. PMID:26619810

  5. Utilidad de la radiografía panorámica dental digital en la estimación de la edad en adultos Usefulness of dental digital panoramic radiography in the estimation of age in adults

    Directory of Open Access Journals (Sweden)

    M.I. Landa

    2008-04-01

    Full Text Available La estimación de la edad constituye un campo de creciente interés dentro de la Medicina Forense. La cuantificación de la reducción de las dimensiones de la cavidad pulpar como consecuencia del proceso de depósito de la dentina secundaria a lo largo de la vida podría servir como un posible indicador de edad. Este fenómeno además de mediante técnicas morfológicas, puede ser analizado mediante la utilización de diferentes técnicas radiográficas. El objetivo principal de este estudio consistió en evaluar la reproducibilidad del método original de cálculo de edad dental desarrollado por Kvaal et al. sobre radiografías panorámicas digitales dentales así como analizar la aplicación de las fórmulas de estimación de edad dental propuestas. Fueron seleccionadas al azar 100 ortopantomografías digitales obtenidas de pacientes de una clínica de Bilbao de edades comprendidas entre 14 y 60 años. En cada ortopantomografía fueron estudiados tres dientes mandibulares siguiendo la metodología ya descrita. Los resultados obtenidos no confirmaron la reproducibilidad del método desarrollado por Kvaal et al. sobre radiografía digital directa. Los valores tan extremos obtenidos en la estimación de la edad mediante la aplicación de las fórmulas de regresión analizadas sobre las radiografías digitales de esta serie de estudio desaconsejan su aplicación en poblaciones similares a la serie analizada.Estimation of age in individuals has received considerable attention in the forensic literature. The reduction of size of dental pulp cavity as a result of secondary dentin deposit with increasing age could be used as an indicator of age. This regression change, apart from morphological techniques, can also be analysed by radiological techniques. The aim of this work was to evaluate the reproducibility of the original method of Kvaal et al. on digital panoramic radiographs as well as to analyse the application of age estimation formulae

  6. Strategies to manage patients with dental anxiety and dental phobia: literature review.

    Science.gov (United States)

    Appukuttan, Deva Priya

    2016-01-01

    Dental anxiety and phobia result in avoidance of dental care. It is a frequently encountered problem in dental offices. Formulating acceptable evidence-based therapies for such patients is essential, or else they can be a considerable source of stress for the dentist. These patients need to be identified at the earliest opportunity and their concerns addressed. The initial interaction between the dentist and the patient can reveal the presence of anxiety, fear, and phobia. In such situations, subjective evaluation by interviews and self-reporting on fear and anxiety scales and objective assessment of blood pressure, pulse rate, pulse oximetry, finger temperature, and galvanic skin response can greatly enhance the diagnosis and enable categorization of these individuals as mildly, moderately, or highly anxious or dental phobics. Broadly, dental anxiety can be managed by psychotherapeutic interventions, pharmacological interventions, or a combination of both, depending on the level of dental anxiety, patient characteristics, and clinical situations. Psychotherapeutic interventions are either behaviorally or cognitively oriented. Pharmacologically, these patients can be managed using either sedation or general anesthesia. Behavior-modification therapies aim to change unacceptable behaviors through learning, and involve muscle relaxation and relaxation breathing, along with guided imagery and physiological monitoring using biofeedback, hypnosis, acupuncture, distraction, positive reinforcement, stop-signaling, and exposure-based treatments, such as systematic desensitization, "tell-show-do", and modeling. Cognitive strategies aim to alter and restructure the content of negative cognitions and enhance control over the negative thoughts. Cognitive behavior therapy is a combination of behavior therapy and cognitive therapy, and is currently the most accepted and successful psychological treatment for anxiety and phobia. In certain situations, where the patient is not able

  7. Child friendly colors in a pediatric dental practice

    Directory of Open Access Journals (Sweden)

    N Umamaheshwari

    2013-01-01

    Full Text Available Background: The child′s perception of the dental environment is a significant factor causing dental anxiety. If the color of the dental environment can have a positive impact on the child′s behavior, it is possible that those colors may add to the comfort of a child, thus reducing dental anxiety. Aim: To evaluate the association between color and emotions of children in a pediatric dental set-up. Design: A total of 300 children aged 6-12 years were divided into 2 groups: Younger children (6-9 years, n = 156 and older children (9-12 years, n = 144. All the children were asked to shade two cartoon faces representing happiness and fear with their most preferred color. Results: For the positive emotion, 44% (n = 132 of the children preferred yellow, followed by blue 32.67% (n = 98. For negative emotion, 56.67% (n = 170 of the children preferred black and 42.67% (n = 128 preferred red. Association between color and emotion was highly significant (P < 0.001. Conclusion: This study has attempted to advance the area of color research to dental anxiety in children visiting a dental clinic. The use of child friendly colors like yellow and blue in the dental work place could enhance a positive dental attitude in the child′s mind.

  8. Skin conductance, Marlowe-Crowne defensiveness, and dental anxiety.

    Science.gov (United States)

    Benjamins, C; Schuurs, A H; Hoogstraten, J

    1994-08-01

    The present study assesses the relationship between self-reported dental anxiety (Dental Anxiety Inventory, Dental Anxiety Scale, and Duration of Psychophysiological Fear Reactions), electrodermal activity (skin-conductance level and frequency of spontaneous responses), and Marlowe-Crowne defensiveness. All measurements were made twice. The first session was scheduled immediately before a semi-annual dental check-up (stress condition), and baseline measurements were made two months later without the prospect of a dental appointment. Subjects were male dental patients who regularly attended a university dental clinic and a clinic for Special Dental Care. The main findings were that the low anxious-high defensive-scoring (Marlowe-Crowne Denial subscale) university patients showed significantly higher skin-conductance levels and frequency of nonspecific fluctuations than the low anxious-low defensive-scoring subjects. Besides, the conductance values of the low anxious-high defensive-scoring subjects resembled those of the high anxious-low defensive-scoring patients of the clinic for Special Dental Care, the baseline frequency of nonspecific fluctuations excepted. PMID:7808902

  9. 75 FR 16511 - Pentron Clinical Technologies, a Wholly-Owned Subsidiary of Kerr Dental/Sybron Dental...

    Science.gov (United States)

    2010-04-01

    ... such as dental prosthetics, dental composites, dental impressions, dental adhesives, and other dental... prosthetics, dental composites, dental impressions, dental adhesives, and other dental materials to Mexicali... Dental/Sybron Dental Specialities, Formally Known as Customedix Corporation, Including......

  10. Visibility of dental pulp spaces in dental ultrasound.

    Science.gov (United States)

    Szopinski, K T; Regulski, P

    2014-01-01

    The purpose of this study was to assess the feasibility of dental ultrasound with conventional sonographic equipment. The teeth of three adult volunteers who had cone beam CT examinations performed previously with clinical indications and one extracted tooth were examined using linear and compact (hockey stick) sonographic probes. The sonographic images were compared with cone beam CT images reconstructed accordingly. Dental pulp spaces were demonstrated in all teeth not covered with prosthetic crowns. The dentin and pulp were best visualized at the level of the neck of the teeth. The dentin was hypoechoic, and the superficial layer comprising the cementum and the pulp spaces were hyperechoic. Dental ultrasound is feasible with general purpose sonographic machines. The buccal surfaces of all teeth are accessible with a compact (hockey stick) probe. Visualization and differentiation of dental pulp spaces, dentin and the superficial layer comprising cementum is possible in the portions of teeth not covered by the alveolar bone or prosthetic crowns. The dental pulp spaces are best seen at the level of the tooth neck. Pulp and endodontic fillings can be distinguished on ultrasound. PMID:24170803

  11. American Dental Education Association

    Science.gov (United States)

    ... Interest Groups ADEA Governance Documents and Publications ADEA Dental Faculty Code of Conduct ADEA Bylaws ADEAGies Foundation ... Benefits for Faculty ADEA Member Benefits for Allied Dental Programs ADEA Member Benefits for Dental Schools ADEA ...

  12. And My Mama Said...: The (Relative) Parental Influence on Fear of Crime among Adolescent Girls and Boys

    Science.gov (United States)

    De Groof, Saskia

    2008-01-01

    Many studies have been conducted to examine the predictors of fear of crime among adults, but feelings of insecurity among children and adolescents have been practically ignored. The aim of this study is to search for relevant determinants of fear of crime in a representative sample of 1,212 Flemish (Belgian) adolescents, age 14 to 18, and one of…

  13. Dental Holography

    Science.gov (United States)

    Dirtoft, Ingegerd

    1983-12-01

    Ten years have passed since the first articles appeared in this new field. The qualities of the laser light together with the need of contactless 3-D measurements for different dental purposes seemed to be extremely promising, but still just a few scientists have used the method and mostly for laboratory studies. For some reason there has been a preponderance for orthodontic measurements. This seems to be a bit peculiar from holographic view compared with measurements for engineering purposes, which usually are made on metals. So naturally holography can become a clinical tool for measurements in the field of fixed bridges, removable partial dentures and implants. One of the problems is that the need for holography in dental research must be fulfilled in collaboration with physicists. Only a two-way communication during an entire experiment can balance both technical and odontological demands and thus give practical and clinical important results. The need for an easy way of handling the evaluation to get all required information is another problem and of course the holographic equipment must be converted to a box easy to handle for everyone. At last the position of dental holography today is going to be carefully examined together with an attempt to look into the hopefully exciting and not to utopic future for this research field.

  14. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  15. Amygdala volume predicts inter-individual differences in fearful face recognition.

    Science.gov (United States)

    Zhao, Ke; Yan, Wen-Jing; Chen, Yu-Hsin; Zuo, Xi-Nian; Fu, Xiaolan

    2013-01-01

    The present study investigates the relationship between inter-individual differences in fearful face recognition and amygdala volume. Thirty normal adults were recruited and each completed two identical facial expression recognition tests offline and two magnetic resonance imaging (MRI) scans. Linear regression indicated that the left amygdala volume negatively correlated with the accuracy of recognizing fearful facial expressions and positively correlated with the probability of misrecognizing fear as surprise. Further exploratory analyses revealed that this relationship did not exist for any other subcortical or cortical regions. Nor did such a relationship exist between the left amygdala volume and performance recognizing the other five facial expressions. These mind-brain associations highlight the importance of the amygdala in recognizing fearful faces and provide insights regarding inter-individual differences in sensitivity toward fear-relevant stimuli. PMID:24009767

  16. Amygdala volume predicts inter-individual differences in fearful face recognition.

    Directory of Open Access Journals (Sweden)

    Ke Zhao

    Full Text Available The present study investigates the relationship between inter-individual differences in fearful face recognition and amygdala volume. Thirty normal adults were recruited and each completed two identical facial expression recognition tests offline and two magnetic resonance imaging (MRI scans. Linear regression indicated that the left amygdala volume negatively correlated with the accuracy of recognizing fearful facial expressions and positively correlated with the probability of misrecognizing fear as surprise. Further exploratory analyses revealed that this relationship did not exist for any other subcortical or cortical regions. Nor did such a relationship exist between the left amygdala volume and performance recognizing the other five facial expressions. These mind-brain associations highlight the importance of the amygdala in recognizing fearful faces and provide insights regarding inter-individual differences in sensitivity toward fear-relevant stimuli.

  17. Health protection: Fluoridation and dental health.

    OpenAIRE

    1983-01-01

    Tooth decay, which affects 95 percent of Americans, is our most common health problem, costing an estimated +2 billion yearly for treatment. By the time children reach 17 years of age, 94 percent have experienced caries and 36 percent have lost one or more permanent teeth due to caries. Dental disease prevention embodies the spectrum of many activities from the fluoridation of community and school water supplies to the dental health education of the child and adult. At this stage of our knowl...

  18. Dental anxiety and dental attendance among 25-year-olds in Norway: time trends from 1997 to 2007

    Directory of Open Access Journals (Sweden)

    Skaret Erik

    2011-03-01

    Full Text Available Abstract Background So far, there are few studies considering the development of dental anxiety and dental attendance patterns across time in the general population of Norwegian adults. This study aimed to 1 determine the frequency of dental anxiety and regular dental attendance among 25-year-olds in Norway in 1997 and 2007, 2 to study the development (time trend of dental anxiety and the socio-behavioral distribution of dental anxiety from 1997 to 2007. Method Random samples of 1,190 and 8,000 25-yr-olds were drawn from the populations of three counties in Western Norway in 1997 and 2007, respectively. The eligible participants received questionnaires by mail including questions on socio-demographics, dental anxiety (DAS and dental attendance. Results In 1997, 11.5% males versus 23% females reported high dental anxiety (DAS ≥ 13. Corresponding figures in 2007 were 11.3% and 19.8%. The proportions who had attended yearly for a dental check-up during the past 5 years fell from 62% in 1997 (men 56.9% and women 66.4% to 44.6% (men 38.1% and women 48.6% in 2007. After controlling for potential confounding factors, the 25-year-olds were 1.4 times more likely to report dental anxiety in 1997 compared to 2007. The decrease was largely attributable to a lower mean DAS score among higher educated females in 2007 than in 1997. The discrepancy in dental anxiety between regular and non-regular dental attendees had decreased, largely attributable to a decline in dental anxiety among irregular dental attendees. Conclusion The study showed reduced dental anxiety and dental attendance among 25 year-olds in Norway from 1997 to 2007. This study points to the importance of controlling for possible changes in socio-demographic distributions when different cohorts are compared.

  19. Finding Dental Care

    Science.gov (United States)

    ... Internships for... High School and College Students Recent College Graduates Dental and Medical Students See All Careers & Training Opportunities Job Openings Loan Repayment Programs Careers in Dental Research ...

  20. Dental Caries (Tooth Decay)

    Science.gov (United States)

    ... Internships for... High School and College Students Recent College Graduates Dental and Medical Students See All Careers & Training Opportunities Job Openings Loan Repayment Programs Careers in Dental Research ...

  1. American Dental Hygienists' Association

    Science.gov (United States)

    ... Health Student Resources National Exam Student Advisor Resources Dental Hygiene Programs Scholarships and Grants Research Center Transforming Dental Hygiene Education Advocacy Practice Issues Direct Access Scope ...

  2. Memory-emotional interactions as revealed by fear generalization in animal-fearful individuals.

    Science.gov (United States)

    Kopp, Bruno; Schlimm, Mike; Hermann, Christiane

    2005-06-01

    Discriminative fear learning and fear generalization were examined in animal-fearful individuals and in control participants. Electrical shocks were administered contingent upon discriminative pictures of spiders or snakes, respectively, in a generalization-after-discrimination paradigm. Neither discriminative fear learning nor extinction was affected by the individual fear status of the animal categories. Novel feared stimuli, which resembled discriminative stimuli, were treated as more shock predictive than novel non-feared stimuli during generalization testing. Neither preparedness theory nor selective sensitization theory was capable to account for these observations. The findings are commensurable with the hypothesis that phobic fear interferes with the retrieval of memory traces. PMID:15814082

  3. Dental students--dental advocates.

    Science.gov (United States)

    Bensch, Brittany

    2010-01-01

    Student advocacy and involvement in the political process is built into the structure of the American Student Dental Association (ASDA), especially in its Legislative Grassroots Network and an internal communication network among students to ensure political awareness. Students are concerned with such issues as a universally accepted, non-patient-based licensure process, mid-level providers, loan availability and tax deductibility, financial support for schools, and service early in one's professional career (giving forward rather than giving back). Through collaboration with the American Dental Education Association and with many state associations, students participate in lobbying, awareness campaigns, and behind the scenes as legislative aids. Although students share the same love for the profession that animates established practitioners, they are perceived by legislators as being different. Students are involved in the legislative process because it represents their future.

  4. Dental students--dental advocates.

    Science.gov (United States)

    Bensch, Brittany

    2010-01-01

    Student advocacy and involvement in the political process is built into the structure of the American Student Dental Association (ASDA), especially in its Legislative Grassroots Network and an internal communication network among students to ensure political awareness. Students are concerned with such issues as a universally accepted, non-patient-based licensure process, mid-level providers, loan availability and tax deductibility, financial support for schools, and service early in one's professional career (giving forward rather than giving back). Through collaboration with the American Dental Education Association and with many state associations, students participate in lobbying, awareness campaigns, and behind the scenes as legislative aids. Although students share the same love for the profession that animates established practitioners, they are perceived by legislators as being different. Students are involved in the legislative process because it represents their future. PMID:21314046

  5. Referrals for dental care during pregnancy.

    Science.gov (United States)

    Kloetzel, Megan K; Huebner, Colleen E; Milgrom, Peter

    2011-01-01

    Oral health is essential to overall health in the prenatal period. Pregnancy is not a time to delay dental care. Several studies have shown an association between periodontal disease and poor pregnancy outcomes including preterm birth. Interventions to provide periodontal treatment to pregnant women yield inconsistent results regarding preterm birth but have established the safety of periodontal therapy during pregnancy. Postpartum women in poor dental health readily transmit the tooth decay pathogen Streptococcus mutans from their saliva to their infants, resulting in increased risk of early childhood caries. Preventive services and treatment for acute problems should be recommended, fears allayed, and women referred. Dental radiographs may be performed safely with the use of appropriate shielding. Nonemergent interventions are best provided between 14 and 20 weeks' gestation for comfort and optimal fetal safety. Most gravid women do not seek dental care. Increased interprofessional communication to encourage dentists to treat pregnant women will reduce the number of women without care. In states where it is available, Medicaid coverage of dental services for pregnant women is typically allowed during pregnancy and for 2 months postpartum. Women's health providers should understand the importance of protecting oral health during pregnancy and educate their patients accordingly. PMID:21429074

  6. Fear experience reading: women reading

    Directory of Open Access Journals (Sweden)

    Sofia VALDIVIESO GÁMEZ

    2009-11-01

    Full Text Available Starting from the assumptions the patriarchal paradigm has used in the construction of male and female identity, the changes experienced by women in the last century and the statements about fear undergone by more than twenty-five women from different ages and nationalities through their own life cycle, the author gives us an account on what women fear and how they live and overcome it. These ideas are based on the hypothesis that if patriarchy as a social organization is a cultural constant, the fears experienced by women in the process of constructing themselves as such are also constant. She concludes that the only course to follow is necessarily a way where feminine consciousness must be integrated, both in men and women, as a previous step in the construction of a reality based on equals, though, at the same time, different. This would allow us to discover the masculine and feminine dimension in all of us.

  7. Memory Retrieval before or after Extinction Reduces Recovery of Fear in Adolescent Rats

    Science.gov (United States)

    Baker, Kathryn D.; McNally, Gavan P.; Richardson, Rick

    2013-01-01

    Adolescent rats exhibit impaired extinction retention compared to pre-adolescent and adult rats. A single nonreinforced exposure to the conditioned stimulus (CS; a retrieval trial) given shortly before extinction has been shown in some circumstances to reduce the recovery of fear after extinction in adult animals. This study investigated whether a…

  8. Dental demographics and metrics of oral diseases in the ageing Australian population.

    Science.gov (United States)

    Hopcraft, M S

    2015-03-01

    One of the biggest challenges currently facing the dental profession in Australia is the provision of quality and timely dental care to the elderly. Adults aged 65+ years are an exponentially growing section of the community with rapidly changing dental needs, thanks in part to improvements in oral health over the past 60 years that have resulted in a dramatically decreased rate of edentulism and subsequently an increased number of teeth present. This is a challenge not only for the public dental services, but also public health policy makers, private dental practitioners, professional organizations and dental education providers. It is an issue that crosses a range of dental care providers, not only dentists but also dental prosthetists and dental hygienists, whose role in the provision of dental services has been slowly growing in Australia. Furthermore, with evidence of links between oral and systemic health, this issue has significant impacts for the broader health system. PMID:25762037

  9. Fluoxetine pretreatment promotes neuronal survival and maturation after auditory fear conditioning in the rat amygdala.

    Directory of Open Access Journals (Sweden)

    Lizhu Jiang

    Full Text Available The amygdala is a critical brain region for auditory fear conditioning, which is a stressful condition for experimental rats. Adult neurogenesis in the dentate gyrus (DG of the hippocampus, known to be sensitive to behavioral stress and treatment of the antidepressant fluoxetine (FLX, is involved in the formation of hippocampus-dependent memories. Here, we investigated whether neurogenesis also occurs in the amygdala and contributes to auditory fear memory. In rats showing persistent auditory fear memory following fear conditioning, we found that the survival of new-born cells and the number of new-born cells that differentiated into mature neurons labeled by BrdU and NeuN decreased in the amygdala, but the number of cells that developed into astrocytes labeled by BrdU and GFAP increased. Chronic pretreatment with FLX partially rescued the reduction in neurogenesis in the amygdala and slightly suppressed the maintenance of the long-lasting auditory fear memory 30 days after the fear conditioning. The present results suggest that adult neurogenesis in the amygdala is sensitive to antidepressant treatment and may weaken long-lasting auditory fear memory.

  10. Overuse of non-prescription analgesics by dental clinic patients

    OpenAIRE

    Zallen Richard D; Bogdan Gregory M; Dart Richard C; Ries Nicole L; Heard Kennon J; Daly Frank

    2008-01-01

    Abstract Background Many patients present to dental clinics for treatment of painful conditions. Prior to seeking treatment, many of these patients will self-medicate with non-prescription analgesics (NPA), and some will unintentionally overdose on these products. The objective of this study is to describe the use of NPA among dental patients. Methods All adult patients presenting to an urban dental clinic during a two-week period in January and February of 2001 were approached to participate...

  11. Cannabinoid facilitation of fear extinction memory recall in humans.

    Science.gov (United States)

    Rabinak, Christine A; Angstadt, Mike; Sripada, Chandra S; Abelson, James L; Liberzon, Israel; Milad, Mohammed R; Phan, K Luan

    2013-01-01

    A first-line approach to treat anxiety disorders is exposure-based therapy, which relies on extinction processes such as repeatedly exposing the patient to stimuli (conditioned stimuli; CS) associated with the traumatic, fear-related memory. However, a significant number of patients fail to maintain their gains, partly attributed to the fact that this inhibitory learning and its maintenance is temporary and conditioned fear responses can return. Animal studies have shown that activation of the cannabinoid system during extinction learning enhances fear extinction and its retention. Specifically, CB1 receptor agonists, such as Δ9-tetrahydrocannibinol (THC), can facilitate extinction recall by preventing recovery of extinguished fear in rats. However, this phenomenon has not been investigated in humans. We conducted a study using a randomized, double-blind, placebo-controlled, between-subjects design, coupling a standard Pavlovian fear extinction paradigm and simultaneous skin conductance response (SCR) recording with an acute pharmacological challenge with oral dronabinol (synthetic THC) or placebo (PBO) 2 h prior to extinction learning in 29 healthy adult volunteers (THC = 14; PBO = 15) and tested extinction retention 24 h after extinction learning. Compared to subjects that received PBO, subjects that received THC showed low SCR to a previously extinguished CS when extinction memory recall was tested 24 h after extinction learning, suggesting that THC prevented the recovery of fear. These results provide the first evidence that pharmacological enhancement of extinction learning is feasible in humans using cannabinoid system modulators, which may thus warrant further development and clinical testing. This article is part of a Special Issue entitled 'Cognitive Enhancers'. PMID:22796109

  12. The Fear of Art and the Art of Fear

    Science.gov (United States)

    Baer, Stephanie A.

    2012-01-01

    Prospective teachers often walk into my course, Arts in the Elementary Classroom, carrying a guarded consciousness that constrains unencumbered artistic exploration. My responsibility as their instructor is to question mantras that reflect insecurity in process and make pedagogical use of their fears. Through studying the nature of these fears…

  13. Fear Not: Neurobiological Mechanisms of Fear and Anxiety

    NARCIS (Netherlands)

    Klumpers, F.

    2012-01-01

    Fear is a common, core emotion. Moreover, anxiety disorders are among the most common form of psychiatric disease. In this thesis neuroimaging, genetic, pharmacological, brain stimulation and behavioral techniques were used in healthy subjects and specific patient populations to shed more light on t

  14. Fear of blushing : fearful preoccupation irrespective of facial coloration

    NARCIS (Netherlands)

    Mulkens, S; de Jong, Peter; Dobbelaar, A; Bogels, SM

    1999-01-01

    Women, with high (n = 29) and low (n = 28) fear of blushing, were exposed to a mild social stressor (watching a television test card in the presence of two male confederates) and to an intense social stressor (watching their own prerecorded 'sing' video, in the presence of two male confederates). Fa

  15. Elites and Panic: More to Fear than Fear Itself

    Science.gov (United States)

    Clarke, Lee; Chess, Caron

    2008-01-01

    Attributions of panic are almost exclusively directed at members of the general public. Here, we inquire into the relationships between elites and panic. We review current research and theorizing about panic, including problems of identifying when it has occurred. We propose three relationships: elites fearing panic, elites causing panic and…

  16. Pediatric dental chair vs. traditional dental chair: A pediatric dentist′s poll

    Directory of Open Access Journals (Sweden)

    Khushboo Barjatya

    2015-01-01

    Full Text Available Objective: Proper positioning of the child patient, can not only have positive ramifications for the operator′s posture, comfort, and career longevity - it can also lead to better treatment and increased productivity. The aim of the survey questionnaire was to assess the utilization, need, and attitude concerning dental chairs among pediatric dentist while working on and managing the child patient. Study Design: The questions were structured using adobe forms central online software, regarding the user-friendliness of pediatric dental chair vs. traditional adult dental chair available in the market. Results: Our result shows that out of 337 respondents, 79% worked on pediatric dental chair, whereas 21% had no experience of it. Of these 79% pediatric dentist, 48% preferred pediatric dental chair. But pediatric dental problem still has certain disadvantages like higher cost, leg space problem, lower availability, etc. Conclusion: During the research it was found that ergonomics and usability issues were the main problems. Thus, pediatric dental chair is not so popular in the current scenario. This study allowed for general ideas for the improvement of dental chairs and thus improved dental chair would fill the gap in the current scenario.

  17. Fear of crime in the capital cities of the former Yugoslav Republics

    Directory of Open Access Journals (Sweden)

    Đurić Slađana

    2013-01-01

    Full Text Available Although the fear of crime has been the subject of intensive study carried out by criminologists and sociologists in other countries for more than four decades, domestic theoretical and empirical examination of this complex phenomenon is almost nonexistent. The main objectives of this study are determining the prevalence and possible differences in the fear of crime among the residents of major cities of the former Yugoslav republics. The analysis uses data collected as part of the regional research project “The Fear of Crime in Large Cities“. The method of interviewing in households using a specially created questionnaire is applied on a multi-stage random sample of 1977 adult respondents living in urban areas of the cities. By choosing the appropriate questionnaire items, three scales to measure affective, cognitive and behavioral dimensions of the fear of crime and a unified scale of the general construct were made for the purpose of this study. All scales have high internal consistency reliability. The results show that a significant percentage of people who exhibit a high level of the fear of crime are present in all cities, regardless of the size of the dimension tested. Higher prevalence of the fear of crime is determined by measuring the extent of affective and up to a point behavioral dimension, while the prevalence of fear of crime is slightly lower on the level of the cognitive dimension. Statistically significant differences in the level of fear of crime among residents of cities studied are identified on all scales.

  18. Fear conditioning and extinction across development: Evidence from human studies and animal models☆

    OpenAIRE

    Shechner, Tomer; Hong, Melanie; Britton, Jennifer C.; Pine, Daniel S.; Fox, Nathan A.

    2014-01-01

    The ability to differentiate danger and safety through associative processes emerges early in life. Understanding the mechanisms underlying associative learning of threat and safety can clarify the processes that shape development of normative fears and pathological anxiety. Considerable research has used fear conditioning and extinction paradigms to delineate underlying mechanisms in animals and human adults; however, little is known about these mechanisms in children and adolescents. The cu...

  19. Dental health in Malaysia.

    Science.gov (United States)

    Majid, Z A

    1984-12-01

    Three epidemiological surveys have been carried out in Malaysia since 1971. All showed a high level of caries prevalence. Ninety per cent of school children between the ages of 6 and 18 suffered from dental caries, with a DMFT of approximately 3 and a dft of approximately 2. Ninety-five per cent of the adult population had caries experience, with the mean DMFT being 13.2. Approximately 55 per cent of children showed the presence of gingivitis with the mean number of inflamed gingival units per child ranging from 1.9 to 2.8, while 72.4 per cent of adults had some form of periodontal disease with 29 per cent having pockets deeper than 3 mm. The OHI-S score for adults was 2.2 and 81 per cent used toothbrushes to clean their teeth. A further 5.1 per cent used twigs and fingers with powdered charcoal or salt. One-third of the child population needed orthodontic treatment, with 0.3 per cent examined in peninsular Malaysia having cleft lip or palate or both. In the adult population 10.4 per cent of those examined required some form of orthodontic treatment. Twenty per cent of the children in the survey were in need of dentures; 54.7 per cent of the adults were either in need of dentures or were wearing dentures. Of these 25 per cent had complete dentures. The smoking habit was most commonly associated with pre-cancerous/cancerous lesions with alcohol consumption a close competitor; 114 adults, that is 1.3 per cent of those examined, suffer from leukoplakia but only one case of oral cancer was detected.(ABSTRACT TRUNCATED AT 250 WORDS)

  20. Fear and Leadership in Union Organizing Campaigns

    Directory of Open Access Journals (Sweden)

    Caroline Murphy

    2016-01-01

    Full Text Available This article adopts a mobilization framework to examine the crucial actions of workplace activists in overcoming fear of employer reprisal during union organizing campaigns in hostile environments. The article explores fear as part of the organizing process in two ways; first, we examine how fear can act as a stimulus for workplace activists to take action in an attempt to overcome the source of that fear. Second, we examine fear as an inhibiting factor in organizing, whereby the presence of fear hinders individuals from taking action. Using qualitative data from interviews conducted with workplace activists across a variety of campaigns in Ireland, this article examines the process through which workplace activists conquer their own sense of fear and undertake the task of mobilizing colleagues toward collective action in pursuit of union representation amid fear of employer reprisal.

  1. Blindness Biggest Fear for Many Americans

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160254.html Blindness Biggest Fear for Many Americans Losing vision would ... 4, 2016 THURSDAY, Aug. 4, 2016 (HealthDay News) -- Blindness is what many Americans fear most, a new ...

  2. Weaker dental enamel explains dental decay.

    Science.gov (United States)

    Vieira, Alexandre R; Gibson, Carolyn W; Deeley, Kathleen; Xue, Hui; Li, Yong

    2015-01-01

    Dental caries continues to be the most prevalent bacteria-mediated non-contagious disease of humankind. Dental professionals assert the disease can be explained by poor oral hygiene and a diet rich in sugars but this does not account for caries free individuals exposed to the same risk factors. In order to test the hypothesis that amount of amelogenin during enamel development can influence caries susceptibility, we generated multiple strains of mice with varying levels of available amelogenin during dental development. Mechanical tests showed that dental enamel developed with less amelogenin is "weaker" while the dental enamel of animals over-expressing amelogenin appears to be more resistant to acid dissolution.

  3. Fear at the Great Wall

    Institute of Scientific and Technical Information of China (English)

    CHARLOTTE; SPIRES

    2011-01-01

    "i’m not going on anything that takes me more than two feet off the ground," Grace was saying.This was classic Grace: She has a morbid fear of—well, everything actually,but in this particular case it was her phobia of heights, heights and cable cars combined specifically.

  4. Fear at the Great Wall

    Institute of Scientific and Technical Information of China (English)

    CHARLOTTE SPIRES

    2011-01-01

    “I’m not going on anything that takes me more than two feet off the ground," Grace was saying.This was classic Grace:She has a morbid fear of-well,everything actually,but in this particular case it was her phobia of heights,heights and cable cars combined specifically.

  5. European Core Curriculum in Cariology for undergraduate dental students

    NARCIS (Netherlands)

    Schulte, A.G.; Pitts, N.B.; Huysmans, M.C.D.N.J.M.; Splieth, C.; Buchalla, W.

    2011-01-01

    As dental caries prevalence is still high in many populations and groups of both children and adults worldwide, and as caries continues to be responsible for significant health, social and economic impacts, there is an urgent need for dental students to receive a systematic education in cariology ba

  6. European core curriculum in cariology for undergraduate dental students

    NARCIS (Netherlands)

    Schulte, A.G.; Pitts, N.B.; Huysmans, M.C.D.N.J.M.; Splieth, C.; Buchalla, W.

    2011-01-01

    As dental caries prevalence is still high in many populations and groups of both children and adults worldwide, and as caries continues to be responsible for significant health, social and economic impacts, there is an urgent need for dental students to receive a systematic education in cariology ba

  7. CAMBRA: An Examination of Change in the Dental Profession

    Science.gov (United States)

    Young, Douglas

    2010-01-01

    Dental caries is a disease process, one that will not be eliminated by tooth repair alone. Caries is the most prevalent disease of children and the primary reason for most restorative dental visits in both adults and children. A risk-based approach to managing caries targets those in greatest jeopardy for contracting the disease and provides…

  8. Clinical aspects of lagomorph dental anatomy: the rabbit (oryctolagus cuniculus).

    Science.gov (United States)

    Crossley, D A

    1995-12-01

    The lagomorphs most commonly encountered as pets are rabbits. There are many breeds of domestic rabbit, varying from dwarf varieties with an adult weight of under one kilogram to giants weighing 10 kg. This article provides a working knowledge of the dental anatomy and physiology of rabbits so that veterinarians can interpret clinical and radiographic findings when investigating rabbits with suspected dental disease.

  9. When the mind forms fear: embodied fear knowledge potentiates bodily reactions

    NARCIS (Netherlands)

    S. Oosterwijk; M. Topper; M. Rotteveel; A.H. Fischer

    2010-01-01

    In the present study, the authors tested whether conceptual fear knowledge can (a) evoke bodily reactions and (b) enhance subsequent bodily reactions to fearful stimuli. Participants unscrambled neutral or fear sentences and subsequently viewed fearful and neutral pictures in combination with startl

  10. Evaluation of physiological and behavioral measures in relation to dental anxiety during sequential dental visits in children

    Directory of Open Access Journals (Sweden)

    Rayen R

    2006-01-01

    Full Text Available Anxiety is a special variety of fear, experienced in anticipation of threatening stimuli. While some research workers have said that the response of a child improves with the number of visits, many have felt otherwise. The present study is yet another effort to find the patterns of anxiety in children during sequential dental visits. The main aim was to determine the physiological and behavioral variations during sequential dental visits and its impact on age and sex. The study was conducted at the outpatient Department of Pedodontics and preventive dentistry, Meenakshi Ammal Dental College and Hospital, Chennai to evaluate the physiological and behavioural measures of stress and anxiety in children. One hundred and fifteen children, between four and eleven years of age who reported for dental treatment were selected for the study.

  11. Placing prediction into the fear circuit

    OpenAIRE

    McNally, Gavan P.; Johansen, Joshua P.; Blair, Hugh T.

    2011-01-01

    Pavlovian fear conditioning depends on synaptic plasticity at amygdala neurons. Here we review recent electrophysiological, molecular, and behavioral evidence suggesting the existence of a distributed neural circuitry regulating amygdala synaptic plasticity during fear learning. This circuitry, which involves projections from the midbrain periaqueductal gray (PAG) region, can be linked to prediction error and expectation modulation of fear learning as described by associative and computationa...

  12. 牙科畏惧症的相关干预研究%Dental phobia related intervention study

    Institute of Scientific and Technical Information of China (English)

    杨芳; 魏薇; 韩祥祯

    2015-01-01

    Objective To investigate Dental Clinic adult patients the incidence of dental fear,and intervention research, provide evidence for its prevention. Methods Mainly Corah's Dental Anxiety Scale investigation,126 adult patients were divided into experimental and control groups. Experimental psychology and related behavioral intervention to observe its effect. Results 126 patients were divided into control and experimental groups, before and after the intervention of anxiety scores were compared,the two groups before intervention anxiety score was not significantly different.After the intervention,the intervention group anxiety score was significantly lower than the control group,the difference was significant,statistically significant. Conclusion Adult dental phobia therapy clinical dentists should observe and communicate and understand the needs of patients, while the entire course of treatment to deal with the anxiety of patients necessary psychological guidance, behavioral intervention,prevention and mitigation begin dental phobia from different aspects,improve the quality of care.%目的:对口腔门诊成人患者的牙科畏惧症进行干预研究,为其防治提供相关依据。方法:主要采用Corah ’s牙科焦虑量表,将126例成人患者分为干预组和对照组。干预组进行相关心理及行为干预,观察其效果。结果:126例患者分为对照组和干预组,对干预前后焦虑程度评分进行比较,干预前两组焦虑程度评分差异不明显。干预后,干预组的焦虑程度评分明显低于对照组,差异有统计学意义(P<0.05)。结论:成人牙科畏惧症患者临床口腔医生治疗时应注意观察和沟通,了解患者的需求,同时整个治疗过程应对焦虑患者进行必要的心理指导、行为干预,从不同方面着手预防和缓解牙科恐惧症,提高医疗质量。

  13. Dental Implant Systems

    OpenAIRE

    Yoshiki Oshida; Tuna, Elif B.; Oya Aktören; Koray Gençay

    2010-01-01

    Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with...

  14. Fear of acquired immunodeficiency syndrome and fear of other illness in suicide

    DEFF Research Database (Denmark)

    Aro, A R; Jallinoja, P T; Henriksson, M M;

    1994-01-01

    other suicides. Suicidal fear of AIDS calls for evaluation of sexual and other risk behaviour, but fear of AIDS was largely generated by the extensive media coverage. Fear of other somatic illness was more diverse in origin and related to illness experiences. Suicidal fear of illness calls......Suicide victims with fear of acquired immunodeficiency syndrome (AIDS) or other somatic illness were compared for psychosocial and health-related characteristics, triggers and content of fear. Fear of AIDS cases (n = 28), 2% of the 1-year Finnish suicide population (n = 1397), were younger...

  15. Grin1 receptor deletion within CRF neurons enhances fear memory.

    Directory of Open Access Journals (Sweden)

    Georgette Gafford

    Full Text Available Corticotropin releasing factor (CRF dysregulation is implicated in mood and anxiety disorders such as posttraumatic stress disorder (PTSD. CRF is expressed in areas engaged in fear and anxiety processing including the central amygdala (CeA. Complicating our ability to study the contribution of CRF-containing neurons to fear and anxiety behavior is the wide variety of cell types in which CRF is expressed. To manipulate specific subpopulations of CRF containing neurons, our lab has developed a mouse with a Cre recombinase gene driven by a CRF promoter (CRFp3.0Cre (Martin et al., 2010. In these studies, mice that have the gene that encodes NR1 (Grin1 flanked by loxP sites (floxed were crossed with our previously developed CRFp3.0Cre mouse to selectively disrupt Grin1 within CRF containing neurons (Cre+/fGrin1+. We find that disruption of Grin1 in CRF neurons did not affect baseline levels of anxiety, locomotion, pain sensitivity or exploration of a novel object. However, baseline expression of Grin1 was decreased in Cre+/fGrin1+ mice as measured by RTPCR. Cre+/fGrin1+ mice showed enhanced auditory fear acquisition and retention without showing any significant effect on fear extinction. We measured Gria1, the gene that encodes AMPAR1 and the CREB activator Creb1 in the amygdala of Cre+/fGrin1+ mice after fear conditioning. Both Gria1 and Creb1 were enhanced in the amygdala after training. To determine if the Grin1-expressing CRF neurons within the CeA are responsible for the enhancement of fear memory in adults, we infused a lentivirus with Cre driven by a CRF promoter (LV pCRF-Cre/fGrin1+ into the CeA of floxed Grin1 mice. Cre driven deletion of Grin1 specifically within CRF expressing cells in the CeA also resulted in enhanced fear memory acquisition and retention. Altogether, these findings suggest that selective disruption of Grin1 within CeA CRF neurons strongly enhances fear memory.

  16. Dental Fluorosis

    Science.gov (United States)

    ... proper amount of fluoride helps prevent and control tooth decay in children and adults. Fluoride works both while ... more sources of fluoride became available to prevent tooth decay. These sources include drinking water with fluoride, fluoride ...

  17. Recognizing Student Fear: The Elephant in the Classroom

    Science.gov (United States)

    Bledsoe, T. Scott; Baskin, Janice J.

    2014-01-01

    Understanding fear, its causes, and its impact on students can be important for educators who seek ways to help students manage their fears. This paper explores common types of student fears such as performance-based anxiety, fear of failure, fear of being laughed at, and cultural components of fear that impact learning. The cognitive, emotional,…

  18. Influence of deciduous canine extractions on incisor alignment, dental arch dimensions and dental fear

    OpenAIRE

    Sjögren, Anders

    2011-01-01

    Interception of crowding, by extraction of deciduous and permanent teeth, to eliminate or at least facilitate orthodontic treatment has a long tradition. This treatment procedure, know as “guided eruption” or “serial extraction” was re-introduced by Robert Hotz and Birger Kjellgren in 1947-48. The sequential extraction procedure begins with the removal of the deciduous canines in the early mixed dentition and additional extractions of deciduous first molars and permanent bicusp...

  19. Dental experiences and parenting practices of Native American mothers and caretakers: what we can learn for the prevention of baby bottle tooth decay.

    Science.gov (United States)

    Weinstein, P; Troyer, R; Jacobi, D; Moccasin, M

    1999-01-01

    This study attempts to gather information concerning the dental experiences, beliefs, and parenting practices of Native Americans. Five Native American women were trained to conduct interviews in their own language. After pilot testing, seventeen questions were asked. Sixty-two interviews were taperecorded and transcribed. Content analysis was performed on the transcriptions. Results indicate maternal and caretaker upset and displeasure with the dental experiences of adults and children. Fear and pain were prominent. Parenting practices indicate children are expected to clean their own teeth at about a year of age and parental awareness of risks associated with sleeping with a bottle. About half of the mothers and caretakers who used a bottle as a pacifier report engaging in one or more protective activities such as removing the bottle when the child falls asleep. Mothers and caretakers with greater parenting experience are likelier to be aware of these protective activities. In conclusion, results of this study highlight the importance of providing positive dental experiences for mothers and caretakers and the need to be aware of actual parenting practices before making recommendations or counseling mothers or caretakers.

  20. Current Concepts of Prophylactic Antibiotics for Dental Patients.

    Science.gov (United States)

    Hossaini-zadeh, Mehran

    2016-04-01

    Despite numerous guidelines, joint interprofessional collaboration, and years of data collection, the use of antibiotic prophylaxis before dental procedures remains controversial. There continues to be disagreement on indications, justification, and outcome of the use of various antibiotic prophylaxis regiments. This is complicated by the lack of data demonstrating any positive or negative impact on the care of patients. The dental community has distanced itself from a leadership role in this conversation, based on multiple concerns including fear of litigation, lack of clear pathophysiology, and unclear cause-effect relationship. PMID:27040296

  1. Worrying Affects Associative Fear Learning: A Startle Fear Conditioning Study

    OpenAIRE

    Gazendam, F.J.; Kindt, M

    2012-01-01

    A valuable experimental model for the pathogenesis of anxiety disorders is that they originate from a learned association between an intrinsically non-aversive event (Conditioned Stimulus, CS) and an anticipated disaster (Unconditioned Stimulus, UCS). Most anxiety disorders, however, do not evolve from a traumatic experience. Insights from neuroscience show that memory can be modified post-learning, which may elucidate how pathological fear can develop after relatively mild aversive events. W...

  2. Dental caries in young male adults: prevalence, severity and associated factors Cárie dentária em homens jovens: prevalência, severidade e fatores associados

    Directory of Open Access Journals (Sweden)

    Marcelo Augusto Amaral

    2005-12-01

    Full Text Available The aim of the present study was to determine the prevalence and severity of dental caries as well as the needs for dental treatment in 18-year-old males from Maringá, PR, Brazil. The association of dental caries experience with socioeconomic variables was also tested. A cross sectional study was conducted in a random sample of 241 conscripts of the Brazilian Army. The adopted diagnosis criteria were those proposed by the World Health Organization. A socioeconomic questionnaire was utilized to determine family income and the criterion of the Brazil Economic Classification of the National Association of Research Enterprises. Associations among caries prevalence, DMF-T index, treatment needs and socioeconomic variables were evaluated by means of the Chi-Square, Mann-Whitney and Kruskal-Wallis tests. Caries prevalence was 82.6% and the mean DMF-T index was 4.6. Only a mean of 0.8 tooth per individual presented treatment needs. Significant statistical differences were found in caries prevalence and severity (DMF-T. The worst results were observed in the groups of lower income and purchasing power, indicating a need for the implementation of social policies that address these populations aiming at diminishing the existing differences in the health-disease process indicators. On the other hand, treatment needs were only associated to the Brazil Economic Classification Criterion variable (p O objetivo do presente estudo foi conhecer a prevalência e a severidade da cárie dentária, bem como as necessidades de tratamento odontológico de jovens de 18 anos de idade do sexo masculino em Maringá, Paraná, Brasil. A associação da experiência de cárie com variáveis socioeconômicas também foi testada. Foi realizado um estudo transversal em uma amostra aleatória de conscritos (n = 241 do Exército Brasileiro. Os critérios de diagnóstico adotados foram aqueles estabelecidos pela Organização Mundial de Saúde. Foram utilizados um question

  3. Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

    Directory of Open Access Journals (Sweden)

    Ataman Köse

    2014-01-01

    Full Text Available It is important to extract foreign bodies for avoiding life-threatening complications. They can lead to death if they are not treated. Different signs and symptoms could occur according to the complete or partial airway obstruction. Foreign body aspiration is a rare incident in adults. The organic foreign materials such as foods are found to be aspirated more commonly and are usually settled in the right bronchial system. However, dental prosthesis and teeth aspirations are rare in literature. In our study, a 52-year-old male patient who had aspirated the front part of his lower dental prosthesis accidentally is presented and the foreign body is extracted by using rigid bronchoscopy. There are many causes of aspiration but dental prosthetic aspirations should be kept in mind during sleep. For this reason, dental apparatus must be taken out while asleep.

  4. A study of patient attitudes towards fasting prior to intravenous sedation for dental treatment in a dental hospital department.

    LENUS (Irish Health Repository)

    McKenna, Gerald

    2010-01-01

    Intravenous sedation is the most commonly used method of sedation for the provision of adult dental care. However, disparity exists in pre-operative fasting times in use for patients throughout the United Kingdom.

  5. COMMUNITY DENTAL HEALTH SURVEY TRAINING TO DENTAL HEALTH PERSONNEL

    OpenAIRE

    Sandra Fikawati; Ita Yulita

    2015-01-01

    Dentist and dental nurse as dental health personnel in community health center are spearheads in community dental health service. The effectiveness and efficacy of community dental health service needs updated adequate dental health knowledge and skill. One effort to assure the fulfillment of those needs is by providing community dental health survey training. This training aims at improving the skill and capability of dental health personnel to conduct dental health survey. The training cons...

  6. Mercury derived from dental amalgams and neuropsychologic function.

    OpenAIRE

    Factor-Litvak, Pam; Hasselgren, Gunnar; Jacobs, Diane; Begg, Melissa; Kline, Jennie; Geier, Jamie; MERVISH, NANCY; Schoenholtz, Sonia; Graziano, Joseph

    2003-01-01

    There is widespread concern regarding the safety of silver-mercury amalgam dental restorations, yet little evidence to support their harm or safety. We examined whether mercury dental amalgams are adversely associated with cognitive functioning in a cross-sectional sample of healthy working adults. We studied 550 adults, 30-49 years of age, who were not occupationally exposed to mercury. Participants were representative of employees at a major urban medical center. Each participant underwent ...

  7. Enhanced discriminative fear learning of phobia-irrelevant stimuli in spider-fearful individuals

    Directory of Open Access Journals (Sweden)

    Carina eMosig

    2014-10-01

    Full Text Available Avoidance is considered as a central hallmark of all anxiety disorders. The acquisition and expression of avoidance which leads to the maintenance and exacerbation of pathological fear is closely linked to Pavlovian and operant conditioning processes. Changes in conditionability might represent a key feature of all anxiety disorders but the exact nature of these alterations might vary across different disorders. To date, no information is available on specific changes in conditionability for disorder-irrelevant stimuli in specific phobia (SP. The first aim of this study was to investigate changes in fear acquisition and extinction in spider-fearful individuals as compared to non-fearful participants by using the de novo fear conditioning paradigm. Secondly, we aimed to determine whether differences in the magnitude of context-dependent fear retrieval exist between spider-fearful and non-fearful individuals. Our findings point to an enhanced fear discrimination in spider-fearful individuals as compared to non-fearful individuals at both the physiological and subjective level. The enhanced fear discrimination in spider-fearful individuals was neither mediated by increased state anxiety, depression, nor stress tension. Spider-fearful individuals displayed no changes in extinction learning and/or fear retrieval. Surprisingly, we found no evidence for context-dependent modulation of fear retrieval in either group. Here we provide first evidence that spider-fearful individuals show an enhanced discriminative fear learning of phobia-irrelevant (de novo stimuli. Our findings provide novel insights into the role of fear acquisition and expression for the development and maintenance of maladaptive responses in the course of SP.

  8. Neural correlates of fear: insights from neuroimaging

    Directory of Open Access Journals (Sweden)

    Garfinkel SN

    2014-12-01

    Full Text Available Sarah N Garfinkel,1,2 Hugo D Critchley1,2 1Sackler Centre for Consciousness Science, 2Department of Psychiatry, Brighton and Sussex Medical School, University of Sussex, Brighton, UK Abstract: Fear anticipates a challenge to one's well-being and is a reaction to the risk of harm. The expression of fear in the individual is a constellation of physiological, behavioral, cognitive, and experiential responses. Fear indicates risk and will guide adaptive behavior, yet fear is also fundamental to the symptomatology of most psychiatric disorders. Neuroimaging studies of normal and abnormal fear in humans extend knowledge gained from animal experiments. Neuroimaging permits the empirical evaluation of theory (emotions as response tendencies, mental states, and valence and arousal dimensions, and improves our understanding of the mechanisms of how fear is controlled by both cognitive processes and bodily states. Within the human brain, fear engages a set of regions that include insula and anterior cingulate cortices, the amygdala, and dorsal brain-stem centers, such as periaqueductal gray matter. This same fear matrix is also implicated in attentional orienting, mental planning, interoceptive mapping, bodily feelings, novelty and motivational learning, behavioral prioritization, and the control of autonomic arousal. The stereotyped expression of fear can thus be viewed as a special construction from combinations of these processes. An important motivator for understanding neural fear mechanisms is the debilitating clinical expression of anxiety. Neuroimaging studies of anxiety patients highlight the role of learning and memory in pathological fear. Posttraumatic stress disorder is further distinguished by impairment in cognitive control and contextual memory. These processes ultimately need to be targeted for symptomatic recovery. Neuroscientific knowledge of fear has broader relevance to understanding human and societal behavior. As yet, only some of

  9. Factors influencing the use of public dental services: An application of the Theory of Planned Behaviour

    Science.gov (United States)

    Luzzi, Liana; Spencer, A John

    2008-01-01

    Background There is limited evidence of the influence of psychosocial factors and health beliefs on public dental patient's patterns of service use in Australia. The research aims were to examine associations between dental attitudes and beliefs of public dental service users and dental visiting intention and behaviour using the Theory of Planned Behaviour. Methods 517 randomly selected adult public dental patients completed a questionnaire assessing dental attitudes and beliefs which was matched with electronic records for past and future dental service use. A questionnaire measured intentions, attitudes, subjective norms and perceptions of behavioural control and self-efficacy in relation to visiting public dentists. A measure of dental attendance at public dental clinics was obtained retrospectively (over 3 1/2 years) and prospectively (over a one year period following the return of the questionnaire) by accessing electronic patient clinical records. Results Participants had positive attitudes, subjective norms and self-efficacy beliefs towards dental visiting but perceived a lack of control over visiting the dentist. Attitudes, subjective norms, self-efficacy and perceived control were significant predictors of intention (P < 0.05). Intentions, self-efficacy and past dental attendance were significant predictors of actual dental attendance (P < 0.05). Conclusion Public dental patients held favourable attitudes and beliefs but perceived a lack of control towards dental visiting. Reducing structural barriers may therefore improve access to public dental services. PMID:18445298

  10. The Relationship between Dental Caries and Some Socio-economic Factors in 35- 44 Years Old Adults in Some Urban Areas of Sistan & Baluchestan

    Directory of Open Access Journals (Sweden)

    Z Abdolazimi

    2012-10-01

    Full Text Available Introduction: In order to improve the oral health, systematic analysis of oral health condition and related factors should be conducted. This study aimed to evaluate dental caries and some related factors in 35-44 years old men & women in five urban areas of Sistan and Baluchestan in 2009-2010. Methods: In this descriptive cross-sectional study, 550 people were chosen by random stratified clustering in five different urban areas of the province. All participants were examined and the DMFT index was determined. Demographic and social information and their oral health behaviors were registered in a questionnaire which was composed of 11 questions. The data were analyzed by SPSS (version 17 and descriptive statistic methods. Results: Statistical analysis showed that average of DMFT was 10.05 ± 7.186. DMFT in females (11.43 ± 7.5 was more than males (8.68 ± 6.6 significantly (P 0.05 Conclusion: Results of this study could be used by public health managers to plan and evaluate public health in the future. With an emphasis on improving high risk patients’ situation, appropriate interventions can be designed to achieve good results in the short and long term

  11. Fluoxetine treatment reverses the intergenerational impact of maternal separation on fear and anxiety behaviors.

    Science.gov (United States)

    Xiong, Gui-Jing; Yang, Yuan; Cao, Jun; Mao, Rong-Rong; Xu, Lin

    2015-05-01

    Early life stress increases risks of fear and anxiety related disorders in adulthood, which may be alleviated by fluoxetine treatment. However, the intergenerational impacts of maternal separation (MS) on fear and anxiety behaviors from father to their offspring are little known. And the potential effects of fluoxetine treatment on the intergenerational transmission have not been well tested. Here, we investigated whether fluoxetine can reverse the intergenerational effects of MS on fear and anxiety behaviors. The first generation (F1) male rats were exposed to MS 3 h daily from postnatal day 2-14 and then treated with fluoxetine for four weeks during adulthood before fear conditioning. We found that maternal separation significantly impaired contextual fear extinction in F1 adult male rats but not in their second generation (F2). Although no obvious effects of MS on anxiety were observed in F1 male rats, the F2 offspring displayed a phenotype of low anxiety-like behaviors despite they were reared in normal condition. Fluoxetine treatment in F1 males not only reversed the impairment of fear extinction in F1 males but also the low anxiety-like behaviors in their F2 offspring. These findings highlight the intergenerational impacts of early life stress on fear and anxiety behaviors, and provide a new sight of the intergenerational effect of fluoxetine therapy for early life stress related mental problems.

  12. A novel form of memory for auditory fear conditioning at a low-intensity unconditioned stimulus.

    Directory of Open Access Journals (Sweden)

    Ayumi Kishioka

    Full Text Available Fear is one of the most potent emotional experiences and is an adaptive component of response to potentially threatening stimuli. On the other hand, too much or inappropriate fear accounts for many common psychiatric problems. Cumulative evidence suggests that the amygdala plays a central role in the acquisition, storage and expression of fear memory. Here, we developed an inducible striatal neuron ablation system in transgenic mice. The ablation of striatal neurons in the adult brain hardly affected the auditory fear learning under the standard condition in agreement with previous studies. When conditioned with a low-intensity unconditioned stimulus, however, the formation of long-term fear memory but not short-tem memory was impaired in striatal neuron-ablated mice. Consistently, the ablation of striatal neurons 24 h after conditioning with the low-intensity unconditioned stimulus, when the long-term fear memory was formed, diminished the retention of the long-term memory. Our results reveal a novel form of the auditory fear memory depending on striatal neurons at the low-intensity unconditioned stimulus.

  13. Post-retrieval extinction in adolescence prevents return of juvenile fear.

    Science.gov (United States)

    Jones, Carolyn E; Monfils, Marie-H

    2016-10-01

    Traumatic experiences early in life can contribute to the development of mood and anxiety disorders that manifest during adolescence and young adulthood. In young rats exposed to acute fear or stress, alterations in neural development can lead to enduring behavioral abnormalities. Here, we used a modified extinction intervention (retrieval+extinction) during late adolescence (post-natal day 45 [p45]), in rats, to target auditory Pavlovian fear associations acquired as juveniles (p17 and p25). The effects of adolescent intervention were examined by assessing freezing as adults during both fear reacquisition and social transmission of fear from a cagemate. Rats underwent testing or training at three time points across development: juvenile (p17 or p25), adolescent (p45), and adult (p100). Retrieval+extinction during late adolescence prevented social reinstatement and recovery over time of fears initially acquired as juveniles (p17 and p25, respectively). Adolescence was the only time point tested here where retrieval+extinction prevented fear recall of associations acquired 20+ days earlier. PMID:27634147

  14. Strategies to manage patients with dental anxiety and dental phobia: literature review

    Directory of Open Access Journals (Sweden)

    Appukuttan DP

    2016-03-01

    Full Text Available Deva Priya Appukuttan Department of Periodontics, Sri Ramakrishna Mission Dental College and Hospital, Chennai, India Abstract: Dental anxiety and phobia result in avoidance of dental care. It is a frequently encountered problem in dental offices. Formulating acceptable evidence-based therapies for such patients is essential, or else they can be a considerable source of stress for the dentist. These patients need to be identified at the earliest opportunity and their concerns addressed. The initial interaction between the dentist and the patient can reveal the presence of anxiety, fear, and phobia. In such situations, subjective evaluation by interviews and self-reporting on fear and anxiety scales and objective assessment of blood pressure, pulse rate, pulse oximetry, finger temperature, and galvanic skin response can greatly enhance the diagnosis and enable categorization of these individuals as mildly, moderately, or highly anxious or dental phobics. Broadly, dental anxiety can be managed by psychotherapeutic interventions, pharmacological interventions, or a combination of both, depending on the level of dental anxiety, patient characteristics, and clinical situations. Psychotherapeutic interventions are either behaviorally or cognitively oriented. Pharmacologically, these patients can be managed using either sedation or general anesthesia. Behavior-modification therapies aim to change unacceptable behaviors through learning, and involve muscle relaxation and relaxation breathing, along with guided imagery and physiological monitoring using biofeedback, hypnosis, acupuncture, distraction, positive reinforcement, stop-signaling, and exposure-based treatments, such as systematic desensitization, “tell-show-do”, and modeling. Cognitive strategies aim to alter and restructure the content of negative cognitions and enhance control over the negative thoughts. Cognitive behavior therapy is a combination of behavior therapy and cognitive therapy

  15. Fear erasure in mice requires synergy between antidepressant drugs and extinction training.

    Science.gov (United States)

    Karpova, Nina N; Pickenhagen, Anouchka; Lindholm, Jesse; Tiraboschi, Ettore; Kulesskaya, Natalia; Agústsdóttir, Arna; Antila, Hanna; Popova, Dina; Akamine, Yumiko; Bahi, Amine; Sullivan, Regina; Hen, René; Drew, Liam J; Castrén, Eero

    2011-12-23

    Antidepressant drugs and psychotherapy combined are more effective in treating mood disorders than either treatment alone, but the neurobiological basis of this interaction is unknown. To investigate how antidepressants influence the response of mood-related systems to behavioral experience, we used a fear-conditioning and extinction paradigm in mice. Combining extinction training with chronic fluoxetine, but neither treatment alone, induced an enduring loss of conditioned fear memory in adult animals. Fluoxetine treatment increased synaptic plasticity, converted the fear memory circuitry to a more immature state, and acted through local brain-derived neurotrophic factor. Fluoxetine-induced plasticity may allow fear erasure by extinction-guided remodeling of the memory circuitry. Thus, the pharmacological effects of antidepressants need to be combined with psychological rehabilitation to reorganize networks rendered more plastic by the drug treatment.

  16. Memory suppression trades prolonged fear and sleep-dependent fear plasticity for the avoidance of current fear

    Science.gov (United States)

    Kuriyama, Kenichi; Honma, Motoyasu; Yoshiike, Takuya; Kim, Yoshiharu

    2013-07-01

    Sleep deprivation immediately following an aversive event reduces fear by preventing memory consolidation during homeostatic sleep. This suggests that acute insomnia might act prophylactically against the development of posttraumatic stress disorder (PTSD) even though it is also a possible risk factor for PTSD. We examined total sleep deprivation and memory suppression to evaluate the effects of these interventions on subsequent aversive memory formation and fear conditioning. Active suppression of aversive memory impaired retention of event memory. However, although the remembered fear was more reduced in sleep-deprived than sleep-control subjects, suppressed fear increased, and seemed to abandon the sleep-dependent plasticity of fear. Active memory suppression, which provides a psychological model for Freud's ego defense mechanism, enhances fear and casts doubt on the potential of acute insomnia as a prophylactic measure against PTSD. Our findings bring into question the role of sleep in aversive-memory consolidation in clinical PTSD pathophysiology.

  17. Clarifying the role of the rostral dmPFC/dACC in fear/anxiety: learning, appraisal or expression?

    Directory of Open Access Journals (Sweden)

    Simon Maier

    Full Text Available Recent studies have begun to carve out a specific role for the rostral part of the dorsal medial prefrontal cortex (dmPFC and adjacent dorsal anterior cingulate cortex (dACC in fear/anxiety. Within a novel general framework of dorsal mPFC/ACC areas subserving the appraisal of threat and concomitant expression of fear responses and ventral mPFC/ACC areas subserving fear regulation, the rostral dmPFC/dACC has been proposed to specifically mediate the conscious, negative appraisal of threat situations including, as an extreme variant, catastrophizing. An alternative explanation that has not been conclusively ruled out yet is that the area is involved in fear learning. We tested two different fear expression paradigms in separate fMRI studies (study 1: instructed fear, study 2: testing of Pavlovian conditioned fear with independent groups of healthy adult subjects. In both paradigms the absence of reinforcement precluded conditioning. We demonstrate significant BOLD activation of an identical rostral dmPFC/dACC area. In the Pavlovian paradigm (study 2, the area only activated robustly once prior conditioning had finished. Thus, our data argue against a role of the area in fear learning. We further replicate a repeated observation of a dissociation between peripheral-physiological fear responding and rostral dmPFC/dACC activation, strongly suggesting the area does not directly generate fear responses but rather contributes to appraisal processes. Although we succeeded in preventing extinction of conditioned responding in either paradigm, the data do not allow us to definitively exclude an involvement of the area in fear extinction learning. We discuss the broader implications of this finding for our understanding of mPFC/ACC function in fear and in negative emotion more generally.

  18. Dental Encounter System (DES)

    Data.gov (United States)

    Department of Veterans Affairs — Dental Encounter System (DES) is an automated health care application designed to capture critical data about the operations of VA Dental Services. Information on...

  19. Dental Treatment Considerations

    Science.gov (United States)

    ... for emergency dental care. Open communication with the dentist can reduce the risk of complications during dental ... usually done in a reclining position. Let your dentist know if you are so far back that ...

  20. Dental Implant Surgery

    Science.gov (United States)

    ... and Soft Tissue Surgery Dental and Soft Tissue Surgery Oral and facial surgeons surgically treat the soft tissues ... and Soft Tissue Surgery Dental and Soft Tissue Surgery Oral and facial surgeons surgically treat the soft tissues ...

  1. Dental x-rays

    Science.gov (United States)

    X-ray - teeth; Radiograph - dental; Bitewings; Periapical film; Panoramic film ... dentist's office. There are many types of dental x-rays. Some are: Bitewing Periapical Palatal (also called occlusal) ...

  2. Fatigue of dental ceramics

    OpenAIRE

    Zhang, Yu; Sailer, Irena; lawn, brian

    2013-01-01

    Clinical data on survival rates reveal that all-ceramic dental prostheses are susceptible to fracture from repetitive occlusal loading. The objective of this review is to examine the underlying mechanisms of fatigue in current and future dental ceramics

  3. Dental x-rays

    Science.gov (United States)

    X-ray - teeth; Radiograph - dental; Bitewings; Periapical film; Panoramic film; Digital image ... dentist's office. There are many types of dental x-rays. Some of them are: Bitewing. Shows the crown ...

  4. 75 FR 33169 - Dental Devices: Classification of Dental Amalgam, Reclassification of Dental Mercury, Designation...

    Science.gov (United States)

    2010-06-11

    ...-AG21 Dental Devices: Classification of Dental Amalgam, Reclassification of Dental Mercury, Designation of Special Controls for Dental Amalgam, Mercury, and Amalgam Alloy; Technical Amendment AGENCY: Food... classified dental amalgam as a class II device, reclassified dental mercury from class I to class II,...

  5. Biocompatibility of Dental Amalgams

    OpenAIRE

    Yurdanur Uçar; Brantley, William A.

    2011-01-01

    Objective. The purpose of this review paper is to review the literature regarding the toxicology of mercury from dental amalgam and evaluate current statements on dental amalgam. Materials and Methods. Two key-words “dental amalgam” and “toxicity” were used to search publications on dental amalgam biocompatibility published in peer-reviewed journals written in English. Manual search was also conducted. The most recent declarations and statements were evaluated using information available on ...

  6. Stress Among Dental Students

    OpenAIRE

    Alzahem, Abdullah

    2015-01-01

    markdownabstractAbstract Dental students are facing many stressors in dental education, causing many negative outcomes. The most common are the exams and the clinical requirements. We suggest exposing the dental students to patient care as early as possible in their curriculum. This can help to balance stress across the different years of the curriculum, and maybe reduce the stress levels in the later years of the curriculum. A study into the new Dental Education Stress Management (DESM) prog...

  7. Stress Among Dental Students

    NARCIS (Netherlands)

    A.M. Alzahem (Abdullah)

    2015-01-01

    markdownabstractAbstract Dental students are facing many stressors in dental education, causing many negative outcomes. The most common are the exams and the clinical requirements. We suggest exposing the dental students to patient care as early as possible in their curriculum. This can help to bal

  8. Modeling fear-conditioned bradycardia in humans

    OpenAIRE

    Castegnetti, G.; Tzovara, A.; Staib, M.; Paulus, P. C.; Hofer, N.; Bach, D R

    2016-01-01

    Across species, cued fear conditioning is a common experimental paradigm to investigate aversive Pavlovian learning. While fear-conditioned stimuli (CS+) elicit overt behavior in many mammals, this is not the case in humans. Typically, autonomic nervous system activity is used to quantify fear memory in humans, measured by skin conductance responses (SCR). Here, we investigate whether heart period responses (HPR) evoked by the CS, often observed in humans and small mammals, are suitable to co...

  9. Methylphenidate enhances extinction of contextual fear

    OpenAIRE

    Abraham, Antony D.; Cunningham, Christopher L.; Lattal, K. Matthew

    2012-01-01

    Methylphenidate (MPH, Ritalin) is a norepinephrine and dopamine transporter blocker that is widely used in humans for treatment of attention deficit disorder and narcolepsy. Although there is some evidence that targeted microinjections of MPH may enhance fear acquisition, little is known about the effect of MPH on fear extinction. Here, we show that MPH, administered before or immediately following extinction of contextual fear, will enhance extinction retention in C57BL/6 mice. Animals that ...

  10. Fear Inhibition in High Trait Anxiety

    OpenAIRE

    Merel Kindt; Marieke Soeter

    2014-01-01

    Trait anxiety is recognized as an individual risk factor for the development of anxiety disorders but the neurobiological mechanisms remain unknown. Here we test whether trait anxiety is associated with impaired fear inhibition utilizing the AX+/BX- conditional discrimination procedure that allows for the independent evaluation of startle fear potentiation and inhibition of fear [1]. Sixty undergraduate students participated in the study - High Trait Anxious: n = 28 and Low Trait Anxious: n =...

  11. Dental Caries Vaccine – A Possible Option?

    Science.gov (United States)

    KT, Shanmugam; KMK, Masthan; N, Balachander; Jimson, Sudha; R, Sarangarajan

    2013-01-01

    Dental caries is an irreversible microbial disease of the calcified tissues of the teeth and it has a multifactorial origin. In India, the dental caries prevalence in 35-44 year olds was reported to be 80-95% in a DCI survey. Among the elderly in the 65-74 years age group, the DCI survey reported the caries prevalence to be about 70%, while the present survey reported it to be 51- 95% in various states. Surveys which were done on school children in India showed a carie prevalence of approximately 58%.Among the U.S. population, a survey showed an incidence of 93.8% in adults with either past or present coronal caries and an incidence of 45.3% in children 23. In countries like Brazil and China, it is reaching epidemic proportions. Thus, more effective public-health measures are needed to combat dental caries. Mutans streptococci is one of the main microorganisms which are associated with the aetiology of dental caries. Preclinical studies of immunological interventions have shown that the disease can be interrupted. Clinical trials have indicated that a mucosal immune response to Streptococcus mutans crucial antigens can influence the pathogenesis of dental caries. The dental caries vaccine, when it is used in appropriate individuals at the appropriate time, can reduce the reemergence of the disease. PMID:23905153

  12. [AMYGDALA: NEUROANATOMY AND NEUROPHYSIOLOGY OF FEAR].

    Science.gov (United States)

    Tsvetkov, E A; Krasnoshchekova, E I; Vesselkin, N P; Kharazova, A D

    2015-01-01

    This work describes neuroanatomical and neurophysiological mechanisms of Pavlovian fear conditioning, focusing on contributions of the amygdala, a subcortical nuclear group, to control of conditioned fear responses. The mechanisms of synaptic plasticity at projections to the amygdala and within amygdala were shown to mediate the formation and retention of fear memory. This work reviews current data on anatomical organization of the amygdala, as well as its afferent and efferent projections, in respect to the role of the amygdala in auditory fear conditioning during which acoustic signals serve as the conditioned stimulus. PMID:26983275

  13. Immediate extinction promotes the return of fear.

    Science.gov (United States)

    Merz, Christian J; Hamacher-Dang, Tanja C; Wolf, Oliver T

    2016-05-01

    Accumulating evidence indicates that immediate extinction is less effective than delayed extinction in attenuating the return of fear. This line of fear conditioning research impacts the proposed onset of psychological interventions after threatening situations. In the present study, forty healthy men were investigated in a differential fear conditioning paradigm with fear acquisition in context A, extinction in context B, followed by retrieval testing in both contexts 24h later to test fear renewal. Differently coloured lights served as conditioned stimuli (CS): two CS (CS+) were paired with an electrical stimulation that served as unconditioned stimulus, the third CS was never paired (CS-). Extinction took place immediately after fear acquisition or 24h later. One CS+ was extinguished whereas the second CS+ remained unextinguished to control for different time intervals between fear acquisition and retrieval testing. Immediate extinction led to larger skin conductance responses during fear retrieval to both the extinguished and unextinguished CS relative to the CS-, indicating a stronger return of fear compared to delayed extinction. Taken together, immediate extinction is less potent than delayed extinction and is associated with a stronger renewal effect. Thus, the time-point of psychological interventions relative to the offset of threatening situations needs to be carefully considered to prevent relapses. PMID:26995309

  14. Medo de queda recorrente e fatores associados em idosos de Florianópolis, Santa Catarina, Brasil Miedo a caída recurrente y factores asociados en ancianos de Florianópolis, Santa Catarina, Brasil Fear of recurrent falls and associated factors among older adults from Florianópolis, Santa Catarina State, Brazil

    Directory of Open Access Journals (Sweden)

    Tânia Rosane Bertoldo Benedetti

    2013-04-01

    análisis ajustado se obtuvo una asociación significante entre el desenlace y ser del sexo femenino (p = 0,013, tener menor convivencia con amigos (p = 0,015, enfermedad de la columna (p = 0,022 y limitaciones para actividades diarias tras la caída (p = 0,001. Por tanto, las campañas de prevención al miedo de una nueva caída deben tener como objetivo prioritariamente a las mujeres con limitaciones, debido a las caídas, y con baja convivencia social.Fear of falling is characterized by anxiety when walking or excessive worry about falling. This study aimed to investigate the factors associated with fear of recurrent falls among older adults in Florianópolis, Santa Catarina State, Brazil. A total of 266 older adults who had fallen in the previous year were studied based on a population-based cross-sectional survey. Statistical analysis used Poisson regression to assess the association between fear of recurrent falls and the covariates (socioeconomic variables, physical activity, diseases, cognitive impairment, socializing with friends, characteristics of falls, and self-rated health, respecting the hierarchy between the variables. Among the sample, 57.1% feared recurrent falls. The adjusted analysis yielded a significant association between the outcome and female gender (p = 0.013, less socializing with friends (p = 0.015, diseases of the spinal column (p = 0.022, and limitation of daily activities after the fall (p = 0.001. Thus, campaigns to prevent fear of new falls should particularly target women with limitations due to previous falls and low social interaction.

  15. Perceived sources of stress among Malaysian dental students

    Directory of Open Access Journals (Sweden)

    Lahari Ajay Telang

    2013-01-01

    Full Text Available Objective: Dental student training is known to be stressful and associated with physical and psychological distress, emotional exhaustion, and burnout. Aim: The aim of this study was to identify the stress provoking factors among students performing clinical tasks in a Malaysian Dental School. Materials and Methods: A modified dental environment stress questionnaire was distributed to 179 Bachelor of Dental Surgery students during the clinical years 3-5 and their responses are analyzed. Results: The most stress provoking factor was found to be "fear of failing the course or year" (72% followed by "fear of facing parents after failure" (46%. The least stress provoking factors were related to personal issues such as personal physical health (48% and lack of home atmosphere in living quarters (40%. Female students were found to be more stressful than the male students and financial responsibilities provoked only moderate amount of stress among many of the students. There was a significant difference in the overall stress levels perceived by students belonging to 3 rd , 4 th , and 5 th year of study. Conclusion: The results of this study indicate that with the advent of newer teaching modalities, a more student friendly environment can be created so that detrimental consequences of stress can be reduced.

  16. Adult attachment styles

    Directory of Open Access Journals (Sweden)

    Maša Žvelc

    2007-01-01

    Full Text Available Theory of attachment primarily described early relationships between a child and his caretakers. In the last twenty years there is a growing interest in adult attachment research. Theories and research findings of adult attachment stem from two different methodological approaches. The first approach measures adult attachment through Adult Attachment Interview (AAI; Main, 1991 where the attachment is assessed through the narratives of adult people of their early child experiences with their primary caretakers. The second approach measures adult attachment with the help of self-evaluative questionnaires, developed by (a Hazan and Shaver (1987 who started this approach in the field of personality and social psychology, and (b Bartholomew and Horowitz (1991. Research shows that there is significant correlation between early and adult attachment style. Attachment styles are passed from generation to generation. Basic adult attachment styles are: securely attached, preoccupied, fearful-avoidant, dismissing-avoidant and disorganized. Previous research using Barholomew and Horowitz (1991 Relationship Questionnaire on 176 Slovenian students showed that 48% students are securely attached, 29% are fearful-avoidant, 10% are dismissing-avoidant, and 13% have preoccupied attachment style. Theory of attachment is very useful for understanding the behavior and subjective experiences of children and adults. It is applicable to different contexts (psychotherapy, counseling, education .... The paper proposes further research focused on integration of adult attachment styles and types of object relations measured by Test of object relations (Žvelc, 1998 and Pictorial test of Separation and Individuation (Žvelc, 2003.

  17. Blurring Aversive Memory: Exploring a Novel Route to Fear Reduction

    NARCIS (Netherlands)

    Leer, A.

    2015-01-01

    Treatment of pathological fear typically involves exposure to the feared stimulus. This procedure is effective in reducing fear in the short term. However, many patients relapse, i.e. show a return of fear. The present thesis explored a novel route to counter the renewal of fear. Previous research h

  18. Implementing a National Dental Policy

    OpenAIRE

    Raymond Lam; Estie Kruger; Marc Tennant

    2012-01-01

    AbstractBackground The Chronic Dental Disease Scheme (CDSS) is the first public dental policy in Australia to attract Medicare benefits for dental services. Aims This study examines the utilisation of a new federal method of funding dental care in Australia and provides an insight into the implications of government dental programs. The program titled; Chronic Dental Disease Scheme, provided government-subsidised dental care for people suffering from a chronic medical condition. Method A retr...

  19. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries

    DEFF Research Database (Denmark)

    Diangelis, Anthony J; Andreasen, Jens O; Ebeleseder, Kurt A;

    2012-01-01

    should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers......Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines...... goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented....

  20. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries. 1

    DEFF Research Database (Denmark)

    Diangelis, A J; Andreasen, J O; Ebeleseder, K A;

    2014-01-01

    should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers......Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and follow up are important for improving a favorable outcome. Guidelines...... goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented. The Hebrew Edition is part of the IADT global effort to provide accessibility...

  1. Generalization of Conditioned Fear along a Dimension of Increasing Fear Intensity

    Science.gov (United States)

    Dunsmoor, Joseph E.; Mitroff, Stephen R.; LaBar, Kevin S.

    2009-01-01

    The present study investigated the extent to which fear generalization in humans is determined by the amount of fear intensity in nonconditioned stimuli relative to a perceptually similar conditioned stimulus. Stimuli consisted of graded emotionally expressive faces of the same identity morphed between neutral and fearful endpoints. Two…

  2. Forming Competing Fear Learning and Extinction Memories in Adolescence Makes Fear Difficult to Inhibit

    Science.gov (United States)

    Baker, Kathryn D.; Richardson, Rick

    2015-01-01

    Fear inhibition is markedly impaired in adolescent rodents and humans. The present experiments investigated whether this impairment is critically determined by the animal's age at the time of fear learning or their age at fear extinction. Male rats (n = 170) were tested for extinction retention after conditioning and extinction at different ages.…

  3. How fear appeals work : motivational biases in the processing of fear-arousing health communications

    NARCIS (Netherlands)

    Das, E.H.H.J.

    2002-01-01

    This dissertation deals with the study of fear appeals, i.e. messages in which people are presented with fear-arousing health information, in order to convince them they should alter unhealthy habits and adopt healthy lifestyles. Fear appeals typically start with the presentation of the negative con

  4. I can see, hear, and smell your fear : Comparing olfactory and audiovisual media in fear communication

    NARCIS (Netherlands)

    De Groot, Jasper H B; Semin, Gün R.; Smeets, Monique A M

    2014-01-01

    Recent evidence suggests that humans can become fearful after exposure to olfactory fear signals, yet these studies have reported the effects of fear chemosignals without examining emotion-relevant input from traditional communication modalities (i.e., vision, audition). The question that we pursued

  5. Dental hygienists' perceptions of barriers to graduate education.

    Science.gov (United States)

    Boyd, Linda D; Bailey, Angela

    2011-08-01

    To advance the profession of dental hygiene, graduate education is necessary to support growth in research, education, administration, and practice in the discipline and to sustain credibility in a climate in which other health professions require entry-level master's and doctoral degrees. The purpose of this study was to explore what dental hygienists perceive as barriers to pursuing a graduate degree. A survey was developed based on the literature and other national surveys. Data were collected from 160 respondents to the survey: 50 percent held an entry-level baccalaureate degree in dental hygiene, while the rest held an entry-level associate degree (48 percent) or certificate (2 percent) in dental hygiene. All respondents had completed a bachelor's degree. The top five barriers these respondents identified in pursuing graduate education were as follows: 1) cost of graduate education, 2) family responsibilities are too great, 3) concerns about personal funding to pay for graduate education, 4) finding time for graduate school while working, and 5) fear of thesis research. Dental hygiene is one of the few health professions that still have entry-level degrees at the associate and baccalaureate levels. The profession needs to reduce such barriers to enable dental hygienists to pursue graduate education and thus ensure an adequate supply of future leaders, educators, and researchers. PMID:21828296

  6. Diagnostic reference levels in intraoral dental radiography in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Kyung; Han, Won Jeong; Choi, Jin Woo [Dept. of Oral and Maxillofacial Radiology, Dankook University College of Dentistry, Cheonan (Korea, Republic of); Jung, Yun Hoa [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Pusan National University, Yangsan (Korea, Republic of); Yoon, Suk Ja; Lee, Jae Seo [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Chonnam National University, Gwangju (Korea, Republic of)

    2012-09-15

    The objectives of this study were to survey the radiographic exposure parameters, to measure the patient doses for intraoral dental radiography nationwide, and thus to establish the diagnostic reference levels (DRLs) in intraoral dental X-ray examination in Korea. One hundred two intraoral dental radiographic machines from all regions of South Korea were selected for this study. Radiographic exposure parameters, size of hospital, type of image receptor system, installation duration of machine, and type of dental X-ray machine were documented. Patient entrance doses (PED) and dose-area products (DAP) were measured three times at the end of the exit cone of the X-ray unit with a DAP meter (DIAMENTOR M4-KDK, PTW, Freiburg, Germany) for adult mandibular molar intraoral dental radiography, and corrections were made for room temperature and pressure. Measured PED and DAP were averaged and compared according to the size of hospital, type of image receptor system, installation duration, and type of dental X-ray machine. The mean exposure parameters were 62.6 kVp, 7.9 mA, and 0.5 second for adult mandibular molar intraoral dental radiography. The mean patient dose was 2.11 mGy (PED) and 59.4 mGycm2 (DAP) and the third quartile one 3.07 mGy (PED) and 87.4 mGycm{sup 2} (DAP). Doses at university dental hospitals were lower than those at dental clinics (p<0.05). Doses of digital radiography (DR) type were lower than those of film-based type (p<0.05). We recommend 3.1 mGy (PED), 87.4 mGycm{sup 2} (DAP) as the DRLs in adult mandibular molar intraoral dental radiography in Korea.

  7. An overview of case-based and problem-based learning methodologies for dental education.

    Science.gov (United States)

    Nadershahi, Nader A; Bender, Daniel J; Beck, Lynn; Lyon, Cindy; Blaseio, Alexander

    2013-10-01

    Dental education has undergone significant curriculum reform in response to the 1995 Institute of Medicine report Dental Education at the Crossroads and the series of white papers from the American Dental Education Association Commission on Change and Innovation in Dental Education (ADEA CCI) first published in the Journal of Dental Education and subsequently collected in a volume titled Beyond the Crossroads: Change and Innovation in Dental Education. An important element of this reform has been the introduction into academic dentistry of active learning strategies such as problem-based and case-based learning. As an aide to broadening understanding of these approaches in order to support their expansion in dental education, this article reviews the major characteristics of each approach, situates each in adult learning theory, and discusses the advantages of case-based learning in the development of a multidisciplinary, integrated predoctoral dental curriculum. PMID:24098033

  8. Qualitative Analysis of Emotions: Fear and Thrill.

    Science.gov (United States)

    Buckley, Ralf C

    2016-01-01

    People can speak, and this provides opportunities to analyze human emotions using perceived experiences communicated via language, as well as through measurement and imaging techniques that are also applicable to other higher animal species. Here I compare four qualitative methodological approaches to test if, and how, thrill depends on fear. I use eight high-risk, high-skill, real-life outdoor adventure recreation activities to provide the test circumstances. I present data from: >4000 person-days of participant observation; interviews with 40 expert practitioners; retrospective autoethnography of 50 critical incidents over 4 decades; and experimental autoethnography of 60 events. Results from different methods are congruent, but different approaches yield different insights. The principal findings are as follows. Individuals differ in their fear and thrill responses. The same individual may have different responses on different occasions. Fear boosts performance, but panic causes paralysis. Anxiety or apprehension prior to a risky action or event differs from fear experienced during the event itself. The intensity of pre-event fear generally increases with the immediacy of risk to life, and time to contemplate that risk. Fear must be faced, assessed and overcome in order to act. Thrill can occur either during or after a high-risk event. Thrill can occur without fear, and fear without thrill. Below a lower threshold of perceived risk, thrill can occur without fear. Between a lower and upper threshold, thrill increases with fear. Beyond the upper threshold, thrill vanishes but fear remains. This there is a sawtooth relation between fear and thrill. Perceived danger generates intense focus and awareness. Fear and other emotions can disappear during intense concentration and focus. Under high risk, the usual emotional sequence is fear before the action or event, then focus during the action or event, then thrill, relief, or triumph afterward. The emotionless state

  9. Qualitative Analysis of Emotions: Fear and Thrill

    Directory of Open Access Journals (Sweden)

    Ralf Christopher Buckley

    2016-08-01

    Full Text Available People can speak, and this provides opportunities to analyse human emotions using perceived experiences communicated via language, as well as through measurement and imaging techniques that are also applicable to other higher animal species. Here I compare four qualitative methodological approaches to test if, and how, thrill depends on fear. I use 8 high-risk, high-skill, real-life outdoor adventure recreation activities to provide the test circumstances. I present data from: >4000 person-days of participant observation; interviews with 40 expert practitioners; retrospective autoethnography of 50 critical incidents over 4 decades; and experimental autoethnography of 60 events. Results from different methods are congruent, but different approaches yield different insights. The principal findings are as follows. Individuals differ in their fear and thrill responses. The same individual may have different responses on different occasions. Fear boosts performance, but panic causes paralysis. Anxiety or apprehension prior to a risky action or event differs from fear experienced during the event itself. The intensity of pre-event fear generally increases with the immediacy of risk to life, and time to contemplate that risk. Fear must be faced assessed and overcome in order to act. Thrill can occur either during after a high-risk event. Thrill can occur without fear, and fear without thrill. Below a lower threshold of perceived risk, thrill can occur without fear. Between a lower and upper threshold, thrill increases with fear. Beyond the upper threshold, thrill vanishes but fear remains. This there is a sawtooth relation between fear and thrill. Perceived danger generates intense focus and awareness. Fear and other emotions can disappear during intense concentration and focus. Under high risk, the usual emotional sequence is fear before the action or event, then focus during the action or event, then thrill, relief, or triumph afterwards. The

  10. Qualitative Analysis of Emotions: Fear and Thrill.

    Science.gov (United States)

    Buckley, Ralf C

    2016-01-01

    People can speak, and this provides opportunities to analyze human emotions using perceived experiences communicated via language, as well as through measurement and imaging techniques that are also applicable to other higher animal species. Here I compare four qualitative methodological approaches to test if, and how, thrill depends on fear. I use eight high-risk, high-skill, real-life outdoor adventure recreation activities to provide the test circumstances. I present data from: >4000 person-days of participant observation; interviews with 40 expert practitioners; retrospective autoethnography of 50 critical incidents over 4 decades; and experimental autoethnography of 60 events. Results from different methods are congruent, but different approaches yield different insights. The principal findings are as follows. Individuals differ in their fear and thrill responses. The same individual may have different responses on different occasions. Fear boosts performance, but panic causes paralysis. Anxiety or apprehension prior to a risky action or event differs from fear experienced during the event itself. The intensity of pre-event fear generally increases with the immediacy of risk to life, and time to contemplate that risk. Fear must be faced, assessed and overcome in order to act. Thrill can occur either during or after a high-risk event. Thrill can occur without fear, and fear without thrill. Below a lower threshold of perceived risk, thrill can occur without fear. Between a lower and upper threshold, thrill increases with fear. Beyond the upper threshold, thrill vanishes but fear remains. This there is a sawtooth relation between fear and thrill. Perceived danger generates intense focus and awareness. Fear and other emotions can disappear during intense concentration and focus. Under high risk, the usual emotional sequence is fear before the action or event, then focus during the action or event, then thrill, relief, or triumph afterward. The emotionless state

  11. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service

    Directory of Open Access Journals (Sweden)

    Savanheimo Nora

    2012-10-01

    Full Text Available Abstract Background Dental general anaesthesia (DGA is a very efficient treatment modality, but is considered only in the last resort because of the risks posed by general anaesthesia to patients’ overall health. Health services and their treatment policies regarding DGA vary from country to country. The aims of this work were to determine the reasons for DGA in the Helsinki Public Dental Service (PDS and to assess the role of patient characteristics in the variation in reasons and in the treatments given with special focus on preventive care. Methods The data covered all DGA patients treated in the PDS in Helsinki in 2010. The data were collected from patient documents and included personal background: age ( Results The DGA patients (n=349 were aged 2.3 to 67.2 years. Immigrants predominated in the youngest age group (p Conclusions Extreme non-cooperation, dental fear and an excessive need for treatment were the main reasons for the use of comprehensive, conservative DGA in the Helsinki PDS. The reasons for the use of DGA and the treatments provided varied according to personal and medical background, and immigration status with no gender-differences. Preventive measures formed only a minor part of the dental care given under DGA.

  12. Slovakian and Turkish Students' Fear, Disgust and Perceived Danger of Invertebrates

    Science.gov (United States)

    Prokop, Pavol; Usak, Muhammet; Erdogan, Mehmet; Fancovicova, Jana; Bahar, Mehmet

    2011-01-01

    Human perceives invertebrates less positively than vertebrates because they are small and behaviourally and morphologically unfamiliar. This cross-cultural research focused on Slovakian (n=150) and Turkish (n=164) students' fear, disgust and perceived danger regarding 25 invertebrates [including 5 disease relevant adult insects, 5 ectoparasites, 5…

  13. Attitudes toward Euthanasia as a Function of Death Fears and Demographic Variables.

    Science.gov (United States)

    Slezak, Michael E.

    1982-01-01

    Studied the relationship of attitudes toward euthanasia to death fears and demographic variables in a sample of 100 adults. Found the strongest predictors of euthanasia attitude were age and amount of education. Suggests individuals who are more experienced with life and death have a more positive attitude toward euthanasia. (Author)

  14. Attention-Deficit, Fear and Aggression in Iranian Preschool Students with Regard to Gender Differences

    Science.gov (United States)

    Sheikhzade, Mostafa; Assemi, Arezoo

    2013-01-01

    The cause of most adult psychopathologies or behavioural disorders can be traced back to childhood. In this study, we examine the attention-deficit, fear and aggression in Iran's preschool students in Oshnaviye city. In this analytical-descriptive study, 50 students were selected through stratified sampling method from 249 students. Data were…

  15. Uso regular de serviços odontológicos entre adultos: padrões de utilização e tipos de serviços Regular use of dental care services by adults: patterns of utilization and types of services

    Directory of Open Access Journals (Sweden)

    Maria Beatriz J. Camargo

    2009-09-01

    Full Text Available O objetivo deste estudo foi avaliar o uso regular de serviços odontológicos entre adultos, identificando grupos nos quais esse comportamento é mais freqüente. O estudo foi realizado em Pelotas, Rio Grande do Sul, Brasil, com desenho transversal de base populacional, envolvendo 2.961 indivíduos, que responderam um questionário estruturado. A prevalência de uso regular encontrada foi de 32,8%. Estiveram positivamente associadas ao uso de forma regular as seguintes características: ser do sexo feminino, ter idade The aim of this study was to estimate the prevalence of regular use of dental services by adults and identify groups where this behavior is more frequent. A cross-sectional population-based study was carried out in Pelotas, southern Brazil, including 2,961 individuals who answered a standardized questionnaire. Overall prevalence of regular use of dental services was 32.8%. The following variables were positively associated with regular use: female gender, age > 60 years, no partner, high educational level, high economic status, private service user, good/excellent self-rated oral health, and no perceived need for dental treatment. Those who had received orientation on prevention and expressed a favorable view towards the dentist had higher odds of being regular users. Especially among lower-income individuals, regular use was infrequent (15%. When restricting the analysis to users of public dental services, schooling was still positively associated with the outcome. Dental services, especially in the public sector, should develop strategies to increase regular and preventive use.

  16. Children's anxious reactions to an invasive medical procedure: The role of medical and non-medical fears.

    Science.gov (United States)

    Fox, Jeremy K; Halpern, Leslie F; Dangman, Barbara C; Giramonti, Karla M; Kogan, Barry A

    2016-08-01

    This study investigated the relationship of medical and non-medical fears to children's anxiety, pain, and distress during an invasive medical procedure, the voiding cystourethrogram. Parents of 34 children completed the Fear Survey Schedule-II prior to their child's procedure. Child distress behaviors during the procedure were audiotaped and coded using the Child-Adult Medical Procedure Interaction Scale-Revised. Ratings of child procedural anxiety and pain were obtained from children, parents, and examining technologists within minutes following the procedure. Associations were observed between medical fears, procedural anxiety (parent and staff reports), and coded distress behaviors. Findings may inform preparation efforts to reduce anxiety around invasive medical procedures.

  17. Fear of cultural extinction and psychopathology among Mandaean refugees: an exploratory path analysis.

    Science.gov (United States)

    Nickerson, Angela; Bryant, Richard A; Brooks, Robert; Steel, Zachary; Silove, Derrick

    2009-01-01

    The Mandaeans are a small religious community originating from Iraq and Iran who are facing the possibility of cultural extinction within the next few generations. This study aimed to examine the relationships between life experiences, psychopathology and fear of cultural extinction in Mandaean refugees. A survey was conducted of 315 adult Iraqi Mandaean refugees living in Australia. Past traumatic experiences and current resettlement difficulties were assessed. Mental health outcomes were also examined, including measures of posttraumatic stress disorder (PTSD) and depression. Fear of cultural extinction was measured by items developed in consultation with the Mandaean community. A path analysis was employed to investigate the relationship between trauma, living difficulties, PTSD, depression, and fear of cultural extinction. Results indicated that trauma and living difficulties impacted indirectly on fear of cultural extinction, while PTSD (and not depression) directly predicted levels of anxiety about the Mandaean culture ceasing to exist. The current findings indicate that past trauma and symptoms of posttraumatic stress contribute to fear of cultural extinction. Exposure to human rights violations enacted on the basis of religion has significant mental health consequences that extend beyond PTSD. The relationship between perception of threat, PTSD, and fear of cultural extinction is considered in the context of cognitive models of traumatic stress. Government immigration policy must prioritize the reunification of small, endangered groups to sustain cultural traditions. Treatment interventions implemented with cultural groups facing extinction should take into consideration anxiety about loss of culture.

  18. Plasticity of inhibitory synaptic network interactions in the lateral amygdala upon fear conditioning in mice.

    Science.gov (United States)

    Szinyei, Csaba; Narayanan, Rajeevan T; Pape, Hans-Christian

    2007-02-01

    After fear conditioning, plastic changes of excitatory synaptic transmission occur in the amygdala. Fear-related memory also involves the GABAergic system, although no influence on inhibitory synaptic transmission is known. In the present study we assessed the influence of Pavlovian fear conditioning on the plasticity of GABAergic synaptic interactions in the lateral amygdala (LA) in brain slices prepared from fear-conditioned, pseudo-trained and naïve adult mice. Theta-burst tetanization of thalamic afferent inputs to the LA evoked an input-specific potentiation of inhibitory postsynaptic responses in projection neurons; the cortical input was unaffected. Philanthotoxin (10 microM), an antagonist of Ca2+-permeable AMPA receptors, disabled this plastic phenomenon. Surgical isolation of the LA, extracellular application of a GABA(B) receptor antagonist (CGP 55845A, 10 microM) or an NMDA receptor antagonist (APV, 50 microM), or intracellular application of BAPTA (10 mM), did not influence the plasticity. The plasticity also showed as a potentiation of monosynaptic excitatory responses in putative GABAergic interneurons. Pavlovian fear conditioning, but not pseudo-conditioning, resulted in a significant reduction in this potentiation that was evident 24 h after training. Two weeks after training, the potentiation returned to control levels. In conclusion, a reduction in potentiation of inhibitory synaptic interactions occurs in the LA and may contribute to a shift in synaptic balance towards excitatory signal flow during the processes of fear-memory acquisition or consolidation.

  19. The development of fear learning and generalization in 8-13 year-olds.

    Science.gov (United States)

    Glenn, Catherine R; Klein, Daniel N; Lissek, Shmuel; Britton, Jennifer C; Pine, Daniel S; Hajcak, Greg

    2012-11-01

    The current study examined developmental changes in fear learning and generalization in 40 healthy 8-13 year-olds using an aversive conditioning paradigm adapted from Lau et al. [Lau et al. [2008] Journal of the American Academy of Child and Adolescent Psychiatry 47:94-102]. In this task, the conditioned stimuli (CS+/CS-) are two neutral female faces, and the unconditioned stimulus is a fearful, screaming face. The second phase of the study also included a generalization stimulus (GS): a 50% blend of the CS± faces. The eye-blink startle reflex was utilized to measure defensive responding. Patterns of fear learning and generalization were qualified by child age. Older children demonstrated greater fear learning (i.e., larger startle during CS+ than CS-) than younger children. In addition, older children exhibited the typical pattern of generalization observed in adults, whereas younger children did not. Finally, fear learning also related to contingency awareness; only children who correctly identified the CS+ demonstrated fear-potentiated startle to the CS+. Clinical implications and future directions are discussed. PMID:22072276

  20. Fearing Death and Caring for the Dying.

    Science.gov (United States)

    Momeyer, Richard W.

    1986-01-01

    Argues against the allegation that health care workers with higher than statistically normal fear of death are ill equipped to care for the terminally ill. Contends that such care is unlikely to be given by persons who do not acknowledge the reality of their own fear and struggle to avoid denial. (NRB)

  1. Disgust and fear lower olfactory threshold

    NARCIS (Netherlands)

    Chan, K.Q.; Holland, R.W.; Loon, R. van; Arts, R.; Knippenberg, A.F.M. van

    2016-01-01

    Odors provide information regarding the chemical properties of potential environment hazards. Some of this information may be disgust-related (e.g., organic decay), whereas other information may be fear-related (e.g., smoke). Many studies have focused on how disgust and fear, as prototypical avoidan

  2. Dissociating response systems: erasing fear from memory

    NARCIS (Netherlands)

    A.C. Soeter; M. Kindt

    2010-01-01

    In addition to the extensive evidence in animals, we previously showed that disrupting reconsolidation by noradrenergic blockade produced amnesia for the original fear response in humans. Interestingly, the declarative memory for the fear association remained intact. These results asked for a solid

  3. Stressor controllability modulates fear extinction in humans.

    Science.gov (United States)

    Hartley, Catherine A; Gorun, Alyson; Reddan, Marianne C; Ramirez, Franchesca; Phelps, Elizabeth A

    2014-09-01

    Traumatic events are proposed to play a role in the development of anxiety disorders, however not all individuals exposed to extreme stress experience a pathological increase in fear. Recent studies in animal models suggest that the degree to which one is able to control an aversive experience is a critical factor determining its behavioral consequences. In this study, we examined whether stressor controllability modulates subsequent conditioned fear expression in humans. Participants were randomly assigned to an escapable stressor condition, a yoked inescapable stressor condition, or a control condition involving no stress exposure. One week later, all participants underwent fear conditioning, fear extinction, and a test of extinction retrieval the following day. Participants exposed to inescapable stress showed impaired fear extinction learning and increased fear expression the following day. In contrast, escapable stress improved fear extinction and prevented the spontaneous recovery of fear. Consistent with the bidirectional controllability effects previously reported in animal models, these results suggest that one's degree of control over aversive experiences may be an important factor influencing the development of psychological resilience or vulnerability in humans.

  4. The Old English Language of Fear

    Science.gov (United States)

    Carlson, Erik A.

    2012-01-01

    This dissertation examines the development of the Old English vocabulary for fear under the influence of the Latinate discourse of Christian doctrine. The first chapter arranges the Old English words for fear into etymologically organized families and describes their incidence and usage across attested corpus of Old English, using the Dictionary…

  5. The neural dynamics of fear memory

    NARCIS (Netherlands)

    R.M. Visser

    2016-01-01

    While much of what we learn will be forgotten over time, fear memory appears to be particularly resilient to forgetting. Our understanding of how fearful events are transformed into durable memory, and how this memory subsequently influences the processing of (novel) stimuli, is limited. Studying fe

  6. Drug Induced Arousal and Fear Appeals.

    Science.gov (United States)

    Deckner, C. William; Rogers, Ronald W.

    It is hypothesized that the drug, epinephrine, used in conjunction with a fear arousing film on the consquences of smoking would be more effective than either alone in increasing fear and negative attitudes toward smoking and, resultantly, in reducing cigarette consumption. The experimenters assigned 119 subjects to the four cells of a 2x2…

  7. Methylphenidate Enhances Extinction of Contextual Fear

    Science.gov (United States)

    Abraham, Antony D.; Cunningham, Christopher L.; Lattal, K. Matthew

    2012-01-01

    Methylphenidate (MPH, Ritalin) is a norepinephrine and dopamine transporter blocker that is widely used in humans for treatment of attention deficit disorder and narcolepsy. Although there is some evidence that targeted microinjections of MPH may enhance fear acquisition, little is known about the effect of MPH on fear extinction. Here, we show…

  8. Neuroticism modifies psychophysiological responses to fearful films.

    Directory of Open Access Journals (Sweden)

    Emmanuelle Reynaud

    Full Text Available BACKGROUND: Neuroticism is a personality component frequently found in anxious and depressive psychiatric disorders. The influence of neuroticism on negative emotions could be due to its action on stimuli related to fear and sadness, but this remains debated. Our goal was thus to better understand the impact of neuroticism through verbal and physiological assessment in response to stimuli inducing fear and sadness as compared to another negative emotion (disgust. METHODS: Fifteen low neurotic and 18 high neurotic subjects were assessed on an emotional attending task by using film excerpts inducing fear, disgust, and sadness. We recorded skin conductance response (SCR and corrugator muscle activity (frowning as indices of emotional expression. RESULTS: SCR was larger in high neurotic subjects than in low neurotics for fear relative to sadness and disgust. Moreover, corrugator activity and SCR were larger in high than in low neurotic subjects when fear was induced. CONCLUSION: After decades of evidence that individuals higher in neuroticism experience more intense emotional reactions to even minor stressors, our results indicate that they show greater SCR and expressive reactivity specifically to stimuli evoking fear rather than to those inducing sadness or disgust. Fear processing seems mainly under the influence of neuroticism. This modulation of autonomic activity by neurotics in response to threat/fear may explain their increased vulnerability to anxious psychopathologies such as PTSD (post traumatic stress disorder.

  9. Expression of freezing and fear-potentiated startle during sustained fear in mice.

    Science.gov (United States)

    Daldrup, T; Remmes, J; Lesting, J; Gaburro, S; Fendt, M; Meuth, P; Kloke, V; Pape, H-C; Seidenbecher, T

    2015-03-01

    Fear-potentiated acoustic startle paradigms have been used to investigate phasic and sustained components of conditioned fear in rats and humans. This study describes a novel training protocol to assess phasic and sustained fear in freely behaving C57BL/6J mice, using freezing and/or fear-potentiated startle as measures of fear, thereby, if needed, allowing in vivo application of various techniques, such as optogenetics, electrophysiology and pharmacological intervention, in freely behaving animals. An auditory Pavlovian fear conditioning paradigm, with pseudo-randomized conditioned-unconditioned stimulus presentations at various durations, is combined with repetitive brief auditory white noise burst presentations during fear memory retrieval 24 h after fear conditioning. Major findings are that (1) a motion sensitive platform built on mechano-electrical transducers enables measurement of startle responses in freely behaving mice, (2) absence or presence of startle stimuli during retrieval as well as unpredictability of a given threat determine phasic and sustained fear response profiles and (3) both freezing and startle responses indicate phasic and sustained components of behavioral fear, with sustained freezing reflecting unpredictability of conditioned stimulus (CS)/unconditioned stimulus (US) pairings. This paradigm and available genetically modified mouse lines will pave the way for investigation of the molecular and neural mechanisms relating to the transition from phasic to sustained fear.

  10. Remembering the object you fear: brain potentials during recognition of spiders in spider-fearful individuals.

    Directory of Open Access Journals (Sweden)

    Jaroslaw M Michalowski

    Full Text Available In the present study we investigated long-term memory for unpleasant, neutral and spider pictures in 15 spider-fearful and 15 non-fearful control individuals using behavioral and electrophysiological measures. During the initial (incidental encoding, pictures were passively viewed in three separate blocks and were subsequently rated for valence and arousal. A recognition memory task was performed one week later in which old and new unpleasant, neutral and spider pictures were presented. Replicating previous results, we found enhanced memory performance and higher confidence ratings for unpleasant when compared to neutral materials in both animal fearful individuals and controls. When compared to controls high animal fearful individuals also showed a tendency towards better memory accuracy and significantly higher confidence during recognition of spider pictures, suggesting that memory of objects prompting specific fear is also facilitated in fearful individuals. In line, spider-fearful but not control participants responded with larger ERP positivity for correctly recognized old when compared to correctly rejected new spider pictures, thus showing the same effects in the neural signature of emotional memory for feared objects that were already discovered for other emotional materials. The increased fear memory for phobic materials observed in the present study in spider-fearful individuals might result in an enhanced fear response and reinforce negative beliefs aggravating anxiety symptomatology and hindering recovery.

  11. Remembering the object you fear: brain potentials during recognition of spiders in spider-fearful individuals.

    Science.gov (United States)

    Michalowski, Jaroslaw M; Weymar, Mathias; Hamm, Alfons O

    2014-01-01

    In the present study we investigated long-term memory for unpleasant, neutral and spider pictures in 15 spider-fearful and 15 non-fearful control individuals using behavioral and electrophysiological measures. During the initial (incidental) encoding, pictures were passively viewed in three separate blocks and were subsequently rated for valence and arousal. A recognition memory task was performed one week later in which old and new unpleasant, neutral and spider pictures were presented. Replicating previous results, we found enhanced memory performance and higher confidence ratings for unpleasant when compared to neutral materials in both animal fearful individuals and controls. When compared to controls high animal fearful individuals also showed a tendency towards better memory accuracy and significantly higher confidence during recognition of spider pictures, suggesting that memory of objects prompting specific fear is also facilitated in fearful individuals. In line, spider-fearful but not control participants responded with larger ERP positivity for correctly recognized old when compared to correctly rejected new spider pictures, thus showing the same effects in the neural signature of emotional memory for feared objects that were already discovered for other emotional materials. The increased fear memory for phobic materials observed in the present study in spider-fearful individuals might result in an enhanced fear response and reinforce negative beliefs aggravating anxiety symptomatology and hindering recovery.

  12. Mediators between education and dental pain: a cross-sectional study to assess the role of dental services utilization.

    Science.gov (United States)

    Constante, Helena M; Peres, Marco A; Schroeder, Fernanda C; Bastos, João L

    2016-02-01

    This study tested whether the pattern of dental services utilization and the reason for the last dental visit mediate the association between educational attainment and dental pain. This is a cross-sectional analysis (n = 1099) based on data from a prospective cohort study in adults, southern Brazil. The mediating effects were assessed by including interaction terms in logistic regression models and by the KHB method, which estimated the direct, mediated, and total effects of education on dental pain. The prevalence of dental pain was 17.5%. Individuals with less than 12 yr of study who visited the dentist to solve dental problems had a 20% higher odds of reporting dental pain than those with 12 or more years of study, who sought the dentist for preventive reasons. Dental services should also focus on preventive measures, especially if less-educated individuals visit the dentist only to treat problems; this may help reduce the frequency of negative oral health outcomes, including dental pain. PMID:26718615

  13. Factors influencing the use of public dental services: An application of the Theory of Planned Behaviour

    Directory of Open Access Journals (Sweden)

    Spencer A John

    2008-04-01

    Full Text Available Abstract Background There is limited evidence of the influence of psychosocial factors and health beliefs on public dental patient's patterns of service use in Australia. The research aims were to examine associations between dental attitudes and beliefs of public dental service users and dental visiting intention and behaviour using the Theory of Planned Behaviour. Methods 517 randomly selected adult public dental patients completed a questionnaire assessing dental attitudes and beliefs which was matched with electronic records for past and future dental service use. A questionnaire measured intentions, attitudes, subjective norms and perceptions of behavioural control and self-efficacy in relation to visiting public dentists. A measure of dental attendance at public dental clinics was obtained retrospectively (over 3 1/2 years and prospectively (over a one year period following the return of the questionnaire by accessing electronic patient clinical records. Results Participants had positive attitudes, subjective norms and self-efficacy beliefs towards dental visiting but perceived a lack of control over visiting the dentist. Attitudes, subjective norms, self-efficacy and perceived control were significant predictors of intention (P Conclusion Public dental patients held favourable attitudes and beliefs but perceived a lack of control towards dental visiting. Reducing structural barriers may therefore improve access to public dental services.

  14. What is dental ecology?

    Science.gov (United States)

    Cuozzo, Frank P; Sauther, Michelle L

    2012-06-01

    Teeth have long been used as indicators of primate ecology. Early work focused on the links between dental morphology, diet, and behavior, with more recent years emphasizing dental wear, microstructure, development, and biogeochemistry, to understand primate ecology. Our study of Lemur catta at the Beza Mahafaly Special Reserve, Madagascar, has revealed an unusual pattern of severe tooth wear and frequent tooth loss, primarily the result of consuming a fallback food for which these primates are not dentally adapted. Interpreting these data was only possible by combining our areas of expertise (dental anatomy [FC] and primate ecology [MS]). By integrating theoretical, methodological, and applied aspects of both areas of research, we adopted the term "dental ecology"-defined as the broad study of how teeth respond to the environment. Specifically, we view dental ecology as an interpretive framework using teeth as a vehicle for understanding an organism's ecology, which builds upon earlier work, but creates a new synthesis of anatomy and ecology that is only possible with detailed knowledge of living primates. This framework includes (1) identifying patterns of dental pathology and tooth use-wear, within the context of feeding ecology, behavior, habitat variation, and anthropogenic change, (2) assessing ways in which dental development and biogeochemical signals can reflect habitat, environmental change and/or stress, and (3) how dental microstructure and macro-morphology are adapted to, and reflect feeding ecology. Here we define dental ecology, provide a short summary of the development of this perspective, and place our new work into this context.

  15. The early-onset fearful panic attack as a predictor of severe psychopathology.

    Science.gov (United States)

    Goodwin, Renee D; Hamilton, Steven P

    2002-01-31

    The objective of this study was to replicate previous findings indicating that early-onset panic attack (< or =20 years) with fear represents a possible prodrome of early-onset severe psychopathology. Data were drawn from the Epidemiologic Catchment Area Survey (ECA) (n=20 291), a household sample of adults aged 18 and older drawn from five cities in the United States. Multivariate logistic regression analyses were used to differentiate those with early-onset panic attacks with fear from those with other panic attacks (early-onset without fear, late-onset without fear, late-onset with fear) with regard to psychiatric comorbidity, age at onset of comorbid mental disorders, and suicidal ideation and suicide attempts. Results of statistical analyses revealed that early-onset fearful panic attack (n=368) was associated with increased likelihood of major affective and substance use disorders, significantly earlier onset of comorbid mental disorders, higher rates of suicidal ideation and suicide attempt, and higher rates of antisocial personality disorder compared with those with other subtypes of panic attacks. Multiple logistic regression analyses showed that early-onset fearful panic was independently associated with increased odds of major depression [OR=3.0 (2.6, 3.5)], bipolar disorder [OR=7.9 (5.7, 10.8)], antisocial personality disorder [OR=1.5 (1.3, 1.7)], agoraphobia [OR=1.2 (1.1, 1.4)], simple phobia [OR=1.6 (1.4, 1.8)], and alcohol dependence [OR=1.3 (1.2, 1.5)], compared with those with all other panic attacks. These findings are consistent with previous epidemiologic data and provide new evidence to suggest that early-onset fearful panic attack may be a marker of increased vulnerability to severe and persistent psychopathology and associated with high rates of suicidality. PMID:11850053

  16. Employment of Dental Hygienists as Dental Educators.

    Science.gov (United States)

    Fong, Cynthia; Odrich, Johanna

    1987-01-01

    A study of the use of dental hygienists to teach periodontics, preventive dentistry, community dentistry, and public health courses looked at employment patterns and practices and the qualifications of the teachers. (MSE)

  17. Factors associated with unmet dental care needs in Canadian immigrants: an analysis of the longitudinal survey of immigrants to Canada

    OpenAIRE

    Calvasina, Paola; Muntaner, Carles; Quiñonez, Carlos

    2014-01-01

    Background Immigrants are often considered to have poorer oral health than native born-populations. One possible explanation for immigrants’ poor oral health is lack of access to dental care. There is very little information on Canadian immigrants’ access to dental care, and unmet dental care needs. This study examines predictors of unmet dental care needs among a sample of adult immigrants to Canada over a three-point-five-year post-migration period. Methods A secondary data analysis was con...

  18. European Union: fears and hopes

    Directory of Open Access Journals (Sweden)

    Gilles ROUET

    2016-06-01

    Full Text Available This contribution analyses some data from Eurobarometer 83, spring 2015, especially to draw a map of Fears. The European Union is a divided space and one of the main consequences of the budget (financial crisis of Greece, followed by the crisis caused by the arrival of thousands of immigrants is an enhanced communication difficulty between the Western and Eastern parts of the EU But all citizens have some new rights with the European Citizenship, which are additional. One of the main issues for the future could be to change the fundamental basis of the Union, thus trying to organize a new articulation between local and supranational, with another role for States, for example to change the organisation of European elections, and to pursue the connection of public spaces with mobility.

  19. Increased expression and levels of human β defensins (hBD2 and hBD4 in adults with dental caries

    Directory of Open Access Journals (Sweden)

    Girolamo Jose Barrera

    2013-09-01

    Full Text Available Introduction: Defensins are small anti-microbial peptides produced by epithelial cells. These peptides have a broad range of actions against microorganisms, including Gram-positive and Gram-negative bacteria.Human defensins are classifi ed into two subfamilies, the α-, and β- defensins, which differ in their distribution of disulphide bonds between the six conserved cysteine residues. Defensins are found in salivaand others compartments of the body. Human β defensins 2 (hBD2, beta defensins 4 (hBD4 and alpha defensins 4 (hNP4 in saliva may contributes to vulnerability or resistance to caries. This study aimed to determine a possible correlation between caries and levels of defensins measuring the expression in gingival tissue and concentrations in saliva samples.Methods: Oral examinations were performed on 100 adults of both genders (18-30 years old, and unstimulated whole saliva was collected for immunoassays of the three peptides and for the salivary pH, buffercapacity, protein, and peroxidase activity. mRNA levels of defensins in gingival sample were assessed by semi-quantitative RT-PCR technique.Results: The median salivary levels of hBD2 and hBD4 were 1.88 μg/ml and 0.86 μg/ml respectively for the caries-free group (n=44 and 7.26 μ/ml (hBD2 and 4.25 μg/ml (hBD4 for all subjects with evidenceof caries (n=56. There was no difference in the levels of hNP4, salivary pH, and proteins between groups, however the peroxidase activity and buffer capacity (interval 6.0-5.0 were reduced in caries group. Transcriptional levels of hBD2 and hBD4 did correlate with caries experience, the mRNA expression of hBD2 and hBD4 were signifi cantly higher in patients with caries than in patients with no-caries (p < 0.01.Conclusion: We conclude that high salivary levels and expression of beta defensins, low peroxidase activity and buffer capacity may represent a biological response of oral tissue to caries. Our observation couldlead to new ways to prevent

  20. Weaker Dental Enamel Explains Dental Decay

    OpenAIRE

    Alexandre R Vieira; Carolyn W Gibson; Kathleen Deeley; Hui Xue; Yong Li

    2015-01-01

    Dental caries continues to be the most prevalent bacteria-mediated non-contagious disease of humankind. Dental professionals assert the disease can be explained by poor oral hygiene and a diet rich in sugars but this does not account for caries free individuals exposed to the same risk factors. In order to test the hypothesis that amount of amelogenin during enamel development can influence caries susceptibility, we generated multiple strains of mice with varying levels of available amelogeni...

  1. Dental Care for Medicaid and CHIP Enrollees

    Science.gov (United States)

    ... Amendments Dental Care Dental Care for Medicaid and CHIP Enrollees Dental health is an important part of ... for dental services. Dental Benefits for Children in CHIP States that provide CHIP coverage to children through ...

  2. Dental amalgam: An update

    OpenAIRE

    Bharti Ramesh; Wadhwani Kulvinder; Tikku Aseem; Chandra Anil

    2010-01-01

    Dental amalgam has served as an excellent and versatile restorative material for many years, despite periods of controversy. The authors review its history, summarize the evidence with regard to its performance and offer predictions for the future of this material. The PubMed database was used initially; the reference list for dental amalgam featured 8641 articles and 13 publications dealing with recent advances in dental amalgam. A forward search was undertaken on selected articles and using...

  3. Alterations to embryonic serotonin change aggression and fearfulness.

    Science.gov (United States)

    Dennis, Rachel L; Fahey, Alan G; Cheng, Heng W

    2013-01-01

    Prenatal stress can alter the serotonin (5-HT) system in the developing and adult brain and lead to mood and behavioral disorders in children and adults. The chicken provides a unique animal model to study the effects of embryonic stressors on childhood and adolescent behavior. Manipulations to the egg can be made in the absence of confounding maternal effects from treatment. Eggs were injected with 50 μL of excess 5-HT (10 μg/egg), 8-OH-DPAT (a 5-HT1A receptor agonist; 16 μg/egg), or saline on day 0 prior to the 21 days incubation. Injections were performed at 0.5 cm below the shell. Behavior was analyzed at 9 weeks of age and again at the onset of sexual maturity (18 weeks). Hens treated with excess embryonic 5-HT exhibited significantly less aggressive behaviors at 9 weeks of age compared to both 5-HT1A agonist treated and saline hens (P early embryonic stages may create a developmental instability, causing phenotypic variations. These results showed that modification of the serotonergic system during early embryonic development alters its functions in mediating aggressive and fearful or anxious behaviors. Prenatal modification of the serotonergic system has long lived implications on both physiology and behavior, especially aggressive and fearful behaviors. PMID:23386480

  4. Is hypoglycemia fear independently associated with health-related quality of life?

    OpenAIRE

    Shi, Lizheng; Shao, Hui; Zhao, Yingnan; Thomas, Nina A

    2014-01-01

    Objective Patients may fear the symptoms and consequences associated with hypoglycemia. We tested whether fear of hypoglycemia is independently associated with poorer health-related quality of life (HRQOL). Research design and methods Data were collected using direct-mail survey and enrollment information from adult commercial health plan enrollees with type 2 diabetes during a 12-month period (12/01/2008 to 11/30/2009). HRQOL was evaluated by the EuroQol (EQ)–5D index and 12-item Short Form ...

  5. Dental magnetic resonance imaging

    International Nuclear Information System (INIS)

    Growing distribution and utilization of digital volume tomography (DVT) extend the spectrum of clinical dental imaging. Additional diagnostic value, however, comes along with an increasing amount of radiation. In contrast, magnetic resonance imaging is a radiation free imaging technique. Furthermore, it offers a high soft tissue contrast. Morphological and numerical dental anomalies, differentiation of periapical lesions and exclusion of complications of dental diseases are field of applications for dental MRI. In addition, detection of caries and periodontal lesions and injury of inferior alveolar nerve are promising application areas in the future.

  6. Biocompatibility of dental alloys

    Energy Technology Data Exchange (ETDEWEB)

    Braemer, W. [Heraeus Kulzer GmbH and Co. KG, Hanau (Germany)

    2001-10-01

    Modern dental alloys have been used for 50 years to produce prosthetic dental restorations. Generally, the crowns and frames of a prosthesis are prepared in dental alloys, and then veneered by feldspar ceramics or composites. In use, the alloys are exposed to the corrosive influence of saliva and bacteria. Metallic dental materials can be classified as precious and non-precious alloys. Precious alloys consist of gold, platinum, and small amounts of non-precious components such as copper, tin, or zinc. The non-precious alloys are based on either nickel or cobalt, alloyed with chrome, molybdenum, manganese, etc. Titanium is used as Grade 2 quality for dental purposes. As well as the dental casting alloys, high purity electroplated gold (99.8 wt.-%) is used in dental technology. This review discusses the corrosion behavior of metallic dental materials with saliva in ''in vitro'' tests and the influence of alloy components on bacteria (Lactobacillus casei and Streptococcus mutans). The test results show that alloys with high gold content, cobalt-based alloys, titanium, and electroplated gold are suitable for use as dental materials. (orig.)

  7. Prefrontal NMDA receptors expressed in excitatory neurons control fear discrimination and fear extinction.

    Science.gov (United States)

    Vieira, Philip A; Corches, Alex; Lovelace, Jonathan W; Westbrook, Kevin B; Mendoza, Michael; Korzus, Edward

    2015-03-01

    N-methyl-D-aspartate receptors (NMDARs) are critically involved in various learning mechanisms including modulation of fear memory, brain development and brain disorders. While NMDARs mediate opposite effects on medial prefrontal cortex (mPFC) interneurons and excitatory neurons, NMDAR antagonists trigger profound cortical activation. The objectives of the present study were to determine the involvement of NMDARs expressed specifically in excitatory neurons in mPFC-dependent adaptive behaviors, specifically fear discrimination and fear extinction. To achieve this, we tested mice with locally deleted Grin1 gene encoding the obligatory NR1 subunit of the NMDAR from prefrontal CamKIIα positive neurons for their ability to distinguish frequency modulated (FM) tones in fear discrimination test. We demonstrated that NMDAR-dependent signaling in the mPFC is critical for effective fear discrimination following initial generalization of conditioned fear. While mice with deficient NMDARs in prefrontal excitatory neurons maintain normal responses to a dangerous fear-conditioned stimulus, they exhibit abnormal generalization decrement. These studies provide evidence that NMDAR-dependent neural signaling in the mPFC is a component of a neural mechanism for disambiguating the meaning of fear signals and supports discriminative fear learning by retaining proper gating information, viz. both dangerous and harmless cues. We also found that selective deletion of NMDARs from excitatory neurons in the mPFC leads to a deficit in fear extinction of auditory conditioned stimuli. These studies suggest that prefrontal NMDARs expressed in excitatory neurons are involved in adaptive behavior.

  8. Risk perception, safety fears and health

    International Nuclear Information System (INIS)

    There is significant evidence from a range of studies that fears of nuclear exposure or radiological threat may become associated with health preoccupations and potentially psychiatric disorders. These include somatisation, anxiety and depressive syndromes. There are findings from our own and others research that knowledge may lessen fear. Nevertheless, concerns exist despite recognition that radiotherapy and other use of radiation technology for investigation have significant benefits for health. These background vulnerabilities in terms of health fears, especially concerning cancer and potential genetic impacts will be reviewed. In current studies we have examined fears related to radiation and nuclear issues and a range of health variables and social capital. This paper will examine health issues in these non-exposed populations, and whether fear levels correlate with mental health, or other health related variables. The degree to which such fears may have been exacerbated by the nuclear incident in Japan, or other adverse disaster circumstances will be reviewed. The influence of fear per se, without exposure, may indicate pre-existing vulnerabilities and the degree to which resilience indicators may be protective. Findings relevant to prevention and management will be reviewed.

  9. Modeling fear-conditioned bradycardia in humans.

    Science.gov (United States)

    Castegnetti, Giuseppe; Tzovara, Athina; Staib, Matthias; Paulus, Philipp C; Hofer, Nicolas; Bach, Dominik R

    2016-06-01

    Across species, cued fear conditioning is a common experimental paradigm to investigate aversive Pavlovian learning. While fear-conditioned stimuli (CS+) elicit overt behavior in many mammals, this is not the case in humans. Typically, autonomic nervous system activity is used to quantify fear memory in humans, measured by skin conductance responses (SCR). Here, we investigate whether heart period responses (HPR) evoked by the CS, often observed in humans and small mammals, are suitable to complement SCR as an index of fear memory in humans. We analyze four datasets involving delay and trace conditioning, in which heart beats are identified via electrocardiogram or pulse oximetry, to show that fear-conditioned heart rate deceleration (bradycardia) is elicited and robustly distinguishes CS+ from CS-. We then develop a psychophysiological model (PsPM) of fear-conditioned HPR. This PsPM is inverted to yield estimates of autonomic input into the heart. We show that the sensitivity to distinguish CS+ and CS- (predictive validity) is higher for model-based estimates than peak-scoring analysis, and compare this with SCR. Our work provides a novel tool to investigate fear memory in humans that allows direct comparison between species. PMID:26950648

  10. The effect of music exposure in juvenile stage on anxiety-like behavior and fear extinction in adult rat%幼龄期音乐暴露对大鼠成年后焦虑行为和恐惧记忆消退的影响

    Institute of Scientific and Technical Information of China (English)

    梁拓; 王超; 曹烨; 王非一凡; 陈锶; 郑梅; 李昌琪

    2012-01-01

    Objective To study the effect of music exposure in juvenile stage on anxiety-like behavior and fear extinction in adult rats.Methods 4 broods of two-week-old healthy Sprague-Dawleyda rats were separated into two groups randomly.The music groups were exposed to music from 20:00 to 22:00 for 21 consecutive days.When the rats were 5 weeks old,they were caged by sex,with 8 male rats and 6 female rats in each group.When the rats were 8 weeks old,the two groups were assessed in the elevated-plus maze test,the open-field test,trained and assessed by the conditional fear training and fear extinction training.Results In the elevated-plus maze test:Prior to the foot shock,the percent of time spent in the open arms in the music group (female(7.07 ± 1.14)%,male (5.12 ± 1.95 ) % ) exhibited no significant difference (P> 0.05 ) comparing with the rats in the control group (female (4.65 ± 0.86 ) %,male ( 4.86 ± 1.95 ) % ).After the foot shock,the percent of time spent in the open arms in the music group ( female ( 8.63 ± 3.35 ) %,male ( 7.79 ± 2.49 ) % ) increased comparing to the control group (female(1.48 ±0.11)%,male(4.29 ± 1.68)%) (P<0.01). In the open-field test:prior to the foot shock,the percent of time spent in the center zone of the music group ( female (6.16 ± 2.17 ) %,male (6.25 ±3.47) % ) exhibited no significant difference (P> 0.05) comparing with the rats in control group (female(5.27 ±1.95 )%,male (6.22 ± 3.13 )% ).After the foot shock,the percent of time spent in the center zone in the music group (female(8.52 ± 1.93) %,male (6.95 ± 2.46 ) % ) was larger than the control group ( female ( 3.47 ±0.93 ) %,male (4.36 ± 2.22 ) % ) (P < 0.05 ).The fear extinction training showed that the percent of freezing time exhibited no significant difference between the male and female rats of the music group and control group in the first block of the first extinction training day and the percentage of freezing time of

  11. Dental disease and risk of coronary heart disease and mortality.

    OpenAIRE

    DeStefano, F.; Anda, R F; Kahn, H. S.; Williamson, D F; Russell, C. M.

    1993-01-01

    OBJECTIVE--To investigate a reported association between dental disease and risk of coronary heart disease. SETTING--National sample of American adults who participated in a health examination survey in the early 1970s. DESIGN--Prospective cohort study in which participants underwent a standard dental examination at baseline and were followed up to 1987. Proportional hazards analysis was used to estimate relative risks adjusted for several covariates. MAIN OUTCOME MEASURES--Incidence of morta...

  12. Influence of moderate to severe chronic periodontitis on dental pulp

    OpenAIRE

    Fatemi, K; Disfani, R; R.ZARE; A. Moeintaghavi; Ali, Saadat A.; Boostani, H. R

    2012-01-01

    Background: The relationship between periodontal disease and dental pulp changes is controversial and has been debated for many years. This human study was performed to evaluate the possible effects of moderate to advanced periodontal disease on the different aspect of dental pulp structure. Materials and Methods: Twenty hopeless permanent teeth were extracted from systemically healthy adults because of moderate to advanced chronic periodontitis, with a bone loss of >6 mm and a mobility of gr...

  13. [Study progress of dental pulp stem cells in tissue engineering].

    Science.gov (United States)

    Shiyu, Shi; Jiamin, Xie

    2015-12-01

    In recent years, modern tissue engineering is becoming emerging and developing rapidly, and the acquisition, cultivation and differentiation of seed cells is the premise and foundation of the construction of tissue engineering, so more and more scholars pay attention to stem cells as seed cells for tissue engineering construction. Dental pulp stem cells (DPSCs) is a kind of adult stem cells derived from dental pulp, and as a new kind of seed cells of tissue engineering, the study of DPSCs presents important significance in tissue and organ regeneration. In this review, we introduced the progress of studies on dental pulp stem cells and discussed their clinical application prospects. PMID:27051964

  14. Evaluation of digital dental models obtained from dental cone-beam computed tomography scan of alginate impressions

    OpenAIRE

    Jiang, Tingting; Lee, Sang-Mi; Hou, Yanan; Chang, Xin; Hwang, Hyeon-Shik

    2016-01-01

    Objective To investigate the dimensional accuracy of digital dental models obtained from the dental cone-beam computed tomography (CBCT) scan of alginate impressions according to the time elapse when the impressions are stored under ambient conditions. Methods Alginate impressions were obtained from 20 adults using 3 different alginate materials, 2 traditional alginate materials (Alginoplast and Cavex Impressional) and 1 extended-pour alginate material (Cavex ColorChange). The impressions wer...

  15. Memory suppression trades prolonged fear and sleep-dependent fear plasticity for the avoidance of current fear

    OpenAIRE

    Kenichi Kuriyama; Motoyasu Honma; Takuya Yoshiike; Yoshiharu Kim

    2013-01-01

    Sleep deprivation immediately following an aversive event reduces fear by preventing memory consolidation during homeostatic sleep. This suggests that acute insomnia might act prophylactically against the development of posttraumatic stress disorder (PTSD) even though it is also a possible risk factor for PTSD. We examined total sleep deprivation and memory suppression to evaluate the effects of these interventions on subsequent aversive memory formation and fear conditioning. Active suppress...

  16. Education About Dental Hygienists' Roles in Public Dental Prevention Programs: Dental and Dental Hygiene Students' and Faculty Members' and Dental Hygienists' Perspectives.

    Science.gov (United States)

    Pervez, Anushey; Kinney, Janet S; Gwozdek, Anne; Farrell, Christine M; Inglehart, Marita R

    2016-09-01

    In 2005, Public Act No. 161 (PA 161) was passed in Michigan, allowing dental hygienists to practice in approved public dental prevention programs to provide services for underserved populations while utilizing a collaborative agreement with a supervising dentist. The aims of this study were to assess how well dental and dental hygiene students and faculty members and practicing dental hygienists have been educated about PA 161, what attitudes and knowledge about the act they have, and how interested they are in additional education about it. University of Michigan dental and dental hygiene students and faculty members, students in other Michigan dental hygiene programs, and dental hygienists in the state were surveyed. Respondents (response rate) were 160 dental students (50%), 63 dental hygiene students (82%), 30 dental faculty members (26%), and 12 dental hygiene faculty members (52%) at the University of Michigan; 143 dental hygiene students in other programs (20%); and 95 members of the Michigan Dental Hygienists' Association (10%). The results showed that the dental students were less educated about PA 161 than the dental hygiene students, and the dental faculty members were less informed than the dental hygiene faculty members and dental hygienists. Responding dental hygiene faculty members and dental hygienists had more positive attitudes about PA 161 than did the students and dental faculty members. Most of the dental hygiene faculty members and dental hygienists knew a person providing services in a PA 161 program. Most dental hygiene students, faculty members, and dental hygienists wanted more education about PA 161. Overall, the better educated about the program the respondents were, the more positive their attitudes, and the more interested they were in learning more. PMID:27587574

  17. Effects of sleep on memory for conditioned fear and fear extinction

    OpenAIRE

    Pace-Schott, Edward F.; Germain, Anne; Milad, Mohammed R

    2015-01-01

    Learning and memory for extinction of conditioned fear is a basic mammalian mechanism for regulating negative emotion. Sleep promotes both the consolidation of memory and the regulation of emotion. Sleep can influence consolidation and modification of memories associated with both fear and its extinction. After brief overviews of the behavior and neural circuitry associated with fear conditioning, extinction learning and extinction memory in the rodent and human, interactions of sleep with th...

  18. Fear Assessment: Cost-Benefit Analysis and the Pricing of Fear and Anxiety

    OpenAIRE

    Adler, Matthew D.

    2003-01-01

    "Risk assessment" is now a common feature of regulatory practice, but "fear assessment" is not.In particular, environmental, health and safety agencies such as EPA, FDA, OSHA, NHTSA, and CPSC, commonly count death, illness and injury as "costs" for purposes of cost-benefit analysis, but almost never incorporate fear, anxiety or other welfare-reducing mental states into the analysis.This is puzzling, since fear and anxiety are welfare setbacks, and since the very hazards regulated by these age...

  19. Effect of the video output of the dental operating microscope on anxiety levels in a pediatric population during restorative procedures

    OpenAIRE

    Abrar Sayed; Vinisha Ranna; Dimple Padawe; Vilas Takate

    2016-01-01

    Background: Adapting a child to the alien settings of a dental operatory is a major challenge to the dentist. Fear of the unknown and preconceived notions of dental pain causes anxiety in the pediatric patient. This often leads to disruptive and uncooperative behavior in the dental operatory. Many methods of behavior management have been described, of which the Tell-Show-Do (TSD) is an established and time-tested technique of behavior management. Aim: To determine if a live visual output of t...

  20. Prereactivation propranolol fails to reduce skin conductance reactivity to prepared fear-conditioned stimuli.

    Science.gov (United States)

    Spring, Justin D; Wood, Nellie E; Mueller-Pfeiffer, Christoph; Milad, Mohammed R; Pitman, Roger K; Orr, Scott P

    2015-03-01

    Pharmacologic blockade of memory reconsolidation has been demonstrated in fear-conditioned rodents and humans and may provide a means to reduce fearfulness in anxiety disorders and posttraumatic stress disorder. Studying the efficacy of potential interventions in clinical populations is challenging, creating a need for paradigms within which candidate reconsolidation-blocking interventions can be readily tested. We used videos of biologically prepared conditioned stimuli (tarantulas) to test the efficacy of propranolol in blocking reconsolidation of conditioned fear in healthy young adults. Strong differential conditioning, measured by skin conductance, was observed among a screened subset of participants during acquisition. However, subsequent propranolol failed to reduce reactivity to the reactivated conditioned stimulus. These results are consistent with other recent findings and point to a need for testing other candidate drugs. PMID:25224026

  1. Delayed extinction fails to reduce skin conductance reactivity to fear-conditioned stimuli.

    Science.gov (United States)

    Fricchione, Jon; Greenberg, Mark S; Spring, Justin; Wood, Nellie; Mueller-Pfeiffer, Christoph; Milad, Mohammed R; Pitman, Roger K; Orr, Scott P

    2016-09-01

    A brief 10-min time delay between an initial and subsequent exposure to extinction trials has been found to impair memory reconsolidation in fear-conditioned rodents and humans, providing a potential means to reduce fearfulness in anxiety disorders and posttraumatic stress disorder (PTSD). The present study used videos of biologically prepared, conditioned stimuli (tarantulas) to test the efficacy of delayed extinction in blocking reconsolidation of conditioned fear in healthy young adults. Strong differential conditioning, measured by skin conductance, was observed among a screened subset of participants during acquisition. However, the delayed-extinction intervention failed to reduce reactivity to the conditioned stimulus paired with the extinction delay. These results are partially consistent with other recent, mixed findings and point to a need for testing other candidate interventions designed to interfere with the reconsolidation process. PMID:27314560

  2. Psychology: Fear and hope in climate messages

    Science.gov (United States)

    Stern, Paul C.

    2012-08-01

    Scientists often expect fear of climate change and its impacts to motivate public support of climate policies. A study suggests that climate change deniers don't respond to this, but that positive appeals can change their views.

  3. The influence of serotonin on fear learning.

    Directory of Open Access Journals (Sweden)

    Catherine Hindi Attar

    Full Text Available Learning of associations between aversive stimuli and predictive cues is the basis of Pavlovian fear conditioning and is driven by a mismatch between expectation and outcome. To investigate whether serotonin modulates the formation of such aversive cue-outcome associations, we used functional magnetic resonance imaging (fMRI and dietary tryptophan depletion to reduce brain serotonin (5-HT levels in healthy human subjects. In a Pavlovian fear conditioning paradigm, 5-HT depleted subjects compared to a non-depleted control group exhibited attenuated autonomic responses to cues indicating the upcoming of an aversive event. These results were closely paralleled by reduced aversive learning signals in the amygdala and the orbitofrontal cortex, two prominent structures of the neural fear circuit. In agreement with current theories of serotonin as a motivational opponent system to dopamine in fear learning, our data provide first empirical evidence for a role of serotonin in representing formally derived learning signals for aversive events.

  4. Fear of Success Theory and Librarians.

    Science.gov (United States)

    Collins, Rosann Webb; Eggleton, Richard

    1980-01-01

    Reports on a study to determine the relationships of such variables as age, race, sex, marital status, and work experience to the fear of the effects of success, focusing primarily on female librarians. (FM)

  5. Dental Abfraction - Case Report

    OpenAIRE

    Irina-Maria Gheorghiu; Loredana Mitran; M Mitran; Magdalena Mironiuc-Cureu; A. A. Iliescu; Ioana Suciu

    2015-01-01

    Dental abfraction is a pathological process which causes a loss of dental hard substance. Etiopathogenesis is related to occlusal stress that causes microfractures in enamel and dentin in the cervical region. The restoration treatment is made using aesthetic adhesive materials, but must take into account the causal factors and the specific area where the restoration is done.

  6. Dental Abfraction - Case Report

    Directory of Open Access Journals (Sweden)

    Irina-Maria Gheorghiu

    2015-01-01

    Full Text Available Dental abfraction is a pathological process which causes a loss of dental hard substance. Etiopathogenesis is related to occlusal stress that causes microfractures in enamel and dentin in the cervical region. The restoration treatment is made using aesthetic adhesive materials, but must take into account the causal factors and the specific area where the restoration is done.

  7. Social Factors That Predict Fear of Academic Success

    Science.gov (United States)

    Gore, Jonathan S.; Thomas, Jessica; Jones, Stevy; Mahoney, Lauren; Dukes, Kristina; Treadway, Jodi

    2016-01-01

    Fear of academic success is ultimately a fear of social exclusion. Therefore, various forms of social inclusion may alleviate this fear. Three studies tested the hypothesis that social inclusion variables negatively predict fear of success. In Study 1, middle and high school students (n = 129) completed surveys of parental involvement, parental…

  8. Part 2: Fear of contagion, fear of intimacy.

    Science.gov (United States)

    Botnick, M R

    2000-01-01

    In this second part of the trilogy, I review the concepts of panic, the Theory of Cognitive Dissonance, and how internally inconsistent opinions and attitudes can be made consistent (or consonant). The theory explains, in some measure, how AIDS has been socialized into our thinking about identity, and goes beyond a medical condition. The pervasive identification of gay men with HIV and AIDS has resulted for many in an over-identification with fears of contagion and on a societal level in a fear of all gays as pools of contagion. The conversion of dissonance to consonance has taken many forms; within the gay community it has resulted in the rejection of the "100% safe-100% of the time" safe-sex message, and the adoption (for many) of a new form of deviant label-someone who is not in conformity with the social norm of gay community sexual behavior. However, we shall see that this so-called norm is a sham-that many gay men do not, as a rule, practice safe(r) sex on a consistent basis. This information indicates that the educational efforts of the last decade have at best lost their potency, and at worst were less than efficacious to begin with. The dissonant messages have also informed both the construction of the gay community and its interpretation of what it means to be gay. The result has been a tri-lateral perception of HIV and AIDS as either a medical, political or a social phenomenon. This fragmented understanding has exacerbated the already polarized ASOs and GSOs in that each has determined its ideology based on a particular interpretation of HIV and AIDS. This polarization has been operationalized by the GSOs and ASOs primarily in the manner by which they define their target markets, and more importantly, in the manner by which they exclude certain gays from participation. At the extreme, some gay men feel entirely left out of the community, and are consequently unable to convert their dissonance regarding being gay into consonance, if only by developing

  9. The future dental workforce?

    Science.gov (United States)

    Gallagher, J E; Wilson, N H F

    2009-02-28

    The Editor-in-Chief of the BDJ has previously raised important questions about dental workforce planning and the implications for dental graduates of recent changes and pressures. It is now time to revisit this issue. Much has changed since the last workforce review in England and Wales, and the rate of change is in all probability set to increase. First, at the time of writing this paper the momentous step of including dental care professionals (DCPs) on General Dental Council (GDC) registers in the United Kingdom has recently been completed. Second, the Scope of Practice of all dental professionals has been under consultation by the General Dental Council, and research evidence suggests that greater use should be made of skill-mix in the dental team. Third, within England, Lord Darzi has just published the 'Final Report of the NHS Next Stage Review', which emphasises 'quality care' and 'team-working' as key features of healthcare; this report was accompanied by an important document entitled 'A High Quality Workforce', in which plans for local workforce planning within the NHS are outlined, placing responsibilities at national, local and regional levels. Fourth, policy makers across the UK are wrestling with addressing oral health needs, promoting health and facilitating access to dental care, all of which have implications for the nature and shape of the dental workforce. Fifth, with the impact of globalisation and European policies we are net gainers of dentists as well as having more in training. Sixth, although there have been reviews and policy initiatives by regulatory, professional and other bodies in support of shaping the dental workforce, there has been little serious consideration of skill-mix and funding mechanisms to encourage team-working. Together, these events demand that we enter a fresh debate on the future dental workforce which should extend beyond professional and national boundaries and inform workforce planning. This debate is of great

  10. Fear of Floating and Social Welfare

    OpenAIRE

    Demosthenes N. Tambakis

    2007-01-01

    This paper studies the welfare implications of financial stability and inflation stabilization as distinct monetary policy objectives. Introducing asymmetric aversion to exchange rate depreciation in the Barro-Gordon model mitigates inflation bias due to credibility problems. The net welfare impact of fear of floating depends on the economy's recent track record, the credibility of monetary policy, and the central bank's discount factor. It is shown that fear of floating is more appropriate f...

  11. Visually depicting cancer fears: Beyond biomedical concerns

    OpenAIRE

    Carolyn Brooks; Jennifer Poudrier; Roanne Thomas

    2014-01-01

    This manuscript is a reaction to the high prevalence of breast cancer amongst Aboriginal women. Our work calls for more attention to the effects of race, gender, and class on cancer fears and related experiences. The shock of a cancer diagnosis and fears of recurrence can leave patients feeling that their lives are out of control. Combining the visual method of photovoice with focus groups and in-depth interviews, we develop an understanding of cancer experiences that includes fea...

  12. Recent fear is resistant to extinction

    OpenAIRE

    Maren, Stephen; Chang, Chun-hui

    2006-01-01

    In some individuals, fearful experiences (e.g., combat) yield persistent and debilitating psychological disturbances, including posttraumatic stress disorder (PTSD). Early intervention (e.g., debriefing) after psychological trauma is widely practiced and argued to be an effective strategy for limiting subsequent psychopathology, although there has been considerable debate on this point. Here we show in an animal model of traumatic fear that early intervention shortly after an aversive experie...

  13. Stressor controllability modulates fear extinction in humans

    OpenAIRE

    Hartley, Catherine A.; Gorun, Alyson; Reddan, Marianne C.; Ramirez, Franchesca; Phelps, Elizabeth A.

    2013-01-01

    Traumatic events are proposed to play a role in the development of anxiety disorders, however not all individuals exposed to extreme stress experience a pathological increase in fear. Recent studies in animal models suggest that the degree to which one is able to control an aversive experience is a critical factor determining its behavioral consequences. In this study, we examined whether stressor controllability modulates subsequent conditioned fear expression in humans. Participants were ra...

  14. Individual differences in recovery from traumatic fear

    OpenAIRE

    Holmes, Andrew; Singewald, Nicolas

    2012-01-01

    Although exposure to major psychological trauma is unfortunately common, risk for related neuropsychiatric conditions, such as post-traumatic stress disorder (PTSD), varies greatly among individuals. Fear extinction offers a tractable and translatable behavioral readout of individual differences in learned recovery from trauma. Studies in rodent substrains and subpopulations are providing new insights into neural system dysfunctions associated with impaired fear extinction. Rapid progress is ...

  15. Olfactory instruction for fear: neural system analysis.

    Directory of Open Access Journals (Sweden)

    Newton Sabino Canteras

    2015-08-01

    Full Text Available Studies using cat odor have led to detailed mapping of neural sites engaged in innate and contextual fear responses. Here, we reviewed three lines of work examining the dynamics of the neural systems that organize innate and learned fear responses to cat odor. In the first, we explored the neural systems involved in innate fear responses and in the different stages of fear conditioning to cat odor (i.e., acquisition and expression, with a particular emphasis on the role of the dorsal premammillary nucleus (PMd and the dorsolateral periaqueductal gray (PAGdl as key sites that influence innate and contextual conditioning. In the second line of studies, we reviewed how chemical stimulation of these sites (i.e., the PMd and PAGdl may serve as a useful unconditioned stimulus in an olfactory fear conditioning paradigm; these experiments provide an interesting perspective for the understanding of learned fear to predator odor. Finally, in the third line of studies, we explored the fact that neutral odors that acquire an aversive valence in a shock-paired conditioning paradigm may mimic predator odor and mobilize elements of the hypothalamic predator-responsive circuit.

  16. Energy, Ecology and Psychology of Fear

    International Nuclear Information System (INIS)

    The fear of highly industrialized societies from industrial and technological systems, from power plants is partially founded on rational reasons and partially on irrational which can be characterized as antitechnological and antiindustrial paranoia. The fear from nuclear accidents, disease and death, which are impossible to run away from, could be characterised as a fear and stress of living and working in complex and highly technological system the man is alienated from. The fear from air pollution and intoxicated environment, nuclear power plants, coal, that can cause biological dying and extinction must and can become subject of rational and objective analysis. The prediction of the near future climate and anxiety about our planet in the near future have to be separated from predicting the far future climate. The human technique and the anthropogenic sources are major factors of the near future climate (next few hundred years), but the far future climate (0000 years) of our planet is determined by long-term variations in the earth's orbital parameters; eccentricity of ellipse, precession and tilt, and the long term process on the Sun. The irrational fear from power plants and industry beside the rational and logical fear could be sublimated and directed toward the full control of technique dealing with the nature and environment, creating acceptable international laws for sustainable development. (author)

  17. Human perception of fear in dogs varies according to experience with dogs.

    Directory of Open Access Journals (Sweden)

    Michele Wan

    Full Text Available To investigate the role of experience in humans' perception of emotion using canine visual signals, we asked adults with various levels of dog experience to interpret the emotions of dogs displayed in videos. The video stimuli had been pre-categorized by an expert panel of dog behavior professionals as showing examples of happy or fearful dog behavior. In a sample of 2,163 participants, the level of dog experience strongly predicted identification of fearful, but not of happy, emotional examples. The probability of selecting the "fearful" category to describe fearful examples increased with experience and ranged from.30 among those who had never lived with a dog to greater than.70 among dog professionals. In contrast, the probability of selecting the "happy" category to describe happy emotional examples varied little by experience, ranging from.90 to.93. In addition, the number of physical features of the dog that participants reported using for emotional interpretations increased with experience, and in particular, more-experienced respondents were more likely to attend to the ears. Lastly, more-experienced respondents provided lower difficulty and higher accuracy self-ratings than less-experienced respondents when interpreting both happy and fearful emotional examples. The human perception of emotion in other humans has previously been shown to be sensitive to individual differences in social experience, and the results of the current study extend the notion of experience-dependent processes from the intraspecific to the interspecific domain.

  18. Flemish general dental practitioners' knowledge of dental radiology

    OpenAIRE

    Aps, Johan

    2010-01-01

    The aim of this study was to assess general dental practitioners' knowledge of dental radiography and radiation protection in order to alert the Belgian authorities and dental professional societies. Prior to attending a postgraduate course on intraoral radiology, general dental practitioners in Flanders, Belgium, were asked to fill in a questionnaire regarding the radiological equipment and the techniques they used for intraoral radiography. The availability and type of dental panoramic equi...

  19. Health Instruction Packages: Permanent Teeth, Dental Deposits, and Dental Instruments. Dientes Permanentes, Depositos Dentales y Instrumentos Dentales.

    Science.gov (United States)

    Lind, Patricia; Germano, Catherine

    These five learning modules use text interspersed with illustrations and reinforcement exercises to instruct dental aide and dental hygiene students about jaw bones and gums, dental deposits, and dental instruments. The first four modules were prepared by Patricia Lind in both Spanish and English. "The Gum and Bone of Permanent Teeth" ("La Encia y…

  20. Reversible plasticity of fear memory-encoding amygdala synaptic circuits even after fear memory consolidation.

    Directory of Open Access Journals (Sweden)

    Ingie Hong

    Full Text Available It is generally believed that after memory consolidation, memory-encoding synaptic circuits are persistently modified and become less plastic. This, however, may hinder the remaining capacity of information storage in a given neural circuit. Here we consider the hypothesis that memory-encoding synaptic circuits still retain reversible plasticity even after memory consolidation. To test this, we employed a protocol of auditory fear conditioning which recruited the vast majority of the thalamic input synaptic circuit to the lateral amygdala (T-LA synaptic circuit; a storage site for fear memory with fear conditioning-induced synaptic plasticity. Subsequently the fear memory-encoding synaptic circuits were challenged with fear extinction and re-conditioning to determine whether these circuits exhibit reversible plasticity. We found that fear memory-encoding T-LA synaptic circuit exhibited dynamic efficacy changes in tight correlation with fear memory strength even after fear memory consolidation. Initial conditioning or re-conditioning brought T-LA synaptic circuit near the ceiling of their modification range (occluding LTP and enhancing depotentiation in brain slices prepared from conditioned or re-conditioned rats, while extinction reversed this change (reinstating LTP and occluding depotentiation in brain slices prepared from extinguished rats. Consistently, fear conditioning-induced synaptic potentiation at T-LA synapses was functionally reversed by extinction and reinstated by subsequent re-conditioning. These results suggest reversible plasticity of fear memory-encoding circuits even after fear memory consolidation. This reversible plasticity of memory-encoding synapses may be involved in updating the contents of original memory even after memory consolidation.

  1. Efficacy of inter-dental mechanical plaque control in managing gingivitis - a meta-review

    NARCIS (Netherlands)

    S.A. Sälzer; D.E. Slot; F.A. van der Weijden; C.E. Dörfer

    2015-01-01

    Focused question What is the effect of mechanical inter-dental plaque removal in addition to toothbrushing, on managing gingivitis using various formats of inter-dental self-care in adults based on evidence gathered from existing systematic reviews? Material & Methods Three Internet sources were sea

  2. Urban youth, fear of crime, and resulting defensive actions.

    Science.gov (United States)

    Williams, J S; Singh, B K; Singh, B B

    1994-01-01

    One of the most neglected populations studied in victimology has been juveniles. The present study examines the impact of fear of crime among a sample of urban youth on their defensive actions. Studies of urban adult populations have found that a significant number of people fear to venture outside their homes at night. When they do go out, they often take defensive measures to insure their safety. Carrying "mace," whistles, guns, knives, and clubs, for example, is not uncommon. Some have indicated that they have undertaken training in a variety of self-defensive arts and/or keep dogs to protect themselves from the possibility of being victimized. Using data collected from a sample of 1,775 urban youth in 1986 it was found that this population has taken many of the same defensive actions. Only 11% of the sample indicated that they had not taken any defensive actions as a result of fear of crime. Nearly three-fifths took the precaution of having an escort when they went out at night. Learning a technique of self-defense was reported by 19% of the sample; 10% indicated that they carried "mace" or some other type of repellant. Only 4% reported that they carried a whistle because of crime concerns. Significant predictors of personal defensive actions include gender, crime-witnessing status, victimization status and type of victimization (theft vs. witnessing Other defensive actions taken by members of the respondents' households included installing a burglar alarm (22%), keeping a "trained dog" (17%), keeping lights on a night (39%), and installing security locks (38%).(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Discontinued dental attendance among elderly people in Sweden

    Science.gov (United States)

    Grönbeck-Linden, Ingela; Hägglin, Catharina; Petersson, Anita; Linander, Per O.; Gahnberg, Lars

    2016-01-01

    Aim: Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria. Materials and Methods: Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM). Results: Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001). Conclusion: A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system. PMID:27382538

  4. Consequences of adolescent ethanol exposure in male Sprague-Dawley rats on fear conditioning and extinction in adulthood

    Science.gov (United States)

    Broadwater, Margaret A.

    Some evidence suggests that adolescents are more vulnerable than adults to alcohol-induced cognitive deficits and that these deficits may persist into adulthood. Five experiments were conducted to assess long-term consequences of ethanol exposure on tone and context Pavlovian fear conditioning in male Sprague-Dawley rats. Experiment 1 examined age-related differences in sensitivity to ethanol-induced disruptions of fear conditioning to a pre-conditioning ethanol challenge. Experiments 2 examined fear conditioning 22 days after early-mid adolescent (P28-48) or adult (P70-90) exposure to 4 g/kg i.g. ethanol or water given every other day (total of 11 exposures). In Experiment 3, mid-late adolescents (P35-55) were exposed in the same manner to assess whether timing of ethanol exposure within the adolescent period would differentially affect later fear conditioning. Experiment 4 assessed the influence of prior adolescent or adult ethanol exposure on the disrupting effects of a pre-conditioning ethanol challenge. In Experiment 5, neurogenesis (doublecortin---DCX) and cholinergic (choline acetyltransferase---ChAT) markers were measured to assess potential long-term ethanol-induced changes in neural mechanisms important for learning and memory. Results indicated that the long-lasting behavioral effects of ethanol exposure varied depending on exposure age, with early-mid adolescent exposed animals showing attenuated context fear retention (a relatively hippocampal-dependent task), whereas mid-late adolescent and adult exposed animals showed slower context extinction (thought to be reliant on the mPFC). Early-mid adolescent ethanol-exposed animals also had significantly less DCX and ChAT expression than their water-exposed counterparts, possibly contributing to deficits in context fear. Tone fear was not influenced by prior ethanol exposure at any age. In terms of age differences in ethanol sensitivity, adolescents were less sensitive than adults to ethanol

  5. Prefrontal neuronal assemblies temporally control fear behaviour.

    Science.gov (United States)

    Dejean, Cyril; Courtin, Julien; Karalis, Nikolaos; Chaudun, Fabrice; Wurtz, Hélène; Bienvenu, Thomas C M; Herry, Cyril

    2016-07-21

    Precise spike timing through the coordination and synchronization of neuronal assemblies is an efficient and flexible coding mechanism for sensory and cognitive processing. In cortical and subcortical areas, the formation of cell assemblies critically depends on neuronal oscillations, which can precisely control the timing of spiking activity. Whereas this form of coding has been described for sensory processing and spatial learning, its role in encoding emotional behaviour remains unknown. Fear behaviour relies on the activation of distributed structures, among which the dorsal medial prefrontal cortex (dmPFC) is known to be critical for fear memory expression. In the dmPFC, the phasic activation of neurons to threat-predicting cues, a spike-rate coding mechanism, correlates with conditioned fear responses and supports the discrimination between aversive and neutral stimuli. However, this mechanism does not account for freezing observed outside stimuli presentations, and the contribution of a general spike-time coding mechanism for freezing in the dmPFC remains to be established. Here we use a combination of single-unit and local field potential recordings along with optogenetic manipulations to show that, in the dmPFC, expression of conditioned fear is causally related to the organization of neurons into functional assemblies. During fear behaviour, the development of 4 Hz oscillations coincides with the activation of assemblies nested in the ascending phase of the oscillation. The selective optogenetic inhibition of dmPFC neurons during the ascending or descending phases of this oscillation blocks and promotes conditioned fear responses, respectively. These results identify a novel phase-specific coding mechanism, which dynamically regulates the development of dmPFC assemblies to control the precise timing of fear responses. PMID:27409809

  6. THE FEAR OF FEAR CONCEPT - STABILITY, RETEST ARTIFACT AND PREDICTIVE POWER

    NARCIS (Netherlands)

    ARRINDELL, WA

    1993-01-01

    Three related issues concerning the theory, measurement and clinical utility of the fear of fear construct as operationalized by the Agoraphobic Cognitions and Bodily Sensations Questionnaires (Chambless, Caputo, Bright & Gallagher, Journal of Consulting and Clinical Psychology, 52, 1090-1097, 1984)

  7. Does Watching the News Affect Fear of Terrorism? The Importance of Media Exposure on Terrorism Fear

    Science.gov (United States)

    Nellis, Ashley Marie; Savage, Joanne

    2012-01-01

    Several authors have proposed that media hype elevates perceptions of risk and fear of crime. Research suggests that fear of crime is related to the overall amount of media consumption, resonance of news reports, how much attention the individual pays to the news, and how credible he or she believes it to be. The present study examines whether the…

  8. Zinc Transporter 3 Is Involved in Learned Fear and Extinction, but Not in Innate Fear

    Science.gov (United States)

    Martel, Guillaume; Hevi, Charles; Friebely, Olivia; Baybutt, Trevor; Shumyatsky, Gleb P.

    2010-01-01

    Synaptically released Zn[superscript 2+] is a potential modulator of neurotransmission and synaptic plasticity in fear-conditioning pathways. Zinc transporter 3 (ZnT3) knock-out (KO) mice are well suited to test the role of zinc in learned fear, because ZnT3 is colocalized with synaptic zinc, responsible for its transport to synaptic vesicles,…

  9. Fear less : Individual differences in fear conditioning and their relation to treatment outcome in anxiety disorders

    NARCIS (Netherlands)

    Duits, P.

    2016-01-01

    Findings from animal and human experimental studies highlight the importance of fear conditioning processes in the development and treatment of anxiety disorders. The work reported in this thesis was focused on potential abnormalities in the acquisition and extinction of fear in patients with anxiet

  10. Dental pulp stem cells

    DEFF Research Database (Denmark)

    Ashri, N. Y.; Ajlan, S. A.; Aldahmash, Abdullah M.

    2015-01-01

    Inflammatory periodontal disease is a major cause of loss of tooth-supporting structures. Novel approaches for regeneration of periodontal apparatus is an area of intensive research. Periodontal tissue engineering implies the use of appropriate regenerative cells, delivered through a suitable...... scaffold, and guided through signaling molecules. Dental pulp stem cells have been used in an increasing number of studies in dental tissue engineering. Those cells show mesenchymal (stromal) stem cell-like properties including self-renewal and multilineage differentiation potentials, aside from...... an updated review on dental pulp stem cells and their applications in periodontal regeneration, in combination with different scaffolds and growth factors....

  11. Adult Vaccination--A Commentary

    Science.gov (United States)

    Logan, Jennifer

    2008-01-01

    Traditionally, vaccines have been associated with childhood. Historically, many of the most-feared communicable diseases attacked infants and toddlers, and those who survived were generally protected from those diseases as adults. During the past century tremendous advances in vaccination spared millions the morbidity and mortality associated with…

  12. Physiological Consequences of Repeated Exposures to Conditioned Fear

    Directory of Open Access Journals (Sweden)

    Robert S. Thompson

    2012-05-01

    Full Text Available Activation of the stress response evokes a cascade of physiological reactions that may be detrimental when repeated or chronic, and when triggered after exposure to psychological/emotional stressors. Investigation of the physiological mechanisms responsible for the health damaging effects requires animal paradigms that repeatedly evoke a response to psychological/emotional stressors. To this end, adult male Sprague Dawley rats were repeatedly exposed (2X per day for 20 days to a context that they were conditioned to fear (conditioned fear test, CFT. Repeated exposure to CFT produced body weight loss, adrenal hypertrophy, thymic involution, and basal corticosterone elevation. In vivo biotelemetry measures revealed that CFT evokes sympathetic nervous system driven increases in heart rate (HR, mean arterial pressure (MAP, and core body temperature. Extinction of behavioral (freezing and physiological responses to CFT was prevented using minimal reinstatement footshock. MAP responses to the CFT did not diminish across 20 days of exposure. In contrast, HR and cardiac contractility responses declined by day 15, suggesting a shift toward vascular-dominated MAP (a pre-clinical marker of CV dysfunction. Flattened diurnal rhythms, common to stress-related mood/anxiety disorders, were found for most physiological measures. Thus, repeated CFT produces adaptations indicative of the health damaging effects of psychological/emotional stress.

  13. Fears of Children in the United States: An Examination of the American Fear Survey Schedule with 20 New Contemporary Fear Items

    Science.gov (United States)

    Burnham, Joy J.

    2005-01-01

    Twenty contemporary fears (e.g., terrorist attacks, drive-by shootings, having to fight in a war) were added to E. Gullone and N. J. King's (1992) Australian Fear Survey Schedule for Children-II for use in the United States. The revised survey, the American Fear Survey Schedule for Children (J. J. Burnham, 1995), was investigated. The component…

  14. Mild to severe social fears: ranking types of feared social situations using item response theory.

    Science.gov (United States)

    Crome, Erica; Baillie, Andrew

    2014-06-01

    Social anxiety disorder is one of the most common mental disorders, and is associated with long term impairment, distress and vulnerability to secondary disorders. Certain types of social fears are more common than others, with public speaking fears typically the most prevalent in epidemiological surveys. The distinction between performance- and interaction-based fears has been the focus of long-standing debate in the literature, with evidence performance-based fears may reflect more mild presentations of social anxiety. This study aims to explicitly test whether different types of social fears differ in underlying social anxiety severity using item response theory techniques. Different types of social fears were assessed using items from three different structured diagnostic interviews in four different epidemiological surveys in the United States (n=2261, n=5411) and Australia (n=1845, n=1497); and ranked using 2-parameter logistic item response theory models. Overall, patterns of underlying severity indicated by different fears were consistent across the four samples with items functioning across a range of social anxiety. Public performance fears and speaking at meetings/classes indicated the lowest levels of social anxiety, with increasing severity indicated by situations such as being assertive or attending parties. Fears of using public bathrooms or eating, drinking or writing in public reflected the highest levels of social anxiety. Understanding differences in the underlying severity of different types of social fears has important implications for the underlying structure of social anxiety, and may also enhance the delivery of social anxiety treatment at a population level. PMID:24873885

  15. [Mechanisms for regulation of fear conditioning and memory].

    Science.gov (United States)

    Kida, Satoshi

    2014-11-01

    Pavlovian fear conditioning is a model of fear learning and memory. The mechanisms regulating fear conditioning and memory have been investigated in humans and rodents. In this paradigm, animals learn and memorize an association between a conditioned stimulus (CS), such as context, and an unconditioned stimulus (US), such as an electrical footshock that induces fear. Fear memory generated though fear conditioning is stabilized via a memory consolidation process. Moreover, recent studies have shown the existence of memory processes that control fear memory following the retrieval of consolidated memory. Indeed, when fear memory is retrieved by re-exposure to the CS, the retrieved memory is re-stabilized via the reconsolidation process. On the other hand, the retrieval of fear memory by prolonged re-exposure to the CS also leads to fear memory extinction, new inhibitory learning against the fear memory, in which animals learn that they do not need to respond to the CS. Importantly, the reinforcement of fear memory after retrieval (i.e., re-experience such as flashbacks or nightmares) has been thought to be associated with the development of emotional disorders such as post-traumatic stress disorder (PTSD). In this review, I summarize recent progress in studies on the mechanism of fear conditioning and memory consolidation, reconsolidation and extinction, and furthermore, introduce our recent establishment of a mouse PTSD model that shows enhancement of fear memory after retrieval.

  16. [Mechanisms for regulation of fear conditioning and memory].

    Science.gov (United States)

    Kida, Satoshi

    2014-11-01

    Pavlovian fear conditioning is a model of fear learning and memory. The mechanisms regulating fear conditioning and memory have been investigated in humans and rodents. In this paradigm, animals learn and memorize an association between a conditioned stimulus (CS), such as context, and an unconditioned stimulus (US), such as an electrical footshock that induces fear. Fear memory generated though fear conditioning is stabilized via a memory consolidation process. Moreover, recent studies have shown the existence of memory processes that control fear memory following the retrieval of consolidated memory. Indeed, when fear memory is retrieved by re-exposure to the CS, the retrieved memory is re-stabilized via the reconsolidation process. On the other hand, the retrieval of fear memory by prolonged re-exposure to the CS also leads to fear memory extinction, new inhibitory learning against the fear memory, in which animals learn that they do not need to respond to the CS. Importantly, the reinforcement of fear memory after retrieval (i.e., re-experience such as flashbacks or nightmares) has been thought to be associated with the development of emotional disorders such as post-traumatic stress disorder (PTSD). In this review, I summarize recent progress in studies on the mechanism of fear conditioning and memory consolidation, reconsolidation and extinction, and furthermore, introduce our recent establishment of a mouse PTSD model that shows enhancement of fear memory after retrieval. PMID:25536762

  17. Oxytocin Facilitates Pavlovian Fear Learning in Males.

    Science.gov (United States)

    Eckstein, Monika; Scheele, Dirk; Patin, Alexandra; Preckel, Katrin; Becker, Benjamin; Walter, Annika; Domschke, Katharina; Grinevich, Valery; Maier, Wolfgang; Hurlemann, René

    2016-03-01

    In human evolution, social group living and Pavlovian fear conditioning have evolved as adaptive mechanisms promoting survival and reproductive success. The evolutionarily conserved hypothalamic peptide oxytocin is a key modulator of human sociality, but its effects on fear conditioning are still elusive. In the present randomized controlled study involving 97 healthy male subjects, we therefore employed functional magnetic resonance imaging and simultaneous skin conductance response (SCR) measures to characterize the modulatory influence of intranasal oxytocin (24 IU) on Pavlovian fear conditioning. We found that the peptide strengthened conditioning on both the behavioral and neural levels. Specifically, subjects exhibited faster task-related responses and enhanced SCRs to fear-associated stimuli in the late phase of conditioning, which was paralleled by heightened activity in cingulate cortex subregions in the absence of changes in amygdala function. This speaks against amygdalocentric views of oxytocin having pure anxiolytic-like effects. Instead, it suggests that the peptide enables extremely rapid and flexible adaptation to fear signals in social contexts, which may confer clear evolutionary advantages but could also elevate vulnerability for the pathological sequelae of interpersonal trauma.

  18. Demographic factors predict magnitude of conditioned fear.

    Science.gov (United States)

    Rosenbaum, Blake L; Bui, Eric; Marin, Marie-France; Holt, Daphne J; Lasko, Natasha B; Pitman, Roger K; Orr, Scott P; Milad, Mohammed R

    2015-10-01

    There is substantial variability across individuals in the magnitudes of their skin conductance (SC) responses during the acquisition and extinction of conditioned fear. To manage this variability, subjects may be matched for demographic variables, such as age, gender and education. However, limited data exist addressing how much variability in conditioned SC responses is actually explained by these variables. The present study assessed the influence of age, gender and education on the SC responses of 222 subjects who underwent the same differential conditioning paradigm. The demographic variables were found to predict a small but significant amount of variability in conditioned responding during fear acquisition, but not fear extinction learning or extinction recall. A larger differential change in SC during acquisition was associated with more education. Older participants and women showed smaller differential SC during acquisition. Our findings support the need to consider age, gender and education when studying fear acquisition but not necessarily when examining fear extinction learning and recall. Variability in demographic factors across studies may partially explain the difficulty in reproducing some SC findings. PMID:26151498

  19. Assessment of anxiety frequency and its trigger factors in patients referred to general dental offices in the city of Hamedan in 2005

    OpenAIRE

    Farhadinasab A.; Shekofteh Rad A.; Mani Kashani Kh

    2008-01-01

    "nBackground and Aim: Oral health is a sign of overall health. Sometimes fear of dental office deprives  patients from receiving proper care. This problem decreases the self-esteem of dentists and can also reduce health indices. Understanding anxiety factors may help solve this problem. The purpose of this study was to assess anxiety in patients undergoing treatment in dental offices in the city of Hamedan. "nMaterials and Methods: In this analytic cross sectional study pat...

  20. Xilitol and dental caries.

    NARCIS (Netherlands)

    Smits, Marten Titus

    1987-01-01

    Dental caries is a widespread multifactoral disease. The main sympthons are minaral loss from tooth enemal and dentine, eventually leading to total destruction of the teeth, pain, impairment of mastication and problems with facial esthetics. ... Zie: Summary