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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. 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.

  4. [Phenomenon of dental fear].

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    Moore, R; Birn, H

    1990-01-01

    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. The phenomenon is facilitated by misunderstandings and myths generated by both patients and dentists. 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 other psychologic problems (in 20% of cases), such as serious phobias and/or neuroses. A strategy of researching and thus tackling the problem is presented which focuses on three essential targets that require studying and change: 1) the community at large and their image of the dentist, 2) the patient role and 3) the dentist role. Various model projects are presented along with their diagnostic systems. These are seen to focus in varying degrees on different elements of the target groups that effect the dentist-patient relationship but the need to come out into the community and make the social environment right for these patients is an important factor in all strategies.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Factors determining tooth extraction anxiety and fear in adult dental patients: a systematic review.

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    Astramskaitė, I; Poškevičius, L; Juodžbalys, G

    2016-12-01

    The aim of this study was to review previous studies and to identify reliable factors determining anxiety in adult patients undergoing tooth extraction procedures. An electronic literature search was conducted of the MEDLINE, ScienceDirect, SpringerLink, and Wiley Online Library databases covering the period January 2005 to May 2015. Sequential screening was performed at the title/abstract and full-text level. The review included all human prospective and retrospective follow-up studies and clinical trials, cohort studies, case-control studies, and case series that demonstrated at least one factor determining tooth extraction anxiety and/or fear and used specific scales for measurement. The search identified 16 articles meeting the inclusion criteria. Factors related to tooth extraction in patients were assessed: propensity to anxiety (P<0.05), pain experience or expectations (P<0.05), level of disturbance during the procedure (P<0.001), difficulty of the procedure (P=0.034), marital status (P=0.003), social class (P=0.012), and type of local anaesthesia (P=0.008). Using a video as the method of providing information (P<0.05) and having had a previous negative dental experience (P<0.05) led to an increase in patient anxiety level. Due to disagreements between studies, further investigations into the other factors are required to clarify the results. However, the absence of a single and appropriate scale that includes both the patient's evaluation and that of the doctor, hinders the rating of patient anxiety.

  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. Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear

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    Crout, Richard J.

    2017-01-01

    Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including the mediating role of dental fear while accounting for fear of pain. Results. A significant total effect was found for the mandibular anterior sextant, components of dental anxiety/fear, and indicators of OHRQoL (pain and discomfort, β = .165, p = .001; psychosocial impact, β = .199, p periodontal disease indicators and OHRQoL. Dental avoidance/anticipatory fear and physiological arousal mediate OHRQoL in individuals who have indicators of periodontal disease in sextants that may be visible and susceptible to higher pain and psychosocial impact. PMID:28377670

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

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

    2003-04-01

    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 describe the prevalence of dental fear in the Norwegian adult population according to age, and to explore differences in oral health, oral hygiene, and visiting habits between individuals with high and low dental fear. For the present study, data from the Trøndelag-94 study were used. The prevalence of dental fear in our study population of adults in Trøndelag, Norway was 6.6%. There was a tendency for individuals with high dental fear to engage in avoidance behavior more frequently than the low dental fear group. Individuals with high dental fear had a statistically significantly higher number of decayed surfaces (DS), decayed teeth, (DT) and missing teeth (MT) but a statistically significantly lower number of filled surfaces (FS), filled teeth (FT), functional surfaces (FSS), and functional teeth (FST). There were no differences in DMFS and DMFT between the groups of high and low dental fear. Since one of the superior aims of the dental profession is to help a patient to achieve a high number of functional teeth throughout life, consequently detecting and treating dental fear should therefore be an important aspect of dental processionals' work.

  9. Factors predicting a child's dental fear.

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    Majstorović, M; Skrinjarić, I; Glavina, D; Szirovicza, L

    2001-12-01

    The aim of the present study was to determine and assess the variables most involved in the etiology of a child's dental fear. The study was performed on a sample of 89 children aged from 5.5 to 12.5 years and their mothers. The sample comprised 37 children with experience of dental trauma (19 boys and 18 girls) and 52 children without experience of dental trauma (28 boys and 24 girls). Corah Dental Anxiety Scale (DAS) was applied to evaluate the level of the child's (CDAS) and mother's (MDAS) dental anxiety. Broome's Child Medical Fear Questionnaire (CMFQ) was used to assess the child's fear of medical treatment. Hollingshead Two Factor Index of Social Position (ISP) was calculated to assess socio-economic status of the family. Cluster analysis differentiated one group of dentally anxious children with the highest level of maternal anxiety (MDAS = 14.44) and the lowest socio-economic status (ISP = 41.94). Another group of extremely anxious children (CDAS = 14.31) showed the highest fear of medical treatment (CMFQ = 22.08) and rather low socio-economic status. One group represented children with the lowest CDAS (5.63), lowest MDAS (8.46), and lowest CMFQ (13.54). Linear regression analysis showed high correlation between previous traumatic medical experiences and a child's dental anxiety using the linear model CDAS' = b0 + b1 x CMFQ. The analysis revealed that a child's dental fear mostly depends on early negative medical experience, while material dental anxiety and socio-economic circumstances seem to be of less importance.

  10. Changes over time in adult dental fear and correlation to depression and anxiety: a cohort study of pregnant mothers and fathers.

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    Tolvanen, Mimmi; Hagqvist, Outi; Luoto, Anni; Rantavuori, Kari; Karlsson, Linnea; Karlsson, Hasse; Lahti, Satu

    2013-06-01

    We aimed to evaluate (i) changes in dental fear over time during pregnancy and after delivery among mothers and fathers and (ii) whether these changes inter-relate to changes in depression and anxiety. Longitudinal pilot data for the FinnBrain Cohort study were used. Of 254 pregnant families, 80% agreed to participate and 60% returned questionnaires at the first data-collection point. After three data-collection points [weeks 18-20 and 32-34 of pregnancy (H18-20 and H32-34, respectively), and 3 months after childbirth], 99 mothers and 74 fathers had filled out at least two out of three Modified Dental Anxiety Scale questionnaires and were included in this study. Other questionnaires used were the Edinburgh Postnatal Depression Scale, the State Trait Anxiety Inventory, and the Pregnancy Related Anxiety Questionnaire. All scales were analyzed as sum scores. Among mothers, dental fear decreased during late pregnancy and increased slightly after childbirth, but no statistically significant correlations between dental fear and depression or anxiety, except for fear of giving birth, were found. Among fathers dental fear increased and was correlated with depression and anxiety. Dental fear seems to fluctuate among women during pregnancy and could be affected by hormonal changes.

  11. 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

    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...... 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...... 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...

  12. 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...

  13. 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......) 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...... other psychological problems (in 20% of cases), such as serious phobias and/or neuroses (see table 2). A strategy of researching and thus tackling the problem is presented which focuses on three essential targets that require studying and change: 1) the community at large and their image of the dentist...

  14. Angst for tandbehandling. Prevalens og karakteristika blandt voksne danskere [Fear of dental treatment. Prevalence and characteristics among adult Danes

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.; Scheutz, F.

    1995-01-01

    anxiety, especially in the odontophobiia group, were years of avoidance of treatment and associated poor subjective perceptions of oral health. Logistic analyses revealed that although dental drilling was the identifying feature of dental anxiety characteristics, the drill could be symbolic for the many...

  15. A test of Berggren's model of dental fear and anxiety

    NARCIS (Netherlands)

    de Jongh, A.; Schutjes, M.; Aartman, I.H.A.

    2011-01-01

    Berggren’s (1984) model of dental fear and anxiety predicts that dentally anxious individuals postpone treatment, leading to a deteriorating dental state and subsequently to fear of negative evaluations in relation to their oral condition. The present study aimed to test one of the core assumptions

  16. 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…

  17. 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...

  18. Prevalence of dental fear and phobia relative to other fear and phobia subtypes

    NARCIS (Netherlands)

    Oosterink, F.M.D.; de Jongh, A.; Hoogstraten, J.

    2009-01-01

    The purpose of the present study was to estimate the point prevalence of dental fear and dental phobia relative to 10 other common fears and Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR subtypes of specific phobia. Data were also analysed to examine differences with regard to se

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

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    Júnia M. Serra-Negra

    2012-12-01

    Full Text Available 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. Association was tested using descriptive, bivariate and multivariate linear regression analysis, with a 5% significance level. Dentistry undergraduates reported lower scores than psychology (p < 0.001 and mathematics undergraduates (p < 0.05 for all three dimensions of the DFS. Negative dental experiences in childhood was associated with dimensions of Avoidance (B = 2.70, p < 0.001, Physiological arousal (B = 1.42, p < 0.001 and Fears of specific stimuli/situations (B = 3.44, p < 0.001. The reason for first visit to dentist was associated with dimensions of Physiological arousal (B = 0.76, p < 0.01 and Fears of specific stimuli/situations (B = 1.29, p < 0.01. Dentists should be encouraged to evaluate the dental fear of their patients before treatment. The DFS has been found to be an effective instrument for this purpose.

  20. 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

  1. Dental fear, regularity of dental attendance and subjective evaluation of dental erosion in women with eating disorders.

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    Willumsen, Tiril; Graugaard, Peter K

    2005-08-01

    This questionnaire study, with a response rate of 53%, examined self-induced vomiting, erosions and dental attendance in women with eating disorders (EDs) as well as dental fear and its effect on attendance and communication with the dentist. A survey of 371 responding women with EDs, who were recruited from a self-help organization, revealed that dental fear was higher in women with EDs compared to the general population. Dental fear was present in 32.1% of women with EDs, and very high dental fear was present in 16.5% of women with EDs. Of those with very high dental fear, 32.3% had not visited a dental clinic at all in the preceding 2 yr, and 43.5% only initiated contact when they had symptoms. Self-induced vomiting was especially frequent in women with bulimia nervosa (87.9%) and in those with more than one ED (the 'mixed group') (80.6%). Among those with self-induced vomiting, 45.3% thought that they had erosions, although only 28.4% had erosions diagnosed by a dentist. Of women with EDs, 61.4% failed to disclose their condition. High dental fear did not affect willingness to disclose the ED. We conclude that dentists should examine ED patients carefully for dental erosions. Moreover, they should realize that most ED patients avoid disclosing their disorder and that dental fear further complicates dental treatment in these patients.

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

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    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.

  3. From public mental health to community oral health: the impact of dental anxiety and fear on dental status.

    OpenAIRE

    Antonio eCrego; María eCarrillo; Jason Mathew Armfield; Martin eRomero

    2014-01-01

    Dental fear is a widely experienced problem. Through a 'vicious cycle dynamic', fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyse the interplay between cognitive and psychosocial determi...

  4. From Public Mental Health to Community Oral Health: The Impact of Dental Anxiety and Fear on Dental Status

    OpenAIRE

    Crego, Antonio; Carrillo-Díaz, María; Armfield, Jason M.; Romero, Martín

    2014-01-01

    Dental fear is a widely experienced problem. Through a “vicious cycle dynamic,” fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyze the interplay between cognitive and psychosocial determi...

  5. Anxiety sensitivity: another reason to separate dental fears from blood-injury fears?

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    Kılıç, Cengiz; Ak, Sertaç; Ak, Hacer Birgül

    2014-03-01

    Although dental phobia is classified under the heading of blood-injury phobia, studies show differences between the two conditions in terms of frequency of fainting and gender distribution. Anxiety sensitivity (AS), which refers to discomfort and negative attributions to bodily anxiety sensations, was useful in differentiating panic anxiety from other phobic anxieties. No study has compared dental phobia with blood-injury phobia directly. We examined 61 subjects, working at a military aircraft factory, using measures on demographics, dental fears (MDAS - Modified Dental Anxiety Scale) and blood-injury fears (MBPI - Multidimensional Blood/Injury Phobia Inventory), in addition to Anxiety Sensitivity Index. Regression analyses revealed that dental phobia was predicted by ASI, whereas blood/injury phobia was not. Our results provide additional support for the proposed distinction between the two conditions.

  6. Dental coping strategies, general anxiety, and depression among adult patients with dental anxiety but with different dental-attendance patterns.

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    Bernson, Jenny M; Elfström, Magnus L; Hakeberg, Magnus

    2013-06-01

    The aim of the present study was to investigate dental coping strategies, general anxiety, and depression in relation to regularity of dental treatment among persons with either regular dental care or phobic avoidance, whilst controlling for sociodemographic factors. Psychometric questionnaires on dental anxiety, dental coping strategies, general anxiety, and depression were delivered to 263 adult patients with dental phobic avoidance behavior who were seeking help from a specialized dental fear clinic and to 141 adult patients with dental anxiety who were receiving regular dental care from various public dental clinics. The results showed that the levels of dental and general anxiety and of depression were significantly higher among irregular attendees compared with regular attendees. Irregular attendees admitted fewer adaptive coping strategies. Predictive of irregular dental care were gender, dental anxiety, general anxiety, and the nonuse of the coping strategy 'optimism'. This study further confirms earlier preliminary results that the use of optimistic thinking is predictive for regular dental attendance habits and that male gender is a risk factor for irregular attendance. Moreover, this study adds that a high level of general anxiety indicates a higher risk for irregular dental care.

  7. 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.

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

    OpenAIRE

    B S Suprabha; Arathi Rao; Shwetha Choudhary; Ramya Shenoy

    2011-01-01

    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 questionna...

  9. 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

  10. Dental fear in a special needs clinic population of persons with disabilities.

    Science.gov (United States)

    Martin, Michael D; Kinoshita-Byrne, Jamie; Getz, Tracy

    2002-01-01

    This study reports findings from a survey of dental fear in a special needs dental clinic population. Subjects were recruited from the University of Washington's Dental Education in Care of Persons With Disabilities (DECOD) clinical program (n = 132). Dental fears were assessed using the Kleinknecht Dental Report. Fear levels were examined among patients with differing categories of primary disabilities and between genders, races and educational levels. Some level of dental fear was reported by 43.2% of the respondents, indicating that dental fear may be an important factor in dental care for this population. Gender and educational level were significantly associated with fear levels (both p caregivers also were interviewed (n = 72) to allow for a comparison of patient and caregiver perceptions. Both patient and caregiver were interviewed whenever possible to create paired reports. Generally, caregivers significantly overestimated fear levels compared with patients (p caregiver-patient analyses, the fear scores were not significantly different, indicating that caregivers accurately estimated their client's level of dental fear. A regression model including disability group, gender, and years of education was significant for predicting fear level as measured by the Kleinknecht survey (p = 0.02). We conclude that dental fear may be a significant, though little understood problem for a population of persons with disabilities as well as for their oral care providers, and that further investigation is needed.

  11. Udbredelse og opfattelse af angst for tandbehandling blandt voksne danskere.[Prevalence and perceptions of dental anxiety among Danish adults.

    DEFF Research Database (Denmark)

    Moore, Rod; Birn, H.; Brødsgaard, I.

    1993-01-01

    English summary: This telephone survey showed that 4.2% of Danish adults over 16 years old have extreme dental anxiety and 6% have moderate fear in a sample of 565 adults from Århus (Table 1). Common perceptions as to the causes of dental fear indicated that most believed it to be due to pain...

  12. Oral Health, Nutritional Choices, and Dental Fear and Anxiety

    Directory of Open Access Journals (Sweden)

    Jennifer R. Beaudette

    2017-01-01

    Full Text Available Oral health is an integral part of overall health. Poor oral health can lead to an increased risk of chronic diseases including diabetes mellitus, cardiovascular disease, and some types of cancer. The etiology of these diseases could be linked to the individual’s inability to eat a healthy diet when their dentition is compromised. While periodontal or implant surgery may be necessary to reconstruct tissue around natural teeth or replace missing teeth, respectively, some individuals avoid such interventions because of their associated fear and anxiety. Thus, while the relationship between poor oral health, compromised nutritional choices and fear and anxiety regarding periodontal procedures is not entirely new, this review provides an up-to-date summary of literature addressing aspects of this complex relationship. This review also identifies potential strategies for clinicians to help their patients overcome their fear and anxiety associated with dental treatment, and allow them to seek the care they need.

  13. A short English version of the Fear of Dental Pain Questionnaire

    NARCIS (Netherlands)

    van Wijk, A.J.; McNeil, D.W.; Ho, C.J.; Buchanan, H.; Hoogstraten, J.

    2006-01-01

    Fear of dental pain is a highly relevant covariate in dental pain research. The present study was designed to develop a short version of the Fear of Dental Pain questionnaire (FDPQ) in order to facilitate research in this area. The original 18-item FDPQ was translated from Dutch to English, and data

  14. 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

  15. Developmental aspects of fear: Comparing the acquisition and generalization of conditioned fear in children and adults.

    Science.gov (United States)

    Schiele, Miriam A; Reinhard, Julia; Reif, Andreas; Domschke, Katharina; Romanos, Marcel; Deckert, Jürgen; Pauli, Paul

    2016-05-01

    Most research on human fear conditioning and its generalization has focused on adults whereas only little is known about these processes in children. Direct comparisons between child and adult populations are needed to determine developmental risk markers of fear and anxiety. We compared 267 children and 285 adults in a differential fear conditioning paradigm and generalization test. Skin conductance responses (SCR) and ratings of valence and arousal were obtained to indicate fear learning. Both groups displayed robust and similar differential conditioning on subjective and physiological levels. However, children showed heightened fear generalization compared to adults as indexed by higher arousal ratings and SCR to the generalization stimuli. Results indicate overgeneralization of conditioned fear as a developmental correlate of fear learning. The developmental change from a shallow to a steeper generalization gradient is likely related to the maturation of brain structures that modulate efficient discrimination between danger and (ambiguous) safety cues.

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

    Directory of Open Access Journals (Sweden)

    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.

  17. Self-Reported Dental Fear among Dental Students and Their Patients

    OpenAIRE

    Fernanda Freire-Maia; Isabela Pordeus; Efigenia Ferreira; Mauricio Oliveira; Paiva, Saul M; Junia Serra-Negra

    2011-01-01

    The aim of the present study was to compare self-reported dental fear among dental students and patients at a School of Dentistry in Belo Horizonte, Brazil. Eighty students ranging in age from 20 to 29 years and 80 patients ranging in age from 18 to 65 years participated in the study. A self-administered pre-tested questionnaire consisting of 13 items was used for data acquisition. The city of Belo Horizonte Social Vulnerability Index (SVI) was employed for socioeconomic classification. The c...

  18. 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.

  19. Predictors of fear of crime in older adults.

    Science.gov (United States)

    Acierno, Ron; Rheingold, Alyssa A; Resnick, Heidi S; Kilpatrick, Dean G

    2004-01-01

    Very little is known about factors that predict fear of crime in older adults. Indeed, the topic itself remains a source of controversy, with early studies indicating higher levels of crime fear with age, and new, more methodologically rigorous studies demonstrating the opposite trend. The present exploratory investigation included 106 older adults and assessed the relationship between demographic variables, interpersonal violence, psychopathology, and fear of crime. In addition, this study built on previous research in that specific feared outcomes (e.g., hospitalization) were also considered. Initial findings indicate that being female, non-Caucasian, having depressive symptoms, and reporting social isolation are predictive of general fear of crime ratings. Different predictor sets were noted for fear of crime against person and fear of crime against property. Reported perceptions of negative crime outcomes were associated with being female, non-Caucasian, and having low income.

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

    Directory of Open Access Journals (Sweden)

    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.

  1. Long-term management of the fearful adult patient using behavior modification and other modalities.

    Science.gov (United States)

    Berggren, U

    2001-12-01

    This paper reviews reports on the treatment of fearful adult dental patients with special emphasis on behavioral and cognitive methods and long-term followup. A number of such treatment methods are available that can be used by dentists for the alleviation of fear and anxiety in their patients. At an "intuitive" level, many dentists probably use these methods frequently as a comprehensive part of everyday praxis. Considering the high number of fearful individuals visiting dentists regularly, a better knowledge of such methods would improve dental care for the majority of these patients. It would also help prevent aggravation of fears among individuals at risk. However, despite the success of treatment methods performed by specially trained dentists, it seems reasonable that there should be limits to what can be expected of a dentist in terms of psychological, diagnostic, and therapeutic competence. Dental phobia may constitute a complex psychological and odontological problem with far-reaching consequences for a relatively large proportion of fearful individuals. It therefore seems likely that optimal care of such patients can best be achieved by cross-disciplinary efforts involving both dentists and psychologists.

  2. Minimizing fear during dental treatment using ultrasonic points

    Directory of Open Access Journals (Sweden)

    Simone Di Salvo Mastrantonio

    2010-04-01

    Full Text Available Over the last few years, new technologies have been developed to making cavity preparations, among which the diamond burs CVDentus® (CVDentus, São José dos Campos, Brazil are outstanding. These points are produced by chemical deposition from the vapor phase, forming a single diamond stone, with greater durability than the conventional diamond burs. Coupled to the ultrasound appliance, they have several clinical applications in Dentistry with advantages over conventional rotary instruments, such as lower pressure, noise, vibration and heat, as well as reducing the need to use local anesthesia, contributing to minimize patient’s fear and anxiety. The aim of this study was to present the complete restorative dental treatment performed with this system in a child patient with a prior history of non-cooperative behavior. The use of this new technology offered the patient greater comfort, making it possible recondition the patient’s attitude to dental treatment, in addition to favoring conservative cavity preparations to be made.

  3. 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...

  4. Older Chinese adults' fear of intimacy with helping professionals.

    Science.gov (United States)

    Witt, Heather; Poulin, John; Ingersoll, Travis; Deng, Rong

    2011-03-01

    The purpose of this study is to explore the attitudes older Chinese adults have about engaging in counseling-based services as measured by a fear of intimacy with helping professionals scale. Data were collected from 150 older adults living in Chongqing, China. Information from this study will be helpful in developing effective strategies for the provision of social work services in China. In contrast with previous research, attitudes about intimacy with helping professionals varied and were normally distributed. Significant predictors of fear of intimacy were level of trust, mental health stigma, family support and friend support. Surprisingly, family and friend support had opposite associations with fear of intimacy. Family support was related to higher fear and friend support to lower fear. The cultural implications of these findings for researchers and social workers working with elderly Chinese clients are discussed.

  5. 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

  6. 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...

  7. Development and Psychometric Evaluation of the Index of Dental Anxiety and Fear (IDAF-4C[superscript +])

    Science.gov (United States)

    Armfield, Jason M.

    2010-01-01

    The measurement of dental fear is important due to its high prevalence and appreciable individual, clinical, and public health consequences. However, existing measures of dental anxiety and fear (DAF) have theoretical or practical limitations. This study describes the development and subsequent assessment of the reliability and validity of test…

  8. Is there a relation between dental anxiety, fear and general psychological status?

    Directory of Open Access Journals (Sweden)

    Tuba Talo Yildirim

    2017-02-01

    Full Text Available Background Dental anxiety is a widespread problem in many populations. This problem can be a barrier to dental care and may lead to poor oral health. Dental anxiety may be related to psychological status. Aims The aim of the present study was to assess the levels of dental anxiety, dental fear, Beck Depression, and state-trait anxiety according to age, gender and education level in patients at the periodontology clinic in the Diyarbakır Mouth and Dental Health Center. Study Design A total of 231 patients (115 males, 116 females filled out dental fear scale (DFS, dental anxiety scale (DAS, Beck Depression Inventory (BDI, state-trait anxiety inventory-state (STAI-S, and state-trait anxiety inventory–trait (STAI-T questionnaires, and evaluations of DFS, DAS, BDI, STAI-S, and STAI-T were conducted according to age, gender, and education level. Results The mean DFS, DAS, BDI, STAI-T, and STAI –S were 45.64, 9.15, 13.16, 38.90, and 40.18, respectively. There was a significant association among DFS, DAS, BDI, STAI-S, and STAI-T (p < 0.05. These surveys scores were significantly higher in females than males (p < 0.05. The results of this study indicated that gender age and education level have important effects on DFS, DAS, BDI, STAI-S, and STAI-T (p < 0.05. Conclusion Dental anxiety and dental fear were found to be related to psychological status (BDI, STAI-S, and STAI-T over time. There are some patients with unaddressed psychological distress.

  9. Influence of Oral Hygiene Knowledge and Habits on Dental Fear in Croatian Preschool Children.

    Science.gov (United States)

    Matosic, Z; Novacic, A; Juric, H

    2016-04-01

    Preschool age is defined as the time from age 3 to age 6. This period in a child's life is when important attitudes and oral hygiene habits are developed and dental fear can be a severely limiting factor in dental health maintenance. The purpose of this research was to collect data on oral hygiene habits and the quality of dental fear with respect to preschool aged children, and to try to define statistically significant differences, with respect to age, sex and geographical background. The research was conducted by questionnaire method on 796 preschool aged children, ages 3-6, in two big cities located in different geographical areas (Split-coast area and Zagreb-continental area). Statistical data processing was conducted by implementing the χ²-test. Statistical analysis showed that there is a difference in oral hygiene habits between children in Zagreb and Split, and also among children of different ages and gender: the older the children are, the less the parents participate in maintaining their children's oral hygiene. By the gender girls show better oral hygiene habits. Furthermore, dental fear isn't necessarily related to past dental experiences. This study demonstrated that children mostly afraid of the dental drill.

  10. Efficacy of self-instructional training for reducing children's dental fear.

    NARCIS (Netherlands)

    Prins, P.J.M.

    1988-01-01

    30 dentally fearful Ss (aged 8-12 yrs) were assigned to 1 of 3 experimental conditions (training in threat-related verbal coping responses, training in competence-related verbal coping responses, or training in an emotive-imagery procedure) or to 1 of 2 control conditions: a placebo or a no-treatmen

  11. 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.

  12. 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.

  13. 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

  14. Hvad er tannlegeskrekk, og hvordan kan den diagnostiseres? [Understanding dental fear, anxiety and phobia: Implications for the assessment and diagnostics

    DEFF Research Database (Denmark)

    Kvale, G.; Klingberg, G.; Moore, R.

    2003-01-01

    English summary Understanding dental fear, anxiety and phobia: Implications for assessment and diagnostics Assessment of dental fear, anxiety and phobia is essential for treatment planning and for evaluation of treatment effects. In order to employ adequate assessments, it is essential to have...... a basic understanding of psychological reactions such as anxiety and phobia. In the current paper, dental anxiety and phobia are understood as learned behavioral patterns originating from one’s adaptive fear responses. These patterns include cognitions and physiological reactions as well as behavioural...... responses such as avoidance of dental care. The most common model for understanding the development of dental anxiety and phobia is presented, as well as established diagnostic criteria for dental phobia. The paper also describes various tools for measuring the different phenomena and discusses how...

  15. Teens that fear screams: A comparison of fear conditioning, extinction, and reinstatement in adolescents and adults.

    Science.gov (United States)

    Den, Miriam Liora; Graham, Bronwyn M; Newall, Carol; Richardson, Rick

    2015-11-01

    This study investigated differences between adolescents and adults on fear conditioning, extinction, and reinstatement (i.e., the recovery of conditioned fear following re-exposure to the unconditioned stimulus [US] post-extinction). Participants underwent differential conditioning (i.e., the Screaming Lady) where one neutral face (CS+) was followed by the same face expressing fear and a loud scream (US) while another neutral face (CS-) remained neutral. Extinction involved non-reinforced presentations of both CSs, after which participants were reinstated (2xUSs) or not. On two self-report measures, both ages showed conditioning, good extinction learning and retention, and reinstatement-induced relapse. However, only adolescents showed conditioning, extinction, and reinstatement on the eye tracking measure; relapse on this measure could not be assessed in adults given they did not show initial conditioning. Lastly, higher levels of depression predicted stronger conditioning and weaker extinction in adolescents only. These findings are discussed in terms of their implications for adolescent anxiety disorders.

  16. 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.

  17. Fear Processing in Dental Phobia during Crossmodal Symptom Provocation: An fMRI Study

    Directory of Open Access Journals (Sweden)

    Kevin Hilbert

    2014-01-01

    Full Text Available While previous studies successfully identified the core neural substrates of the animal subtype of specific phobia, only few and inconsistent research is available for dental phobia. These findings might partly relate to the fact that, typically, visual stimuli were employed. The current study aimed to investigate the influence of stimulus modality on neural fear processing in dental phobia. Thirteen dental phobics (DP and thirteen healthy controls (HC attended a block-design functional magnetic resonance imaging (fMRI symptom provocation paradigm encompassing both visual and auditory stimuli. Drill sounds and matched neutral sinus tones served as auditory stimuli and dentist scenes and matched neutral videos as visual stimuli. Group comparisons showed increased activation in the insula, anterior cingulate cortex, orbitofrontal cortex, and thalamus in DP compared to HC during auditory but not visual stimulation. On the contrary, no differential autonomic reactions were observed in DP. Present results are largely comparable to brain areas identified in animal phobia, but also point towards a potential downregulation of autonomic outflow by neural fear circuits in this disorder. Findings enlarge our knowledge about neural correlates of dental phobia and may help to understand the neural underpinnings of the clinical and physiological characteristics of the disorder.

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

    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...

  19. Experiences of Dental Care and Dental Anxiety in Adults with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    My Blomqvist

    2014-01-01

    Full Text Available Dental anxiety is associated with previous distressing dental experiences, such as lack of understanding of the dentist intentions, perceptions of uncontrollability and experiences of pain during dental treatment. People with autism spectrum disorder (ASD are impaired in building flexible predictions and expectations, which is very much needed during a dental visit. The aims of the study were to investigate if people with ASD have more negative dental experiences and a higher level of dental anxiety compared to a matched control group. Forty-seven adults with ASD and of normal intellectual performance, and 69 age- and sex-matched typically developing controls completed questionnaires on previous dental experiences and dental anxiety, the Dental Anxiety Scale, and the Dental Beliefs Survey. The ASD group experienced pain during dental treatments more often than the controls and 22% had repeatedly experienced being forced to dental treatment they were not prepared for, compared to 3% of the controls. A higher level of dental anxiety was reported by the ASD group. Dental treatment and methods for supporting the communication with patients with ASD need to be developed, in order to reduce the negative dental experiences and dental anxiety in people with ASD.

  20. Self-Evaluated Dental Appearance Satisfaction among Young Adults

    OpenAIRE

    Azodo, CC; Ogbomo, AC

    2014-01-01

    Background: Dental appearance satisfaction is important among young adults because judgment concerning the personal characteristics of individuals is influenced by their dental appearance in the absence of other information. Aim: The aim of the study was to determine the self-evaluated dental appearance satisfaction among young adults. Subjects and Methods: This cross-sectional survey of financial industry prone undergraduates of University of Benin was conducted between July and September, 2...

  1. 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…

  2. Joint Association of Neighborhood Environment and Fear of Falling on Physical Activity Among Frail Older Adults.

    Science.gov (United States)

    Harada, Kazuhiro; Park, Hyuntae; Lee, Sangyoon; Shimada, Hiroyuki; Yoshida, Daisuke; Anan, Yuya; Suzuki, Takao

    2017-01-01

    This study examined associations between perceived neighborhood environment and physical activity among frail older adults and whether these associations are moderated by fear of falling. Participants were 238 frail older adults. Daily step counts and duration of moderate-to-vigorous physical activity were measured using an accelerometer. Participants completed the abbreviated Neighborhood Environment Walkability Scale; fear of falling and demographic and health-related factors were measured by a questionnaire. The interaction between crime safety and fear of falling was significantly associated with step count (p = .009) and moderate-to-vigorous physical activity (p = .018) in multiple regression analysis. Stratified according to fear of falling, crime safety was significantly associated with steps (p = .007) and moderate-to-vigorous physical activity (p = .030) in the low fear of falling group. The results suggest that crime safety is associated with physical activity among frail older adults, and this association is moderated by fear of falling.

  3. 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.

  4. CARL: a LabVIEW 3 computer program for conducting exposure therapy for the treatment of dental injection fear.

    Science.gov (United States)

    Coldwell, S E; Getz, T; Milgrom, P; Prall, C W; Spadafora, A; Ramsay, D S

    1998-04-01

    This paper describes CARL (Computer Assisted Relaxation Learning), a computerized, exposure-based therapy program for the treatment of dental injection fear. The CARL program operates primarily in two different modes; in vitro, which presents a video-taped exposure hierarchy, and in vivo, which presents scripts for a dentist or hygienist to use while working with a subject. Two additional modes are used to train subjects to use the program and to administer behavioral assessment tests. The program contains five different modules, which function to register a subject, train subjects to use physical and cognitive relaxation techniques, deliver an exposure hierarchy, question subjects about the helpfulness of each of the therapy components, and test for memory effects of anxiolytic medication. Nine subjects have completed the CARL therapy program and 1-yr follow-up as participants in a placebo-controlled clinical trial examining the effects of alprazolam on exposure therapy for dental injection phobia. All nine subjects were able to receive two dental injections, and all reduced their general fear of dental injections. Initial results therefore indicate that the CARL program successfully reduces dental injection fear.

  5. 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.

  6. Reliability and cross-cultural validity of a Japanese version of the Dental Fear Survey

    Directory of Open Access Journals (Sweden)

    Shimono Tsutomu

    2009-07-01

    Full Text Available Abstract Background This study established the reliability and cross-cultural validity of a Japanese version of the Dental Fear Survey (DFS. Methods Two studies were carried out in separate populations. The first involved 166 Japanese dental and nursing students and assessed internal consistency and test-retest reliability. The second involved 2,095 Japanese parents or guardians of school children and tested the hypothesis that the conceptual structure of the Japanese translation was consistent with the U.S. version using Structural Equation Modeling (SEM. Results In the first study Cronbach alpha ranged from .94 to .96 and test-retest reliability (Spearman correlation ranged from .89 to .92. The intra-class correlation coefficients (ICC was 0.919 (95%CI: 0.892 – 0.940. In the second study SEM was used on the covariance matrix of the 20 questions in a random sample of 600 questionnaires to evaluate the goodness of fit of the theoretical model; and then, in an exploratory manner corrected for specification errors until a model that fit the data well was achieved. Conclusion The Japanese version of the DFS appears reliable and demonstrates cross-cultural validity. The modeling confirms the three factors on which the English language version was based.

  7. 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

  8. 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…

  9. Fear of hypoglycaemia in adults with Type 1 diabetes

    DEFF Research Database (Denmark)

    Nefs, Giesje; Bevelander, S; Hendrieckx, Christel;

    2015-01-01

    , history of severe hypoglycaemia (irrespective of number of events) was associated with (greater) fear of hypoglycaemia, whereas diabetes duration, pump therapy and HbA1c were not. Type D personality was positively correlated (model 3), as were symptoms of depression, but not anxiety (model 4). Adding......AIMS: To examine sociodemographic, clinical and psychological factors associated with fear of hypoglycaemia in adults with Type 1 diabetes. METHODS: Data were obtained from Diabetes MILES - The Netherlands, an online self-report national survey. This cross-sectional analysis focused on participants...... with Type 1 diabetes who completed the 18-item Hypoglycaemia Fear Survey - Second Version Worry subscale (HFS-II-W; possible total score range 0-72, higher scores indicating higher fear) (n = 288). To explore correlates of fear of hypoglycaemia, a hierarchical linear regression analysis was performed...

  10. 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.

  11. Reliability and validity of the Children’s Fear Survey Schedule-Dental Subscale for Arabic-speaking children: a cross-sectional study

    OpenAIRE

    El-Housseiny, Azza A; Alsadat, Farah A.; Alamoudi, Najlaa M; El Derwi, Douaa A.; Farsi, Najat M.; Attar, Moaz H.; Andijani, Basil M.

    2016-01-01

    Background Early recognition of dental fear is essential for the effective delivery of dental care. This study aimed to test the reliability and validity of the Arabic version of the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS). Methods A school-based sample of 1546 children was randomly recruited. The Arabic version of the CFSS-DS was completed by children during class time. The scale was tested for internal consistency and test-retest reliability. To test criterion validity, ch...

  12. 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.

  13. 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.

  14. 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

  15. 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

  16. 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

  17. Training Older Adults about Alzheimer's Disease--Impact on Knowledge and Fear

    Science.gov (United States)

    Scerri, Anthony; Scerri, Charles

    2017-01-01

    Although the impact of Alzheimer's disease training programs directed to informal and formal caregivers has been extensively studied, programs for older adults who do not have the disease are relatively few. Moreover, increased knowledge increases fear of the disease, even though there is little empirical evidence to support this. This study…

  18. Comparison of acceptance, preference and efficacy between pressure anesthesia and classical needle infiltration anesthesia for dental restorative procedures in adult patients

    Directory of Open Access Journals (Sweden)

    Chetana Sachin Makade

    2014-01-01

    Full Text Available Introduction: Intraoral local anesthesia is essential for delivering dental care. Needless devices have been developed to provide anesthesia without injections. Little controlled research is available on its use in dental restorative procedures in adult patients. The aims of this study were to compare adult patients acceptability and preference for needleless jet injection with classical local infiltration as well as to evaluate the efficacy of the needleless anesthesia. Materials and Methods: Twenty non fearful adults with no previous experience of dental anesthesia were studied using split-mouth design. The first procedure was performed with classical needle infiltration anesthesia. The same amount of anesthetic solution was administered using MADA jet needleless device in a second session one week later, during which a second dental restorative procedure was performed. Patients acceptance was assessed using Universal pain assessment tool while effectiveness was recorded using soft tissue anesthesia and pulpal anesthesia. Patients reported their preference for the anesthetic method at the third visit. The data was evaluated using chi square test and student′s t-test. Results: Pressure anesthesia was more accepted and preferred by 70% of the patients than traditional needle anesthesia (20%. Both needle and pressure anesthesia was equally effective for carrying out the dental procedures. Conclusion: Patients experienced significantly less pain and fear (p<0.01 during anesthetic procedure with pressure anesthesia. However, for more invasive procedures needle anesthesia will be more effective.

  19. The Influence of Direct and Indirect Juvenile Victimization Experiences on Adult Victimization and Fear of Crime.

    Science.gov (United States)

    Grubb, Jonathan A; Bouffard, Leana A

    2015-11-01

    Research has identified that juvenile victimization can play a detrimental role for individuals later in life. While this literature has focused on direct and indirect forms of victimization at different stages of life, the influence of juvenile victimization on fear of crime and violent victimization as an adult has been limited. To expand this body of literature, the present research examines the effects of direct (sexual victimization) and indirect (witnessing parental intimate partner violence) juvenile victimization on fear of crime as well as the prevalence of victimization as an adult. Using telephone survey data collected from randomly selected Texas adults, this study demonstrates that both juvenile sexual victimization and indirect victimization increase the likelihood of adult victimization, whereas juvenile sexual victimization increases the likelihood of adult sexual victimization. In contrast, fear of crime as an adult was not significantly influenced by either juvenile sexual victimization or indirect victimization. A discussion of how these findings relate to previous research, limitations, and implications are also provided.

  20. 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。

  1. Impaired contextual fear extinction and hippocampal synaptic plasticity in adult rats induced by prenatal morphine exposure.

    Science.gov (United States)

    Tan, Ji-Wei; Duan, Ting-Ting; Zhou, Qi-Xin; Ding, Ze-Yang; Jing, Liang; Cao, Jun; Wang, Li-Ping; Mao, Rong-Rong; Xu, Lin

    2015-07-01

    Prenatal opiate exposure causes a series of neurobehavioral disturbances by affecting brain development. However, the question of whether prenatal opiate exposure increases vulnerability to memory-related neuropsychiatric disorders in adult offspring remains largely unknown. Here, we found that rats prenatally exposed to morphine (PM) showed impaired acquisition but enhanced maintenance of contextual fear memory compared with control animals that were prenatally exposed to saline (PS). The impairment of acquisition was rescued by increasing the intensity of footshocks (1.2 mA rather than 0.8 mA). Meanwhile, we also found that PM rats exhibited impaired extinction of contextual fear, which is associated with enhanced maintenance of fear memory. The impaired extinction lasted for 1 week following extinction training. Furthermore, PM rats exhibited reduced anxiety-like behavior in the elevated plus-maze and light/dark box test without differences in locomotor activity. These alterations in PM rats were mirrored by abnormalities in synaptic plasticity in the Schaffer collateral-CA1 synapses of the hippocampus in vivo. PS rats showed blocked long-term potentiation and enabled long-term depression in CA1 synapses following contextual fear conditioning, while prenatal morphine exposure restricted synaptic plasticity in CA1 synapses. The smaller long-term potentiation in PM rats was not further blocked by contextual fear conditioning, and the long-term depression enabled by contextual fear conditioning was abolished. Taken together, our results provide the first evidence suggesting that prenatal morphine exposure may increase vulnerability to fear memory-related neuropsychiatric disorders in adulthood.

  2. 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.

  3. Psychosocial impact of anterior dental esthetics on periodontal health, dental caries, and oral hygiene practices in young adults.

    Science.gov (United States)

    Solomon, Deborah; Katz, Ralph V; Bush, Anneke C; Farley, Victoria K; McGerr, Trevor J; Min, Hoon; Carbonella, Anthony M; Kayne, Joseph D

    2016-01-01

    This study sought to determine whether the self-perceived image of a young adult's anterior dental esthetics is linked with periodontal health, dental caries, and oral hygiene practices. Two hundred subjects were assessed via a clinical examination, including intraoral photographs. The subjects were questioned about their demographics and oral hygiene practices and given the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) to measure their self-perceived variables related to dental esthetics. A high PIDAQ score indicates a negative image of one's own dental esthetics, while a low PIDAQ score indicates a positive outlook. A self-perceived negative psychosocial impact of anterior dental esthetics was detected in subjects with higher levels of dental caries and visible gingival inflammation in the anterior region of the mouth.

  4. 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.

  5. Adolescent traumatic stress experience results in less robust conditioned fear and post-extinction fear cue responses in adult rats.

    Science.gov (United States)

    Moore, Nicole L T; Gauchan, Sangeeta; Genovese, Raymond F

    2014-05-01

    Early exposure to a traumatic event may produce lasting effects throughout the lifespan. Traumatic stress during adolescence may deliver a distinct developmental insult compared with more-often studied neonatal or juvenile traumatic stress paradigms. The present study describes the lasting effects of adolescent traumatic stress upon adulthood fear conditioning. Adolescent rats were exposed to a traumatic stressor (underwater trauma, UWT), then underwent fear conditioning during adulthood. Fear extinction was tested over five conditioned suppression extinction sessions three weeks later. The efficacies of two potential extinction-enhancing compounds, endocannabinoid reuptake inhibitor AM404 (10mg/kg) and M1 muscarinic positive allosteric modulator BQCA (10mg/kg), were also assessed. Finally, post-extinction fear responses were examined using a fear cue (light) as a prepulse stimulus. Rats traumatically stressed during adolescence showed blunted conditioned suppression on day 1 of extinction training, and AM404 reversed this effect. Post-extinction startle testing showed that fear conditioning eliminates prepulse inhibition to the light cue. Startle potentiation was observed only in rats without adolescent UWT exposure. AM404 and BQCA both ameliorated this startle potentiation, while BQCA increased startle in the UWT group. These results suggest that exposure to a traumatic stressor during adolescence alters developmental outcomes related to stress response and fear extinction compared to rats without adolescent traumatic stress exposure, blunting the adulthood fear response and reducing residual post-extinction fear expression. Efficacy of pharmacological interventions may also vary as a factor of developmental traumatic stress exposure.

  6. Evaluation of oral midazolam sedation for reducing dental fear in children with dental fear%口服咪达唑仑治疗牙科恐惧症儿童的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    马林; 景泉; 万阔

    2012-01-01

    目的 对牙科恐惧症儿童实施口服咪达唑仑镇静下的口腔治疗,评估治疗的安全性、有效性及其影响因素.方法 选择在口腔科就诊的Frankl量表评分为1的有不良牙科治疗经历的30例患儿为研究对象,共进行了46人次的口服味达唑仑(0.5~1.0 mg· kg-1)镇静下治疗.治疗时,记录患儿的心率、血氧饱和度、治疗内容及持续时间等.采用Houpt量表评估患儿治疗完成情况,治疗结束24h后电话回访不良反应.结果 46人次治疗中,患儿的生命体征平稳、安全,37人次(80.4%)完成了既定治疗,9人次(19.6%)镇静效果不理想,仅完成部分治疗.烦躁不安是术后最常见的不良反应.3岁以上儿童的治疗成功率高于3岁及以下儿童,性别、剂量和治疗内容与治疗成功率无关.结论 口服咪达唑仑治疗牙科恐惧症儿童是一种安全有效的方法,3岁以上儿童的治疗效果较好.%Objective To assess the safety, effectiveness and influential factors of oral midazolam sedation for reducing dental fear in children with dental fear. Methods 30 children with traumatic dental experience, who were classified as 1 by Frankl behavior rating scale, were included in the study. Each child was treated under sedation with oral midazolam (0.5-1.0 mg·kg-1), and totally 46 person-time sedation treatments were conducted. At each visit, heart rate, arterial oxygen saturation, persistent period and treatment types were recorded. Treatment performed was rated by Houpt scale. Telephone following up was performed to record the side effects 24 h after treatment. Results In all of the 46 person-time treatments, the heart rate, arterial oxygen saturation levels were within acceptable clinical limits. 37 person-time planned treatments (80.4%) were completed satisfactorily. Oral sedation was ineffective in 9 person-time treatments (19.6%), and only a part of planned treatments were completed. Dysphoria after treatment is the main side

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

    Directory of Open Access Journals (Sweden)

    Réka GYERGYAY

    2015-03-01

    Full Text Available 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 procedures led to a significant increase of the alpha-amylase level in the whole sample group. This was noticeable in terms of gender as well as age groups. From the viewpoint of age and gender, girls displayed significantly higher levels of amylase in all age groups, while this could be observed only in younger boys. In conclusion, analysis of salivary alpha-amylase revealed that the sight of dental treatment represents a significant source of stress among children.

  8. Improving Clinical Practice: What Dentists Need to Know about the Association between Dental Fear and a History of Sexual Violence Victimisation

    Directory of Open Access Journals (Sweden)

    Houman Hadad Larijani

    2015-01-01

    Full Text Available Anecdotal evidence suggests lack of dentist knowledge and uncertainty about how clinical practice can be improved when dealing with victims of sexual violence. This systematic review presents a synthesis of the available literature, which examined the association between dental fear and a history of sexual violence victimisation. All studies indicated, to various degrees, that dental fear is associated with a history of sexual violence victimisation. The analysis identified several common themes including a perception of lack of control, avoidance behaviours, experiences of flashbacks, feelings of embarrassment, difficulties with the physical proximity to the dentist, the sex of the dentist reminding patients of the perpetrator, being placed into a horizontal body position, the specific impact of fellatio, the smell of latex, experienced lack of knowledge of dental professionals leading to insensitive treatment as well as revictimisation experiences, and the occurrence of disproportionate dental problems among patients who had experienced event(s of sexual violence. All these themes are discussed in detail. Specific strategies are offered to assist dental practitioners in providing sensitive treatment for patients with a history of sexual violence. Additionally, several suggestions are made that may assist both researchers and dental practitioners alike.

  9. Improving Clinical Practice: What Dentists Need to Know about the Association between Dental Fear and a History of Sexual Violence Victimisation.

    Science.gov (United States)

    Larijani, Houman Hadad; Guggisberg, Marika

    2015-01-01

    Anecdotal evidence suggests lack of dentist knowledge and uncertainty about how clinical practice can be improved when dealing with victims of sexual violence. This systematic review presents a synthesis of the available literature, which examined the association between dental fear and a history of sexual violence victimisation. All studies indicated, to various degrees, that dental fear is associated with a history of sexual violence victimisation. The analysis identified several common themes including a perception of lack of control, avoidance behaviours, experiences of flashbacks, feelings of embarrassment, difficulties with the physical proximity to the dentist, the sex of the dentist reminding patients of the perpetrator, being placed into a horizontal body position, the specific impact of fellatio, the smell of latex, experienced lack of knowledge of dental professionals leading to insensitive treatment as well as revictimisation experiences, and the occurrence of disproportionate dental problems among patients who had experienced event(s) of sexual violence. All these themes are discussed in detail. Specific strategies are offered to assist dental practitioners in providing sensitive treatment for patients with a history of sexual violence. Additionally, several suggestions are made that may assist both researchers and dental practitioners alike.

  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. Dental Fear Survey: A Cross-Sectional Study Evaluating the Psychometric Properties of the Brazilian Portuguese Version

    Directory of Open Access Journals (Sweden)

    Maurício Antônio Oliveira

    2014-01-01

    Full Text Available Objective. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the Dental Fear Survey (DFS, previously translated to the Brazilian Portuguese language and validated. Methods. A cross-sectional study with 1,256 undergraduates from the city of Belo Horizonte, Brazil, was carried out. The DFS and a questionnaire about previous dental experiences were self-administered. Data analysis involved descriptive statistics, principal components analysis (PCA, confirmatory factor analysis (CFA, internal consistency and test-retest reliability, and construct, discriminant, and convergent validity. Results. PCA identified a three-factor structure. CFA confirmed the multidimensionality of the Brazilian version of the DFS. A modified model of the Brazilian version of the DFS fits better than the hypothesized model. The Cronbach’s alpha coefficient for the total DFS scale was 0.95. Conclusion. The DFS demonstrated acceptable construct validity, convergent validity, and discriminant validity. These results supported the reliability and validity of the DFS among Brazilian undergraduates.

  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 oral cavity is associated with dental caries and poor dental hygiene.

  13. Dentists' skills with fearful patients: education and treatment.

    Science.gov (United States)

    Brahm, Carl-Otto; Lundgren, Jesper; Carlsson, Sven G; Nilsson, Peter; Hultqvist, Johanna; Hägglin, Catharina

    2013-06-01

    The aims were to explore dentists' skills in dental fear, current strategies when treating fearful adult patients, and the possible need for additional education among dentists working in Sweden. A sample of 1,293 members of the Association of Public Health Dentists in Sweden were asked to respond to a Web survey concerning dental fear. The response rate was 69% (n = 889); 91% trained in Sweden and 9% trained in another country. The most frequently used pharmacological anxiety-reducing techniques were medication with a midazolame mixture (72%) and benzodiazepine tablets (77%), and the most commonly used psychological techniques were relaxation (68%), distraction (66%), and Tell-Show-Do (86%). A larger proportion of dentists trained in Sweden, compared with dentists who were trained in other countries, reported that they had received undergraduate training in dental fear. Dentists trained in Sweden more often reported competence in pharmacological and psychological anxiety-reducing techniques, compared with dentists who were trained in other countries. Higher levels of self-rated efficacy in treating fearful patients accompanied additional education in dental fear after graduation. In conclusion, Swedish dentists use a variety of techniques to meet the needs of fearful dental patients. Competence in anxiety-reducing techniques is associated with self-efficacy and the site of education.

  14. 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.

  15. 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...

  16. 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.

  17. 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.

  18. Er du bange for tandlægeskræk? [Are you afraid of dental fear?

    DEFF Research Database (Denmark)

    Moore, Rod

    2010-01-01

    Denne artikel handler om hvordan nervøse patienter, vi som tandlæger og samfundsmæssige image af tandlæger kan påvirke interaktioner i tandlægestolen. Disse tre perspektiver (Patient, tandlæge og samfundsmæssige image) gør fænomenet tandlægeskræk kompliceret og til tider forvirrende for både pati......, Dentist & Societal Image) make the phenomenon of dental phobia complicated and sometimes confusing for both patients and dentists. We dentists may be affected by our own stress, dissatisfaction and image perceptions....

  19. 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.

  20. 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

    2013-12-17

    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.

  1. 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

    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.%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。

  2. Decayed/missing/filled teeth and shortened dental arches in Tanzanian adults.

    NARCIS (Netherlands)

    Sarita, P.T.N.; Witter, D.J.; Kreulen, C.M.; Matee, M.I.N.; Hof, M.A. van 't; Creugers, N.H.J.

    2004-01-01

    PURPOSE: This study assessed decayed/missing/filled teeth (DMFT), presence of occlusal units, and prevalence of shortened dental arches in a Tanzanian adult population. MATERIALS AND METHODS: The dental state of samples of the Tanzanian population was studied. Oral examinations were conducted on 5,5

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

    OpenAIRE

    2005-01-01

    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...

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

    NARCIS (Netherlands)

    Armfield, J.M.; Ketting, M.

    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

  5. 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.

  6. 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

  7. Fear factors: cross validation of specific phobia domains in a community-based sample of African American adults.

    Science.gov (United States)

    Chapman, L Kevin; Vines, Lauren; Petrie, Jenny

    2011-05-01

    The current study attempted a cross-validation of specific phobia domains in a community-based sample of African American adults based on a previous model of phobia domains in a college student sample of African Americans. Subjects were 100 African American community-dwelling adults who completed the Fear Survey Schedule-Second Edition (FSS-II). Domains of fear were created using a similar procedure as the original, college sample of African American adults. A model including all of the phobia domains from the FSS-II was initially tested and resulted in poor model fit. Cross-validation was subsequently attempted through examining the original factor pattern of specific phobia domains from the college sample (Chapman, Kertz, Zurlage, & Woodruff-Borden, 2008). Data from the current, community based sample of African American adults provided poor fit to this model. The trimmed model for the current sample included the animal and social anxiety factors as in the original model. The natural environment-type specific phobia factor did not provide adequate fit for the community-based sample of African Americans. Results indicated that although different factor loading patterns of fear may exist among community-based African Americans as compared to African American college students, both animal and social fears are nearly identical in both groups, indicating a possible cultural homogeneity for phobias in African Americans. Potential explanations of these findings and future directions are discussed.

  8. The maintenance of established remote contextual fear memory requires ERK5 MAP kinase and ongoing adult neurogenesis in the hippocampus.

    Directory of Open Access Journals (Sweden)

    Yung-Wei Pan

    Full Text Available Adult neurogenesis in the dentate gyrus of the hippocampal formation has been implicated in several forms of hippocampus-dependent memory. However, its role in the persistence of remote memory is unknown. Furthermore, whether the hippocampus plays a role in maintaining remote contextual memories is controversial. Here we used an inducible gene-specific approach for conditional deletion of erk5 in the adult neurogenic regions of the mouse brain to specifically impair adult neurogenesis. The erk5 gene was conditionally deleted under three different experimental conditions: prior to training for contextual fear, 6 days after training, or 5 weeks after training, We present evidence that remote memory was impaired under all three conditions. These data demonstrate that ongoing adult neurogenesis is required both for the initial establishment and the continued maintenance of remote contextual fear memory, even after the remote memory has transferred into extra-hippocampal regions of the brain 5 weeks after training.

  9. 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.

  10. [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.

  11. Treatment modalities in a dental fear clinic and the relation with general psychopathology and oral health variables.

    NARCIS (Netherlands)

    Hoogstraten, J.

    1999-01-01

    To assess differences among highly anxious dental patients assigned to different treatment modes (ie behavioural management (BM), nitrous oxide sedation (NOS), intravenous sedation (IVS)). Patients were compared with regard to psychological and dental variables before treatment (eg number of decayed

  12. Assessing fear of hypoglycemia among adults with type 1 diabetes – psychometric properties of the Norwegian version of the Hypoglycemia Fear Survey II questionnaire

    Directory of Open Access Journals (Sweden)

    Marit Graue

    2013-06-01

    Full Text Available Background: Hypoglycemia is common in type 1 diabetes, but the overall frequency of both mild and severe hypoglycemia is difficult to estimate. The Hypoglycemia Fear Survey II (HFS-II is often used to assess the fear of hypoglycemia. Material and methods: The aim of this study was to assess the psychometric properties of the Norwegian version of the HFS-II for adults, including the behavior (HFS-B and worry (HFS-W subscales, among 235 adults in Norway with type 1 diabetes. We assessed associations between HFS-II scores and other rating scales and demographic and clinical variables. Results: The Norwegian version of HFS-II had an acceptable factor structure in relation to HFS-W, whereas the structure within HFS-B was more questionable. The expected relationships between HFS-II subscales and measures of related constructs administered concurrently demonstrated adequate convergent and discriminant validity. Internal consistency and test-retest reliability were satisfactory. Conclusion: Access to reliable and valid self-report instruments enables the early detection of psychosocial problems. HFS-W performs well, whereas HFS-B needs to be further examined and developed.

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    Bastos João Luiz Dornelles

    2005-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    João Luiz Dornelles Bastos

    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.

  16. Assessment of dentally related functional competency for older adults with cognitive impairment--a survey for special-care dental professionals.

    Science.gov (United States)

    Chen, Xi; Clark, Jennifer J J

    2013-01-01

    This survey was to study whether and how dental professional assess dental-related function in older adults with cognitive impairment (OACI). An invitation was sent to 525 special-care dental professionals, followed by a reminder in 2 weeks. Thirteen percent of the targeted participants completed the survey. Among them, 88% completed a hospital dentistry, geriatric dentistry, or other postgraduate training program. Nearly 70% of the respondents considered somewhat to very difficult to assess dentally related function; 45% did not ever or did not regularly assess dental-related function for OACI. Dental-related functional assessments were often based on a subjective, unstructured approach. Only 6% of the respondents routinely used standard instruments to assess the patients' function. These results indicate that an objective functional assessment based on a standardized instrument has not been routinely incorporated into dental care for OACI, raising concerns for quality of care in this vulnerable population.

  17. 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.

  18. Dental caries in Uruguayan adults and elders: findings from the first Uruguayan National Oral Health Survey.

    Science.gov (United States)

    Álvarez, Licet; Liberman, Judith; Abreu, Soledad; Mangarelli, Carolina; Correa, Marcos B; Demarco, Flávio Fernando; Lorenzo, Susana; Nascimento, Gustavo G

    2015-08-01

    This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.

  19. An investigation of social judgments made by young adults toward appearance of dental fluorosis

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    S R Nagashree

    2012-01-01

    Full Text Available Background : Smile is a crucial factor in creating a good first impression. However conditions like dental fluorosis hamper the esthetics of teeth. This study was conducted to find out whether young adults attribute socially relevant characteristics to people with dental fluorosis. Materials and Methods : A total of 150 young adults were presented with images of individuals with different severity levels of dental fluorosis along with images of normal tooth appearance on a computer screen. They had to attribute various socially relevant characteristics to these images. Images were digitally manipulated to simulate dental fluorosis. Images were displayed on a computer screen and Visual Basic Software was used to record the participants′ responses as well as the time taken to respond. The time taken to respond or response latency indicates the response strength. Statistical analysis : A chi-square test was used to test the association between the dental appearances and the socially relevant characteristics. A Mann--Whitney test was used to compare the time taken to respond. Results : As the severity of fluorosis increases, participants attribute less and less of positive characteristics. Attribution of negative characteristics also increases with the severity of dental fluorosis. For images with moderate and severe fluorosis, respondents took more time to accept positive characteristics and less time to reject positive characteristic. This means that the participants felt strongly when rejecting positive characteristics in these images. Conclusion : Social judgments are made by young adults when viewing digitally manipulated images of different levels of fluorosis.

  20. Dental caries prevalence among type II diabetic and nondiabetic adults attending a hospital

    Science.gov (United States)

    Malvania, Ekta A.; Sheth, Sona A.; Sharma, Ashish S.; Mansuri, Saloni; Shaikh, Faizan; Sahani, Saloni

    2016-01-01

    Objectives: Diabetes mellitus (DM) is a common chronic metabolic disorder which affects millions of people. At present, India has the highest incidence of diabetes worldwide. Several oral lesions and conditions are associated with diabetes. However, there is a lack of consensus among researchers regarding the relationship between DM and dental caries. Hence, the present study was carried out to assess the dental caries prevalence among type II diabetic and nondiabetic adults attending a hospital in Ahmedabad city. Materials and Methods: A hospital-based cross-sectional study was conducted. One hundred and twenty diabetics individuals attending the diabetic Outpatient Department (OPD) and age and sex-matched 120 nondiabetic individuals from general OPD were included in the study. The data were gathered through semi-close-ended questionnaire and clinical examination. Dental caries was assessed by using the World Health Organization's 2013 proforma. Data was analyzed by applying Student's independent t-test or one-way analysis of variance. Results: Dental caries prevalence among the diabetic group was 73.33% and 33.33% among the nondiabetic group. Dental caries prevalence and mean dental caries was significantly higher among uncontrolled diabetic individuals than that among controlled diabetic individuals. Duration of the disease and dental caries prevalence did not show any significant difference. Conclusion: Dental caries prevalence was significantly high among diabetic individuals compared with nondiabetic individuals. Close collaboration between the patients, healthcare units, and oral health professionals could be a way of improving diabetic patients' general and oral health. PMID:28217542

  1. 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.

  2. 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.

  3. 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.

  4. [Characteristics associated with the use of dental services by the adult Brazilian population].

    Science.gov (United States)

    Pinto, Rafaela da Silveira; Matos, Divane Leite; de Loyola Filho, Antônio Ignácio

    2012-02-01

    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 toothache or gum pain, need for partial/total prosthesis, a greater amount of permanent teeth requiring treatment, demand for service due to some dental problems and evaluation of dental care received on a regular basis. These results showed that the population attended by the public service was socio-economically less privileged and had greater need for treatment. This situation reflects an historical abandonment of the adult population by the dental healthcare system in Brazil and poses a major challenge to the Unified Health Service, in light of its intended role to reduce inequalities and provide universal access to comprehensive care.

  5. 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.

  6. Juvenile stress potentiates aversive 22-kHz ultrasonic vocalizations and freezing during auditory fear conditioning in adult male rats.

    Science.gov (United States)

    Yee, Nicole; Schwarting, Rainer K W; Fuchs, Eberhard; Wöhr, Markus

    2012-09-01

    Traumatic experiences that occur during adolescence can render individuals vulnerable to mood and anxiety disorders. A model in juvenile rats (age: 27-29 days) was developed previously to study the long-term effects of adolescent stress exposure on behaviour and physiology. This paradigm, termed juvenile stress, involves subjecting juvenile rats to different stressors on consecutive days over a 3-day period. Here, we investigated the effects of the juvenile stress paradigm on freezing behaviour and aversive 22-kHz ultrasonic vocalizations (USVs) during auditory fear conditioning in adult male rats (age: 68-90 days). We found that rats previously subjected to juvenile stress increased aversive 22-kHz USVs (total calls and time spent calling) compared with controls during fear-conditioning training. The acoustic USV parameters between control and juvenile stress rats were largely equivalent, including duration, peak frequency and amplitude. While rats did not differ in freezing behaviour during fear conditioning, juvenile stress rats exhibited greater cue-conditioned freezing upon testing 24 h later. Our results show that juvenile stress elicited different long-term changes in freezing and aversive USVs during fear conditioning. Furthermore, they highlight the importance of assessing USVs to detect experience-dependent differences between control and stress-exposed animals which are not detectable by measuring visible behaviour.

  7. Neonatal isolation decreases cued fear conditioning and frontal cortical histone 3 lysine 9 methylation in adult female rats.

    Science.gov (United States)

    Kao, Gour-Shenq; Cheng, Ling-Yi; Chen, Li-Hsien; Tzeng, Wen-Yu; Cherng, Chienfang G; Su, Chien-Chou; Wang, Ching-Yi; Yu, Lung

    2012-12-15

    Early life stress is thought to enhance adult susceptibility to stress and stress-related mood disorders. In this study, fear-potentiated startle was used to model the acquisition of a traumatic event-related memory in female rats experiencing early life stress. Daily 1-hr maternal and sibling separation throughout day 2-9 postpartum (D2-9 PP) caused a decrease in the fear-potentiated startle, but not acoustic startle baseline, in adult female rats. The separation procedure did not affect corticosterone secretion but produced an increase in serum estradiol concentration. Moreover, the separation procedure did not affect histone 3 lysine 9 (H3K9) acetylation but decreased H3K9 mono- and tri-methylation in frontal cortices. Treatment with 5-aza-2'-deoxycytidine (AZA) (5mg/kg at alternative days from D2PP to D9PP or 10mg/kg at D5PP and D9PP), a DNA methylation inhibitor, did not affect the separation-decreased fear-potentiated startle. Treatment with valproic acid (VPA), a histone deacetylase inhibitor, at 3 dosing regimens (300mg/kg at D2-9PP; 100mg/kg at D2-4PP, 200mg/kg at D5-7PP, 300mg/kg at D8-9PP; 100mg/kg at D2-5PP, 200mg/kg at D6-9PP) prior to daily separation reversed such a decrease in fear-potentiated startle. The lowest effective VPA dosing regimen used (100mg/kg at D2-5PP, 200mg/kg at D6-9PP) reversed the separation-decreased H3K9 mono- and tri-methylation in frontal cortices. Eight-day VPA (300mg/kg/day) and AZA (5mg/kg/day) administrations starting at D28PP were ineffective in altering the separation-decreased fear-potentiated startle. We, hereby, suggest that decreased frontal cortical H3K9 mono- and tri-methylation may be involved in early life separation-decreased fear memory of adult rats.

  8. 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

  9. 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.

  10. 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

  11. Fear of deportation is not associated with medical or dental care use among Mexican-origin farmworkers served by a federally-qualified health center--faith-based partnership: an exploratory study.

    Science.gov (United States)

    López-Cevallos, Daniel F; Lee, Junghee; Donlan, William

    2014-08-01

    Migrant and seasonal farmworkers face many health risks with limited access to health care and promotion services. This study explored whether fear of deportation (as a barrier), and church attendance (as an enabling factor), were associated with medical and dental care use among Mexican-origin farmworkers. Interviews were conducted with 179 farmworkers who attended mobile services provided by a local federally-qualified health center (FQHC) in partnership with area churches, during the 2007 agricultural season. The majority of respondents (87 %) were afraid of being deported, and many (74 %) attended church. Although about half of participants reported poor/fair physical (49 %) and dental (58 %) health, only 37 % of farmworkers used medical care and 20 % used dental care during the previous year. Fear of deportation was not associated with use of medical or dental care; while church attendance was associated with use of dental care. Findings suggest that despite high prevalence of fear of deportation, support by FQHCs and churches may enable farmworkers to access health care services.

  12. Calorie restriction and corticosterone elevation during lactation can each modulate adult male fear and anxiety-like behaviour.

    Science.gov (United States)

    Govic, Antonina; Bell, Veronica; Samuel, Anil; Penman, Jim; Paolini, Antonio G

    2014-09-01

    Early life events, such as calorie restriction (CR) and elevated glucocorticoids, can calibrate the lifelong behavioural and physiological profile of an individual. Stress reactivity in adulthood is particularly sensitive to early life events; however, the consequence to fear and anxiety-like behaviour is less clear. Consequently, the current study sought to examine the effects of post-natal CR and glucocorticoid elevation, long considered powerful programming stimuli, on the subsequent fear and anxiety behaviour of the adult offspring. Rat dams received either corticosterone (200 μg/ml) supplementation in drinking water (CORT) or a 25% CR from post-natal day (PND) 1 to 11. Responses to the elevated plus maze (EPM), open field and a predator odour (TMT; 2,5-dihydro-2,4,5-trimethylthiazoline) were characterised in the adult male offspring. Both treatment conditions resulted in enhanced fear responses to TMT, characterised by heightened risk assessment and increased avoidance of TMT. CORT nursed offspring further demonstrated an anxiogenic profile in the open field. Basal hypothalamic-pituitary-adrenal function was unchanged in CORT adult offspring, whilst corticosterone concentration was elevated by post-natal CR. CR and CORT treated dams both exhibited greater anxiety-like behaviour in the EPM. A modest and temporary enhancement of maternal care was observed in CR and CORT treated dams, with CR dams further exhibiting rapid pup retrieval latencies. The results indicate enhanced emotionality in the adult male progeny of dams exposed to CR and corticosterone supplementation during the post-natal period. The modest enhancement of maternal care observed by both treatments is unlikely to have influenced the behavioural profile of the offspring.

  13. Validation of the surgical fear questionnaire in adult patients waiting for elective surgery.

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    Maurice Theunissen

    Full Text Available OBJECTIVES: Because existing instruments for assessing surgical fear seem either too general or too limited, the Surgical Fear Questionnaire (SFQ was developed. The aim of this study is to assess the validity and reliability of the SFQ. METHODS: Based on existing literature and expert consultation the ten-item SFQ was composed. Data on the SFQ were obtained from 5 prospective studies (N = 3233 in inpatient or day surgery patients. These data were used for exploratory factor analysis (EFA, confirmatory factor analysis (CFA, reliability analysis and validity analysis. RESULTS: EFA in Study 1 and 2 revealed a two-factor structure with one factor associated with fear of the short-term consequences of surgery (SFQ-s, item 1-4 and the other factor with fear of the long-term consequences of surgery (SFQ-l, item 5-10. However, in both studies two items of the SFQ-l had low factor loadings. Therefore in Study 3 and 4 the 2-factor structure was tested and confirmed by CFA in an eight-item version of the SFQ. Across all studies significant correlations of the SFQ with pain catastrophizing, state anxiety, and preoperative pain intensity indicated good convergent validity. Internal consistency (Cronbach's alpha was between 0.765-0.920 (SFQ-total, 0.766-0.877 (SFQ-s, and 0.628-0.899 (SFQ-l. The SFQ proved to be sensitive to detect differences based on age, sex, education level, employment status and preoperative pain intensity. DISCUSSION: The SFQ is a valid and reliable eight-item index of surgical fear consisting of two subscales: fear of the short-term consequences of surgery and fear of the long-term consequences.

  14. 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.

  15. Internet-based self-help therapy with FearFighter™ versus no intervention for anxiety disorders in adults

    DEFF Research Database (Denmark)

    Fenger, Morten; Lindschou, Jane; Gluud, Christian

    2016-01-01

    an advertisement posted on the homepage of the Student Counselling Service in Denmark. The inclusion criterion for participation in the trial will be the presence of anxiety disorder as assessed with the Mini International Neuropsychiatric Interview. The exclusion criteria will be suicidal risk, an ongoing episode...... of the Internet-based cognitive behavioural therapy (ICBT) programme FearFighter™ versus no intervention for anxiety disorders in adults. METHODS AND DESIGN: We will conduct an investigator-initiated, feasibility randomised controlled trial. Sixty-four participants are expected to be recruited via...

  16. 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

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    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

  17. 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

    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 cli...

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

    Science.gov (United States)

    Medina-Solís, Carlo Eduardo; Pontigo-Loyola, América Patricia; Pérez-Campos, Eduardo; Hernández-Cruz, Pedro; Ávila-Burgos, Leticia; Mendoza-Rodríguez, Martha; Maupomé, Gerardo

    2014-01-01

    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. PMID:24642844

  19. 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.

  20. Three-dimensional dental arch curvature in human adolescents and adults.

    Science.gov (United States)

    Ferrario, V F; Sforza, C; Poggio, C E; Serrao, G; Colombo, A

    1999-04-01

    The three-dimensional arrangement of dental cusps and incisal edges in human dentitions has been reported to fit the surface of a sphere (the curve of Monson), with a radius of about 4 inches in adults. The objective of the current study was to compare the three-dimensional curvature of the mandibular dental arch in healthy permanent dentitions of young adults and adolescents. The mandibular casts of 50 adults (aged 19 to 22 years) and 20 adolescents (aged 12 to 14 years) with highly selected sound dentitions that were free from temporomandibular joint problems were obtained. The three coordinates of cusp tips excluding the third molars were digitized with a three-dimensional digitizer, and used to derive a spherical model of the curvature of the occlusal surfaces. From the best interpolating sphere, the radii of the left and right curves of Spee (quasi-sagittal plane) and of molar curve of Wilson (frontal plane) were computed. Mandibular arch size (interdental distances) was also calculated. The occlusal curvature of the mandibular arch was not significantly influenced by sex, although a significant effect of age was found (Student t, P curves of Spee, and curve of Wilson in the molar area were about 101 mm in adults, and about 80 mm in adolescents. Arch size was not influenced by either sex or age. The different curvatures of the occlusal plane in adolescents and adults may be explained by a progressive rotation of the major axis of the teeth moving the occlusal plane toward a more buccal position. These dental movements should be performed in a frontal plane on an anteroposterior axis located next to the dental crown.

  1. 心理诱导在儿童牙科畏惧症中的临床应用%Clinical application of psychological induction in dental fear of children

    Institute of Scientific and Technical Information of China (English)

    杨鸿颖

    2016-01-01

    Objective:To investigate the clinical application effect of psychological induction in dental fear of children.Methods:360 cases of children with dental fear were as the research object and divided into the control group and the observation group randomly,with 180 cases in each group.Patients in the control group were given routine dental care,while patients in the observation group were given psychological induction based on the routine dental care.The incidence of dental fear between groups was compared.Results:The incidence of dental fear in the observation group in newly diagnosed and further consultation were 75.0% and 68.3% ,which were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Psychological induction could reduce the incidence and severity of dental fear and improve the treatment compliance and treatment effect in patient.%目的:探讨心理诱导在儿童牙科畏惧症中的临床应用效果。方法:收治牙科畏惧症患儿360例作为研究对象,随机分为对照组和观察组,每组180例。对照组给予牙科常规性护理,观察组在常规护理基础上给予心理诱导,比较两组牙科恐惧症的发生率。结果:观察组初诊和复诊时牙科恐惧症发生率分别为75.0%和68.3%,显著低于对照组,差异具有统计学意义(P<0.05)。结论:心理诱导可降低儿童牙科恐惧症的发病率及发病程度,提高患者治疗依从性和治疗效率。

  2. 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.

  3. Dental anxiety and pain related to ART

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    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.

  4. Agoraphobia: Fear of Fear.

    Science.gov (United States)

    Musetto, Andrew P.

    1984-01-01

    Agoraphobia is a complex phobia in which individuals react with intense anxiety to certain stress situations. Basically, agoraphobics live in fear of becoming afraid. Describes the psychotherapeutic treatment that helps agoraphobics to become more self-sufficient and to face their fears by understanding themselves better. (CS)

  5. Molecular mechanisms mediating a deficit in recall of fear extinction in adult mice exposed to cocaine in utero.

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    Zeeba D Kabir

    Full Text Available Prenatal cocaine exposure has been shown to alter cognitive processes of exposed individuals, presumed to be a result of long-lasting molecular alterations in the brain. In adult prenatal cocaine exposed (PCOC mice we have identified a deficit in recall of fear extinction, a behavior that is dependent on the medial prefrontal cortex (mPFC and the hippocampus. While we observed no change in the constitutive expression of brain derived neurotrophic factor (BDNF protein and mRNA in the mPFC and hippocampus of adult PCOC mice, we observed blunted BDNF signaling in the mPFC of adult PCOC mice after fear extinction compared to the control animals. Specifically, during the consolidation phase of the extinction memory, we observed a decrease in BDNF protein and it's phospho-TrkB receptor expression. Interestingly, at this same time point there was a significant increase in total Bdnf mRNA levels in the mPFC of PCOC mice as compared with controls. In the Bdnf gene, we identified decreased constitutive binding of the transcription factors, MeCP2 and P-CREB at the promoters of Bdnf exons I and IV in the mPFC of PCOC mice, that unlike control mice remained unchanged when measured during the behavior. Finally, bilateral infusion of recombinant BDNF protein into the infralimbic subdivision of the mPFC during the consolidation phase of the extinction memory rescued the behavioral deficit in PCOC mice. In conclusion, these findings extend our knowledge of the neurobiologic impact of prenatal cocaine exposure on the mPFC of mice, which may lead to improved clinical recognition and treatment of exposed individuals.

  6. 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.

  7. 4- to 6-week-old adult-born hippocampal neurons influence novelty-evoked exploration and contextual fear conditioning.

    Science.gov (United States)

    Denny, Christine A; Burghardt, Nesha S; Schachter, Daniel M; Hen, René; Drew, Michael R

    2012-05-01

    To explore the role of adult hippocampal neurogenesis in novelty processing, we assessed novel object recognition (NOR) in mice after neurogenesis was arrested using focal x-irradiation of the hippocampus, or a reversible, genetic method in which glial fibrillary acidic protein-positive neural progenitor cells are ablated with ganciclovir. Arresting neurogenesis did not alter general activity or object investigation during four exposures with two constant objects. However, when a novel object replaced a constant object, mice with neurogenesis arrested by either ablation method showed increased exploration of the novel object when compared with control mice. The increased novel object exploration did not manifest until 4-6 weeks after x-irradiation or 6 weeks following a genetic ablation, indicating that exploration of the novel object is increased specifically by the elimination of 4- to 6-week-old adult born neurons. The increased novel object exploration was also observed in older mice, which exhibited a marked reduction in neurogenesis relative to young mice. Mice with neurogenesis arrested by either ablation method were also impaired in one-trial contextual fear conditioning (CFC) at 6 weeks but not at 4 weeks following ablation, further supporting the idea that 4- to 6-week-old adult born neurons are necessary for specific forms of hippocampal-dependent learning, and suggesting that the NOR and CFC effects have a common underlying mechanism. These data suggest that the transient enhancement of plasticity observed in young adult-born neurons contributes to cognitive functions.

  8. 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

  9. 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.

  10. Dental erosive wear and salivary flow rate in physically active young adults

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    Mulic Aida

    2012-03-01

    Full Text Available Abstract Background Little attention has been directed towards identifying the relationship between physical exercise, dental erosive wear and salivary secretion. The study aimed i to describe the prevalence and severity of dental erosive wear among a group of physically active young adults, ii to describe the patterns of dietary consumption and lifestyle among these individuals and iii to study possible effect of exercise on salivary flow rate. Methods Young members (age range 18-32 years of a fitness-centre were invited to participate in the study. Inclusion criteria were healthy young adults training hard at least twice a week. A non-exercising comparison group was selected from an ongoing study among 18-year-olds. Two hundred and twenty participants accepted an intraoral examination and completed a questionnaire. Seventy of the exercising participants provided saliva samples. The examination was performed at the fitness-centre or at a dental clinic (comparison group, using tested erosive wear system (VEDE. Saliva sampling (unstimulated and stimulated was performed before and after exercise. Occlusal surfaces of the first molars in both jaws and the labial and palatal surfaces of the upper incisors and canines were selected as index teeth. Results Dental erosive wear was registered in 64% of the exercising participants, more often in the older age group, and in 20% of the comparison group. Enamel lesions were most observed in the upper central incisors (33%; dentine lesions in lower first molar (27%. One fourth of the participants had erosive wear into dentine, significantly more in males than in females (p = 0.047. More participants with erosive wear had decreased salivary flow during exercise compared with the non-erosion group (p Conclusion The study showed that a high proportion of physically active young adults have erosive lesions and indicate that hard exercise and decreased stimulated salivary flow rate may be associated with such

  11. The influence of PTSD, sleep fears, and neighborhood stress on insomnia and short sleep duration in urban, young adult, African Americans.

    Science.gov (United States)

    Hall Brown, Tyish; Mellman, Thomas A

    2014-01-01

    African Americans residing in stressful urban environments have high rates of insomnia and short sleep duration, both of which are associated with adverse health outcomes. However, limited data exist that explore factors influencing inadequate sleep in this high-risk population. This study sought to evaluate the contributions of demographics, trauma, posttraumatic stress disorder (PTSD) symptoms, sleep fears, and neighborhood stress to both insomnia and short sleep in urban African American young adults. Data were analyzed from self-report measures completed by 378 participants 18-35 years of age. PTSD symptom severity and sleep fears were independently associated with insomnia severity, and sleep fears was associated with sleep duration. Results have implications for preventative health intervention strategies for urban African American young adults.

  12. 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.

  13. Tooth loss and dental caries in community-dwelling older adults in northern Manhattan

    Science.gov (United States)

    Northridge, Mary E.; Ue, Frances V.; Borrell, Luisa N.; De La Cruz, Leydis D.; Chakraborty, Bibhas; Bodnar, Stephanie; Marshall, Stephen; Lamster, Ira B.

    2011-01-01

    Objective To examine tooth loss and dental caries by sociodemographic characteristics from community-based oral health examinations conducted by dentists in northern Manhattan. Background The ElderSmile programme of the Columbia University College of Dental Medicine serves older adults with varying functional capacities across settings. This report is focused on relatively mobile, socially engaged participants who live in the impoverished communities of Harlem and Washington Heights/Inwood in northern Manhattan, New York City. Materials and Methods Self-reported sociodemographic characteristics and health and health care information were provided by community-dwelling ElderSmile participants aged 65 years and older who took part in community-based oral health education and completed a screening questionnaire. Oral health examinations were conducted by trained dentists in partnering prevention centres among ElderSmile participants who agreed to be clinically screened (90.8%). Results The dental caries experience of ElderSmile participants varied significantly by sociodemographic predictors and smoking history. After adjustment in a multivariable logistic regression model, older age, non-Hispanic Black and Hispanic race/ethnicity, and a history of current or former smoking were important predictors of edentulism. Conclusion Provision of oral health screenings in community-based settings may result in opportunities to intervene before oral disease is severe, leading to improved oral health for older adults. PMID:21718349

  14. 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

    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...... differences in overall health behaviors between SVP patients and controls, SVP patients are less physically active and are less likely to binge drink........596); 20% have had no dental visits during the last year (25% in controls; OR = 1.07; P = 0.684); 46% are not flossing their teeth (32% in controls; OR = 1.32; P = 0.239); and 39% are not physically active (24% in controls; OR = 1.63; P = 0.069). CONCLUSIONS: While in general there was no significant...

  15. Fear of falling is associated with prolonged anticipatory postural adjustment during gait initiation under dual-task conditions in older adults.

    Science.gov (United States)

    Uemura, Kazuki; Yamada, Minoru; Nagai, Koutatsu; Tanaka, Buichi; Mori, Shuhei; Ichihashi, Noriaki

    2012-02-01

    Little is known about dynamic balance control under dual-task conditions in older adults with fear of falling (FoF). The purpose of this study was to examine the effect of FoF on anticipatory postural adjustment (APA) during gait initiation under dual-task conditions in older adults. Fifty-seven elderly volunteers (age, 79.2 [6.8] years) from the community participated in this study. Each participant was categorised into either the Fear (n=24) or No-fear (n=33) group on the basis of the presence or absence of FoF. Under single- and dual-task conditions, centre of pressure (COP) data were collected while the participants performed gait initiation trials from a starting position on a force platform. We also performed a 10-m walking test (WT), a timed up & go test (TUG), and a functional reach test (FR). The reaction and APA phases were measured from the COP data. The results showed that under the dual-task condition, the Fear group had significantly longer APA phases than the No-fear group, although no significant differences were observed between the 2 groups in the reaction and APA phases under the single-task condition and in any clinical measurements (WT, TUG, and FR). Our findings suggest that specific deficits in balance control occur in subjects with FoF during gait initiation while dual tasking, even if their physical functions are comparable to subjects without FoF.

  16. Combination of fluoxetine and extinction treatments forms a unique synaptic protein profile that correlates with long-term fear reduction in adult mice.

    Science.gov (United States)

    Popova, Dina; Ágústsdóttir, Arna; Lindholm, Jesse; Mazulis, Ulams; Akamine, Yumiko; Castrén, Eero; Karpova, Nina N

    2014-07-01

    The antidepressant fluoxetine induces synaptic plasticity in the visual and fear networks and promotes the structural remodeling of neuronal circuits, which is critical for experience-dependent plasticity in response to an environmental stimulus. We recently demonstrated that chronic fluoxetine administration together with extinction training in adult mice reduced fear in a context-independent manner. Fear conditioning and extinction alter excitatory and inhibitory transmissions within the fear circuitry. In this study, we investigated whether fluoxetine, extinction or their combination produced distinct long-lasting changes in the synaptic protein profile in the amygdala, hippocampus and prefrontal cortex of conditioned mice. We determined that extinction induced synaptophysin expression and down-regulated the GluA1:GluA2 ratio throughout the fear network in water- and fluoxetine-treated mice, suggesting a common fluoxetine-independent mechanism for increased synaptic transmission and re-arrangement of AMPA-receptors by extinction training. In contrast to common changes, the presynaptic vesicular neurotransmitter transporters VGAT and Vglut1 were upregulated after extinction in water- and fluoxetine-treated mice, respectively. The cortical levels of the GABA transporter Gat1 were reduced in high-freezing water-drinking mice, suggesting a maladaptive increase of GABA spillover at cortical inhibitory synapses. Fear conditioning decreased, and extinction induced the expression of GABA-receptor alpha1 and alpha2 subunits in water- and fluoxetine-treated mice, respectively. Only a combination of fluoxetine with extinction enhanced GluN2A expression in the amygdala and hippocampus, emphasizing the role of this NMDA-receptor subunit in the successful erasure of fear memories. Our finding provides novel data that may become helpful in developing beneficial pharmacological fear-reducing treatment strategies.

  17. 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.

  18. 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

  19. Effects of prenatal chronic mild stress exposure on hippocampal cell proliferation, expression of GSK-3α, β and NR2B in adult offspring during fear extinction in rats.

    Science.gov (United States)

    Li, Min; Li, Xiaobai; Zhang, Xinxin; Ren, Jintao; Jiang, Han; Wang, Yan; Ma, Yuchao; Cheng, Wenwen

    2014-06-01

    Stress during pregnancy has been implicated as a risk factor for the development of many mental disorders; however, the influence of prenatal stress on the fear or anxiety-related behaviors, especially the fear extinction in adult offspring has been little investigated. In order to investigate how prenatal stress affects fear extinction, which is regarded as a form of new learning that counteracts the expression of Pavlovian's conditioned fear, a rat model of prenatal chronic mild stress (PNS) was used to evaluate the effects of PNS on fear extinction in adult offspring. The expression of hippocampal glycogen synthase kinase-3s (GSK-3α, β), N-methyl-d-aspartic acid receptors (NMDARs)-2B and the hippocampal cell proliferation in dentate gyrus in the adult offspring during fear extinction were studied. Our results showed that PNS significantly reduced body weight of pups, indicating PNS might induce growth retardation in offspring. Moreover, PNS significantly enhanced the freezing behavior of offspring at the phase of extinction, suggesting PNS impaired the abilities of fear extinction learning. In addition, PNS significantly increased the levels of GSK-3α, β and NR2B, but reduced hippocampal cell proliferation during fear extinction. Taken together, our findings suggest that maternal stress during pregnancy can impair the fear extinction of adult offspring, probably by affecting the neural plasticity of brain.

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

    Institute of Scientific and Technical Information of China (English)

    王慧民; 汪俊; 陈曦; 冯希平

    2014-01-01

    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。%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.

  1. Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients.

    Science.gov (United States)

    Ogata, Yorimasa; Nakayama, Yohei; Tatsumi, Junichi; Kubota, Takehiko; Sato, Shuichi; Nishida, Tetsuya; Takeuchi, Yasuo; Onitsuka, Tokuya; Sakagami, Ryuji; Nozaki, Takenori; Murakami, Shinya; Matsubara, Naritoshi; Tanaka, Maki; Yoshino, Toshiaki; Ota, Junya; Nakagawa, Taneaki; Ishihara, Yuichi; Ito, Taichi; Saito, Atsushi; Yamaki, Keiko; Matsuzaki, Etsuko; Hidaka, Toshirou; Sasaki, Daisuke; Yaegashi, Takashi; Yasuda, Tadashi; Shibutani, Toshiaki; Noguchi, Kazuyuki; Araki, Hisao; Ikumi, Noriharu; Aoyama, Yukihiko; Kogai, Hideki; Nemoto, Kenji; Deguchi, Shinji; Takiguchi, Takashi; Yamamoto, Matsuo; Inokuchi, Keita; Ito, Takatoshi; Kado, Takashi; Furuichi, Yasushi; Kanazashi, Mikimoto; Gomi, Kazuhiro; Takagi, Yukie; Kubokawa, Keita; Yoshinari, Nobuo; Hasegawa, Yoshiaki; Hirose, Tetsushi; Sase, Toshinaga; Arita, Hirokazu; Kodama, Toshiro; Shin, Kitetsu; Izumi, Yuichi; Yoshie, Hiromasa

    2017-03-31

    We investigated the prevalences and risk factors for peri-implant diseases in Japanese adult dental patients attending a follow-up visit at dental hospitals or clinics as part of their maintenance program. This cross-sectional multicenter study enrolled patients with dental implants who attended regular check-ups as part of a periodontal maintenance program during the period from October 2012 through September 2013. Patients with implants with at least 3 years of loading time were included in the study. The condition of peri-implant tissue was examined and classified into the following categories: healthy, peri-implant mucositis, and peri-implantitis. Patients were also evaluated for implant risk factors. A total of 267 patients (110 men, 157 women; mean age: 62.5 ± 10.7 years) were analyzed. The prevalence of patient-based peri-implant mucositis was 33.3% (n = 89), and the prevalence of peri-implantitis was 9.7% (n = 26). Poor oral hygiene and a history of periodontitis were strong risk factors for peri-implant disease. The present prevalences were lower than those previously reported. The quality of periodontal therapy before and after implant installation and patient compliance and motivation, as indicated by plaque control level, appear to be important in maintaining peri-implant tissue health.

  2. 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.

  3. 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.

  4. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults

    DEFF Research Database (Denmark)

    Lauridsen, Eva; Hermann, Nuno Vibe; Gerds, Thomas Alexander;

    2012-01-01

    BACKGROUND: Traumatic dental injuries (TDI) comprise six types of luxation and seven types of tooth fractures. The risk of pulp necrosis is increased in teeth with combination injuries where fractures and luxations occur concomitantly. AIM: To report and compare the distributions of luxations...... and fracture types among children, adolescents, and adults, and to analyze the distribution and prevalence of combination injuries. MATERIAL AND METHOD: The study group included 4754 patients (3186 men and 1568 women) with 10 166 traumatized permanent incisors treated at Copenhagen University Hospital...... (children 5.7%, adolescents 10.9%, adults 13.0%, P traumatized teeth (n = 3212) had sustained a combination of a fracture and a luxation injury. The luxation types most frequently presenting with a concomitant crown fracture were concussion (57.9%), intrusion (47...

  5. Risk of falling, fear of falling and functionality in community-dwelling older adults

    OpenAIRE

    Fernandes, Beatriz; Tomás, Mª Teresa; Quirino, Diogo

    2016-01-01

    Ageing among Portuguese population is leading to an increase in the proportion of elderly people. Age-related changes are responsible for high levels of disability, balance problems and high risk of falls, Physiotherapy can identify elderly in risk of falling and provide strategies to prevent falls in this population contributing to maintain functionality. The purpose of this study was to characterise the risk of falling in a sample of community-dwelling older adults and investigate the assoc...

  6. 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.

  7. 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.

  8. 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 Ussing; Graugaard, Christian;

    2016-01-01

    about dying; (Q2) with whom, if anyone, they had shared those worries; and finally, (Q3) how fears and worries influenced their daily life. The emphasis will be on Q3. METHODS: A 151-item questionnaire (including two closed- and one open-ended questions about fears of death and dying) was distributed...

  9. Effects of post-session administration of methylene blue on fear extinction and contextual memory in adults with claustrophobia

    NARCIS (Netherlands)

    Telch, M.J.; Bruchey, A.K.; Rosenfield, D.; Cobb, A.R.; Smits, J.A.J.; Pahl, S.; Gonzalez-Lima, F.

    2014-01-01

    Administering methylene blue, a memory-enhancing agent, after successful exposure therapy promoted the retention of fear extinction in claustrophobic patients, but clinicians should carefully consider what level of fear reduction was achieved in session to avoid harmful effects. Objective Preclinica

  10. Dental functional status in a southern vietnamese adult population-a combined quantitative and qualitative classification system analysis

    NARCIS (Netherlands)

    Nguyen, T.C.; Witter, D.J.; Bronkhorst, E.M.; Pham, L.H.; Creugers, N.H.J.

    2011-01-01

    PURPOSE: The aim of this study was to explore the dental functional status of a Southern Vietnamese adult population using a new quantitative- and qualitative-based classification system. MATERIALS AND METHODS: The sample consisted of 2,809 dentate subjects aged =/> 20 years from urban and rural

  11. Dental status and associated factors in a dentate adult population in bulgaria: a cross-sectional survey.

    NARCIS (Netherlands)

    Damyanov, N.D.; Witter, D.J.; Bronkhorst, E.M.; Creugers, N.H.J.

    2012-01-01

    This study aimed to determine variations in the dental status of a dentate adult population in terms of "decayed," "missing," and "filled" teeth in relation to several sociodemographic and behavioral factors. Quota sampling was used to draw 2531 subjects aged 20 years and over. Data were collected b

  12. 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.

  13. Income-related inequality in perceived oral health among adult Finns before and after a major dental subsidization reform.

    Science.gov (United States)

    Raittio, Eero; Aromaa, Arpo; Kiiskinen, Urpo; Helminen, Sari; Suominen, Anna Liisa

    2016-07-01

    Objectives In Finland, a dental subsidization reform, implemented in 2001-2002, abolished age restrictions on subsidized dental care. The aim of this study was to investigate income-related inequality in the perceived oral health and its determinants among adult Finns before and after the reform. Materials and methods Three identical cross-sectional nationally representative postal surveys, concerning perceived oral health and the use of dental services among people born before 1971, were conducted in 2001 (n = 2157), in 2004 (n = 1814) and in 2007 (n = 1671). Three measures of perceived oral health were used: toothache or oral discomfort during the past 12 months, current need for dental care and self-reported oral health status. Concentration index was used to analyse the income-related inequalities. Its decomposition was used to study factors related to the inequalities. Results The proportion of respondents reporting need for dental care decreased from 2001 to 2007, while no changes were seen in reports of toothache or self-reported oral health status. Income-related inequalities in reports of toothache and perceived need for care widened, while the inequality in self-reported oral health remained stable. Most of the inequalities were related to income itself, perceived general health and the time since the last visit to dental care. Conclusions It seems that the income-related inequalities in perceived oral health remained or even widened after the reform.

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

    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.

  15. Developmental integration in a functional unit: deciphering processes from adult dental morphology.

    Science.gov (United States)

    Labonne, Gaëlle; Navarro, Nicolas; Laffont, Rémi; Chateau-Smith, Carmela; Montuire, Sophie

    2014-01-01

    The evolution of mammalian dentition is constrained by functional necessity and by the non-independence of morphological structures. Efficient chewing implies coherent tooth coordination from development to motion, involving covariation patterns (integration) within dental parts. Using geometric morphometrics, we investigate the modular organization of the highly derived vole dentition. Integration patterns between and within the upper and lower molar rows are analyzed to identify potential modules and their origins (functional and developmental). Results support an integrated adult dentition pattern for both developmental and functional aspects. The integration patterns between opposing molar pairs suggest a transient role for the second upper and lower molars during the chewing motion. Upper and lower molar rows form coherent units but the relative integration of molar pairs is in contradiction with existing developmental models. Emphasis on the first three cusps to grow leads to a very different integration pattern, which would be congruent with developmental models. The early developmental architecture of traits is masked by later stages of growth, but may still be deciphered from the adult phenotype, if careful attention is paid to relevant features.

  16. 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-...

  17. 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.

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

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    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.

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

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    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.

  20. [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.

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

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    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.

  2. Cognitive Impairment, Oral Self-care Function and Dental Caries Severity in Community-dwelling Older Adults

    Science.gov (United States)

    Chen, Xi; Clark, Jennifer JJ; Chen, Hong; Naorungroj, Supawadee

    2013-01-01

    Objective To investigate whether oral self-care function mediates the associations between cognitive impairment and caries severity in community-dwelling older adults. Background Cognitive impairment significantly affects activities of daily living and compromises oral health, systemic health and quality of life in older adults. However, the associations among cognitive impairment, oral self-care capacity and caries severity remain unclear. This increases difficulty in developing effective interventions for cognitively impaired patients. Materials and methods Medical, dental, cognitive and functional assessments were abstracted from the dental records of 600 community-dwelling elderly. 230 participants were selected using propensity score matching and categorised into normal, cognitive impairment but no dementia (CIND) and dementia groups based on their cognitive status and a diagnosis of dementia. Multivariable regressions were developed to examine the mediating effect of oral self-care function on the association between cognitive status and number of caries or retained roots. Results Cognitive impairment, oral self-care function and dental caries severity were intercorrelated. Multivariable analysis showed that without adjusting for oral self-care capacity, cognition was significantly associated with the number of caries or retained roots (p = 0.003). However, the association was not significant when oral self-care capacity was adjusted (p = 0.125). In contrast, individuals with impaired oral self-care capacity had a greater risk of having a caries or retained root (RR = 1.67, 95% CI 1.15, 2.44). Conclusion Oral care capacity mediates the association between cognition and dental caries severity in community-dwelling older adults. PMID:23758583

  3. 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

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

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    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.

  5. 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.

  6. Acidogenicity and acidurance of dental plaque and saliva sediment from adults in relation to caries activity and chlorhexidine exposure

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    Andreadis Georgios

    2015-03-01

    Full Text Available Background: The ecological plaque hypothesis for the etiopathogenesis of caries implies a microbial shift towards a more aciduric dental plaque microbiota, due to a frequent carbohydrate intake. Acid tolerance has been suggested as an important property of the caries-associated bacteria and several in vitro studies with mixed cultures indicated that a low pH rather than the carbohydrate availability is responsible for microbiota shifts associated with the development of dental caries. Objective: To examine 1 the acidogenic potential (amount lactate produced per mg plaque and minute, at pH 7.0 or pH 5.5 and the aciduric potential (acidogenic potential at pH 5.5/acidogenic potential at pH 7.0 of dental plaque and salivary sediment taken from caries-active or caries-free adults, and 2 the effect of a short-term chlorhexidine treatment on these potentials. Design: Dental plaque and saliva sediment samples were taken from caries-free and caries-active subjects and suspended in Ringer's solution containing 1% sucrose and buffered with 0.5 M 3-[N-morpholino]propanesulfonic acid (MOPS, pH 7.0, or 3-[N-morpholino]ethanesulfonic acid (MES, pH 5.5. After incubation at 37°C for 10–20 min, the concentration of lactic acid in the suspension was determined by an enzymatic assay. The acid production of dental plaque was also determined after a period of mouth rinsing with 0.2% chlorhexidine. Results: Both dental plaque and salivary sediment from caries-free subjects exhibited significantly lower acidogenic potentials at both pHs compared to caries-active volunteers. The opposite was observed with the aciduric potential. Chlorhexidine treatment significantly reduced all three potentials but had no effect on the relative proportion of bacteria grown on acidic agar. Conclusions: Caries-active adults have an oral microbiota characterised by an increased catabolic velocity for sugar. The increase is more pronounced at neutral than acidic pH. Exposure to

  7. 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.

  8. 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.

  9. Validity and reliability of an Arabic version of the modified dental anxiety scale in Saudi adults

    OpenAIRE

    Bahammam, Maha A.; Hassan, Mona H.

    2014-01-01

    Objectives: To test the reliability and validity of an Arabic version of the modified dental anxiety scale (MDAS), and to correlate it with other demographic data. Methods: The original English version of the MDAS was translated into Arabic, and then translated back into English by experienced bilingual professionals. Four hundred and seventy-four patients referred to dental clinics for treatment at the Faculty of Dentistry Hospital, Jeddah, Kingdom of Saudi Arabia from November 2012 to June ...

  10. 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.

  11. 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

  12. Dental plaque development on a hydroxyapatite disk in young adults observed by using a barcoded pyrosequencing approach.

    Science.gov (United States)

    Takeshita, Toru; Yasui, Masaki; Shibata, Yukie; Furuta, Michiko; Saeki, Yoji; Eshima, Nobuoki; Yamashita, Yoshihisa

    2015-01-30

    Dental plaque is a dynamic microbial biofilm ecosystem that comprises hundreds of species including difficult-to-cultivate bacteria. We observed the assembly of a plaque bacterial community through 16S rRNA gene analysis. Plaque samples that accumulated on a hydroxyapatite disk for 1, 2, 3, 4, 5, and 7 days with saliva on day 0 were collected from 19 young adults using a removable resin splint. Quantitative PCR analysis showed that the total bacterial amount gradually increased and reached a plateau on day 4. Barcoded pyrosequencing analysis revealed that the microbial richness and diversity particularly increased between days 5 and 7. A principal coordinate analysis plot based on unweighted UniFrac showed the community assembly in a time-related manner, which became increasingly similar to the salivary microbiota. Facultative anaerobic bacteria such as Streptococcus, Neisseria, Abiotrophia, Gemella, and Rothia were predominant in the plaque bacterial community in the earlier days, whereas obligate anaerobes, such as Porphyromonas, Fusobacterium, Prevotella, and Capnocytophaga showed increased dominance on later days. UniFrac analysis also demonstrated that dental caries experience had a significant effect on the assembly process. Our results reveal the development pattern of the plaque bacterial community as well as the inter-individual differences associated with dental caries experience.

  13. Dental aesthetics, self-awareness, and oral health-related quality of life in young adults.

    Science.gov (United States)

    Klages, Ulrich; Bruckner, Aladàr; Zentner, Andrej

    2004-10-01

    The aim of the present study was to explore the putative relationship between dental aesthetics and oral health-related quality of life (OHRQoL), taking into consideration the potential direct and moderating influence of private and public self-consciousness. The subjects of this cross-sectional survey were 148 university students. Dental aesthetics were assessed by means of the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN). OHRQoL was estimated using a modification of the scales 'social appearance concern' and 'appearance disapproval', and a novel dental self-confidence scale. In addition, the private and public self-consciousness scales were used. Two-factor analyses of variance were carried out with high and low levels of dental aesthetics and private and public self-consciousness as the independent variables and the OHRQoL scales as the dependent variables. It was found that dental aesthetics had a direct effect on all OHRQoL scale values. Private self-consciousness was related to social appearance concern, while public self-consciousness was associated with both social appearance concern and appearance disapproval. An interaction effect was identified which showed that the impact of dental aesthetics on social appearance concern was stronger in respondents with high private and public self-consciousness than in low scoring subjects. The findings of the study suggest that minor differences in dental aesthetics may have a significant effect on perceived OHRQoL. This effect was more significant in subjects with high self-consciousness.

  14. 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

  15. 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...

  16. 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

  17. 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.

  18. 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.

  19. Lobster on the Sidewalk: Understanding and Helping Children with Fears.

    Science.gov (United States)

    Rubin, Roberta I.; And Others

    1979-01-01

    Discusses the cognitive processes and emotional needs that influence developmental changes related to fears and suggests some techniques which adults may use to help children cope with their fears. (Author/MP)

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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

  2. 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.

  3. Does Fear of Terrorism Differ From Fear of Crime and Sexual Assault: A Question of Geographical Location and Residential Area.

    Science.gov (United States)

    Shechory-Bitton, Mally; Cohen-Louck, Keren

    2016-07-05

    The study describes an examination of three types of fear: crime, sexual assault, and terrorism. The sample consisted of 507 adults from three different geographical locations in Israel with different levels of crime and terror attacks. With regard to fear of crime and fear of sexual assault, the results were compatible with the findings of many studies that indicate the effect of residential area features on levels of fear. Fear of terrorism was found to be more complex. The theoretical framework used to assess fear of crime is not fully suitable for assessing and examining fear of terrorism. Other variables should be taken into consideration, such as religion and ideology.

  4. The effect of intrusive orthodontic force on dental pulp of adults versus adolescents

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    Mostafa Abtahi

    2016-01-01

    Conclusion: Mild intrusive force in closed apex teeth causes no significant histologic changes in adolescents and adults. However, it seems that inflammatory-related histologic pulpal changes are more severe in adults after one month of intrusion.

  5. Sad or Fearful? The Influence of Body Posture on Adults' and Children's Perception of Facial Displays of Emotion

    Science.gov (United States)

    Mondloch, Catherine J.

    2012-01-01

    The current research investigated the influence of body posture on adults' and children's perception of facial displays of emotion. In each of two experiments, participants categorized facial expressions that were presented on a body posture that was congruent (e.g., a sad face on a body posing sadness) or incongruent (e.g., a sad face on a body…

  6. 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

  7. 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.

  8. Specialist management of routine dental procedures in adults with refractory epilepsy.

    Science.gov (United States)

    Ransford, N; Soryal, I; McCorry, D; Sander, J W; Duncan, F; Huggins, N

    2014-04-01

    Little published information exists about the management of dental treatment procedures for people with epilepsy who, despite their medication, continue to have seizures. This paper draws on relevant literature in neurology and anaesthetics to provide a multi-speciality consensus on methods of assessment and adjunctive treatment options in order to manage the risk of a clinically significant seizure occurring during a procedure. It aims to enhance current guidelines and practice in the provision of specialist care for this diverse group.

  9. 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.

  10. 儿童畏惧调查表-牙科分量表中文版的研制%Development of Chinese version of children's fear survey schedule-dental subscale

    Institute of Scientific and Technical Information of China (English)

    卢佳璇; 余东升; 罗伟; 肖小芬; 赵玮

    2011-01-01

    Objective To establish the Chinese version of the modified children's fear survey schedule-dental subscale(CFSS-DS). Methods The original English version of CFSS-DS with facial image scale(FIS) was translated into Chinese, pre-tested and cross-culturally adapted. Subsequently the Chinese version schedule was randomly investigated among 367 children aged 5-12 years and their parents. Reliability and validity of the translated scale was evaluated later. Results Totally 367 children were investigated and 311 valid questionnaire was received. Cronbach's alpha of the translated scale was 0. 85 and test-rest reliability was 0. 73. The 15 items were divided into four domains. There was a certain logical relationship between the items among the same domains. There was highly significant association between the self-report of the Modified CFSS-DS and Frankl Behavioral Scale ( r, = - 0. 403, P < 0. 01 ). Conclusions The Chinese version of modified CFSS-DS has been established successfully with good psychometric properties which provide the theoretical evidence for further application in Chinese population.%目的 研制儿童畏惧调查表-牙科分量表(children's fear survey schedule-dental subscale,CFSS-DS)中文版,为该量表在中国儿童中的应用提供基础.方法 按照西方量表译本评价和修订的标准化程序,对CFSS-DS进行翻译、回译、文化调适,并加入表情量表(facial image scale,FIS),建立CFSS-DS中文版.使用该量表对口腔门诊就诊号为双号的367名5~12周岁儿童进行牙科焦虑症调查,并对调查结果进行统计学分析,考评量表的信度和效度.结果 应用建立的CFSS-DS中文版对367名儿童及家长进行儿童牙科焦虑症调查,共回收有效量表311份,量表的完成率为84.7%;31 1份有效量表中数据缺失18份,占5.8%.CFSS-DS中文版内部一致性Cronbach's α系数为0.85,重测信度为0.73.因子分析提取的4个维度显示,量表存在预想的连带关系和逻辑

  11. 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.

  12. Fears and Phobias

    Science.gov (United States)

    ... A Week of Healthy Breakfasts Shyness Fears and Phobias KidsHealth > For Teens > Fears and Phobias Print A ... help and support to overcome them. previous continue Phobias A phobia is an intense fear reaction to ...

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

    Directory of Open Access Journals (Sweden)

    Telmo Mezadri

    2015-02-01

    Full Text Available To analyze the expression of transforming growth factor-ß1 in heterotopic grafts of adult dental apical papilla. Methodology: The apical papilla of adult Wistar rats was 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

  14. 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.

  15. Food fears: a national survey on the attitudes of Australian adults about the safety and quality of food.

    Science.gov (United States)

    Williams, Peter; Stirling, Emma; Keynes, Nick

    2004-01-01

    A national telephone survey of a representative sample of 1200 Australian adults was conducted in March 2002 in order to identify the factors of greatest concern to consumers in relation to the safety and quality of food, to measure recent trends in views about hazards in the food supply, to explore beliefs about the safety of additives and to discover whether consumers use food labels to check for ingredients of concern. Forty five percent of Australians responded that they were more concerned about the safety and quality of food than they were five years previously, while only 5% were less concerned. The most common potential hazards volunteered were additives and chemical residues (28%), followed by food processing/handling/freshness (21%), food hygiene or contamination (14%), and also genetic modification (14%). More than half of the respondents believe that additives and preservatives are harmful to your health and that many foods contain high levels of pesticides. A greater proportion of consumers claimed to be conscious of checking for additives, either general or specific, on food labels than for information on the salt or sugar content of products. Food regulators, journalists, the food industry and health professionals need to work together to correct misconceptions about the risks to health posed by common food additives and pesticide residues.

  16. Aged dominant negative p38α MAPK mice are resistant to age-dependent decline in adult-neurogenesis and context discrimination fear conditioning.

    Science.gov (United States)

    Cortez, IbDanelo; Bulavin, Dmitry V; Wu, Ping; McGrath, Erica L; Cunningham, Kathryn A; Wakamiya, Maki; Papaconstantinou, John; Dineley, Kelly T

    2017-03-30

    A major aspect of mammalian aging is the decline in functional competence of many self-renewing cell types, including adult-born neuronal precursors. Since age-related senescence of self-renewal occurs simultaneously with chronic up-regulation of the p38MAPKalpha (p38α) signaling pathway, we used the dominant negative mouse model for attenuated p38α activity (DN-p38α(AF/+)) in which Thr180 and Tyr182 are mutated (T→A/Y→F) to prevent phosphorylation activation (DN-p38α(AF/+)) and kinase activity. As a result, aged DN-p38α(AF/+) mice are resistant to age-dependent decline in proliferation and regeneration of several peripheral tissue progenitors when compared to wild-type littermates. Aging is the major risk factor for non-inherited forms of Alzheimer's disease (AD); environmental and genetic risk factors that accelerate the senescence phenotype are thought to contribute to an individual's relative risk. In the present study, we evaluated aged DN-p38α(AF/+) and wildtype littermates in a series of behavioral paradigms to test if p38α mutant mice exhibit altered baseline abnormalities in neurological reflexes, locomotion, anxiety-like behavior, and age-dependent cognitive decline. While aged DN-p38α(AF/+) and wildtype littermates appear equal in all tested baseline neurological and behavioral parameters, DN-p38α(AF/+) exhibit superior context discrimination fear conditioning. Context discrimination is a cognitive task that is supported by proliferation and differentiation of adult-born neurons in the dentate gyrus of the hippocampus. Consistent with enhanced context discrimination in aged DN-p38α(AF/+), we discovered enhanced production of adult-born neurons in the dentate gyrus of DN-p38α(AF/+) mice compared to wildtype littermates. Our findings support the notion that p38α inhibition has therapeutic utility in aging diseases that affect cognition, such as AD.

  17. Dental Amalgam

    Science.gov (United States)

    ... and Medical Procedures Dental Devices Dental Amalgam Dental Amalgam Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Dental amalgam is a dental filling material which is used ...

  18. 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

  19. 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

  20. 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...

  1. 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.......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....

  2. 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.

  3. Dental Health Status of 12-Year-Old Students from Public Schools and Tooth Loss of Adults from the City of Popayan (Cauca, Colombia), 2009

    OpenAIRE

    2010-01-01

    Purpose: Determine the dental health status of a population of 12-years-old students from public schools and the tooth loss percentage of adults in the city of Popayan (Cauca, Colombia). Methods: This cross-sectional study was carried out in 967 12-years-old schoolchildren corresponding to 20% of the population, according to the National Bureau of Statistics, projection for 2008, and 1,406 adults (p=0.05). The decayed, missing and filled teeth Index (DMFT) was established by following the Wor...

  4. 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…

  5. 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.

  6. The effect of disgust and fear modeling on children's disgust and fear for animals.

    Science.gov (United States)

    Askew, Chris; Cakır, Kübra; Põldsam, Liine; Reynolds, Gemma

    2014-08-01

    Disgust is a protective emotion associated with certain types of animal fears. Given that a primary function of disgust is to protect against harm, increasing children's disgust-related beliefs for animals may affect how threatening they think animals are and their avoidance of them. One way that children's disgust beliefs for animals might change is via vicarious learning: by observing others responding to the animal with disgust. In Experiment 1, children (ages 7-10 years) were presented with images of novel animals together with adult faces expressing disgust. Children's fear beliefs and avoidance preferences increased for these disgust-paired animals compared with unpaired control animals. Experiment 2 used the same procedure and compared disgust vicarious learning with vicarious learning with fear faces. Children's fear beliefs and avoidance preferences for animals again increased as a result of disgust vicarious learning, and animals seen with disgust or fear faces were also rated more disgusting than control animals. The relationship between increased fear beliefs and avoidance preferences for animals was mediated by disgust for the animals. The experiments demonstrate that children can learn to believe that animals are disgusting and threatening after observing an adult responding with disgust toward them. The findings also suggest a bidirectional relationship between fear and disgust with fear-related vicarious learning leading to increased disgust for animals and disgust-related vicarious learning leading to increased fear and avoidance.

  7. Fear of Crime in the Elderly: A Longitudinal Study.

    Science.gov (United States)

    Fuentes, Max E.; And Others

    To investigate correlates of fear of crime and physical mobility among physically vulnerable older adults, 42 community dwelling older adults twice completed a battery of tests, with 1 year intervening. The tests included Functional Health Status, Perceived Health Status, Sense of Mastery, Leave of Residence, and Fear of Crime. Crime statistics…

  8. 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

  9. Pre- and post-training evaluation of dental efficacy and activation measures in carers of adults with disabilities in South Australia - a pilot study.

    Science.gov (United States)

    Pradhan, Archana; Keuskamp, Dominic; Brennan, David

    2016-11-01

    The aim of this pilot study was to train carers to provide oral care for adults with disabilities and to evaluate the training programme. Forty-one carers of 103 care recipients from three disability organisations in South Australia were trained in providing oral care for adults with disabilities (April 2013-April 2014). The training included an oral presentation and practical session by a special needs dentist on completing oral health assessments (OHA), developing oral healthcare plans, providing oral hygiene care and assessing the need for dental referral. Continued support was provided via home visits by dental hygienists for the first 2 months and a dentist visit at 3 months. At 6 months, agreement on OHAs between the dentist and trained carers was assessed. Pre- and post-training questionnaires (at 6 months) collected information on dental behaviours of carers and psychosocial factors: carer activation measure-knowledge (CAM-Knowledge), carer activation measure-skills (CAM-Skills), carer activation measure-confidence (CAM-Confidence) and carer dental efficacy (CDE) items (carer diligence, self-efficacy and priority). Post-training (among 16 retained carers), there were significant increases in the mean scores of CAM-Knowledge and CAM-Confidence, but not for CAM-Skills (paired-samples t-tests, α = 0.05). Per cent agreement of CDE items varied little between questionnaires. Carer-dentist agreement on OHAs was generally high with kappa values ranging from 0.63 for the assessment of gums to 1.0 for the assessment of tongue, roof of mouth, denture and dental pain. Further, carers were able to assess the need for referral of their care recipients' oral health similar to the dentist. These findings suggest that with combined theoretical and practical training and continued support, non-dental professionals like carers can improve their knowledge and confidence in providing oral care for adults with disabilities. However, the findings of this pilot study need

  10. Comparing electric shock and a fearful screaming face as unconditioned stimuli for fear learning.

    Science.gov (United States)

    Glenn, Catherine R; Lieberman, Lynne; Hajcak, Greg

    2012-12-01

    The potency of an unconditioned stimulus (UCS) can impact the degree of fear learning. One of the most common and effective UCSs is an electric shock, which is inappropriate for certain populations (e.g., children). To address this need, a novel fear learning paradigm was recently developed that uses a fearful female face and scream as the UCS. The present study directly compared the efficacy of the screaming female UCS and a traditional shock UCS in two fear learning paradigms. Thirty-six young adults completed two fear learning tasks and a measure of trait anxiety; fear learning was indexed with fear-potentiated startle (FPS) and self-reported fear ratings. Results indicated comparable FPS across the two tasks. However, larger overall startle responses were exhibited in the shock task, and participants rated the shock UCS and overall task as more aversive than the screaming female. In addition, trait anxiety was only related to FPS in the fear learning task that employed a shock as the UCS. Taken together, results indicate that, although both UCS paradigms can be used for fear conditioning (i.e., to produce differences between CS+ and CS-), the shock UCS paradigm is more aversive and potentially more sensitive to individual differences in anxiety.

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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....

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

    Directory of Open Access Journals (Sweden)

    Sumit Bhateja

    2015-01-01

    Full Text Available 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 those stored at Oral Medicine and Radiology Department of Dr. D.Y. Patil Dental College and Hospital, Pimpri, Pune. Dental patterns were classified into nine types which are commonly observed in dental radiography. The diversity of dental patterns was calculated for full dentition, maxilla and mandible respectively. Results: Diversity of dental patterns observed for full dentition, maxilla and mandible were found to be 99.9%, 98.2% and 98.4% respectively. Conclusion: Findings suggests that orthopantomograms prove to be valuable aid in human identification.

  17. 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.

  18. A comparison of the dental status and treatment needs of older adults with and without chronic mental illness in Sevilla, Spain

    OpenAIRE

    Velasco Ortega, Eugenio; Segura-Egea, Juan J.; Córdoba Arenas, Sara; Jiménez Guerra, Álvaro; L. Monsalve Guil; López López, José

    2013-01-01

    Objectives: To study the dental status and treatment needs of institutionalized older adults with chronic mental illness compared to a non-psychiatric control sample. Study Design: The sample size was 100, in which 50 were psychogeriatric patients (study group; SG) classified according to DSM-IV, with a mean age of 69.6 ± 6.7 years, and 50 non-psychiatric patients (control group; CG), with a mean age of 68.3 ± 6.9 years. Clinical oral health examinations were conducted and caries were recorde...

  19. 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.

  20. A comparison of the dental status and treatment needs of older adults with and without chronic mental illness in Sevilla, Spain

    Science.gov (United States)

    Segura-Egea, Juan J.; Córdoba-Arenas, Sara; Jiménez-Guerra, Alvaro; Monsalve-Guil, Loreto; López-López, José

    2013-01-01

    Objectives: To study the dental status and treatment needs of institutionalized older adults with chronic mental illness compared to a non-psychiatric control sample. Study Design: The sample size was 100, in which 50 were psychogeriatric patients (study group; SG) classified according to DSM-IV, with a mean age of 69.6 ± 6.7 years, and 50 non-psychiatric patients (control group; CG), with a mean age of 68.3 ± 6.9 years. Clinical oral health examinations were conducted and caries were recorded clinically using the Decayed, Missing and Filled Teeth Index (DMFT). Results were analyzed statistically using the Student’s t-test or analysis of variance. Results: Caries prevalence was 58% and 62% in SG and CG, respectively. DMFT index was 28.3 ± 6.6 in SG and 21.4 ± 6.07 in CG (p Gerodontology, oral health, older adult, psychiatric patients, schizophrenia. PMID:23229258

  1. Dental care - adult

    Science.gov (United States)

    ... 2016 Updated by: Michael Kapner, DDS, general and aesthetic dentistry, Norwalk Medical Center, Norwalk, CT. Review provided ... for EHRs For Developers U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 U.S. Department ...

  2. 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。

  3. Thyroid hormones and fear learning but not anxiety are affected in adult apoE transgenic mice exposed postnatally to decabromodiphenyl ether (BDE-209).

    Science.gov (United States)

    Reverte, Ingrid; Pujol, Andreu; Domingo, José L; Colomina, Maria Teresa

    2014-06-22

    Polybrominated diphenyl ethers (PBDEs) are a family of industrial chemicals used as flame retardants. The fully brominated deca-BDE (BDE-209) is the most used and its potential risk for humans is controversial. The ability of PBDEs to target nervous and endocrine systems suggests multiple enduring effects after perinatal exposure. Cognitive and motor behavior alterations have been reported after developmental exposure to PBDEs, including BDE-209, whereas very little work has been carried out on anxiety and emotional learning. We have previously reported long-term effects of postnatal BDE-209 exposure on spatial memory dependent upon apolipoprotein E (apoE) polymorphism and age. ApoE is involved in lipid transport and its different polymorphisms (ε2, ε3, ε4) confer different vulnerabilities to neurodegeneration, cognitive impairment and anxiety. In the present study we assessed the long term effects of early exposure to BDE-209 on anxiety, fear learning and thyroid hormone levels in mice carrying different apoE polymorphisms (ε2, ε3, ε4). BDE-209 (0, 10 and 30 mg/kg) was orally administered on postnatal day 10 (PND 10). At 4 and 12 months of age mice were tested in an open field (OF) and an elevated zero maze (EZM). Fear conditioning and thyroid hormone levels were evaluated in mice at 5-6 months of age. Postnatal exposure to BDE-209 impaired cued fear learning in apoE2 and apoE3 mice. Levels of thyroid hormones were increased in apoE3 female mice exposed to BDE-209. Our findings indicate long lasting effects of BDE-209 on emotional learning and thyroid hormone levels after a single postnatal exposure.

  4. Attachment Without Fear

    OpenAIRE

    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...

  5. Attachment Without Fear.

    Science.gov (United States)

    Bell, David C

    2009-12-01

    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, openness, and dependence interact with the caregiving elements of caring, empathy, and responsibility.

  6. Dental Emergencies

    OpenAIRE

    Domb, Ivor

    1982-01-01

    Emergency dental problems can result from trauma, dental pathology, or from dental treatment itself. While the physician can treat many instances of dental trauma, the patient should see a dentist as soon as possible so that teeth can be saved. Emergency treatment of dental pathology usually involves relief of pain and/or swelling. Bleeding is the most frequent post-treatment emergency. The physician should be able to make the patient comfortable until definitive dental treatment can be avail...

  7. Dental Procedures.

    Science.gov (United States)

    Ramponi, Denise R

    2016-01-01

    Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures.

  8. 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

  9. Brief fear preexposure facilitates subsequent fear conditioning.

    Science.gov (United States)

    Iwasaki, Satoshi; Sakaguchi, Tetsuya; Ikegaya, Yuji

    2015-06-01

    Post-traumatic stress disorder (PTSD) is an anxiety disorder that occurs following an unexpected exposure to a severe psychological event. A history of a brief trauma is reported to affect a risk for future PTSD development; however, little is known about the mechanisms by which a previous trauma exposure drives the sensitivity to a late-coming trauma. Using a mouse PTSD model, we found that a prior foot shock enhances contextual fear conditioning. This shock-induced facilitation of fear conditioning (i.e., priming effect) persisted for 7 days and was prevented by MK801, an N-methyl-D-aspartate receptor antagonist. Other types of trauma, such as forced swimming or tail pinch, did not induce a priming effect on fear conditioning. Thus, a trauma is unlikely generalized to modify the sensitivity to other traumatic experiences. The behavioral procedure employed in this study may be a useful tool to elucidate the etiology of PTSD.

  10. 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...

  11. 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.…

  12. The Impact of Parental Attachment and Feelings of Isolation on Adolescent Fear of Crime at School

    Science.gov (United States)

    Wallace, Lisa Hutchinson; May, David C.

    2005-01-01

    While scores of researchers have examined the antecedents of fear of criminal victimization among adults, research examining the correlates of such fear among adolescents, particularly in the school setting, is limited. Using data from 2,136 public school students from a rural Southern state, we examine the association between fear of criminal…

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

    OpenAIRE

    Mercedes eFernandez y Mostajo; Wil evan der Reijden; Mark eBuijs; Wouter eBeertsen; Fridus evan der Weijden; Wim eCrielaard; Egija eZaura

    2014-01-01

    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 w...

  14. 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.

  15. Emotional imagery in simple and social phobia: fear versus anxiety.

    Science.gov (United States)

    McNeil, D W; Vrana, S R; Melamed, B G; Cuthbert, B N; Lang, P J

    1993-05-01

    In a first study, phobic volunteer subjects (N = 60) reacted psychophysiologically with greater vigor to imagery of their own phobic content than to other fearful or nonaffective images. Imagery heart rate responses were largest in subjects with multiple phobias. For simple (dental) phobics, cardiac reactivity was positively correlated with reports of imagery vividness and concordant with reports of affective distress; these relationships were not observed for social (speech) phobics. In a second study, these phobic volunteers were shown to be similar on most measures to an outpatient clinically phobic sample. In an analysis of the combined samples, fearful and socially anxious subtypes were defined by questionnaires. Only the fearful subtype showed a significant covariation among physiological responses, imagery vividness, and severity of phobic disorder. This fearful-anxious distinction seems to cut across diagnostic categories, providing a heuristic perspective from which to view anxiety disorders.

  16. 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

  17. Effects of message framing and visual-fear appeals on smoker responses to antismoking ads.

    Science.gov (United States)

    Kang, Jungsuk; Lin, Carolyn A

    2015-01-01

    This study examined the effects of antismoking ads on Korean adult male smokers. An experiment was conducted to explore how message framing and visual-fear appeals embedded in antismoking ads may influence ad-evoked fear, threat appraisals, and intention to quit smoking. Results showed that (a) antismoking ad exposure increased ad-evoked fear and cessation intention; (b) optimistic bias was stronger when the visual-fear appeal was absent in antismoking ads; and

  18. 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

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

    NARCIS (Netherlands)

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

    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

  20. Group therapy compared with individual desensitization for dental anxiety

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.

    1994-01-01

    Results of group therapy (GT) for extreme dental anxiety were compared with individual treatment (IT). Scales used measured dental anxiety, beliefs or trust in dentists, and fear of the next dentist after specialist treatment which showed reduced dental anxiety and improved dental beliefs compared...... with a static control group of 45 patients. The 30 GT patients showed no significant difference in dropouts during training compared with the 68 IT patients, but for patients who completed treatment, GT (n = 24) had greater dental anxiety reduction than IT subjects (n = 60). GT patients required fewer therapist...

  1. Eliminating Fear of the Blank Page: A Thematic Approach, aka Squeezing the California Department of Education's 1992 ESL Model Standards for Adult Education Programs into One Tidy Package.

    Science.gov (United States)

    DesRoches, Diane

    An approach to teaching integrated language skills in adult English-as-a-Second-Language (ESL) instruction is described. The technique uses a combination of classroom drama and role-playing, writing about the event, revision, publication, and follow-up activities to develop speaking, listening, reading, and writing skills. Eight stages are defined…

  2. Fears and Phobias

    Science.gov (United States)

    ... to school if the weather forecast predicts a storm. She might feel terrible distress and fear when ... with a particular thing or situation. A tiny brain structure called the amygdala (pronounced: uh-MIG-duh- ...

  3. 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.

  4. Intravenous infusion of midazolam: A valuation of patient compliance after teeth extraction for dental fear%静注咪达唑仑镇静对牙科畏惧症患者拔牙术依从性的影响

    Institute of Scientific and Technical Information of China (English)

    芦睿; 朱伟; 闫维; 刘冰; 张国良

    2013-01-01

    Objective To evaluate patients' compliance by intravenous infusion of midazolam in treating dental fear. Methods 120 patients were divided into midazolam and control group randomly. Before local anesthesia, the patients in midazolam group administered intravenous injection of midazolam (0.05mg/kg). The control group only used local anesthesia. The patients filled in the Scales of Frankl Behavior and Houpt Behavior form after tooth extraction. The scores of two groups were analyzed and compared. Results The Frankl scores (3.68±0.29比2.07±0.42,P<0.05) and the Houpt scores (5.81±0.37比3.58±0.72,P<0.01) were significantly different between two groups. Conclusion The use of intravenous infusion of midazolam sedation is satisfactory on dental fear patients and increased patients compliance.%目的 评价静脉注射咪迭唑仑镇静对牙科畏惧症患者智齿拔除术依从性的影响.方法 120例牙科畏惧症患者随机分为两组,其中咪达唑仑组在局部麻醉前使用咪达唑仑进行静脉注射(0.05mg/kg),对照组仅进行局部麻醉.拔牙手术结束后调查两组患者对整个拔牙过程的感受,填写患者Frankl治疗依从性量表和Houpt行为量表.并对两组患者的Frankl治疗依从性分值和Houpt行为值进行统计学分析.结果 咪达唑仑组与对照组的Frankl评分(3.68±0.29比2.07±0.42,P<0.05)和Houpt评分(5.81±0.37比3.58±0.72,P<0.01)比较均有统计学差异.结论 拔牙术前静脉注射咪达唑仑,可使牙科畏惧症患者更加配合治疗,提高患者的依从性.

  5. Aging and fear of crime: an experimental approach to an apparent paradox.

    Science.gov (United States)

    Ziegler, Raphael; Mitchell, David B

    2003-01-01

    Many fear of crime studies have revealed an interesting paradox: Although older adults are less likely to be victims, they report a higher fear of crime than younger adults. In this study, we experimentally manipulated vicarious exposure to crime. Younger (ages 18-29) and older adults (ages 61-78) were randomly assigned to view either a vivid video reenactment of a violent crime or a crime report newscast. Subjects in the violent video condition demonstrated significantly higher fear than did control group participants, but this effect was reliable only for younger adults. The older adults appeared to be unfazed by the violent video, and reported significantly less fear than the younger group. This could not be explained away on the basis of age group differences in neighborhood crime rates, victimization experience, or media exposure. Thus, when greater fear of crime is found in older adults, "old age" per se is not the cause.

  6. Benzodiazepines for conscious sedation in the dental office

    OpenAIRE

    Theodoro Weissheimert; Alexandre da Silveira Gerzson; Henderson Eduarth Schwengber; Angelo Menuci Neto

    2016-01-01

    Conventional behavioral conditioning techniques are usually suf fi cient for management of patients with fear and anxiety during dental treatment. When such techniques do not produce the expected results, dental anxiety can be managed using drug-based treatments known as conscious sedation. Anxiety can complicate dental procedures because of effects such as increased blood pressure, hyperventilation, and fainting. Medications such as benzodiazepines can be used to avoid these complicat...

  7. 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.

  8. 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…

  9. About Dental Amalgam Fillings

    Science.gov (United States)

    ... Medical Procedures Dental Devices Dental Amalgam About Dental Amalgam Fillings Share Tweet Linkedin Pin it More sharing ... I have my fillings removed? What is dental amalgam? Dental amalgam is a dental filling material used ...

  10. 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

  11. Worry in Children: Changing Associations with Fear, Thinking, and Problem-Solving

    Science.gov (United States)

    Carr, Imogen; Szabó, Marianna

    2015-01-01

    Worry in adults has been conceptualized as a thinking process involving problem-solving attempts about anticipated negative outcomes. This process is related to, though distinct from, fear. Previous research suggested that compared to adults, children's experience of worry is less strongly associated with thinking and more closely related to fear.…

  12. 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....

  13. The development, implementation, utilization and outcomes of a comprehensive dental program for older adults residing in long-term care facilities.

    Science.gov (United States)

    Wyatt, Chris C L; So, Frankie H C; Williams, P Michele; Mithani, Akber; Zed, Christopher M; Yen, Edwin H K

    2006-06-01

    This paper documents the experience of the University of British Columbia's Geriatric Dentistry Program (GDP) with emphasis on the dental treatment needs of patients during its first year of operation. The GDP provided access to dental care for residents of longterm care facilities, education for hospital staff concerning daily mouth care, education of dental students and an opportunity for research. The first year of clinical activity saw a small, yet significant, improvement in oral health for residents using the dental services. We hope that the outcomes of this new dental program for long-term care facilities will encourage dentists to provide care for this vulnerable population.

  14. Thinking about going to the dentist: a Contemplation Ladder to assess dentally-avoidant individuals' readiness to go to a dentist

    Directory of Open Access Journals (Sweden)

    Hillstead M Blake

    2011-01-01

    Full Text Available Abstract Background The Transtheoretical Model suggests that individuals vary according to their readiness to change behavior. Previous work in smoking cessation and other health areas suggests that interventions are more successful when they are tailored to an individual's stage of change with regards to the specific behavior. We report on the performance of a single-item measure ("Ladder" to assess the readiness to change dental-avoidant behavior. Methods An existing Contemplation Ladder for assessing stage of change in smoking cessation was modified to assess readiness to go to a dentist. The resulting Ladder was administered to samples of English-speaking adolescents (USA, Spanish-speaking adults (USA, and Norwegian military recruits (Norway in order to assess construct validity. The Ladder was also administered to a sample of English-speaking avoidant adolescents and young adults who were enrolled in an intervention study (USA in order to assess criterion validity. All participants also had dental examinations, and completed other questionnaires. Correlations, chi square, t tests and one-way ANOVAs were used to assess relationships between variables. Results In two samples, participants who do not go to the dentist had significantly more teeth with caries; in a third sample, participants who do not go to the dentist had significantly worse caries. Ladder scores were not significantly related to age, gender, caries, or dental fear. However, Ladder scores were significantly related to statements of intention to visit a dentist in the future and the importance of oral health. In a preliminary finding, Ladder scores at baseline also predicted whether or not the participants decided to go to a dentist in the intervention sample. Conclusions The data provide support for the convergent and divergent construct validity of the Ladder, and preliminary support for its criterion validity. The lack of relationship between dental fear and Ladder scores

  15. Dysregulated fear predicts social wariness and social anxiety symptoms during kindergarten.

    Science.gov (United States)

    Buss, Kristin A; Davis, Elizabeth L; Kiel, Elizabeth J; Brooker, Rebecca J; Beekman, Charles; Early, Martha C

    2013-01-01

    Fearful temperament is associated with risk for the development of social anxiety disorder in childhood; however, not all fearful children become anxious. Identifying maladaptive trajectories is thus important for clarifying which fearful children are at risk. In an unselected sample of 111 two-year-olds (55% male, 95% Caucasian), Buss ( 2011 ) identified a pattern of fearful behavior, dysregulated fear, characterized by high fear in low threat situations. This pattern of behavior predicted parent- and teacher-reported withdrawn/anxious behaviors in preschool and at kindergarten entry. The current study extended original findings and examined whether dysregulated fear predicted observed social wariness with adults and peers, and social anxiety symptoms at age 6. We also examined prosocial adjustment during kindergarten as a moderator of the link between dysregulated fear and social wariness. Consistent with predictions, children with greater dysregulated fear at age 2 were more socially wary of adults and unfamiliar peers in the laboratory, were reported as having more social anxiety symptoms, and were nearly 4 times more likely to manifest social anxiety symptoms than other children with elevated wariness in kindergarten. Results demonstrated stability in the dysregulated fear profile and increased risk for social anxiety symptom development. Dysregulated fear predicted more social wariness with unfamiliar peers only when children became less prosocial during kindergarten. Findings are discussed in relation to the utility of the dysregulated fear construct for specifying maladaptive trajectories of risk for anxiety disorder development.

  16. Serotonergic Modulation of Conditioned Fear

    Directory of Open Access Journals (Sweden)

    Judith R. Homberg

    2012-01-01

    Full Text Available Conditioned fear plays a key role in anxiety disorders as well as depression and other neuropsychiatric conditions. Understanding how neuromodulators drive the associated learning and memory processes, including memory consolidation, retrieval/expression, and extinction (recall, is essential in the understanding of (individual differences in vulnerability to these disorders and their treatment. The human and rodent studies I review here together reveal, amongst others, that acute selective serotonin reuptake inhibitor (SSRI treatment facilitates fear conditioning, reduces contextual fear, and increases cued fear, chronic SSRI treatment reduces both contextual and cued fear, 5-HT1A receptors inhibit the acquisition and expression of contextual fear, 5-HT2A receptors facilitates the consolidation of cued and contextual fear, inactivation of 5-HT2C receptors facilitate the retrieval of cued fear memory, the 5-HT3 receptor mediates contextual fear, genetically induced increases in serotonin levels are associated with increased fear conditioning, impaired cued fear extinction, or impaired extinction recall, and that genetically induced 5-HT depletion increases fear conditioning and contextual fear. Several explanations are presented to reconcile seemingly paradoxical relationships between serotonin levels and conditioned fear.

  17. 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.

  18. Emetophobia: A fear of vomiting.

    Science.gov (United States)

    Faye, Abhijeet D; Gawande, Sushil; Tadke, Rahul; Kirpekar, Vivek C; Bhave, Sudhir H

    2013-10-01

    Emetophobia is an intense, irrational fear of vomiting including fear of feeling nausea, seeing or hearing another person vomit, or seeing vomitus itself. It may occur at any age and we need to understand its symptomatology. We report a case of emetophobic child whose fear of vomiting started after an attack of acute appendicitis. In the initial stage, fear was limited to vomiting, later it became generalized to a fear of seeing the vomitus, worries that parents may suffer vomiting, fear of vomiting in public places followed by avoiding social activities. Patient improved on short course of anti-anxiety drugs and Graded Exposure Therapy.

  19. Music interventions for dental anxiety.

    Science.gov (United States)

    Bradt, J; Teague, A

    2016-11-25

    Anxiety is a significant issue in the dental care of adults and children. Dental anxiety often leads to avoidance of dental care which may result in significant deterioration of oral and dental health. Non-pharmacological anxiety management interventions such as music listening are increasingly used in dental care. Although efficacy for music's anxiolytic effects has been established for pre-operative anxiety, findings regarding the use of music listening for dental anxiety are inconclusive, especially for children. The use of music for passive distraction may not be adequate for children and highly anxious adults. Instead, interventions offered by a trained music therapist may be needed to optimize music's anxiolytic impact. Music therapy interventions are individualized to the patient's presenting needs and geared at enhancing patients' active engagement in the management of their anxiety. Interventions may include (i) active refocusing of attention, (ii) music-guided deep breathing, (iii) music-assisted relaxation, and (iv) music-guided imagery. In addition, music therapists can teach patients music-based anxiety management skills prior to dental treatments, offer them the opportunity to express emotions related to the upcoming procedure, and help them gain a sense of control and safety. Clinical guidelines for the use of music listening by dental practitioners are offered.

  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

    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...... 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...

  1. 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...... legislations are Thus primarily founded on arguments concerning moral, social or public order. The article furthermore argues that although anti-censorship satire gradually weakened the legitimacy of censorship, the notion of religion as 'the social bond of society' is still operative in contemporary blasphemy...

  2. Panic Disorder: When Fear Overwhelms

    Science.gov (United States)

    ... have: Sudden and repeated panic attacks of overwhelming anxiety and fear A feeling of being out of control, or ... to react differently to the physical sensations of anxiety and fear that occur during panic attacks. For more information ...

  3. Assessment of exposures and potential risks to the US adult population from the leaching of elements from gold and ceramic dental restorations.

    Science.gov (United States)

    Richardson, G Mark; James, Kyle Jordan; Peters, Rachel Elizabeth; Clemow, Scott Richard; Siciliano, Steven Douglas

    2016-01-01

    Using data from the 2001 to 2004 US National Health and Nutrition Examination Survey (NHANES) on the number and placement of tooth restorations in adults, we quantified daily doses due to leaching of elements from gold (Au) alloy and ceramic restorative materials. The elements with the greatest leaching rates from these materials are often the elements of lowest proportional composition. As a result, exposure due to wear will predominate for those elements of relatively high proportional composition, while exposure due leaching may predominate for elements of relatively low proportional composition. The exposure due to leaching of silver (Ag) and palladium (Pd) from Au alloys exceeded published reference exposure levels (RELs) for these elements when multiple full surface crowns were present. Six or more molar crowns would result in exceeding the REL for Ag, whereas three or more crowns would be necessary to exceed the REL for Pd. For platinum (Pt), the majority of tooth surfaces, beyond just molar crowns, would be necessary to exceed the REL for Pd. Exposures due to leaching of elements from ceramic dental materials were less than published RELs for all components examined here, including having all restorations composed of ceramic.

  4. Evaluation of periodontal risk assessment model among adults aged 30-60 years attending KLE Dental College, Belgaum: A hospital-based study

    Directory of Open Access Journals (Sweden)

    Eshwar Shruthi

    2010-01-01

    Full Text Available Aim : The aim of the present study was to evaluate the periodontal risk of individuals using the modified periodontal risk assessment model. Materials and Methods: Adult subjects aged 30-60 years attending the out patient department of Institute of Dental Sciences, Belgaum in a week′s period were screened and 30 among those who met the criteria were included in the study. Complete history and examination of the oral cavity was done using mouth mirror and community periodontal index probes. Periodontal status was recorded using community periodontal index. Systemic conditions like hypertension and diabetes was assessed by suitable investigations. All the risk factors were plotted on a model using Microsoft excel and periodontal risk was assessed based on the findings and categorized as low, moderate and high risk. Results: Among 30 patients 13 were in low risk group, 10 in moderate risk group, and 7 in high risk group identified by proposed model given by Vishwa Chandra whereas 20 patients were in low risk group, 5 in moderate risk group and 5 in high risk group when identified Lang and Tonetti model (2003. Conclusion: In conclusion the use of risk assessment tool would result in reduction of complex therapies and would prevent the future effects of periodontal disease such as bone and tooth loss.

  5. 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

  6. Pursued by fear

    NARCIS (Netherlands)

    Lonneke van Noije; Jurjen Iedema

    2017-01-01

    Original title: Achtervolgd door angst. This publication focuses on fear of victimisation as one of the most urgent aspects of subjective unsafety. Dutch research on subjective unsafety often uses a standard question drawn from the series of national Safety Monitors published by Statistics Netherla

  7. Citizens in fear?

    NARCIS (Netherlands)

    Janneke Oppelaar; Karin Wittebrood

    2006-01-01

    Original title: Angstige burgers How afraid are citizens of crime, and has that fear increased or decreased in recent years? Which factors make people feel unsafe and how susceptible are they to influence? This publication looks extensively at these questions. As well as an overview of the scientif

  8. 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...

  9. 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?

  10. 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.

  11. 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.

  12. Adult stem cells properties in terms of commitment, aging and biological safety of grit-blasted and Acid-etched ti dental implants surfaces.

    Science.gov (United States)

    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 hemocompatibility. Human adipose - derived stem cells (ADSCs) were then seeded onto these implants in order to evaluate their cytotoxicity. Gene expression analyzing with real-time PCR was carried out to investigate the osteoinductivity of the biomaterials. Finally, the genetic stability of the cells cultured onto dental implants was determined by karyotyping. Our results demonstrated that Ti dental implants are not mutagenic, do not cause hemolysis, and are biocompatible. The MTT assay revealed that ADSCs, seeded on Ti dental implants, proliferate up to 30 days in culture. Moreover, ADSCs loaded on Ti dental implants show a substantial expression of some osteoblast specific markers, such as COL1A1, OPN, ALPL, and RUNX2, as well as chromosomal stability after 30 days of culture in a medium without osteogenic factors. In conclusion, the grit-blasted and acid-etched treatment seems to favor the adhesion and proliferation of ADSCs and improve the osteoinductivity of Ti dental implant surfaces.

  13. 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.

  14. 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.

  15. The effect of orthodontic torsional force on TNF-αexpression in adult dental pulps%正畸扭转力对成人牙髓中TNF-α活性影响的研究

    Institute of Scientific and Technical Information of China (English)

    郭新星; 陈静; 张勇

    2015-01-01

    AIM:To investigate the effects of orthodontic torsional force on TNF-αexpression in adult dent-al pulps. METHODS:112 maxillary first premolars in 56 adult orthodontic patients were randomly divided into exper-imental group (n=96) and control group (n=16). The teeth in experimental group were added with 4, 6, and 8 ounces orthodontic torsional force for 1, 2, 3 and 4 w respectively(n=8). At the end of the treatment, the teeth were extracted and dental pulp tissues were removed. TNF-α expression in the dental pulps were detected by ELISA. RESULTS:In 4 and 6 ounce torsional force treatment groups TNF-α expression did not show any change up to 3 w, but increased at the end of 4 w in the 2 groups(P0.05)。结论:持续扭转力过大或时间过长可能会引起牙髓TNF-α的活性变化。

  16. [Chest pains in the dental environment].

    Science.gov (United States)

    Garfunkel, A; Galili, D; Findler, M; Zusman, S P; Malamed, S F; Elad, S; Kaufman, E

    2002-01-01

    Chest pain does not necessarily indicate cardiac disease. The most common causes of acute chest pain encountered in dental situations include hyperventilation, pulmonary embolism, angina pectoris and myocardial infarction. Stress and fear often cause rapid breathing or hyperventilation. This usually occurs in young adults and although the hyperventilating patient often complains of chest pain, this is rarely a manifestation of cardiac disease. Pulmonary embolism usually indicates the occlusion of a pulmonary artery causing severe chest pain. The primary clinical manifestation of angina pectoris is chest pain. Although most instances of anginal pain are easily terminated, the dentist must always consider the possibility that the supposed anginal attack is actually a sign of acute myocardial infarction (AMI). AMI is a clinical syndrome caused by a deficient coronary arterial blood supply to a region of myocardium that results in cellular death. There is a high incidence of mortality among AMI with death often occurring within 2 hours of the onset of signs and symptoms. The initial clinical manifestations of all types of chest pain can be similar. Therefore the dentist must develop proficiency in constituting a differential diagnosis and an efficient management protocol. As in most medical situations prevention is the most powerful tool. However, if chest pains do occur, measures such as airway management, oxygen supplementation, coronary artery dilation, analgesis and in extreme cases, cardiopulmonary resuscitation and evacuation to the emergency room, may be necessary.

  17. 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.

  18. Additional psychometric data for the Spanish Modified Dental Anxiety Scale, and psychometric data for a Spanish version of the Revised Dental Beliefs Survey

    Directory of Open Access Journals (Sweden)

    Weinstein Philip

    2010-05-01

    Full Text Available Abstract Background Hispanics comprise the largest ethnic minority group in the United States. Previous work with the Spanish Modified Dental Anxiety Scale (MDAS yielded good validity, but lower test-retest reliability. We report the performance of the Spanish MDAS in a new sample, as well as the performance of the Spanish Revised Dental Beliefs Survey (R-DBS. Methods One hundred sixty two Spanish-speaking adults attending Spanish-language church services or an Hispanic cultural festival completed questionnaires containing the Spanish MDAS, Spanish R-DBS, and dental attendance questions, and underwent a brief oral examination. Church attendees completed the questionnaire a second time, for test-retest purposes. Results The Spanish MDAS and R-DBS were completed by 156 and 136 adults, respectively. The test-retest reliability of the Spanish MDAS was 0.83 (95% CI = 0.60-0.92. The internal reliability of the Spanish R-DBS was 0.96 (95% CI = 0.94-0.97, and the test-retest reliability was 0.86 (95% CI = 0.64-0.94. The two measures were significantly correlated (Spearman's rho = 0.38, p Conclusion In this sample, the test-retest reliability of the Spanish MDAS was higher. The significant relationships between dental attendance and questionnaire scores, as well as the difference in caries severity seen in those with high fear, add to the evidence of this scale's construct validity in Hispanic samples. Our results also provide evidence for the internal and test-retest reliabilities, as well as the construct validity, of the Spanish R-DBS.

  19. Is Fear Really Persuasive

    OpenAIRE

    2005-01-01

    Persuasive communication has been used for ages, from the great Ancient Greece to modern days, in order to modify people's ways of thinking and acting. It has a tremendous role to play when it comes to advertising, even more so if considering social advertising campaigns. One of the determinants that were scrutinized before through research in the field of persuasive communication is the appeal to fear, which is frequently used in public health campaigns, such as antismoking advertising. In s...

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

    Science.gov (United States)

    Noureddine, Samar; Metzger, Bonnie

    2014-01-13

    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 intention and intake were measured. Health-related fears were the most frequently reported feared selves, but very few of those represented illnesses and none were related to dietary intake. The number of health and body weight related fears was significantly associated with lower dietary self-efficacy and weaker intention to eat in a healthy manner. Multivariate analysis showed self-efficacy to be the only significant predictor of dietary intention. These adults may not have perceived being at risk for diet-associated illnesses, and so their feared selves did not motivate them to eat in a healthy manner. Research on the effect of hoped for health related possible selves and the perceived effectiveness of diet in reducing health risk are recommended.

  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. Pain and dental implantology: sensory quantification and affective aspects. Part I: At the private dental office.

    Science.gov (United States)

    Muller, E; Ríos Calvo, M P

    2001-01-01

    After an extensive review of the dental literature, few articles were found related to pain and implantology. Management of orofacial pain has traditionally been a difficult challenge for the dental-medical profession. Patients may be afraid of dental pain, particularly in cases of dental implantology. Therefore, a study to obtain more conclusive data was developed. Taking into account that the perception of pain and the threshold of pain vary among individuals, a 2-year clinical study was established in private practice utilizing a verbal method (double-blind). The study was used to quantify sensory and affective aspects of pain associated with dental implantology on 75 patients in a private dental office. All of the implants were placed by the same clinician. Data were recorded following a Pain Data Sheet designed for this particular study. The aim of this study was to obtain different aspects of data as follows: 1) Fear of the dentist and fear of dental implant procedures utilizing a descriptive scale of 1 to 10, with 1 indicative of no fear. 2) Dental areas and ridges: Dental pain, pain in edentulous areas, and pain in the implanted area utilizing a scale of 0 to 8, with 0 indicative of no pain. 3) Function and pain: during mastication, swallowing, speech, yawning, opening, closing, and lateral excursions and indication of cervical pain or back pain, each calibrated by the presence or absence of pain. 4) Palpation and pain of the temporomandibular joint, the temporal muscle, the area of the pterygoid muscles, masseter muscle, and sternocleidomastoid muscle, all calibrated on the indication of presence or absence of pain. 5) Others: ear pain, neuralgia, headaches, edema, and hematoma, calibrated on the basis of presence or absence. The aforementioned factors were evaluated immediately before surgery and after surgery, at 24 hours, and during a follow up for a period of 2 years at intervals of 1 week; 1, 2, 3, 4, and 6 months; and 1 and 2 years after surgery

  3. Skin conductance fear conditioning impairments and aggression: a longitudinal study.

    Science.gov (United States)

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

    2015-02-01

    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 persistently high on proactive aggression measures had significantly poorer conditioned responses at 18 years old when compared to others. This association was not found for reactive aggression. Consistent with prior literature, findings suggest that persistent antisocial individuals have unique neurobiological characteristics and that poor autonomic fear conditioning is associated with the presence of increased instrumental aggressive behavior.

  4. 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.

  5. Regulating critical period plasticity: insight from the visual system to fear circuitry for therapeutic interventions.

    Science.gov (United States)

    Nabel, Elisa M; Morishita, Hirofumi

    2013-01-01

    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.

  6. Modelling the fear effect in predator-prey interactions.

    Science.gov (United States)

    Wang, Xiaoying; Zanette, Liana; Zou, Xingfu

    2016-11-01

    A recent field manipulation on a terrestrial vertebrate showed that the fear of predators alone altered anti-predator defences to such an extent that it greatly reduced the reproduction of prey. Because fear can evidently affect the populations of terrestrial vertebrates, we proposed a predator-prey model incorporating the cost of fear into prey reproduction. Our mathematical analyses show that high levels of fear (or equivalently strong anti-predator responses) can stabilize the predator-prey system by excluding the existence of periodic solutions. However, relatively low levels of fear can induce multiple limit cycles via subcritical Hopf bifurcations, leading to a bi-stability phenomenon. Compared to classic predator-prey models which ignore the cost of fear where Hopf bifurcations are typically supercritical, Hopf bifurcations in our model can be both supercritical and subcritical by choosing different sets of parameters. We conducted numerical simulations to explore the relationships between fear effects and other biologically related parameters (e.g. birth/death rate of adult prey), which further demonstrate the impact that fear can have in predator-prey interactions. For example, we found that under the conditions of a Hopf bifurcation, an increase in the level of fear may alter the direction of Hopf bifurcation from supercritical to subcritical when the birth rate of prey increases accordingly. Our simulations also show that the prey is less sensitive in perceiving predation risk with increasing birth rate of prey or increasing death rate of predators, but demonstrate that animals will mount stronger anti-predator defences as the attack rate of predators increases.

  7. Dental OCT

    Science.gov (United States)

    Wilder-Smith, Petra; Otis, Linda; Zhang, Jun; Chen, Zhongping

    This chapter describes the applications of OCT for imaging in vivo dental and oral tissue. The oral cavity is a diverse environment that includes oral mucosa, gingival tissues, teeth and their supporting structures. Because OCT can image both hard and soft tissues of the oral cavity at high resolution, it offers the unique capacity to identity dental disease before destructive changes have progressed. OCT images depict clinically important anatomical features such as the location of soft tissue attachments, morphological changes in gingival tissue, tooth decay, enamel thickness and decay, as well as the structural integrity of dental restorations. OCT imaging allows for earlier intervention than is possible with current diagnostic modalities.

  8. Using Cognitive Behavioral Strategies To Reduce Fear of Falling: A Matter of Balance.

    Science.gov (United States)

    Peterson, Elizabeth Walker

    2003-01-01

    Fear of falling is a threat to the quality of life and independence of older adults. A Matter of Balance is a program that uses cognitive-behavioral therapy to reduce fear of falling and improve physical functioning. A randomized controlled trial (n=434) validated immediate and long-term improvements. (Contains 39 references.) (JOW)

  9. 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…

  10. Fear of Crime and the Elderly: Personal, Social, and Environmental Factors.

    Science.gov (United States)

    Ward, Russell A.; And Others

    Despite low levels of criminal victimization, older people often express greater fear of crime than others. To examine the causes and consequences of such fear, 1,185 adults aged 60 and over, were interviewed about their personal characteristics, social resources, environment, subjective well-being, and lifestyle. Results showed that older people…

  11. Effects of Stress and Sex on Acquisition and Consolidation of Human Fear Conditioning

    Science.gov (United States)

    Kuhn, Cynthia M.; LaBar, Kevin S.; Zorawski, Michael; Blanding, Nineequa Q.

    2006-01-01

    We examined the relationship between stress hormone (cortisol) release and acquisition and consolidation of conditioned fear learning in healthy adults. Participants underwent acquisition of differential fear conditioning, and consolidation was assessed in a 24-h delayed extinction test. The acquisition phase was immediately followed by an 11-min…

  12. 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…

  13. Neuronal circuits of fear extinction.

    Science.gov (United States)

    Herry, Cyril; Ferraguti, Francesco; Singewald, Nicolas; Letzkus, Johannes J; Ehrlich, Ingrid; Lüthi, Andreas

    2010-02-01

    Fear extinction is a form of inhibitory learning that allows for the adaptive control of conditioned fear responses. Although fear extinction is an active learning process that eventually leads to the formation of a consolidated extinction memory, it is a fragile behavioural state. Fear responses can recover spontaneously or subsequent to environmental influences, such as context changes or stress. Understanding the neuronal substrates of fear extinction is of tremendous clinical relevance, as extinction is the cornerstone of psychological therapy of several anxiety disorders and because the relapse of maladaptative fear and anxiety is a major clinical problem. Recent research has begun to shed light on the molecular and cellular processes underlying fear extinction. In particular, the acquisition, consolidation and expression of extinction memories are thought to be mediated by highly specific neuronal circuits embedded in a large-scale brain network including the amygdala, prefrontal cortex, hippocampus and brain stem. Moreover, recent findings indicate that the neuronal circuitry of extinction is developmentally regulated. Here, we review emerging concepts of the neuronal circuitry of fear extinction, and highlight novel findings suggesting that the fragile phenomenon of extinction can be converted into a permanent erasure of fear memories. Finally, we discuss how research on genetic animal models of impaired extinction can further our understanding of the molecular and genetic bases of human anxiety disorders.

  14. 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

  15. Dental sealants

    Science.gov (United States)

    ... few quick steps. There is no drilling or scraping of the molars. Your dentist will: Clean the ... Dental sealants. Updated October 19, 2016. ADA.org Web site. www.ada.org/en/member-center/oral- ...

  16. Growing up to be fearful? Social evaluative fears during adolescence

    NARCIS (Netherlands)

    Sumter, Sindy Resita

    2010-01-01

    This thesis studies the normal developmental pattern of social evaluative fears from childhood to adolescence. We have investigated age differences in self-reported social fears and physical responses during a public speaking task. In addition, youth's perceptions of speaking in public were studied

  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. 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 ...

  19. 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.

  20. 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

    2012-01-01

    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 hours prior to extinction learning in 29 healthy adult volunteers (THC = 14; PBO = 15) and tested extinction retention 24 hours 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 hours 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. PMID:22796109

  1. 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

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

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Anxiety, Fears, and Phobias KidsHealth > For Parents > Anxiety, Fears, ... unsettling experiences and challenging situations of life. Many Anxieties and Fears Are Normal Anxiety is defined as " ...

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

    Science.gov (United States)

    ... 1- to 2-Year-Old Anxiety, Fears, and Phobias KidsHealth > For Parents > Anxiety, Fears, and Phobias Print ... child move beyond it. previous continue What's a Phobia? When anxieties and fears persist, problems can arise. ...

  4. The learning of fear extinction.

    Science.gov (United States)

    Furini, Cristiane; Myskiw, Jociane; Izquierdo, Ivan

    2014-11-01

    Recent work on the extinction of fear-motivated learning places emphasis on its putative circuitry and on its modulation. Extinction is the learned inhibition of retrieval of previously acquired responses. Fear extinction is used as a major component of exposure therapy in the treatment of fear memories such as those of the posttraumatic stress disorder (PTSD). It is initiated and maintained by interactions between the hippocampus, basolateral amygdala and ventromedial prefrontal cortex, which involve feedback regulation of the latter by the other two areas. Fear extinction depends on NMDA receptor activation. It is positively modulated by d-serine acting on the glycine site of NMDA receptors and blocked by AP5 (2-amino-5-phosphono propionate) in the three structures. In addition, histamine acting on H2 receptors and endocannabinoids acting on CB1 receptors in the three brain areas mentioned, and muscarinic cholinergic fibers from the medial septum to hippocampal CA1 positively modulate fear extinction. Importantly, fear extinction can be made state-dependent on circulating epinephrine, which may play a role in situations of stress. Exposure to a novel experience can strongly enhance the consolidation of fear extinction through a synaptic tagging and capture mechanism; this may be useful in the therapy of states caused by fear memory like PTSD.

  5. 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.

  6. [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.

  7. 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.

  8. [The Bambuí Project: a population-based study of factors associated with regular utilization of dental services in adults].

    Science.gov (United States)

    Matos, D L; Lima-Costa, M F; Guerra, H L; Marcenes, W

    2001-01-01

    A cross-sectional study was conducted in Bambuí, Minas Gerais, to identify factors associated with regular use of dental services. Participants were interviewed with a structured questionnaire and previously validated questions. 999/1,221 (81.8%) randomly selected individuals aged > 18 years participated in the Bambuí dental survey. Of these, 654 out of 656 individuals who had at least one natural tooth and had visited a dentist during their lifetime participated in the study. Results adjusted by multiple logistic regression showed that regular use of dental services was significantly related to having > 8 and 4-7 years of schooling (OR = 9.90; 95% CI = 2.90-33.77 and OR = 3.87; 95% CI = 1.11-13.51, respectively), having a preference for restorative treatment rather than extraction (OR = 4.91; 95% CI = 2.23-10.79), having no present need of dental treatment (OR = 4.87; 95% CI = 3.17-7.49), and belief that visiting the dentist prevents tooth decay and gum disease (OR = 1.73; 95% CI = 1.13-2.65). The results show that regular use of dental services was related to factors distributed in the Andersen and Newman model (1973) explaining use of dentistry services.

  9. Immunization against social fear learning.

    Science.gov (United States)

    Golkar, Armita; Olsson, Andreas

    2016-06-01

    Social fear learning offers an efficient way to transmit information about potential threats; little is known, however, about the learning processes that counteract the social transmission of fear. In three separate experiments, we found that safety information transmitted from another individual (i.e., demonstrator) during preexposure prevented subsequent observational fear learning (Experiments 1-3), and this effect was maintained in a new context involving direct threat confrontation (Experiment 3). This protection from observational fear learning was specific to conditions in which information about both safety and danger was transmitted from the same demonstrator (Experiments 2-3) and was unaffected by increasing the number of the safety demonstrators (Experiment 3). Collectively, these findings demonstrate that observational preexposure can limit social transmission of fear. Future research is needed to better understand the conditions under which such effects generalize across individual demonstrators. (PsycINFO Database Record

  10. 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

  11. Adrenal-dependent diurnal modulation of conditioned fear extinction learning.

    Science.gov (United States)

    Woodruff, Elizabeth R; Greenwood, Benjamin N; Chun, Lauren E; Fardi, Sara; Hinds, Laura R; Spencer, Robert L

    2015-06-01

    Post traumatic stress disorder (PTSD) is associated with altered conditioned fear extinction expression and impaired circadian function including dysregulation of glucocorticoid hormone secretion. We examined in adult male rats the relationship between conditioned fear extinction learning, circadian phase, and endogenous glucocorticoids (CORT). Rats maintained on a 12h light:dark cycle were trained and tested across 3 separate daily sessions (conditioned fear acquisition and 2 extinction sessions) that were administered during either the rats' active or inactive circadian phase. In an initial experiment we found that rats at both circadian phases acquired and extinguished auditory cue conditioned fear to a similar degree in the first extinction session. However, rats trained and tested at zeitgeber time-16 (ZT16) (active phase) showed enhanced extinction memory expression during the second extinction session compared to rats trained and tested at ZT4 (inactive phase). In a follow-up experiment, adrenalectomized (ADX) or sham surgery rats were similarly trained and tested across 3 separate daily sessions at either ZT4 or ZT16. ADX had no effect on conditioned fear acquisition or conditioned fear memory. Sham ADX rats trained and tested at ZT16 exhibited better extinction learning across the two extinction sessions compared to all other groups of rats. These results indicate that conditioned fear extinction learning is modulated by time of day, and this diurnal modulation requires the presence of adrenal hormones. These results support an important role of CORT-dependent circadian processes in regulating conditioned fear extinction learning, which may be capitalized upon to optimize effective treatment of PTSD.

  12. Perceived dental needs and attitudes toward dental treatments in HIV-infected Thais.

    Science.gov (United States)

    Rungsiyanont, Sorasun; Vacharotayangul, Piamkamon; Lam-Ubol, Aroonwan; Ananworanich, Jintanat; Phanuphak, Praphan; Phanuphak, Nittaya

    2012-01-01

    Despite the advancement in highly active antiretroviral therapy and improved health status of HIV-infected individuals, dental problems are still affecting their life and well-beings. We aimed to establish the prevalence of oral and dental complaints among HIV-infected patients, the prevalence of delayed access to dental service, and factors related with delayed access to dental service. A cross-sectional study using self-report questionnaire completed by the HIV-positive subjects was conducted at the largest HIV research clinic in Thailand during 2009-2010. Of all 299 subjects (28.6% males, 71% females, and 0.4% sex change from male to female: ages ranged from 22 to 59 years [mean 36.7±5.53)]), 84.3% reported of having past or present illnesses or problems related to the dental or oral conditions. The most reported problems were dental hypersensitivity (93.3%), bleeding from the gum (92.1%), and having dental caries (65.9%). Two-hundred and forty-two subjects (80.9%) would not disclose their HIV status when seeing a dentist. The most cited reasons of such behavior were their personal right whether to reveal or not, and being afraid of not receiving dental treatment from the dentists or staffs (51.7 and 40.9%, respectively). It is important to note that HIV-subjects admitted to having fear of being discriminated by the dental staffs even if they trusted their dentists as having high morality. In conclusion, our HIV-subjects had good basic knowledge of oral health with regard to HIV infection, experienced common dental problems, and wished to have accesses to HIV-dental specialist services, if possible.

  13. 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...

  14. Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas Prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls

    Directory of Open Access Journals (Sweden)

    KT Lopes

    2009-06-01

    Full Text Available OBJETIVOS: Investigar a prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas. MÉTODOS: Estudo transversal randomizado. Participaram do estudo 147 idosos com idades entre 60 e 92 anos, sendo 94 (65,95% mulheres e 53 (36,05% homens. O medo de cair foi avaliado usando FES-I-BRASIL (FIB, a mobilidade foi avaliada por meio do teste "Timed Up and go" (TUG, o risco de quedas, por meio do "Functional Reach Test" (FRT e o equilíbrio dinâmico, pelo teste da Marcha Tandem (MT. RESULTADOS: Cento e trinta e três (90,48% idosos relataram medo de cair em pelo menos uma atividade, e 80 (54,42% dos idosos apresentaram histórico de quedas (HQ. A correlação de Pearson demonstrou resultado significante (pOBJECTIVES: To investigate the prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. METHODS: This was a randomized cross-sectional study. The participants were 147 older adults between the ages of 60 and 92: 94 women (65.95% and 53 men (36.05%. Fear of falling was assessed using FES-I-BRAZIL (FIB; mobility, using the "timed up and go" (TUG test; risk of falls, using the "functional reach test" (FRT; and dynamic balance, using the "tandem gait test"(TGT. RESULTS: One hundred and thirty-three older adults (90.48% reported fear of falling in at least one activity and 80 older adults (54.42% had a history of falls (HF. Pearson's correlation was statistically significant (p<0.001 between fear of falling and the TGT (r=-0.44248, FRT (r=-0.51562, HF (r=0.54069, TUG (r=0.45738 and age (r=0.39772. CONCLUSIONS: The present study identified high prevalence of fear of falling among older adults in the community, independent of their history of falls, and significant correlations between fear of falling and mobility, dynamic balance, risk and history of falls.

  15. 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

  16. Fear and Loathing in the Air: Combat Fear and Stress in the Air Force

    Science.gov (United States)

    2005-06-01

    such as phobic fear of flying and acquired fear of flying to describe fear and anxiety related to aviation in a non-combat environment, but, for...describe three terms that relate specifically to anxiety and flying: manifestations of apprehension (MOA), fear of flying (FOF), and phobic fear of...fear and stress. Background In addition to its more obvious physical destruction, combat has also produced casualties of the mind. Fear, anxiety

  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.

    2014-01-01

    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…

  18. METUS REVEALED. HOBBES ON FEAR

    OpenAIRE

    RAFFAELLA SANTI

    2011-01-01

    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 ani...

  19. 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

  20. Unusual Fears in Children with Autism

    Science.gov (United States)

    Mayes, Susan Dickerson; Calhoun, Susan L.; Aggarwal, Richa; Baker, Courtney; Mathapati, Santosh; Molitoris, Sarah; Mayes, Rebecca D.

    2013-01-01

    Unusual fears have long been recognized as common in autism, but little research exists. In our sample of 1033 children with autism, unusual fears were reported by parents of 421 (41%) of the children, representing 92 different fears. Many additional children had common childhood fears (e.g., dogs, bugs, and the dark). More than half of children…

  1. Fear, Fiction, and the Adolescent.

    Science.gov (United States)

    Grixti, Joe

    1982-01-01

    The popularity of horror fiction among adolescents is discussed in terms of the use of grammar for social interaction, personal development, and emotional therapy during a developmental stage characterized by fear and emotional upheaval. (MSE)

  2. 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.

  3. [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.

  4. Fear and aggression in dogs

    Directory of Open Access Journals (Sweden)

    Uzunova Krasimira

    2011-11-01

    Full Text Available In this review, the concepts of fear, phobia and aggression in dogs were precisely defined, as well as their underlying causes. The behavioural activities specific for these conditions were indicated. The accompanying symptoms were consistently explained. The causes that the development of pathological fear leads to aggression in dogs as well as the ex various therapy options depending on the clinical signs were presented.

  5. Fear conditioning, safety learning, and sleep in humans.

    Science.gov (United States)

    Marshall, Anisa J; Acheson, Dean T; Risbrough, Victoria B; Straus, Laura D; Drummond, Sean P A

    2014-08-27

    Fear conditioning is considered an animal model of post-traumatic stress disorder. Such models have shown fear conditioning disrupts subsequent rapid eye movement sleep (REM). Here, we provide a translation of these models into humans. Using the fear potentiated startle (FPS) procedure, we examined the effects of fear conditioning and safety signal learning on subsequent REM sleep in healthy adults. We also examined the effects of changes in REM sleep on retention of fear and safety learning. Participants (n = 42 normal controls) spent 3 consecutive nights in the laboratory. The first was an adaptation night. Following the second night, we administered a FPS procedure that included pairing a wrist shock with a threat signal and a safety signal never paired with a shock. The next day, we administered the FPS procedure again, with no wrist shocks to any stimulus, to measure retention of fear and safety. Canonical correlations assessed the relationship between FPS response and REM sleep. Results demonstrated that increased safety signal learning during the initial acquisition phase was associated with increased REM sleep consolidation that night, with 28.4% of the variance in increased REM sleep consolidation from baseline accounted for by safety signal learning. Overnight REM sleep was, in turn, related to overnight retention of fear and safety learning, with 22.5% of the variance in startle retention accounted for by REM sleep. These data suggest that sleep difficulties, specifically REM sleep fragmentation, may play a mechanistic role in post-traumatic stress disorder via an influence on safety signal learning and/or threat-safety discrimination.

  6. 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.

  7. Effects of Dental Water Jets in Adult Orthodontic Patients with Fixed Appliance%冲牙器洗牙改善牙齿固定矫治期间的牙周组织

    Institute of Scientific and Technical Information of China (English)

    谢宁; 丁小军

    2012-01-01

    Objective:To investigate the effects of dental water jets on periodontal situation in adult patients with fixed appliance. Methods: A total of 32 adult patients with fixed appliance were divided into two groups. Patients in one group brushed tooth only (control group, n= 16) , and patients in the other group used a dental water jet besides tooth brushing (test group, n = 16). The plaque index (PLI) and gingival index (GI) of the patients were detected at baseline and after 3 months. Results: After 3 months of study, the GI in the study group decreased more significantly than that in the control group (P<0. 05). Conclusions: Using dental water jets can improve the periodontal symptoms of adult orthodontic patients with fixed appliance.%目的:探讨冲牙器洗牙对成人固定矫治患者牙周组织的改善作用.方法:将32例应用固定矫治器治疗的成人患者分为研究组和对照组,每组各16例.研究组患者的口腔卫生措施为牙刷刷牙联合冲牙器洗牙;对照组患者仅使用牙刷刷牙.分别于研究开始时以及3个月时检测牙周茵斑指数( plaque index,PLI)和牙龈指数(gingival index,GI),比较两组间的差异.结果:应用冲牙器洗牙3个月后,研究组GI变化的幅度显著大于对照组(P<0.05).结论:冲牙器洗牙是牙刷刷牙的有效补充,应用冲牙器可以有效改善固定矫治器患者牙周的不良症状.

  8. 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,…

  9. Knowledge, Attitude, and Practices of Dental Surgeons in managing Child Patients

    Science.gov (United States)

    Siddiqui, Talha Mufeed; Khan, Rabia; Batool, Kanza

    2016-01-01

    The aim of the study was to evaluate the knowledge, attitude, and practices of dental surgeons in the city of Karachi providing treatment to pediatric patients. A cross-sectional study was conducted to evaluate the knowledge, attitude, and practices of dental surgeons in the city of Karachi providing treatment to pediatric patients. A cluster-sampling technique was used and 200 dental surgeons from six different dental institutions were selected. A self-constructed questionnaire was distributed to the dental surgeons that comprised 20 closed-ended questions. The data was entered and analyzed for frequency and percentages by using Statistical Package for the Social Sciences (SPSS) version 19. The results showed that 76 (38%) dental surgeons took the responsibility of managing pediatric patient when given; 68 (34%) dental surgeons allowed the parents in the clinic; 111 (55.5%) dental surgeons are of the view that colorful and fun environment in dental clinic make the child at ease; 59 (29.5%) always demonstrate the dental procedure to the child to eradicate imaginary fears; 94 (47.0%) dental surgeons preferred the child to be treated in general anesthesia (GA) to avoid difficult behavior of the child; 135 (67.5%) dental surgeons did not show syringe needle or any instrument to the child. All the members of dental profession must be aware of patient perceptions, preferences, and fear to meet patient’s needs. Dental studies should include guidelines and techniques to train the upcoming dentists for excellent practice in pediatric dentistry. How to cite this article Wali A, Siddiqui TM, Khan R, Batool K. Knowledge, Attitude, and Practices of Dental Surgeons in managing Child Patients. Int J Clin Pediatr Dent 2016;9(4):372-378. PMID:28127171

  10. 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.

  11. Subjective fear, interference by threat, and fear associations independently predict fear-related behavior in children

    NARCIS (Netherlands)

    Klein, A.M.; Kleinherenbrink, A.V.; Simons, C.; de Gier, E.; Klein, S.; Allart, E.; Bögels, S.M.; Becker, E.S.; Rinck, M.

    2012-01-01

    Background and objectives: Several information-processing models highlight the independent roles of controlled and automatic processes in explaining fearful behavior. Therefore, we investigated whether direct measures of controlled processes and indirect measures of automatic processes predict uniqu

  12. Competition and dental services.

    Science.gov (United States)

    Grytten, J; Sørensen, R

    2000-07-01

    Dental services for adults are different from all other Norwegian health services in that they are provided by private producers (dentists) who have full freedom to establish a practice. They have had this freedom since the end of World War II. A further liberalization of the market for dental services occurred in November 1995, when the so-called normal tariff was repealed. The system changed from a fixed fee system to a deregulated fee system. In principle, the market for dental services for adults operates as a free competitive market, in which dentists must compete for a market share. The aim of this study was to study the short-term effects of competition. A comprehensive set of data on fees, practice characteristics, treatment profiles and factors that dentists take into account when determining fees was analysed. The main finding was that competition has a weak effect. No support was found for the theory that the level of fees is the result of monopolistic competition or monopoly. The results also provided some evidence against the inducement hypothesis. At this stage, it is interesting to notice that dentists do not seem to exploit the power they have to control the market. One explanation, which is consistent with the more recent literature, is that physicians' behaviour to a large extent is influenced by professional norms and caring concerns about their patients. Financial incentives are important, but these incentives are constrained by norms other than self-interest. The interpretation of the results should also take into account that the deregulation has operated for a short time and that dentists and patients may not yet have adjusted to changes in the characteristics of the market.

  13. 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…

  14. 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.

  15. 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....

  16. Hippocampal Processing of Ambiguity Enhances Fear Memory.

    Science.gov (United States)

    Amadi, Ugwechi; Lim, Seh Hong; Liu, Elizabeth; Baratta, Michael V; Goosens, Ki A

    2017-02-01

    Despite the ubiquitous use of Pavlovian fear conditioning as a model for fear learning, the highly predictable conditions used in the laboratory do not resemble real-world conditions, in which dangerous situations can lead to unpleasant outcomes in unpredictable ways. In the current experiments, we varied the timing of aversive events after predictive cues in rodents and discovered that temporal ambiguity of aversive events greatly enhances fear. During fear conditioning with unpredictably timed aversive events, pharmacological inactivation of the dorsal hippocampus or optogenetic silencing of cornu ammonis 1 cells during aversive negative prediction errors prevented this enhancement of fear without affecting fear learning for predictable events. Dorsal hippocampal inactivation also prevented ambiguity-related enhancement of fear during auditory fear conditioning under a partial-reinforcement schedule. These results reveal that information about the timing and occurrence of aversive events is rapidly acquired and that unexpectedly timed or omitted aversive events generate hippocampal signals to enhance fear learning.

  17. 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 of ...

  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. 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.

  20. 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.

  1. Perceived barriers in accessing dental care among patients attending dental institute using decision-making trial and evaluation laboratory method

    Directory of Open Access Journals (Sweden)

    Ravneet Malhi

    2015-01-01

    Full Text Available Introduction: Utilization of dental service is a concept of expressing the extent of interaction between the service provider and the people for whom it is indented. However, one of the major issues in social welfare is the equitable provision of these services to the population. Aim: To determine the perceived barriers affecting access to the dental services in the dental institute. Materials and Methods: A cross-sectional survey was conducted in the dental institute during the month of February in the year 2014 using decision-making trial and evaluation laboratory (DEMATEL method. The study sample included the 364 subjects. The required data were collected using a specially designed and pretested questionnaire. The data were analyzed using SPSS 18.0 (SPSS Inc., Chicago, IL, USA and MATLAB 7.6.0. The mean, standard deviations were used to describe the data, and inferential statistics included one-way ANOVA and DEMATEL. Results: The five determinants of cost, inconvenience, fear, organization, and patient-dentist relationship were determined as barriers to access dental services. Based on subjects′ responses to the questions, the cost (54.75% agreed or strongly agreed was identified as the most important factor affecting the access to dental health care followed by dentist-patient relationship (48.57%, inconvenience (36.55%, fear (23.70%, and organization (14.02%. The difference was found to be statistically significant (P = 0.0001. When the hierarchy of the affecting and affected factors was calculated, based on the factor analysis by using DEMATEL method, the cost (R−J = 0.16 and organization (R−J = 1.15, were certain affecting determinant which influenced the access to dental services and inconvenience. Conclusion: The major barriers to oral health care utilization among our patients were cost, fear, and organization. Policymakers, administrators, and insurance organizations have a major role. Hence, the policies should be fair and

  2. Pathological fear of cot death.

    Science.gov (United States)

    Weightman, H; Dalal, B M; Brockington, I F

    1998-01-01

    Cot death (sudden infant death syndrome) is one of the most common causes of death in the first year of life. Four cases with a pathological fear of cot death are presented. All the patients were depressed and in 2 cases the fear of cot death had an obsessional quality. In all cases there were complications during pregnancy (miscarriage, threatened abortion, recurrent vomiting in last trimester). In 1 case, the patient knew 3 mothers who had suffered cot deaths; in another, the infant was gravely ill in the neonatal period. Pathological fear of cot death can be recognised by the presence of two central features - overvigilance and excessive nocturnal checking of the baby's breathing. Therapeutic interventions are discussed.

  3. An ERP Study of Emotional Face Processing in the Adult and Infant Brain

    Science.gov (United States)

    Leppanen, Jukka M.; Moulson, Margaret C.; Vogel-Farley, Vanessa K.; Nelson, Charles A.

    2007-01-01

    To examine the ontogeny of emotional face processing, event-related potentials (ERPs) were recorded from adults and 7-month-old infants while viewing pictures of fearful, happy, and neutral faces. Face-sensitive ERPs at occipital-temporal scalp regions differentiated between fearful and neutral/happy faces in both adults (N170 was larger for fear)…

  4. 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…

  5. 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

  6. 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…

  7. Effects of stress and sex on acquisition and consolidation of human fear conditioning

    OpenAIRE

    Zorawski, Michael; Blanding, Nineequa Q.; Kuhn, Cynthia M.; LaBar, Kevin S.

    2006-01-01

    We examined the relationship between stress hormone (cortisol) release and acquisition and consolidation of conditioned fear learning in healthy adults. Participants underwent acquisition of differential fear conditioning, and consolidation was assessed in a 24-h delayed extinction test. The acquisition phase was immediately followed by an 11-min psychosocial stress period (arithmetic test combined with a public speech). Salivary cortisol was sampled at various time points before and after ac...

  8. Fear extinction in 17 day old rats is dependent on metabotropic glutamate receptor 5 signaling.

    Science.gov (United States)

    Ganella, Despina E; Thangaraju, Pushbalela; Lawrence, Andrew J; Kim, Jee Hyun

    2016-02-01

    We used pharmacological modulation of the mGlu5 receptor to investigate its role in the extinction of conditioned fear throughout development. In postnatal day (P) 17 rats, the positive allosteric modulator CDPPB facilitated, while the negative allosteric modulator MTEP impaired extinction. These drugs had no such effects on P24 or adult rats. These results establish a changing importance of mGlu5 in extinction of conditioned fear at distinct stages of development.

  9. Dental Press Journal of Orthodontics

    OpenAIRE

    Sobral,Marcio Costa; Habib,Fernando Antônio Lima; Matzenbacher, Liz

    2012-01-01

    p. 137-145 INTRODUCTION: Angle's Class III malocclusion is a dental discrepancy in a sagittal view that may appear or not with an important skeletal discrepancy. Facial esthetics may be affected by this skeletal discrepancy and it is one of the most common complaints of patients who seek orthodontic treatment. Class III treatment, in adults, may be done by compensatory tooth movement, in simple cases, or through an association between orthodontics and orthognathic surgery, in more severe c...

  10. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang

    Directory of Open Access Journals (Sweden)

    Omaran Ibrahim Mohammed Ali

    2016-09-01

    Full Text Available Dental caries is a major cause of tooth loss in children and young adults. Dental caries have been linked to the situation of underprivileged families, nutritional imbalance, and poor oral hygiene techniques, including lack of tooth brushing or flossing the teeth, and also have a genetic etiology. Dietary habits and dental hygiene practice can result in high caries in school children. This research aimed to reveal the correlation between dietary habits and dental hygiene practice with dental caries among school children in urban area of Semarang. The subjects of this research are the elementary student 7 – 9 years old enrolled in schools located in at urban area in Semarang in 2016 and the mother of a student who became the study sample. Data were statisically analyzed usingbivariate analysis and multivariate analysis. Based on the research result, it can be concluded that: there was no correlation between total carbohydrate intake, refined carbohydrate intake, fiber intake, dental hygiene practice with dental caries, bottle feeding and duration of bottle feeding were assosiated with dental cariest-score. Overall, def-t score in the study was very bad with high median of dental caries score and many children have dental caries t-score more than 6.How to CiteAli, O. I. M., Muis, F. & O, Oedijani. (2016. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang. Biosaintifika: Journal of Biology & Biology Education, 8(2, 178-184.

  11. 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.

  12. 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)

  13. 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.

  14. Child Indicators: Dental Health.

    Science.gov (United States)

    Lewit, Eugene M.; Kerrebrock, Nancy

    1998-01-01

    Reviews measures of dental health in children and the evidence on child dental health. Although children's dental health has improved over the past two decades, many poor children do not receive necessary dental health services, and reasons for this failure are summarized. (SLD)

  15. American Dental Education Association

    Science.gov (United States)

    ... applicant. ... Learn more ADEA DHCAS Applicants The ADEA Dental Hygiene Centralized Application Service (DHCAS®) is the centralized applic... Learn more ADEA DHCAS Program Directors For programs interested in participating... Learn more ... Publications & Data Official Guide to Dental Schools Bulletin of Dental Education Journal of Dental ...

  16. 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.

  17. Expanding dental hygiene to include dental therapy: improving access to care for children.

    Science.gov (United States)

    Nash, David A

    2009-01-01

    Oral Health in America: A Report of the Surgeon General, and the subsequent National Call to Action to Promote Oral Health contributed significantly to raising the awareness of the American public and the dental profession regarding the lack of access to oral health care by many Americans, especially minorities and low income populations, with resulting disparities in oral health. The problem is particularly acute among children. The current workforce of dentists in the United States is inadequate to meet the oral health care needs of children in terms of numbers of dentists, as well as their distribution, ethnicity, education, and practice orientation. Dental hygienists trained in an expanded scope of practice, can help address the workforce inadequacy. Dental therapists, educated in 2-year programs of postsecondary education, comparable to America's associate degree dental hygiene programs, have been used throughout the world to provide basic, primary oral health care for children. Research has documented that utilizing dental therapists is a cost effective method of improving access to care for children. Countries that have led the way in introducing dental therapists to care for their children are now integrating their separate 2-year curriculum in dental therapy and dental hygiene into a 3-year curriculum to prepare a clinician dually trained in both dental therapy and dental hygiene. This clinician is being designated an oral health therapist. Expanding the education of dental hygienists in the United States to include skills of the internationally acclaimed dental therapist can produce oral health therapists, individuals capable of addressing the basic preventive, restorative, and minor surgical needs of children, but also able to continue to address the preventive and periodontal needs of adults.

  18. 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.

  19. 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.

  20. 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...

  1. 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.

  2. Women's Fear of Crime: A Rural Perspective

    Science.gov (United States)

    Little, Jo; Panelli, Ruth; Kraack, Anna

    2005-01-01

    This paper examines women's experience of fear of crime in rural areas. It argues that much existing research on issues of gender, fear and safety have focused on urban areas and that as a result we know relatively little about women's experience of fear in a rural context. As well as arguing that we need to redress the balance and respond to the…

  3. Gun Attitudes and Fear of Crime.

    Science.gov (United States)

    Heath, Linda; Weeks, Kyle; Murphy, Marie Mackay

    1997-01-01

    Using three studies, examined the relationship between attitudes toward guns and fear of crime. Findings indicate a connection between fear of crime and attitudes toward guns: people higher in fear of crime favored gun control. Results also established a relationship between stereotypical beliefs about gun victims and support for gun control. (RJM)

  4. COVARIATION BIAS AND THE RETURN OF FEAR

    NARCIS (Netherlands)

    de Jong, Peter; VANDENHOUT, MA; MERCKELBACH, H

    1995-01-01

    Several studies have indicated that phobic fear is accompanied by a covariation bias, i.e. that phobic Ss tend to overassociate fear relevant stimuli and aversive outcomes. Such a covariation bias seems to be a fairly direct and powerful way to confirm danger expectations and enhance fear. Therefore

  5. TINCIÓN DENTAL TRAS TRATAMIENTO CON IMIPENEM

    OpenAIRE

    2011-01-01

    Many drugs have the side effect of dental staining may be permanent or transitory. The antibiotic Imipenem has a broad spectrum of activity against gram positive and negative which is indicated in severe infections in both adults and children.We report the case of a child who developed a transient dental staining after treatment with Imipenem

  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. 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.

  8. 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

  9. 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…

  10. 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.

  11. A window of vulnerability: impaired fear extinction in adolescence.

    Science.gov (United States)

    Baker, Kathryn D; Den, Miriam L; Graham, Bronwyn M; Richardson, Rick

    2014-09-01

    There have been significant advances made towards understanding the processes mediating extinction of learned fear. However, despite being of clear theoretical and clinical significance, very few studies have examined fear extinction in adolescence, which is often described as a developmental window of vulnerability to psychological disorders. This paper reviews the relatively small body of research examining fear extinction in adolescence. A prominent finding of this work is that adolescents, both humans and rodents, exhibit a marked impairment in extinction relative to both younger (e.g., juvenile) and older (e.g., adult) groups. We then review some potential mechanisms that could produce the striking extinction deficit observed in adolescence. For example, one neurobiological candidate mechanism for impaired extinction in adolescence involves changes in the functional connectivity within the fear extinction circuit, particularly between prefrontal cortical regions and the amygdala. In addition, we review research on emotion regulation and attention processes that suggests that developmental changes in attention bias to threatening cues may be a cognitive mechanism that mediates age-related differences in extinction learning. We also examine how a differential reaction to chronic stress in adolescence impacts upon extinction retention during adolescence as well as in later life. Finally, we consider the findings of several studies illustrating promising approaches that overcome the typically-observed extinction impairments in adolescent rodents and that could be translated to human adolescents.

  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. 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,…

  14. 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...

  15. Dental erozyon

    NARCIS (Netherlands)

    Özen, B.; Yönel, N.; Çetiner, S.

    2015-01-01

    Dental erozyon, plak içermeyen diş yüzeyleri üzerinde içsel ve dışsal asitlerin veya şelatların etkileriyle oluşan kimyasal bir aşınmadır. İçsel ve/veya dışsal kaynaklar nedensel faktörler olarak tanımlanırken tükürük ve pelikıl gibi biyolojik faktörler, yeme ve içme alışkanlıkları ve ağız hijyeni g

  16. Ramadan fasting and dental treatment considerations: a review.

    Science.gov (United States)

    Shaeesta, Khaleelahmed Bhavikatti; Prabhuji, M Lv; Shruthi, J R

    2015-01-01

    During the sacred month of Ramadan, Muslims abstain from the consumption of food from dawn until dusk. Extended fasting hours produce changes in the body's metabolism during this period. A majority of the population who fast also restrict themselves from undergoing dental treatments due to a fear of breaking the fast. Even among health professionals, a certain amount of uncertainty prevails about the implications of treating a patient who is fasting. To help clinicians carry out safe and effective treatment without hampering a patient's religious beliefs, the present article focuses on the effect of Ramadan fasting on the body's metabolism and the ramifications for treatment aspects, including medications and dental procedures.

  17. The Fear of Cockroaches Questionnaire (FCQ)

    OpenAIRE

    Scandola, Michele; Bastinelli, Alessia; Spoto, Andrea; Vidotto, Giulio

    2010-01-01

    The aim of this study was to validate the Fear of Cockroaches Questionnaire (FCQ) in general Italian population. The FCQ is an 18-item self-report questionnaire assessing fear of cockroaches. It was translated in Italian and modified as a cockroach adaption of the Fear of Spiders Questionnaire. Data obtained from 329 (mean age 24.21 ± 4.08 years) undergraduates revealed that the FCQ allowed discrimination between high fear and low fear subjects. Exploratory Factor Analysis revealed a mono-fac...

  18. A Dental Education Perspective on Dental Health Policy.

    Science.gov (United States)

    Morris, Alvin L.

    1985-01-01

    Two issues related to dental health policy are examined: the contribution of dental education to the process by which dental health policy is established, and the nature of dental education's response to established policies. (MLW)

  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. Isolation and characterization of dental follical cells from adult human dental follicle tissues%成体人牙囊细胞的分离培养及生物学特性研究

    Institute of Scientific and Technical Information of China (English)

    张超; 程祥荣

    2013-01-01

    Objective To isolate and characterize the dental follical cells(DFC) from dental follicle (DF) tissues of normal human impacted third molars.Methods DFC were isolated from the DF tissues of healthy young human impacted third molars.A limited dilution culture was used to assess DFC colony-forming efficiency.The expressions of Stro-1,Notch-1 and nestin in DFC were detected by immunohistochemistry analysis.The primary DFC cultures were subjected to a variety of treatment modes: osteogenic,adipogenic and chondrogenic differentiation.DFC and periodontal ligament cells(PDLC) proliferation abilities were compared by methyl thiazoloyl tetrazolium(MTT) assay.The expressions of tenascin-N and F-spondin in DFC and PDLC were evaluated by reverse transcriptase polymerase chain reaction(RT-PCR).Results Most DFC were spindle fibroblast-like cells.DFC cultures formed colonies from passage 1 cells and the frequency of colony forming efficiency(CFE) was 3.70%.Some of the DFC were stained positively for Stro-1 and almost all the DFC were stained positively for Notch-1 and nestin.DFC cultures displayed multipotential characteristics following fate-specific inductions for 21 days.Alizarin red positive condensed nodules were detected following osteogenic induction,oil red-positive lipid vacuoles were generated using adipogenic induction and collagen-Ⅱ was re vealed following chondrogenic induction by immunohistochemistry.On day 3 and 5,DFC(0.20 ± 0.01,0.51 ±0.09) showed a better cell activity than PDLC(0.16 ±0.03,0.47 ±0.07) (P > 0.05).On day 7,DFC (1.03 ± 0.11) exhibited a higher proliferation rate than PDLC (0.93 ±0.09) (P < 0.05).RT-PCR results showed that tenascin-N was not expressed in DFC,but expressed moderately in PDLC.F-spondin was expressed strongly in DFC,while not expressed in PDLC.Conclusions DFC from ectomesenchymal tissues showed a good viability and contained cells similar to the mesenchymal stem cells.It may be used as a novel cell source for periodontium

  1. Minimising barriers to dental care in older people

    Directory of Open Access Journals (Sweden)

    Gallagher Jennifer E

    2008-03-01

    Full Text Available Abstract Background Older people are increasingly retaining their natural teeth but at higher risk of oral disease with resultant impact on their quality of life. Socially deprived people are more at risk of oral disease and yet less likely to take up care. Health organisations in England and Wales are exploring new ways to commission and provide dental care services in general and for vulnerable groups in particular. This study was undertaken to investigate barriers to dental care perceived by older people in socially deprived inner city area where uptake of care was low and identify methods for minimising barriers in older people in support of oral health. Methods A qualitative dual-methodological approach, utilising both focus groups and individual interviews, was used in this research. Participants, older people and carers of older people, were recruited using purposive sampling through day centres and community groups in the inner city boroughs of Lambeth, Southwark and Lewisham in South London. A topic guide was utilised to guide qualitative data collection. Informants' views were recorded on tape and in field notes. The data were transcribed and analysed using Framework Methodology. Results Thirty-nine older people and/or their carers participated in focus groups. Active barriers to dental care in older people fell into five main categories: cost, fear, availability, accessibility and characteristics of the dentist. Lack of perception of a need for dental care was a common 'passive barrier' amongst denture wearers in particular. The cost of dental treatment, fear of care and perceived availability of dental services emerged to influence significantly dental attendance. Minimising barriers involves three levels of action to be taken: individual actions (such as persistence in finding available care following identification of need, system changes (including reducing costs, improving information, ensuring appropriate timing and location of

  2. Validation of Fear of Partner Scale.

    Science.gov (United States)

    O'Leary, K Daniel; Foran, Heather; Cohen, Shiri

    2013-10-01

    Therapists have a responsibility to ascertain if psychological aggression, physical aggression, sexual aggression exist, and if there is fear of the partner. A fear of partner measure was evaluated in 100 couples who sought relationship feedback. Fear of partner's psychological, physical, and sexual aggression was related to actual reports of such behavior. For both men and women, fear of speaking in front of partner and fear of being in therapy with partner were related to reports of psychological aggression perpetrated by the partner, dominance, and isolation by the partner, and one's own marital dissatisfaction. Among respondents who were aggressed against, more men than women reported fear of participating in therapy with their partner. The measure herein can be used to determine the extent of fear of aggression by partners and to assist in the decision-making about the appropriateness of marital therapy and divorce mediation.

  3. 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.

  4. 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.

  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. 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

  7. 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.

  8. Issues of academic integrity in U.S. dental schools.

    Science.gov (United States)

    Beemsterboer, P L; Odom, J G; Pate, T D; Haden, N K

    2000-12-01

    Evidence of violations of academic integrity can be identified at all levels of education. A survey on academic integrity was mailed in 1998 to the academic deans of all fifty-five U.S. dental schools, with a response rate of 84 percent. This survey showed that reported incidents of academic dishonesty occur in most dental schools, with the average school dealing with one or two cases a year. The most common incidents of dishonest behavior involved copying or aiding another student during a written examinations; the second most common involved writing an untrue patient record entry or signing a faculty member's name in a patient chart. Respondents indicated the major reason for failure to report academic dishonesty was fear of involvement because of time and procedural hassles and fear of repercussions from students and peers.

  9. 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

  10. Social transmission of fear in rats: the role of 22-kHz ultrasonic distress vocalization.

    Directory of Open Access Journals (Sweden)

    Eun Joo Kim

    Full Text Available BACKGROUND: Social alarm calls alert animals to potential danger and thereby promote group survival. Adult laboratory rats in distress emit 22-kHz ultrasonic vocalization (USV calls, but the question of whether these USV calls directly elicit defensive behavior in conspecifics is unresolved. METHODOLOGY/PRINCIPAL FINDINGS: The present study investigated, in pair-housed male rats, whether and how the conditioned fear-induced 22-kHz USVs emitted by the 'sender' animal affect the behavior of its partner, the 'receiver' animal, when both are placed together in a novel chamber. The sender rats' conditioned fear responses evoked significant freezing (an overt evidence of fear in receiver rats that had previously experienced an aversive event but not in naïve receiver rats. Permanent lesions and reversible inactivations of the medial geniculate nucleus (MGN of the thalamus effectively blocked the receivers' freeezing response to the senders' conditioned fear responses, and this occurred in absence of lesions/inactivations impeding the receiver animals' ability to freeze and emit 22-kHz USVs to the aversive event per se. CONCLUSIONS/SIGNIFICANCE: These results--that prior experience of fear and intact auditory system are required for receiver rats to respond to their conspecifics' conditioned fear responses--indicate that the 22-kHz USV is the main factor for social transmission of fear and that learning plays a crucial role in the development of social signaling of danger by USVs.

  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. 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

  14. 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

  15. An ERP Study of Emotional Face Processing in the Adult and Infant Brain

    OpenAIRE

    Leppänen, Jukka M.; Moulson, Margaret C.; Vogel-Farley, Vanessa K.; Nelson, Charles A.

    2007-01-01

    To examine the ontogeny of emotional face processing, event-related potentials (ERPs) were recorded from adults and 7-month-old infants while viewing pictures of fearful, happy, and neutral faces. Face-sensitive ERPs at occipital-temporal scalp regions differentiated between fearful and neutral/happy faces in both adults (N170 was larger for fear) and infants (P400 was larger for fear). Behavioral measures showed no overt attentional bias toward fearful faces in adults, but in infants, the du...

  16. Fear patterns: a new approach to designing road safety advertisements.

    Science.gov (United States)

    Algie, Jennifer; Rossiter, John R

    2010-01-01

    This research studies fear patterns within fear appeal anti-speeding television commercials. A pattern of fear is the sequence of fear arousal and fear reduction, if any, that is felt by the viewing audience when exposed to a fear appeal advertisement. Many road safety advertisers use fear appeals, such as "shock" advertising, that result in fear arousal, leaving the viewer feeling extremely tense. The moment-to-moment reactions of young drivers to 12 road safety commercials are gauged using a dynamic, temporal measure of fear. The fear patterns generated from each ad are analyzed and a new perspective on creating fear appeal road safety advertisements, with an emphasis on fear-relief, fear-partial relief, and fear-only patterns, is discussed.

  17. 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.

  18. The Shadow of Physical Harm? Examining the Unique and Gendered Relationship Between Fear of Murder Versus Fear of Sexual Assault on Fear of Violent Crime.

    Science.gov (United States)

    Riggs, Samantha; Cook, Carrie L

    2015-09-01

    The shadow hypothesis regarding the impact of fear of sexual assault on fear of violent crime suggests that female fear of crime is characterized by concern about sexual assault as a contemporaneous victimization event during a violent crime event. Recent research has found that other types of crime, namely physical assault, may also be feared as a contemporaneous offense. We know of no research that has examined the unique impact of fear of murder versus fear of sexual assault on fear of violent crime. There is also a lack of research that explores how these two types of fear uniquely affect men and women. In addition to gender, we examine factors that have been suggested in previous research to correlate with fear of crime: race, victimization, vicarious victimization, and perceived risk. Through survey methodology, this research examines the unique relationship between both fear of murder and fear of sexual assault and fear of three types of violent crime for men and women. Results suggest differences in how fear of murder and fear of sexual assault are related to fear of other types of violence for men and women. Specifically, fear of murder is important in estimating male fear of robbery and aggravated assault. However, fear of sexual assault is almost as important as fear of murder for men in estimating fear of home invasion. Similarly, for women, fear of sexual assault and fear of murder both are significant factors associated with fear of violent crime, and differences between the levels of significance are marginal. This study is a first to examine whether murder may also be feared as a contemporaneous offense. The results are informative in identifying what drives fear of crime, particularly violent crime, for both men and women. Avenues for future research are discussed.

  19. Retention of perceptual generalization of fear extinction.

    Science.gov (United States)

    Pappens, Meike; Schroijen, Mathias; Van den Bergh, Omer; Van Diest, Ilse

    2015-12-01

    Fear reduction obtained during a fear extinction procedure can generalize from the extinction stimulus to other perceptually similar stimuli. Perceptual generalization of fear extinction typically follows a perceptual gradient, with increasing levels of fear reduction the more a stimulus resembles the extinction stimulus. The current study aimed to investigate whether perceptual generalization of fear extinction can be observed also after a retention interval of 24h. Fear was acquired to three geometrical figures of different sizes (CS(+), CS1(+) and CS2(+)) by consistently pairing them with a short-lasting suffocation experience (US). Three other geometrical figures that were never followed by the US served as control stimuli (CS(-), CS1(-), CS2(-)). Next, only the CS(+) was extinguished by presenting it in the absence of the US. One day later, fear responses to all stimuli were assessed without any US-presentation. Outcome measures included startle blink EMG, skin conductance, US expectancy, respiratory rate and tidal volume. On day 2 spontaneous recovery of fear was observed in US expectancy and tidal volume, but not in the other outcomes. Evidence for the retention of fear extinction generalization was present in US expectancy and skin conductance, but a perceptual gradient in the retention of generalized fear extinction could not be observed.

  20. Glucocorticoids reduce phobic fear in humans.

    Science.gov (United States)

    Soravia, Leila M; Heinrichs, Markus; Aerni, Amanda; Maroni, Caroline; Schelling, Gustav; Ehlert, Ulrike; Roozendaal, Benno; de Quervain, Dominique J-F

    2006-04-04

    Phobias are characterized by excessive fear, cued by the presence or anticipation of a fearful situation. Whereas it is well established that glucocorticoids are released in fearful situations, it is not known whether these hormones, in turn, modulate perceived fear. As extensive evidence indicates that elevated glucocorticoid levels impair the retrieval of emotionally arousing information, they might also inhibit retrieval of fear memory associated with phobia and, thereby, reduce phobic fear. Here, we investigated whether acutely administrated glucocorticoids reduced phobic fear in two double-blind, placebo-controlled studies in 40 subjects with social phobia and 20 subjects with spider phobia. In the social phobia study, cortisone (25 mg) administered orally 1 h before a socio-evaluative stressor significantly reduced self-reported fear during the anticipation, exposure, and recovery phase of the stressor. Moreover, the stress-induced release of cortisol in placebo-treated subjects correlated negatively with fear ratings, suggesting that endogenously released cortisol in the context of a phobic situation buffers fear symptoms. In the spider phobia study, repeated oral administration of cortisol (10 mg), but not placebo, 1 h before exposure to a spider photograph induced a progressive reduction of stimulus-induced fear. This effect was maintained when subjects were exposed to the stimulus again 2 days after the last cortisol administration, suggesting that cortisol may also have facilitated the extinction of phobic fear. Cortisol treatment did not reduce general, phobia-unrelated anxiety. In conclusion, the present findings in two distinct types of phobias indicate that glucocorticoid administration reduces phobic fear.

  1. 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.

  2. 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.

  3. 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...

  4. Dental education in Malaysia.

    Science.gov (United States)

    Komabayashi, Takashi; Razak, Abdul Aziz Abdul; Bird, William F

    2007-12-01

    There was only one dental school in Malaysia until 1997 but five new schools have been established since 1998. This review provides information about dental education in Malaysia including; the history of dental education, the current dental school system and curriculum, and dental licensure. There are four public and two private dental schools in Malaysia. High school graduates are required to take the nationwide matriculation entrance examination or the Higher School Certificate (HSC) to apply for a dental degree programme. A five-year dental programme leads to the BDS or the DDS degree. National or state examinations are not required to practise dentistry. Currently, there are approximately 2,500 dentists, with a ratio of 1 dentist for every 10,000 people.

  5. The demand for preventive and restorative dental services.

    Science.gov (United States)

    Meyerhoefer, Chad D; Zuvekas, Samuel H; Manski, Richard

    2014-01-01

    Chronic tooth decay is the most common chronic condition in the United States among children ages 5-17 and also affects a large percentage of adults. Oral health conditions are preventable, but less than half of the US population uses dental services annually. We seek to examine the extent to which limited dental coverage and high out-of-pocket costs reduce dental service use by the nonelderly privately insured and uninsured. Using data from the 2001-2006 Medical Expenditure Panel Survey and an American Dental Association survey of dental procedure prices, we jointly estimate the probability of using preventive and both basic and major restorative services through a correlated random effects specification that controls for endogeneity. We found that dental coverage increased the probability of preventive care use by 19% and the use of restorative services 11% to 16%. Both conditional and unconditional on dental coverage, the use of dental services was not sensitive to out-of-pocket costs. We conclude that dental coverage is an important determinant of preventive dental service use, but other nonprice factors related to consumer preferences, especially education, are equal if not stronger determinants.

  6. 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,...

  7. Living in fear of your child's pain: the Parent Fear of Pain Questionnaire.

    Science.gov (United States)

    Simons, Laura E; Smith, Allison; Kaczynski, Karen; Basch, Molly

    2015-04-01

    Fear and avoidance have been consistently associated with poor pain-related outcomes in children. In the context of the pediatric pain experience, parent distress and behaviors can be highly influential. This study validated the Parent Fear of Pain Questionnaire (PFOPQ) to assess a parent's fears and avoidance behaviors associated with their child's pain. Using the PFOPQ in conjunction with measures of parent and child pain-related variables, we tested the interpersonal fear-avoidance model (IFAM). The sample comprised 321 parents and their child with chronic or new-onset pain who presented to a multidisciplinary outpatient pain clinic. An exploratory factor analysis yielded a 4-factor structure for the PFOPQ consisting of Fear of Pain, Fear of Movement, Fear of School, and Avoidance. As hypothesized, Fear of Pain was most closely related to parent pain catastrophizing and child fear of pain, whereas Avoidance was most closely related to parent protective behaviors and child avoidance of activities. In testing the IFAM, parent behavior contributed directly and indirectly to child avoidance, whereas parent fear and catastrophizing contributed indirectly to child avoidance through parent behavior and child fear and catastrophizing, in turn, influencing child functional disability levels. This study provides the first measure of parent pain-related fears and avoidance behaviors and evaluates the theorized IFAM. These results underscore the important influence of parents on child pain-related outcomes and put forth a psychometrically sound measure to assess parent fear and avoidance in the context of their child's pain.

  8. Women's fear of crime: the role of fear for the well-being of significant others.

    Science.gov (United States)

    Mesch, G S

    2000-01-01

    A number of explanations have been suggested in the literature for the finding that women consistently report higher levels of fear of crime than males. The "shadow" hypothesis argues that fear of crime among females reflects fear of sexual assault. The "intimate" hypothesis argues that women's fear of crime is the result of exposure to intimate violence. Females' fear of crime is expected to be explained by their fear of partners' violence. The main argument of this article is that women's fear of crime might be the result of traditional family gender roles. When asked, women might express fear not only for their own well-being but for that of their children. A survey of a representative sample of women in the third largest city of Israel was used to test this assumption. Women's fear of crime was found to be affected by fear of sexual assault and fear of violent partners. In addition, consistent with the argument of this study, women's fear of violent and sexual victimization of their children had a significant effect on their perception of fear. Future directions for research are suggested.

  9. Interplay between serotonin and cannabinoid function in the amygdala in fear conditioning.

    Science.gov (United States)

    Nasehi, Mohammad; Davoudi, Kamelia; Ebrahimi-Ghiri, Mohaddeseh; Zarrindast, Mohammad-Reza

    2016-04-01

    The possible interactions between the cannabinoid and serotonin systems in the regions of the brain involved in emotional learning and memory formation have been studied by some researchers. In view of the key role of the amygdala in the acquisition and expression of fear memory, we investigated the involvement of basolateral amygdala (BLA) serotonin 5-HT4 receptors in arachidonylcyclopropylamide (ACPA; selective CB1 cannabinoid receptor agonist)-induced fear memory consolidation impairment. In our study, a context and tone fear conditioning apparatus was used for testing fear conditioning in adult male NMRI mice. The results showed that intraperitoneal administration of ACPA 0.5 or 0.05, 0.1 and 0.5mg/kg immediately after training decreased the percentage of freezing time in context or tone fear conditioning respectively, suggesting a context- or tone-dependent fear memory consolidation impairment. Post-training intra-BLA microinjections of RS67333, as 5-HT4 serotonin receptor agonist, at doses of 0.025 and 0.05 µg/mouse also impaired context or tone memory consolidation, while RS23597, as 5-HT4 serotonin receptor antagonist, did not produce a marked difference in both fear memories as compared with the control group. Moreover, a subthreshold dose of RS67333 did not alter ACPA response in both fear conditionings. Interestingly, a subthreshold dose of RS23597 potentiated or reversed ACPA response at the dose of 0.01 or 0.05 respectively. It is concluded that BLA serotonin 5-HT4 receptors are involved in tone-dependent fear memory consolidation impairment induced by CB1 activation using ACPA, suggesting a modulatory role for serotonin 5-HT4 receptor.

  10. [The dispute and prospect of sedation and analgesia treatments in outpatient dental procedures].

    Science.gov (United States)

    Cong, Yu

    2015-12-01

    The topic of eliminating the fear or pain of patients during dental therapy is gaining increasing attention from dentists across the country. The field of painless dental therapeutics involves a wide range of subjects, including stomatology, anesthesiology, and hospital management. We summarized the characteristics of sedation and analgesia technology in outpatient oral therapy, reviewed the common sedative and analgesic treatments, and discussed the disputes on the use of sedation and analgesia in dental procedures. We also reviewed the trends and breakthroughs in this area on the basis of our own clinica experiences.

  11. Retrieving fear memories, as time goes by…

    Science.gov (United States)

    Do Monte, Fabricio H.; Quirk, Gregory J.; Li, Bo; Penzo, Mario A.

    2016-01-01

    Fear conditioning researches have led to a comprehensive picture of the neuronal circuit underlying the formation of fear memories. In contrast, knowledge about the retrieval of fear memories is much more limited. This disparity may stem from the fact that fear memories are not rigid, but reorganize over time. To bring clarity and raise awareness on the time-dependent dynamics of retrieval circuits, we review current evidence on the neuronal circuitry participating in fear memory retrieval at both early and late time points after conditioning. We focus on the temporal recruitment of the paraventricular nucleus of the thalamus, and its BDNFergic efferents to the central nucleus of the amygdala, for the retrieval and maintenance of fear memories. Finally, we speculate as to why retrieval circuits change across time, and the functional benefits of recruiting structures such as the paraventricular nucleus into the retrieval circuit. PMID:27217148

  12. Symptom provocation in dental anxiety using cross-phobic video stimulation.

    Science.gov (United States)

    Lueken, Ulrike; Hoyer, Jürgen; Siegert, Jens; Gloster, Andrew T; Wittchen, Hans-Ulrich

    2011-02-01

    Although video stimulation has been successfully employed in dental phobia, conclusions regarding the specificity of reactions are limited. A novel, video-based paradigm using cross-phobic video stimulation was validated based on subjective and autonomic responses. Forty subjects were stratified according to dental anxiety as measured by the Dental Fear Survey (DFS) using a median-split procedure (high-DFS and low-DFS groups). Anxiety stimuli comprised dental-anxiety scenes and non-dental-anxiety control scenes (snake stimuli). Neutral scenes were tailored to each anxiety stimulus. Dental, but not snake, stimuli were rated as more anxiety provoking only in the high-DFS group. Elevated skin-conductance amplitudes were observed in the high-DFS group for dental anxiety vs. neutral videos, but not for snake anxiety vs. neutral videos. State and trait anxiety and autonomic reactivity were correlated according to expectations. Using cross-phobic video stimulation, it was demonstrated that phobogenic reactions in dental anxiety are specific to the respective stimulus material and do not generalize to other non-dental-anxiety control conditions. The validation of the paradigm may support and stimulate future research on the characterization of dental anxiety on different response systems, including its underlying neural substrates.

  13. [Dental records and responsibility

    NARCIS (Netherlands)

    Brands, W.G.

    2006-01-01

    Dental records are more than a small part of the bookkeeping. In most dental practises, keeping records is the task of a dental assistant. In civil court, the dentist is in most countries liable for the mistakes of his employees. In disciplinary court however there may be doubt whether the dentist i

  14. 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

  15. Development and Validation of Acupuncture Fear Scale

    Directory of Open Access Journals (Sweden)

    Ho-Sun Kim

    2013-01-01

    Full Text Available Objectives. Strong aversions to acupuncture have been an obstacle to understanding its intrinsic action of acupuncture. Thus, it is necessary to evaluate the nature and extent of fear of acupuncture treatment. Our study aims to develop and validate an instrument that evaluates a patient’s fear of acupuncture treatment. Methods. We have developed an acupuncture fear scale, a 16-item instrument which assesses the acupuncture fear score and uses it to survey 275 participants in South Korea, thus testing the reliability and validity of the instrument. Results. Internal consistency was high (Cronbach’s alpha = 0.935. Test-retest reliability (Spearman’s rank correlation coefficient among 33 participants out of 275 ranged from 0.565 to 0.797 (P<0.001. Principal component analysis revealed two factors accounting for 68% of the variance, which are painful sensation and possible adverse events, respectively. The acupuncture fear scale was positively correlated with the total of fear of pain questionnaire-III (r=0.423, P<0.001. Conclusions. The acupuncture fear scale can be a valid and reliable instrument that can measure fear of acupuncture treatment. These results strongly suggest that it would be a clinically useful tool to assess fear of acupuncture in the acupuncture clinic setting and an important instrument to understand the complex social-behavioral component of acupuncture modality.

  16. Fear learning circuitry is biased toward generalization of fear associations in posttraumatic stress disorder

    OpenAIRE

    Morey, R.A.; Dunsmoor, J E; Haswell, C C; Brown, V M; Vora, A; Weiner, J.; Stjepanovic, D; Wagner, H R; ,; Brancu, Mira; Marx, Christine E.; Naylor, Jennifer C.; Van Voorhees, Elizabeth; Taber, Katherine H.; Beckham, Jean C.

    2015-01-01

    Fear conditioning is an established model for investigating posttraumatic stress disorder (PTSD). However, symptom triggers may vaguely resemble the initial traumatic event, differing on a variety of sensory and affective dimensions. We extended the fear-conditioning model to assess generalization of conditioned fear on fear processing neurocircuitry in PTSD. Military veterans (n=67) consisting of PTSD (n=32) and trauma-exposed comparison (n=35) groups underwent functional magnetic resonance ...

  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. 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.

  19. 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

  20. Disgust and Fear-Related UCS-Expectancy Bias in Blood-Fearful Individuals

    NARCIS (Netherlands)

    van Overveld, Mark; de Jong, Peter J.; Peters, Madelon L.

    2010-01-01

    People with specific fears tend to overestimate the occurrence of unpleasant consequences in situations involving their feared objects. Such expectancy bias logically acts in a way to confirm phobic fear and avoidance. Increasing evidence suggests that blood phobia is qualitatively different from ot

  1. 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

  2. Fear generalization in humans: impact of prior non-fearful experiences

    NARCIS (Netherlands)

    Vervliet, B.; Kindt, M.; Vansteenwegen, D.; Hermans, D.

    2010-01-01

    Fear generalization lies at the heart of many anxiety problems, and is therefore an important target for prevention and/or treatment. Here, we investigated whether fear generalization towards a specific stimulus can be weakened by prior non-fearful experiences with that stimulus. Using the standard

  3. 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.…

  4. Epilepsy in the dental office: concern, care and management.

    Science.gov (United States)

    Haller, Jerome S

    2008-04-01

    Epilepsy, also known as seizure disorder, encompasses several different modes of presentation. Patients of all ages, from early childhood to the elderly, who present for dental care may be taking anticonvulsants or may have an unanticipated seizure in the dental office. Dentists should be familiar with the varied manifestations of seizures, the medications used in their treatment and management of a seizure in the dental office. It is estimated that 1% of the population of the United States are afflicted with epilepsy. There is indication that the elderly are becoming included in that number because of their affliction with cardiovascular disorders. The word "epilepsy" raises anxiety in many people because they fear that such an event is life threatening. However, the term epilepsy applies primarily to prolonged or repetitive seizures requiring intervention by trained individuals.

  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.

  6. STIGMA AROUND HIV IN DENTAL CARE: PATIENTS' EXPERIENCES.

    Science.gov (United States)

    Brondani, Mario A; Phillips, J Craig; Kerston, R Paul; Moniri, Nardin R

    2016-02-01

    Tooth decay and other oral diseases can be highly prevalent among people living with HIV/AIDS (PLWHA). Even though dental professionals are trained to provide equal and non-judgemental services to all, intentional or unintentional biases may exist with regard to PLWHA. We conducted qualitative descriptive research using individual interviews to explore the experiences of PLWHA accessing dental care services in Vancouver, Canada. We interviewed 25 PLWHA, aged 23-67 years; 21 were men and 60% reported fair or poor oral health. Thematic analysis showed evidence of both self-stigma and public stigma with the following themes: fear, self-stigma and dental care; overcoming past offences during encounters with dental care professionals; resilience and reconciliation to achieve quality care for all; and current encounters with dental care providers. Stigma attached to PLWHA is detrimental to oral care. The social awareness of dental professionals must be enhanced, so that they can provide the highest quality care to this vulnerable population.

  7. 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

  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. Private self-consciousness and fear of negative evaluation.

    Science.gov (United States)

    Monfries, M M; Kafer, N F

    1994-07-01

    We examined the loci of social anxiety in a sample of 385 Australian adult subjects (186 men and 199 women, mean age 30.63 years). Responses to the Social Avoidance and Distress Scale, the Fear of Negative Evaluation Scale (Watson & Friend, 1969), and the Public and Private Self-Consciousness Scale (Fenigstein, Scheier, & Buss, 1975) were intercorrelated. The results suggested that for some socially anxious people who are privately shy, the locus of their anxiety is cognitive, whereas for others who are more concerned with performance, the locus is behavioral.

  10. 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.

  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. 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…

  13. 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…

  14. 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)

  15. 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.

  16. Versatility of Fear-potentiated Startle Paradigms for Assessing Human Conditioned Fear Extinction and Return of Fear

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    Seth Davin Norrholm

    2011-11-01

    Full Text Available Fear conditioning methodologies have often been employed as testable models for assessing learned fear responses in individuals with anxiety disorders such as post-traumatic stress disorder (PTSD and specific phobia. One frequently used paradigm is measurement of the acoustic startle reflex under conditions that mimic anxiogenic and fear-related conditions. For example, fear-potentiated startle is the relative increase in the frequency or magnitude of the acoustic startle reflex in the presence of a previously neutral cue (e.g., colored shape; termed the conditioned stimulus or CS+ that has been repeatedly paired with an aversive unconditioned stimulus (e.g., airblast to the larynx. Our group has recently used fear-potentiated startle paradigms to demonstrate impaired fear extinction in civilian and combat populations with PTSD. In the current study, we examined the use of either visual or auditory CSs in a fear extinction protocol that we have validated and applied to human clinical conditions. This represents an important translational bridge in that numerous animal studies of fear extinction, upon which much of the human work is based, have employed the use of auditory CSs as opposed to visual CSs. Participants in both the visual and auditory groups displayed robust fear-potentiated startle to the CS+, clear discrimination between the reinforced CS+ and non-reinforced CS-, significant extinction to the previously reinforced CS+, and marked spontaneous recovery. We discuss the current results as they relate to future investigations of PTSD-related impairments in fear processing in populations with diverse medical and psychiatric histories.

  17. 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.

  18. 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.

  19. Fear of Public Speaking: How Can I Overcome It?

    Science.gov (United States)

    Fear of public speaking: How can I overcome it? How can I overcome my fear of public speaking? Answers from Daniel K. Hall-Flavin, M.D. Fear of public speaking is a common phobia. It can range from ...

  20. 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…

  1. 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

  2. State anxiety modulates the return of fear

    NARCIS (Netherlands)

    Kuhn, Manuel; Mertens, Gaetan; Lonsdorf, Tina B

    2016-01-01

    Current treatments for anxiety disorders are effective but limited by the high frequency of clinical relapse. Processes underlying relapse are thought to be experimentally modeled in fear conditioning experiments with return fear (ROF) inductions. Thereby reinstatement-induced ROF might be considere

  3. 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.

  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. Fear of Crime Among the Aged

    Science.gov (United States)

    Clemente, Frank; Kleiman, Michael B.

    1976-01-01

    Compares the patterns of fear of crime among the aged and the non-aged. Four key specifying variables were used in the analysis--sex, race, socioeconomic status, and size of community. Findings indicated that elderly respondents who were either female, black, or metropolitan residents possessed extremely high fear rates. (Author)

  7. Fear of Crime and Residential Location.

    Science.gov (United States)

    Belyea, Michael J.; Zingraff, Matthew T.

    1988-01-01

    Explores relationship between fear of crime and residential location. Studies sample of more than 3,000 North Carolina residents. Results indicate that rural residents have significantly lower fear of crime than urban counterparts when known correlates are controlled. Discusses implications for future research. (Author/TES)

  8. 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.

  9. 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…

  10. 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.

  11. Fear of Crime: The Influence of General Fear, Risk, and Time Perspective.

    Science.gov (United States)

    Chadee, Derek; Ng Ying, Nikita K; Chadee, Mary; Heath, Linda

    2016-05-24

    Prior research on fear of crime has focused less on psychological causes than on sociological and demographic factors. This study, however, introduces time perspective (TP) as an important psychological variable in the understanding of fear of crime. Specifically, the article assesses the relationship between TP as a stable personality factor and the mediation of risk and general fear on fear of crime levels. Data were collected using the survey method from a sample of 375 respondents utilizing the following scales: Zimbardo Time Perspective Inventory (ZTPI) consisting of five TP subscales, Ferraro's perceived risk of victimization and fear of crime scales, and a general (non-crime) fear scale measuring pragmatic and abstract fear. Path analysis shows no significant direct relationships between the five TP subscales and fear of crime. However, indirect effects are observed for Past Negative TP and Present Fatalistic TP, with general fear (pragmatic and abstract) and risk of victimization mediating the relationship, and pragmatic fear having the greatest significant effect size. Results are discussed in the context of risk and general fear sensitivity and construal level theory. We conclude with recommendations for future research.

  12. 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.

  13. 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.

  14. Joint hypermobility, fears, and chocolate consumption.

    Science.gov (United States)

    Pailhez, Guillem; Rosado, Silvia; Bulbena Cabré, Andrea; Bulbena, Antonio

    2011-11-01

    Our purpose was to evaluate joint hypermobility, an inherited disorder of the connective tissue significantly associated with anxiety disorders, in a sample of nonclinical students in relation to the frequency of severe fears and consumption of chocolate, coffee, cigarettes, and alcohol. One hundred fifty students completed the Hakim and Grahame Simple Questionnaire to detect hypermobility and the self-administered modified Wolpe Fear Scale (100 items). Severe fears and daily consumption of cigarettes, alcohol, coffee, and chocolate were compared with the hypermobility scores. We found significant differences when comparing severe fears between the groups with and without hypermobility (7.6 vs. 11; p = 0.001), reinforcing the hypothesis that the intensity of fears is greater in subjects with hypermobility. Only the frequency of chocolate intake was significantly higher among subjects with hypermobility (31.2% vs. 51.2%; p = 0.038) and may correspond to attempts of self-treatment of the collagen condition.

  15. Introducing fear of crime to risk research.

    Science.gov (United States)

    Jackson, Jonathan

    2006-02-01

    This article introduces the fear of crime to risk research, noting a number of areas for future interdisciplinary study. First, the article analyzes both the career of the concept of fear of crime and the politics of fear. Second, it considers research and theory on the psychology of risk, particularly the interplay between emotion and cognition, and what might be called the risk as image perspective. Third, the article speculates how people learn about risk and suggests how to customize a social amplification of risk framework to fear of crime. Finally, the article advances the argument that fear of crime may be an individual response to community social order and a generalized attitude toward the moral trajectory of society. Each of these areas of discussion has implications for future theoretical developments within risk research; each highlights how risk research can contribute to the social scientific understanding of an important issue of the day.

  16. 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.

  17. Dental hygiene in Slovakia.

    Science.gov (United States)

    Luciak-Donsberger, C; Krizanová, M

    2004-08-01

    This article reports on the development of the dental hygiene profession in Slovakia from a global perspective. The aim is to inform about current developments and to examine, how access to qualified dental hygiene care might be improved and how professional challenges might be met. For an international study on dental hygiene, secondary source data were obtained from members of the House of Delegates of the International Federation of Dental Hygienists (IFDH) or by fax and e-mail from experts involved in the national professional and educational organization of dental hygiene in non-IFDH member countries, such as Slovakia. Responses were followed-up by interviews, e-mail correspondence, visits to international universities, and a review of supporting studies and reference literature. Results show that the introduction of dental hygiene in Slovakia in 1992 was inspired by the delivery of preventive care in Switzerland. Initiating local dentists and dental hygienists strive to attain a high educational level, equitable to that of countries in which dental hygiene has an established tradition of high quality care. Low access to qualified dental hygiene care may be a result of insufficient funding for preventive services, social and cultural lack of awareness of the benefits of preventive care, and of limitations inherent in the legal constraints preventing unsupervised dental hygiene practice. These may be a result of gender politics affecting a female-dominated profession and of a perception that dental hygiene is auxiliary to dental care. International comparison show that of all Eastern European countries, the dental hygiene profession appears most advanced in Slovakia. This is expressed in high evidence-based academic goals, in extensive work with international consultants from the Netherlands and Switzerland, in annual congresses of high professional quality, and in the establishment of a profession, which has not been introduced in all Western EU countries.

  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. Tails, Fears and Risk Premia

    DEFF Research Database (Denmark)

    Bollerslev, Tim; Todorov, Victor

    We show that the compensation for rare events accounts for a large fraction of the equity and variance risk premia in the S&P 500 market index. The probability of rare events vary significantly over time, increasing in periods of high market volatility, but the risk premium for tail events cannot...... for the corresponding jump tail density. Our estimates for the risk-neutral expectations are based on short maturity out-of-the money options and new model-free option implied variation measures explicitly designed to separate the tail probabilities. At a general level, our results suggest that any satisfactory...... equilibrium based asset pricing model must be able to generate large and time-varying compensations for fears of disasters....

  20. 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 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 caries

  1. 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

  2. Who uses independent dental services? Findings from a national survey.

    Science.gov (United States)

    McGrath, C; Moles, D; Bedi, R

    1999-10-01

    This study was designed to determine private dental services use in the UK and to determine if those who use an independent dental service attend more regularly, in addition to identifying factors associated with the use of private dental care. A random probability sample of 2668 addresses was selected from the British Postcode Address File (PAF) and 1865 adults aged 16 years or older took part in this study (70%). Respondents were interviewed in their homes about their use of dental services and socio-demographic information was collected. The data were analysed using the statistical package CHAID. A total of 23% (424) reported to be seen on a private basis the last time they visited the dentist. Of those, 54% (230) reported to have attended the dentist within the last six months compared to 46% (629) of those who used NHS services (P dental services.

  3. Dental lesions in the lowland tapir (Tapirus terrestris)

    DEFF Research Database (Denmark)

    Tjørnelund, Karen B.; Jonsson, Lena M.; Kortegaard, Hanne Ellen;

    2015-01-01

    Dental ailments, mandibular swelling, and dentoalveolar abscesses are common in tapirs, but knowledge about prevalence or etiology of these lesions in the Tapiridae family in general, and in lowland tapirs ( Tapirus terrestris ) in particular, is scarce. A recent study identified resorptive lesions...... of unknown etiology as a common problem in the Malayan tapir ( Tapirus indicus ). In order to investigate the type and prevalence of dental lesions occurring in lowland tapirs, and to compare these with findings with the Malayan tapir, skulls and teeth from 46 deceased lowland tapirs were visually...... and radiographically examined. The specimens were divided into subpopulations according to age (juveniles, young adults, adults) and origin (free-range or captive). Dental lesions were identified in 24% (11/46) of the study population. The most common pathologic findings were complicated dental fractures...

  4. 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.

  5. 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.

  6. Fear inhibition in high trait anxiety.

    Science.gov (United States)

    Kindt, Merel; Soeter, Marieke

    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. Sixty undergraduate students participated in the study--High Trait Anxious: n = 28 and Low Trait Anxious: n = 32. We replicated earlier findings that a transfer of conditioned inhibition for startle responses requires contingency awareness. However, contrary to the fear inhibition hypothesis, our data suggest that high trait anxious individuals show a normal fear inhibition of conditioned startle responding. Only at the cognitive level the high trait anxious individuals showed evidence for impaired inhibitory learning of the threat cue. Together with other findings where impaired fear inhibition was only observed in those PTSD patients who were either high on hyperarousal symptoms or with current anxiety symptoms, we question whether impaired fear inhibition is a biomarker for the development of anxiety disorders.

  7. Dental erosion, summary.

    Science.gov (United States)

    ten Cate, J M; Imfeld, T

    1996-04-01

    Although reports on dental erosion have always appeared in the dental literature, there is currently a growing interest among researchers and clinicians. Potential risk factors for dental erosion are changed lifestyle and eating patterns, with increased consumption of acidic foods and beverages. Various gastrointestinal and eating disorders expose the dentition to frequent contacts with very acidic gastric content, which may lead to erosion. Whether these factors indeed lead, on a population scale, to a higher prevalence and incidence of erosion is yet to be established. This article summarizes the different aspects of the prevalence, pathology, etiology, assessment, prevention and treatment of dental erosion, and concludes with recommendations for future research.

  8. 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.)

  9. 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

  10. Fluoride varnish: a primary prevention tool for dental caries.

    Science.gov (United States)

    Ramaswami, Neerrajah

    2008-01-01

    Fluoride varnish is an effective tool that has been proven to prevent dental caries both in primary and permanent dentition. Its ease of use, acceptability and efficacy make it an important tool in the primary prevention of dental caries in high-caries-risk children. There has been an increase in third-party reimbursement for fluoride varnish applications in high-risk children and adults.

  11. The Dental Needs of Army Family Members, 1986: Pilot Study

    Science.gov (United States)

    1990-05-10

    pediatric dentistry programs as well as larger families appear to value access to free dental care. Since the DoD had not announced details of its dental insu...Category of Care and by Age Group: --For Children (age 4-14): Diagnostic & Preventive $27-$80 Restorations, stainless steel crowns , and extractions (Basic... crowns , and extractions. Comprehensive services consist of basic care, space maintenance, and orthodon- tics. For youths and adults, average costs were

  12. TO FEAR OR NOT TO FEAR ON CYBERCRIME

    Directory of Open Access Journals (Sweden)

    Igor Bernik

    2013-09-01

    Full Text Available To understand cybercrime and its various forms, one must be familiar with criminality in general. How individuals perceive crime, and how much they fear it is further influenced by news media (Crawford, 2007. Van Duyne (2009, who monitored criminality, wrote about changes which started to be noticed twenty years ago and have shaped a new Europe, a territory without inner borders, and so with more mobility and opportunities for the Europeans. But these novelties and changes in the way we work have also caused certain new problems. It can be said that perpetrators of crimes, who are no longer hindered by state borders, now know no geographical limitations. Vander Baken and Van Daele (2009, for example, have researched mobility in connection to transnational criminality. Von Lampe (2007 has established that perpetrators no longer act individually, but frequently work in cooperation with one another. Crime and mobility are being “greased” by money, and have become a part of everyday life (Van Duyne, 2009. An individual’s perception and understanding of criminality is also biased on certain cultural myths in regard to crime (Meško and Eman, 2009.

  13. On the use of pets to manage dental anxiety

    Directory of Open Access Journals (Sweden)

    Lora Manley

    2016-01-01

    Full Text Available Dental anxiety and fear can be a significant barrier to dental care, with symptoms ranging from feelings of unease to avoidance of care. The management of anxious patients is essential to improve their oral health. Triggers include sights, sounds, sensations, and smells of the equipment used in restorative procedures, and management should focus on controlling these factors. Recommendations for controlling these triggers include distraction and pharmacological interventions. In medicine, distractions include animal-assisted therapy, which proves an effective means of reducing anxiety levels. Studies have shown that interactions with live animals reduce self-reported anxiety more than distractions by either humans or magazines. The media also addresses the valuable role of emotional support by animals in boosting health and enhancing lives. In the past year, numerous news stories have reported regarding the use of certified therapy by dogs to comfort anxious patients in dental practices across the United States. Dogs serve to distract patients, drawing their focus away from dentistry, and generate a positive energy that enliven both the staff and the patients. The positive impact that therapy dogs have had on patients′ dental experiences cannot be overstated. The incorporation of pet anti-anxiety therapy is a safe, effective, and inexpensive approach to easing dental anxiety and has profound potential for improving oral health.

  14. No effect of trait anxiety on differential fear conditioning or fear generalization.

    Science.gov (United States)

    Torrents-Rodas, David; Fullana, Miquel A; Bonillo, Albert; Caseras, Xavier; Andión, Oscar; Torrubia, Rafael

    2013-02-01

    Previous studies have shown that individuals with anxiety disorders exhibit deficits in fear inhibition and excessive generalization of fear, but little data exist on individuals at risk from these disorders. The present study examined the role of trait anxiety in the acquisition and generalization of fear in 126 healthy participants selected on the basis of their trait-anxiety scores. Measures of conditioning included fear-potentiated startle, skin conductance response and online risk ratings for the unconditioned stimulus. Contrary to our hypotheses, trait anxiety did not have any effect either on the acquisition or the generalization of fear. Our results suggest that these fear conditioning processes are not impaired in individuals at risk from anxiety.

  15. 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.

  16. 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...

  17. Forming competing fear learning and extinction memories in adolescence makes fear difficult to inhibit

    OpenAIRE

    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. We examined neural correlates of impaired extinction retention by detection of phosphorylated mitogen-activated protein kinase immunoreactivity (pMA...

  18. Reducing Fear of the Laboratory Rat: A Participant Modeling Approach.

    Science.gov (United States)

    Barber, Nigel

    1994-01-01

    Reports on the use of participant modeling in a study of 56 college-level students to reduce fear of laboratory rats. Discovers that even mild exposure reduced fear significantly. Finds that women were more fearful initially but that their fear reduction was equal to that of men. (CFR)

  19. Can prepared fear conditioning result from verbal instructions?

    NARCIS (Netherlands)

    Mertens, Gaëtan; Raes, An K.; De Houwer, Jan

    2016-01-01

    Evolutionary fear-relevant stimuli such as snakes or spiders are thought to be prepared to elicit fear reactions. This implies that the acquisition of conditioned fear responses is facilitated when these stimuli serve as conditioned stimuli (CSs). Moreover, extinction of conditioned fear responses i

  20. A Longitudinal Examination of Fear Reactions in Victims of Rape.

    Science.gov (United States)

    Calhoun, Karen S.; And Others

    1982-01-01

    Investigated fear reactions in rape victims for one year following their assaults. Following the assault, victims were significantly more fearful than nonvictim controls. Although their overall fearfulness declined somewhat and stabilized by two months postassault, victims remained significantly more fearful than nonvictim controls at 12 months…