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- Brahm, Carl-Otto, 1974, et al.
(författare)
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Dentists' skills with fearful patients: education and treatment.
- 2013
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Ingår i: European journal of oral sciences. - : Wiley. - 1600-0722 .- 0909-8836. ; 121:3 Pt 2, s. 283-291
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Tidskriftsartikel (refereegranskat)abstract
- 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.
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- Brahm, Carl-Otto, 1974, et al.
(författare)
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Dentists' views on fearful patients. Problems and promises.
- 2012
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 36:2, s. 79-89
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Tidskriftsartikel (refereegranskat)abstract
- Abstract A large number of patients treated in the general dental health service in Western countries report dental fear to some degree. Dentists' views of treating these fearful patients are not well described in the literature.Therefore, the aims of the study were to explore dentists' attitudes towards, experience of, and feelings about treating fearful patients. The sample consisted of 1293 members of the Association of Public Health Dentists in Sweden who were asked to respond to a web survey concerning dental fear. The response rate was 69% (n = 889).The majority of the responding dentists stated that dental fear is a problem in routine dental care,treating patients with dental fear is a positive challenge and they felt they were making a contribution.They also reported that treating patients with dental fear is associated with hard work, poor revenues, and little appreciation by employers. Female dentists reported a greater proportion of patients with dental fear and greater self-efficacy regarding the treatment of these patients, compared with their male colleagues. Dentists trained in other EU countries reported stress more often and less perceived contribution when treating fearful patients, compared with colleagues trained in Sweden. CONCLUSION: Dentists' views of treating fearful patients are mainly positive; however, it is problematic that dentists feel stress and that dentists who treat many fearful patients feel their employers do not appreciate their efforts.
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- Brahm, Carl-Otto, 1974
(författare)
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The fearful patient in routine dental care
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Managing dental fear is a daily challenge in dental care. The overall aims of this thesis were to study the attitudes of dental health professionals to fearful dental patients, and their skills and strategies when treating these patients. A second overarching aim was to develop and evaluate a structured model for information and communication about dental fear in the treatment situation, the Jönköping Dental Fear Coping Model (DFCM), to the benefit of both the dental health professionals and their adult patients. The evaluation of the DFCM primarily focuses on outcomes pertaining to dental health professionals, but also on patient outcomes. Most dental fear treatment has focused on extreme dental fear; however, the DFCM is designed to work with the different levels of dental fear encountered in ordinary dental clinical work. Material and Methods: The focus of the thesis is on dental health professionals treating adult patients, with or without dental fear. In a web survey, the experience and preparedness of dentists in Sweden to treat fearful patients were investigated. The DFCM was then developed with the aim to reduce stress among dental health professionals when treating fearful patients, and to reduce dental fear among patients. An intervention study was performed to evaluate the DFCM, both from a staff and a patient perspective. Results: In the web survey, 20% of the dentists reported that they experienced stress when treating fearful patients. Despite reporting relatively good skills and expressing mainly positive attitudes towards treating adult fearful patients, a need for training in dental fear was expressed by the dentists. Data from the intervention study did not support the main hypothesis that the DFCM strengthened the professionals’ self-efficacy at treating fearful patients; however, it does indicate that using the DFCM facilitates the dental professionals’ identification of dental fear and their communication with patients. Furthermore, it seems to reduce tension among fearful patients. Conclusion: The Jönköping DFCM can be used to improve the rapport with patients during the dental examination, and a Dental Fear Summary provides important information to support the dental treatment. The Jönköping DFCM needs to be evaluated in other studies and in other contexts, such as in private dental care/management.
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