Turkiye Klinikleri Journal of Dental Sciences

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Ağız, Diş Çene Cerrahisi ve Anksiyete: Sistematik Derleme
Oral and Maxillofacial Surgery and Anxiety: Systematic Review
Gizemnur KAYMAZa, Ahmet ALTANa, Nihat AKBULUTa
aTokat Gaziosmanpaşa Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi ABD, Tokat, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):691-6
doi: 10.5336/dentalsci.2021-86267
Article Language: TR
Full Text
ÖZET
 Diş hekimliğinde anksiyete yaygın görülen bir durumdur. Bu durum, hastalarda pek çok duygusal ve fiziksel değişikliklere sebep olabilmektedir. Günümüzde gelişen teknoloji ile beraber uygulanan modern tedavilere rağmen dental işlemler stres yaratmaya devam etmektedir. Hastalarda el yüz ve bütün vücutta titreme, terleme, nefes almada güçsüzlük, senkop, ağız kuruluğu görülebilir. Hastanın kişilik özelliği, cinsiyeti, yaşı, eğitim durumu ve geçmişte yaşadığı dental tedaviler, tedavi sonucu ile ilgili olumsuz beklentiler, negatif diş hekimihasta ilişkisi gibi birçok faktör hastaların dental kaygı düzeylerini ve dental işlemlere bakış açısını etkileyebilir. Hastanın kaygı ve endişesi diş hekiminin tedaviyi gerçekleştirmesini zorlaştırır, zaman kaybına neden olur ve diş hekimliği işinin kalitesini düşürebilir. Ağız, diş ve çene cerrahisi uygulamaları, diğer diş hekimleri uygulamalarına kıyasla hastalarda daha çok stres oluşturmaktadır. Gömülü 20 yaş cerrahisi, implant uygulamaları, ortognatik cerrahi, dudak-damak yarığı cerrahisi gibi pek çok uygulama, hastaların anksiyete derecelerini farklı düzeylerde etkilemektedir. Diş hekimlerinin mezuniyet öncesi ve sonrası dönemde anksiyetenin sebepleri, yönetimi, dental tedavi ve ağız sağlığı üzerine etkileri açısından bilgi sahibi olması ve bu süreci yönetebilmesi gerekmektedir. Anksiyetenin kontrol ve yönetim biçimleri arasında; anksiyete azaltıcı protokol, farmakolojik yöntemler, başa çıkma stratejilerinin azaltılması bulunmaktadır. Hastalara psikolojik yaklaşım, telkin yeterli gelmediğinde farmakolojik ajanlardan yararlanılabilir. Bu derlemenin amacı, literatürdeki anksiyete çalışmaları hakkında bilgi vermektir.

Anahtar Kelimeler: Diş hekimliği; cerrahi; anksiyete
ABSTRACT
 Anxiety is a common condition in dentistry. This situation can cause many emotional and physical changes in patients. Despite the modern treatments applied together with the developing technology, dental procedures continue to create stress. Patients may experience tremor, sweating, weakness in breathing, syncope and trembling and dryness in mouth, hands, face and whole body. Many factors such as the patient's personality, gender, age, educational status and dental treatments in the past, negative expectations about the result of the treatment, and negative dentist-patient relationship can affect the dental anxiety levels of the patients and their perspective on dental procedures. The patient's anxiety and worry make it difficult for the dentist to perform the treatment, cause a waste of time and may reduce the quality of the dental work. Oral and maxillofacial surgery applications create more stress in patients compared with other dentistry applications. Many applications such as impacted wisdom tooth surgery, implant applications, orthognathic surgery, cleft lip and palate surgery affect the anxiety levels of patients. Dentists should have knowledge about the causes of anxiety, its management, its effects on dental treatment and oral health, and be able to manage this process before and after graduation. Among the forms of control and management of anxiety; anxiety-reducing protocol, pharmacological methods, and reduction of coping strategies. When the psychological approach and suggestion are not sufficient, pharmacological agents can be used. The purpose of this review is to give information about anxiety studies in the literature.

Keywords: Dentistry; surgery; anxiety
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