Heuvink, E.F. (2016) Het verschil in spanning tussen studenten en ervaren tandartsen bij het geven van verdovingsinjecties. thesis, Dentistry.
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Abstract
Background: Dentistry is known as a stressful profession. One of the aspects that may cause stress are, for instance, painful dental procedures. Do these procedures remain stressful or does the stress diminish with experience? The purpose of this study was to determine the difference in anxiety between dental students and experienced dentists while performing an inferior alveolar nerve block. Methods: The anxiety is measured objectively through heart rate before, during and after performing an inferior alveolar nerve block as well subjectively through a visual analogue scale (VAS) before and after the injection. Anxiety related thoughts that students and dentists may have were defined. 40 participants were included, of which 20 students and 20 dentists. The data were analyzed using SPSS, with the null hypothesis being that there was no difference between heart rate and VAS between dentists and students. Results: Students had a significant higher heart rate during performance of an inferior alveolar nerve block (M=100.40, SD=20.14) than dentists (M=79.60, SD=8.17); t(25.1)=4.28, p<.001. Between all measurement points students and dentists appeared to differ significantly with respect to the change in heart rate (F(1,38) = 13.97, p= .001). The heart rate of students increased significantly more between the ‘before’ and ‘during’ measurement points (F(1,38) = 16.87, p= .000). It decreased strongly between the ‘during’ and ‘after’ measurement points (F(1,38) = 13.61, p= .001), while the heart rate of dentists more or less did not change. Also students scored the VAS significantly higher than dentists, both before (t(38)=3.95, p<.001) and after (t(38)=3.18, p=.003) giving the injection. Though no significant difference was found in the change in VAS between students and dentists (F(1,38) = 0.252, p= .681). The students and dentists had different anxiety related thoughts (‘inadequate anesthesia’ and ‘anxious patient’ respectively). Conclusion: The performance of an inferior alveolar nerve block leads to a significant increase in heart rate of students while performing the injection and drops again after injecting. There is no measurable difference for dentists. Apparently experience leads to reduction in anxiety while performing a potentially exciting dental procedure.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Bildt, M.M. UMCG Centrum voor Tandheelkunde en Mondzorgkunde |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:51 |
| Last Modified: | 25 Jun 2020 10:51 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1161 |
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