Azizyar, N. (Nadia) (2019) Pijnbeleving, afhankelijk van angstklachten voor de tandarts, bij het toedienen van mandibulaire geleidingsanesthesie bij patiënten van Nederlandse versus Marokkaans-Turkse afkomst. thesis, Dentistry.
Full text available on request.Abstract
Background: studies show that ethnicity can influence the pain perception of patients receiving mandibular anesthesia in dental practices. This research seeks to examine the influence of culture and on the differences in pain perception during the administration of mandibular anesthesia. The research question is: When administering mandibular anesthesia, what is the difference in pain perception, with and without the presence of anxiety for the dentist, between patients of Dutch ethnic background of the one hand, and patients of Moroccan-Turkish origin. This research aims to raise more awareness among practitioners of dentistry about the differences in the pain perception between the patients of different backgrounds and patients with anxiety for the dentist. Method: the patients were presented with a questionnaire about anxiety for dental treatment (k�ATB). Pain experience between Moroccan-Turkish patients and patients of Dutch descent was quantified with a Visual Analogue Scale (VAS). The interaction between anxiety for the dentist and origin in relation with pain perception was investigated with the help of a linear regression analysis. Furthermore, the interaction-effect of origin x anxiety on pain were investigated. Subsequently, the Students' unpaired t-test was used to test the differences in pain perception between patients of Dutch and Moroccan-Turkish background. Linear regression analysis was also used to reveal the influence of the covariates age, sex, education level, smoking, pain complaints prior to mandibular anesthesia and previous experiences with mandibular anesthesia. Results: in this study 101 patients, who were administered with mandibular anesthesia, participated in this study (57 with Moroccan-Turkish origin, 28 of whom had anxiety for the dentist and 44 of Dutch descent, 21 of whom suffered from anxiety for the dentist). Differences in pain perception were found to be dependent from dental anxiety (p= .00). An interaction is found between anxiety and origin regarding pain perception (p= .044). With regard to the absence of anxiety for the dentist, the presence of anxiety for the dentist leads to a significant increase in the pain score VAS for patients of both Dutch and Moroccan-Turkish origin. However, the increase in pain score VAS is greatest among patients of Dutch descent. In addition to this, no significant effect of confounders on differences in pain perception were found. Conclusion: pain perception during the administration of mandibular anesthesia is dependent from the extent to which the patient is suffering from dental anxiety. Furthermore, an interaction between dental anxiety and origin on pain perception was found. No effect of sex, education level, smoking, pain complaints prior to mandibular anesthesia and previous experiences with mandibular anesthesia on differences in pain perception were shown.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Groen, dr. G.J. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Nov 2021 09:25 |
| Last Modified: | 24 Nov 2021 09:25 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2867 |
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