Psychiatr. praxi. 2024;25(2):88-92 | DOI: 10.36290/psy.2024.014

Anxiety in the patients (not only) in dental care

MDDr. Ondřej Kohout1, prof. MUDr. Ladislav Hosák, Ph.D.2
1 Soukromá zubní ordinace Dentlabe, s. r. o., Kolín
2 Psychiatrická klinika, Univerzita Karlova, Lékařská fakulta v Hradci Králové a Fakultní nemocnice Hradec Králové

Patients´ fear of examination and treatment is an integral part of the most physicians´ routine not only a dentist´s one. Up to 75% of the population are afraid of being treated by a dentist. About 10% of people suffer from an overwhelming fear (odontophobia) with all the social, health and economical consequences of a neglected dental care. This review article offers an overview of the treatment options of dental phobia. The first prerequisite for a successful treatment is the application of local anesthesia. Milder forms of odontophobia can be managed with non-pharmacological methods, such as a gentle attitude, diversion of attention, and appropriate technical equipment. In addition, more difficult cases are controlled with pharmacotherapy; for example, it is possible to use benzodiazepines, nitrous oxide, and according to modern guidelines, even oxytocin.

Keywords: odontophobia, midazolam, Entonox, oxytocine.

Accepted: May 29, 2024; Published: June 3, 2024  Show citation

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Kohout O, Hosák L. Anxiety in the patients (not only) in dental care. Psychiatr. praxi. 2024;25(2):88-92. doi: 10.36290/psy.2024.014.
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