A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on
Key Points Not only confirms the role of evidence-based psychological interventions with dentally anxious patients, but also appears to demonstrate a significant lasting effect over a decade. Reinforces the role of joint working between dental professionals and CBT therapists. Suggests alternatives...
Gespeichert in:
| Veröffentlicht in: | British dental journal 2011-08, Vol.211 (4), p.159-162 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 162 |
|---|---|
| container_issue | 4 |
| container_start_page | 159 |
| container_title | British dental journal |
| container_volume | 211 |
| creator | Davies, J. G. Wilson, K. I. Clements, A. L. |
| description | Key Points
Not only confirms the role of evidence-based psychological interventions with dentally anxious patients, but also appears to demonstrate a significant lasting effect over a decade.
Reinforces the role of joint working between dental professionals and CBT therapists.
Suggests alternatives to meet this need based on the available evidence from related clinical areas.
Objective
To audit the records of a group of patients who had previously benefited from cognitive behavioural therapy (CBT) for dental phobia.
Aim
To ascertain if they had returned to the use of intravenous (IV) sedation to facilitate dental treatment. Ten years ago these patients were routinely requiring IV sedation to facilitate dental treatment due to severe dental phobia.
Method
Sixty patients entered the original pilot project. Of those, 30 were offered CBT and 21 attended. Twenty of those patients (95.2%) were subsequently able to have dental treatment without IV sedation. In this follow-up study the electronic records of 19 of the 20 patients who had originally been successful with CBT were re-audited. Our purpose was to see if there was any record of subsequent IV sedation administration in the intervening ten years.
Results
Of the 19 successful CBT patients available to follow-up, 100% had not received IV sedation since the study ten years ago. This may suggest the initial benefit of CBT has endured over the ten-year period.
Conclusion
This study indicates that the use of CBT for patients with dental phobia proves beneficial not only in the initial treatment but that the benefits may endure over time. This results in a significant reduction in health risks to the patient from repeated IV sedation. It may also translate into significant financial savings for dental care providers. Our evidence for CBT as treatment for dental phobia suggests dental services should be implementing this approach now rather than pursuing further research. |
| doi_str_mv | 10.1038/sj.bdj.2011.674 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_885560723</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>885560723</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-62ea2fac8b2e25cfef63838388b60ea204dee991b6ccded2ffad9772ecc2dc823</originalsourceid><addsrcrecordid>eNp1kUFv1DAUhC0EotvCmRuyuHDK9tlJHIdbVUFBqsQFzpZjv3QTJXawnVb5PfxRvNqWSkjIB0szn-fZHkLeMdgzKOVlHPedHfccGNuLpnpBdqxqRFGXTfmS7ACgKUAwOCPnMY4ArKpAvCZnnEnRNrLdkd9XdPSDS1QvS_DaHGjyNAXUaXB31KJLeqLLwXeD_kQ1DVjgvZ7WbHtHfZ8l46dJdz6cpA7TA6LL6jyvbkjbU0bEcD8YjFQ7S-OCZtDTEBNd4mYOPh0w6GV7plLO2FCHSL17Q171eor49nG_ID-_fP5x_bW4_X7z7frqtjAV1KkQHDXvtZEdR16bHntRyuOSnYBsQWUR25Z1whiLlve9tm3TcDSGWyN5eUE-nnLzT_xaMSY1D9Fgfp5Dv0YlZV0LaHiZyQ__kKNfg8uXy5CQrOVwhC5PkAk-xoC9WsIw67ApBurYnoqjyu2pY3sqt5dPvH-MXbsZ7V_-qa4MwAmI2XJ3GJ7n_i_zD9Nmq7o</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>886819203</pqid></control><display><type>article</type><title>A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><source>EZB Electronic Journals Library</source><creator>Davies, J. G. ; Wilson, K. I. ; Clements, A. L.</creator><creatorcontrib>Davies, J. G. ; Wilson, K. I. ; Clements, A. L.</creatorcontrib><description>Key Points
Not only confirms the role of evidence-based psychological interventions with dentally anxious patients, but also appears to demonstrate a significant lasting effect over a decade.
Reinforces the role of joint working between dental professionals and CBT therapists.
Suggests alternatives to meet this need based on the available evidence from related clinical areas.
Objective
To audit the records of a group of patients who had previously benefited from cognitive behavioural therapy (CBT) for dental phobia.
Aim
To ascertain if they had returned to the use of intravenous (IV) sedation to facilitate dental treatment. Ten years ago these patients were routinely requiring IV sedation to facilitate dental treatment due to severe dental phobia.
Method
Sixty patients entered the original pilot project. Of those, 30 were offered CBT and 21 attended. Twenty of those patients (95.2%) were subsequently able to have dental treatment without IV sedation. In this follow-up study the electronic records of 19 of the 20 patients who had originally been successful with CBT were re-audited. Our purpose was to see if there was any record of subsequent IV sedation administration in the intervening ten years.
Results
Of the 19 successful CBT patients available to follow-up, 100% had not received IV sedation since the study ten years ago. This may suggest the initial benefit of CBT has endured over the ten-year period.
Conclusion
This study indicates that the use of CBT for patients with dental phobia proves beneficial not only in the initial treatment but that the benefits may endure over time. This results in a significant reduction in health risks to the patient from repeated IV sedation. It may also translate into significant financial savings for dental care providers. Our evidence for CBT as treatment for dental phobia suggests dental services should be implementing this approach now rather than pursuing further research.</description><identifier>ISSN: 0007-0610</identifier><identifier>EISSN: 1476-5373</identifier><identifier>DOI: 10.1038/sj.bdj.2011.674</identifier><identifier>PMID: 21869789</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/477 ; 692/700/565 ; Anesthesia ; Anesthetics, Intravenous - administration & dosage ; Anxiety ; Cognitive Therapy ; Cohort Studies ; Collaboration ; Community Dentistry ; Community Health Services ; Conscious Sedation - statistics & numerical data ; Dental Anxiety - therapy ; Dental Audit ; Dental care ; Dental Care - psychology ; Dental insurance ; Dental Service, Hospital ; Dentistry ; Dentists ; Electronic Health Records ; Fear & phobias ; Follow-Up Studies ; Humans ; Intervention ; Medicine ; Patient Care Team ; Patient Education as Topic ; Patients ; Pilot projects ; practice ; Psychotherapy ; Therapists</subject><ispartof>British dental journal, 2011-08, Vol.211 (4), p.159-162</ispartof><rights>Springer Nature Limited 2011</rights><rights>Copyright Nature Publishing Group Aug 27, 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-62ea2fac8b2e25cfef63838388b60ea204dee991b6ccded2ffad9772ecc2dc823</citedby><cites>FETCH-LOGICAL-c405t-62ea2fac8b2e25cfef63838388b60ea204dee991b6ccded2ffad9772ecc2dc823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.bdj.2011.674$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.bdj.2011.674$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21869789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, J. G.</creatorcontrib><creatorcontrib>Wilson, K. I.</creatorcontrib><creatorcontrib>Clements, A. L.</creatorcontrib><title>A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on</title><title>British dental journal</title><addtitle>Br Dent J</addtitle><addtitle>Br Dent J</addtitle><description>Key Points
Not only confirms the role of evidence-based psychological interventions with dentally anxious patients, but also appears to demonstrate a significant lasting effect over a decade.
Reinforces the role of joint working between dental professionals and CBT therapists.
Suggests alternatives to meet this need based on the available evidence from related clinical areas.
Objective
To audit the records of a group of patients who had previously benefited from cognitive behavioural therapy (CBT) for dental phobia.
Aim
To ascertain if they had returned to the use of intravenous (IV) sedation to facilitate dental treatment. Ten years ago these patients were routinely requiring IV sedation to facilitate dental treatment due to severe dental phobia.
Method
Sixty patients entered the original pilot project. Of those, 30 were offered CBT and 21 attended. Twenty of those patients (95.2%) were subsequently able to have dental treatment without IV sedation. In this follow-up study the electronic records of 19 of the 20 patients who had originally been successful with CBT were re-audited. Our purpose was to see if there was any record of subsequent IV sedation administration in the intervening ten years.
Results
Of the 19 successful CBT patients available to follow-up, 100% had not received IV sedation since the study ten years ago. This may suggest the initial benefit of CBT has endured over the ten-year period.
Conclusion
This study indicates that the use of CBT for patients with dental phobia proves beneficial not only in the initial treatment but that the benefits may endure over time. This results in a significant reduction in health risks to the patient from repeated IV sedation. It may also translate into significant financial savings for dental care providers. Our evidence for CBT as treatment for dental phobia suggests dental services should be implementing this approach now rather than pursuing further research.</description><subject>631/477</subject><subject>692/700/565</subject><subject>Anesthesia</subject><subject>Anesthetics, Intravenous - administration & dosage</subject><subject>Anxiety</subject><subject>Cognitive Therapy</subject><subject>Cohort Studies</subject><subject>Collaboration</subject><subject>Community Dentistry</subject><subject>Community Health Services</subject><subject>Conscious Sedation - statistics & numerical data</subject><subject>Dental Anxiety - therapy</subject><subject>Dental Audit</subject><subject>Dental care</subject><subject>Dental Care - psychology</subject><subject>Dental insurance</subject><subject>Dental Service, Hospital</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Electronic Health Records</subject><subject>Fear & phobias</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medicine</subject><subject>Patient Care Team</subject><subject>Patient Education as Topic</subject><subject>Patients</subject><subject>Pilot projects</subject><subject>practice</subject><subject>Psychotherapy</subject><subject>Therapists</subject><issn>0007-0610</issn><issn>1476-5373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUFv1DAUhC0EotvCmRuyuHDK9tlJHIdbVUFBqsQFzpZjv3QTJXawnVb5PfxRvNqWSkjIB0szn-fZHkLeMdgzKOVlHPedHfccGNuLpnpBdqxqRFGXTfmS7ACgKUAwOCPnMY4ArKpAvCZnnEnRNrLdkd9XdPSDS1QvS_DaHGjyNAXUaXB31KJLeqLLwXeD_kQ1DVjgvZ7WbHtHfZ8l46dJdz6cpA7TA6LL6jyvbkjbU0bEcD8YjFQ7S-OCZtDTEBNd4mYOPh0w6GV7plLO2FCHSL17Q171eor49nG_ID-_fP5x_bW4_X7z7frqtjAV1KkQHDXvtZEdR16bHntRyuOSnYBsQWUR25Z1whiLlve9tm3TcDSGWyN5eUE-nnLzT_xaMSY1D9Fgfp5Dv0YlZV0LaHiZyQ__kKNfg8uXy5CQrOVwhC5PkAk-xoC9WsIw67ApBurYnoqjyu2pY3sqt5dPvH-MXbsZ7V_-qa4MwAmI2XJ3GJ7n_i_zD9Nmq7o</recordid><startdate>20110827</startdate><enddate>20110827</enddate><creator>Davies, J. G.</creator><creator>Wilson, K. I.</creator><creator>Clements, A. L.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110827</creationdate><title>A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on</title><author>Davies, J. G. ; Wilson, K. I. ; Clements, A. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-62ea2fac8b2e25cfef63838388b60ea204dee991b6ccded2ffad9772ecc2dc823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>631/477</topic><topic>692/700/565</topic><topic>Anesthesia</topic><topic>Anesthetics, Intravenous - administration & dosage</topic><topic>Anxiety</topic><topic>Cognitive Therapy</topic><topic>Cohort Studies</topic><topic>Collaboration</topic><topic>Community Dentistry</topic><topic>Community Health Services</topic><topic>Conscious Sedation - statistics & numerical data</topic><topic>Dental Anxiety - therapy</topic><topic>Dental Audit</topic><topic>Dental care</topic><topic>Dental Care - psychology</topic><topic>Dental insurance</topic><topic>Dental Service, Hospital</topic><topic>Dentistry</topic><topic>Dentists</topic><topic>Electronic Health Records</topic><topic>Fear & phobias</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medicine</topic><topic>Patient Care Team</topic><topic>Patient Education as Topic</topic><topic>Patients</topic><topic>Pilot projects</topic><topic>practice</topic><topic>Psychotherapy</topic><topic>Therapists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, J. G.</creatorcontrib><creatorcontrib>Wilson, K. I.</creatorcontrib><creatorcontrib>Clements, A. L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, J. G.</au><au>Wilson, K. I.</au><au>Clements, A. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on</atitle><jtitle>British dental journal</jtitle><stitle>Br Dent J</stitle><addtitle>Br Dent J</addtitle><date>2011-08-27</date><risdate>2011</risdate><volume>211</volume><issue>4</issue><spage>159</spage><epage>162</epage><pages>159-162</pages><issn>0007-0610</issn><eissn>1476-5373</eissn><abstract>Key Points
Not only confirms the role of evidence-based psychological interventions with dentally anxious patients, but also appears to demonstrate a significant lasting effect over a decade.
Reinforces the role of joint working between dental professionals and CBT therapists.
Suggests alternatives to meet this need based on the available evidence from related clinical areas.
Objective
To audit the records of a group of patients who had previously benefited from cognitive behavioural therapy (CBT) for dental phobia.
Aim
To ascertain if they had returned to the use of intravenous (IV) sedation to facilitate dental treatment. Ten years ago these patients were routinely requiring IV sedation to facilitate dental treatment due to severe dental phobia.
Method
Sixty patients entered the original pilot project. Of those, 30 were offered CBT and 21 attended. Twenty of those patients (95.2%) were subsequently able to have dental treatment without IV sedation. In this follow-up study the electronic records of 19 of the 20 patients who had originally been successful with CBT were re-audited. Our purpose was to see if there was any record of subsequent IV sedation administration in the intervening ten years.
Results
Of the 19 successful CBT patients available to follow-up, 100% had not received IV sedation since the study ten years ago. This may suggest the initial benefit of CBT has endured over the ten-year period.
Conclusion
This study indicates that the use of CBT for patients with dental phobia proves beneficial not only in the initial treatment but that the benefits may endure over time. This results in a significant reduction in health risks to the patient from repeated IV sedation. It may also translate into significant financial savings for dental care providers. Our evidence for CBT as treatment for dental phobia suggests dental services should be implementing this approach now rather than pursuing further research.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21869789</pmid><doi>10.1038/sj.bdj.2011.674</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-0610 |
| ispartof | British dental journal, 2011-08, Vol.211 (4), p.159-162 |
| issn | 0007-0610 1476-5373 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_885560723 |
| source | MEDLINE; SpringerLink (Online service); EZB Electronic Journals Library |
| subjects | 631/477 692/700/565 Anesthesia Anesthetics, Intravenous - administration & dosage Anxiety Cognitive Therapy Cohort Studies Collaboration Community Dentistry Community Health Services Conscious Sedation - statistics & numerical data Dental Anxiety - therapy Dental Audit Dental care Dental Care - psychology Dental insurance Dental Service, Hospital Dentistry Dentists Electronic Health Records Fear & phobias Follow-Up Studies Humans Intervention Medicine Patient Care Team Patient Education as Topic Patients Pilot projects practice Psychotherapy Therapists |
| title | A joint approach to treating dental phobia: a re-evaluation of a collaboration between community dental services and specialist psychotherapy services ten years on |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T18%3A26%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20joint%20approach%20to%20treating%20dental%20phobia:%20a%20re-evaluation%20of%20a%20collaboration%20between%20community%20dental%20services%20and%20specialist%20psychotherapy%20services%20ten%20years%20on&rft.jtitle=British%20dental%20journal&rft.au=Davies,%20J.%20G.&rft.date=2011-08-27&rft.volume=211&rft.issue=4&rft.spage=159&rft.epage=162&rft.pages=159-162&rft.issn=0007-0610&rft.eissn=1476-5373&rft_id=info:doi/10.1038/sj.bdj.2011.674&rft_dat=%3Cproquest_cross%3E885560723%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=886819203&rft_id=info:pmid/21869789&rfr_iscdi=true |