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      The Efficacy of Passiflora Incarnata Linnaeus in Reducing Dental Anxiety in Patients Undergoing Periodontal Treatment

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          Abstract

          Statement of Problem: Oral premedication used to reduce the anxiety in patients undergoing dental treatment. Passion flower has been used as a sedative that can control the dental anxiety.

          Purpose: This study determines the efficacy of Passion flower, in reducing anxiety during the dental procedures.

          Material and Methods: In this randomized- one sided blind clinical trial, 63 patients, with moderate, high and severe anxiety(according to VAS score) in need of periodontal treatment were randomly divided into 3 groups of 21.The first group was given the drop Passion flower drop and the second group were given the drop of placebo and the third group; neither drug nor placebo were given (negative control group). Results were analyzed by Chi Square, Variance Analysis, Tucky and Paired-T using SPSS software.

          Results: Mean anxiety level prior to the drug administration was 12.09±2.42 for the Passion flower group, 12.00±2.66 for the placebo group and 11.66±2.39 for the negative control group. After premedication, these values were: 8.47±2.58 for the Passion flower group, 10.52±2.11 for the placebo group and 11.23±2.34 for the negative control group. These results demonstrated a significant difference ( p< 0.0001) in the anxiety levels before and after the Passion flower administration in the Passion flower group and also between the Passion flower group and the other two groups.

          Conclusion: Results indicated that administration of Passion flower, as a premedication, is significantly effective in reducing the anxiety. Since this study is a pioneer on the subject, further trials with greater number of subjects are required to confirm our results.

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          Most cited references21

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          The impact of dental anxiety on daily living.

          To explore the impact of dental anxiety on daily living. Twenty people attending a dental sedation clinic completed the Modified Dental Anxiety Scale, and were interviewed privately using a reflexive, in-depth technique. All interviews were audio-tape recorded and transcribed. The transcripts were analysed to identify the impact of dental anxiety upon the participants' daily lives. Twenty-five per cent of the qualitative data was reviewed by an independent researcher to ensure the reliability of the analysis. The mean age of participants was 41 years (range 23 to 60). The mean MDAS score was 21.5 (range 14 to 25). Five main impacts of dental anxiety were identified: physiological; cognitive; behavioural; health; and social. Subsumed under these broad categories were: the fright response; a vast array of negative thoughts, feelings and fears; avoidance behaviour and behaviours related to eating, oral hygiene, and self-medication; and other manifestations of anxiety in the dental environment including muscular tension, crying and aggression were all identified. Dental anxiety was also found to disturb sleep and to have a profound affect socially, interfering with work and personal relationships. The impact that dental anxiety can have on people's lives is wide-ranging and dynamic.
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              Anxiety and pain measures in dentistry: a guide to their quality and application.

              The authors review measures of anxiety and pain used in recent dental studies. In particular, the study identifies the reliability, validity and usefulness of the measures. Three computerized databases of published scientific literature were searched over a 10-year period. Only studies that included measures of anxiety or pain were included. Information on the reliability and validity of 15 measures of dental care anxiety and three measures of pain and pain-related behaviors is provided. Reliability and validity data for most measures are good. Corah's Dental Anxiety Scale is the most widely used measure of anxiety, although it may not be as sensitive as other measures. The McGill Pain Questionnaire is the measure of choice for the assessment of pain. The authors have summarized properties of the scales for clinicians and researchers planning to use measures of anxiety, measures of pain, or both.
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                Author and article information

                Journal
                J Dent (Shiraz)
                J Dent (Shiraz)
                JDS
                Journal of Dentistry
                Shiraz University of Medical Sciences (Shiraz, Iran )
                2345-6485
                2345-6418
                June 2013
                : 14
                : 2
                : 68-72
                Affiliations
                [a ]Dept. of Oral & Maxillofacial Surgery and Torabinejad Dental Research Center, School of Dentistry, Isfahan Medical University of Medical Sciecnes, Isfahan, Iran.
                [b ]Dept. of Periodontology and Torabninejad Dental Research Center, School of Dentistry, Isfahan Medical University of Medical Sciecnes, Isfahan, Iran.
                [c ]Dentist
                [d ]Dental Student
                Author notes
                Corresponding Author: Tavakoli M. Dept. of Periodontology and Torabninejad Dental Research Center, School of Dentistry, Isfahan Medical University of Medical Sciecnes, Isfahan, Iran ,Tel: +98-913-113-0423, +98-311-6691459, Email: tavakoli@ 123456dnt.mui.ac.ir
                Article
                jds-14-068
                3977550
                24724122
                89491fd3-5935-4a12-9e73-3a62d0176e7b
                © 2013: Journal of dentistry (Shiraz, Iran)

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : September 2012
                : December 2012
                : May 2013
                Categories
                Original Article

                dental anxiety,passion flower (passiflora incarnata l.),premedication

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