Memory of Pain and Anxiety Associated with Tooth Extraction

Concerns regarding pain constitute a large component of dental anxiety, and patients with high dental anxiety are likely to have exaggerated memory and prediction of dental pain. It remains to be investigated, however, if memory of anxiety is exaggerated in a manner similar to that of pain, and if a...

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Bibliographic Details
Published in:Journal of dental research 2011-02, Vol.90 (2), p.220-224
Main Authors: McNeil, D.W., Helfer, A.J., Weaver, B.D., Graves, R.W., Kyle, B.N., Davis, A.M.
Format: Article
Language:English
Subjects:
Adult
Anxiety
Avoidance Learning
Biological and medical sciences
Dental Anxiety - diagnosis
Dental Anxiety - etiology
Dentistry
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Linear Models
Male
Manifest Anxiety Scale
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Memory
Multivariate Analysis
Pain Measurement
Self Report
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tooth Extraction - adverse effects
Tooth Extraction - psychology
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Summary:Concerns regarding pain constitute a large component of dental anxiety, and patients with high dental anxiety are likely to have exaggerated memory and prediction of dental pain. It remains to be investigated, however, if memory of anxiety is exaggerated in a manner similar to that of pain, and if anxiety and pain assimilate in memory over time. A sample of 79 patients presenting for emergency extraction rated their anxiety and pain before, during, and two weeks after the procedure. Measures of trait dental anxiety and fear of pain also were collected. All patients exaggerated their recall of procedure pain, but only those high in trait dental anxiety exaggerated their recall of anxiety. Highly anxious patients reported more pain prior to the procedure and expected more pain; ratings of anxiety and pain for all participants assimilated over time.
ISSN:0022-0345
1544-0591
1544-0591
DOI:10.1177/0022034510385689