Grossman Sanford
Bristol Dental School, University of Bristol, United Kingdom.
Br Dent J. 2024 Dec;237(12):935-937. doi: 10.1038/s41415-024-7846-1. Epub 2024 Dec 20.
Dental anxiety is a prevalent issue in society and national surveys show it to be rising. As a result, strain on sedation services continues to grow. To accommodate this, there is a need to streamline services to ensure that patients who have a clinical need for sedation are able to receive it.The Index of Sedation Need (IOSN) has been developed as a means of distinguishing sedation need from demand, enabling appropriate assessment and selection. NHS England recommends its use and the Getting It Right First Time programme has incorporated it into hospital dentistry pathways for sedation. However, many patients have sedation or require it for dental extractions, yet the Modified Dental Anxiety Scale (MDAS) component of the IOSN does not take this into account. While the MDAS is an effective tool for assessing anxiety of general dental treatment, it is not specialty- or procedure-specific and may underestimate anxiety relating to dental extractions. Consequently, the suitability of its use has been called into question.This paper explores the need for a procedure-specific dental anxiety scale for use in oral surgery and outlines a proposal for a suitable model: the Surgical Dental Anxiety Scale (SDAS).
牙科焦虑是社会中一个普遍存在的问题，全国性调查显示其呈上升趋势。因此，镇静服务的压力持续增大。为了应对这一情况，有必要简化服务流程，以确保有临床镇静需求的患者能够获得镇静服务。镇静需求指数（IOSN）已被开发出来，作为区分镇静需求和需求的一种手段，以便进行适当的评估和选择。英国国民医疗服务体系（NHS）英格兰地区推荐使用该指数，“一次做对”计划已将其纳入医院牙科镇静途径。然而，许多患者接受镇静或因拔牙需要镇静，但IOSN的改良牙科焦虑量表（MDAS）部分并未考虑到这一点。虽然MDAS是评估一般牙科治疗焦虑的有效工具，但它并非特定专科或特定程序的工具，可能会低估与拔牙相关的焦虑。因此，其使用的适用性受到了质疑。本文探讨了在口腔外科中使用特定程序牙科焦虑量表的必要性，并概述了一个合适模型的建议：外科牙科焦虑量表（SDAS）。
