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Clinical trial of an application of cognitive behavioural one-session therapy method with patients who have severe or average dental fear/anxiety measured by Modified Dental Anxiety Scale (MDAS). The intervention consists of two different parts: a diagnostic interview and one-session treatment of dental care. The method is based on One-Session Therapy manual (Öst & Skaret, 2013). 30 minimum 18 years old adults takes part to the study. They comes from three different places,primary care clinic, community dental care and dentist´s teaching clinic.
Purpose is to compare diagnostic interview (n=20) to diagnostic interview and one-session treatment of dental care (n=10). Partners come from three different places, 10 from each: public and private dental care and dental school. Participants from dental school take part to one-session treatment. All participants have normal dental care before final interview. Hypotheses is that dental fear/anxiety will decrease one category (5 points) when measured by Modified dental anxiety scale (MDAS) before the intervention and after normal dental care. Visual Analogue Scale is used to measure the strength of unpleasant feeling before and after intervention in both groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diagnostic interview | Experimental | Intervention for this group include diagnostic interview. Oral health Impact Profile (OHIP 14) and Spielberg State and Trait Anxiety (STAI-1) questionnaires and behaviour analyses are used in diagnostic interview. |
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| Combined interview and treatment | Experimental | Intervention for this group include both the diagnostic interview and one session treatment. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diagnostic interview | Behavioral | A profound interview to declare causes for negative thoughts, assumptions and beliefs towards dental care. Participants come from public and Private dental care. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in dental fear | Change in fear is measured by a questionnaire called Modified Dental Anxiety Scale (MDAS). Change in fear is indicated by change in mean value of the MDAS between baseline and follow-up measurement | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Compliance to care | Compliance to care is indicated if treatment defined before the baseline interview can be wholly executed. If patient interrupt treatment or cannot be executed at all after baseline interview, then compliance is not fulfilled. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Liisa Suominen, Professor | University of easthern Finland, Kuopio | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Eastern Finland | Kuopio | 70211 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32924725 | Derived | Kurki P, Korhonen M, Honkalampi K, Suominen AL. Patients' multifaceted views of dental fear in a diagnostic interview. Acta Odontol Scand. 2021 Apr;79(3):194-204. doi: 10.1080/00016357.2020.1817545. Epub 2020 Sep 12. |
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It has been planned to use same data later in a follow-up study
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| Combined interview and treatment. | Behavioral | Intervention for this group include both the diagnostic interview to declare causes for negative thoughts, assumptions and beliefs towards dental care and one session treatment. Participants come from the Institute of Dentistry. |
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