Abordagens terapêuticas no manejo da odontofobia: revisão de literatura sobre estratégias e desfechos clínicos

Authors

  • Joice Lima Barros
  • Juliana Rocha de Freitas

DOI:

https://doi.org/10.34119/bjhrv7n9-244

Keywords:

medo do dentista, ansiedade odontológica, terapia cognitivo-comportamental, modulação sensorial, tratamento odontológico

Abstract

Este estudo revisa os fatores associados à odontofobia, identificando causas e intervenções eficazes para reduzir a ansiedade dos pacientes em tratamentos odontológicos. A pesquisa foi realizada em bases de dados como PubMed e SciELO, Google Acadêmico e Periódico CAPES selecionando artigos publicados entre 2011 e 2024, com foco nos aspectos psicológicos e sensoriais da odontofobia e nas abordagens terapêuticas. Foram analisadas 13 publicações que abordam desde experiências traumáticas até reações a estímulos sensoriais. As principais estratégias terapêuticas incluem terapia cognitivo-comportamental, técnicas de dessensibilização gradual e modulação sensorial. Os resultados indicam que intervenções personalizadas melhoram a adesão dos pacientes ao tratamento e reduzem a ansiedade, reforçando a importância de estratégias adaptadas às características individuais dos pacientes odontofóbicos. Conclui-se que a aplicação dessas intervenções pode facilitar o atendimento odontológico, promovendo um ambiente mais confortável e colaborativo para os pacientes.

References

AGUIAR, C. V. S. DE et al. Predicting the Potential Global Distribution of Scirtothrips dorsalis (Hood) (Thysanoptera: Thripidae) with Emphasis on the Americas Using an Ecological Niche Model. Neotropical Entomology, v. 52, n. 3, p. 512–520, 8 mar. 2023.

ALENCAR, J. B. R. et al. Windthrows promote higher diversity of saproxylic beetles (Coleoptera: Passalidae) in a Central Amazon forest. Insect Conservation and Diversity, v. 15, n. 1, p. 1–8, 4 jan. 2021.

ALENCAR, J. B. R. et al. Modeling potential invasion of stored-product pest Cryptamorpha desjardinsii (Guérin-Méneville, 1844) (Coleoptera: Silvanidae) with emphasis on newly recorded areas. Journal of Asia-Pacific Entomology, v. 25, n. 2, p. 101891, jun. 2022.

ARMFIELD, J. M. Development and psychometric evaluation of the Index of Dental Anxiety and Fear (IDAF-4C+). Psychological Assessment, v. 22, n. 2, p. 279–287, 2010.

BECK, A. T. Cognitive therapy and the emotional disorders. 1. ed. New York, NY: International Universities Press, 1976. v. 1

BRODOWSKI, C. et al. Recognizing and differentiating dental anxiety from dental phobia in adults: A systematic review based on the German guideline “Dental anxiety in adults”. Quintessence International, v. 52, n. 4, p. 360–373, 1 abr. 2021.

CIUBOTARU, A. D. et al. Pharmacological versus psychological treatment in odontophobia: the right approach. Romanian Journal of Medical and Dental Education, v. 12, n. 6, 2023.

DUONG, T. T.; TAI, L. T.; HOA, N. D. Assessment of the dental fear and anxiety in patients admitted to the Dental Clinic of Hue University of Medicine and Pharmacy Hospital. Journal of Medicine and Pharmacy, v. 14, n. 2, p. 28–34, fev. 2024.

FURGAŁA, D. et al. Causes and Severity of Dentophobia in Polish Adults—A Questionnaire Study. Healthcare, v. 9, n. 7, p. 819, 28 jun. 2021.

HUMPHRIS, G.; KING, K. The prevalence of dental anxiety across previous distressing experiences. Journal of Anxiety Disorders, v. 25, n. 2, p. 232–236, mar. 2011.

JEDDY, NADEEM et al. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. Indian Journal of Dental Research, v. 29, n. 1, p. 10, 1 jan. 2018.

KLINGBERG, G.; BROBERG, A. G. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. International Journal of Paediatric Dentistry, v. 17, n. 6, p. 391–406, 11 nov. 2007.

KVALE, G.; BERG, E.; RAADAL, M. The ability of Corah’s Dental Anxiety Scale and Spielberger’s State Anxiety Inventory to distinguish between fearful and regular Norwegian dental patients. Acta Odontologica Scandinavica, v. 56, n. 2, p. 105–109, 2 jan. 1998.

LOCKER, D.; LIDDELL, A.; SHAPIRO, D. Diagnostic categories of dental anxiety: a population-based study. Behaviour Research and Therapy, v. 37, n. 1, p. 25–37, jan. 1999.

MAJIDI, E.; MANSHAEE, G. Effects of Virtual Reality Exposure Therapy on Dentophobia in Clients of Dental Offices in Isfahan, Tehran, and Shahrekord (Iran). Iranian Journal of Psychiatry and Behavioral Sciences, v. 15, n. 4, 18 out. 2021.

MAJIDI, E.; MANSHAEE, G. Effects of virtual reality exposure therapy on state-trait anxiety in individuals with dentophobia. Current Psychology, v. 43, n. 3, p. 2425–2431, 11 jan. 2024.

MILLER, N. E. Experiments on Motivation. Science, v. 126, n. 3286, p. 1271–1278, 20 dez. 1957.

MOORE, R.; BRØDSGAARD, I. Dentists’ perceived stress and its relation to perceptions about anxious patients. Community Dentistry and Oral Epidemiology, v. 29, n. 1, p. 73–80, 19 fev. 2001.

OOSTERINK, F. M. D.; JONGH, A. DE; AARTMAN, I. H. A. Negative events and their potential risk of precipitating pathological forms of dental anxiety. Journal of Anxiety Disorders, v. 23, n. 4, p. 451–457, maio 2009.

ORTIKOVA, N. K.; RIZAEV, Z. A. Dental Fear and Anxiety in Children. Central Asian Journal of Medical and Natural Sciences, v. 02, p. 46–51, 2021.

PEREIRA, A. S. et al. Metodologia da pesquisa científica. 1a ed. Santa Maria, RS: UAB/NTE/UFSM, 2018. v. 1

RACHMAN, S. The conditioning theory of fearacquisition: A critical examination. Behaviour Research and Therapy, v. 15, n. 5, p. 375–387, 1977.

ROBO, I. Dental Phobia, Summary of Information Published on this Term. Biomedical Journal of Scientific & Technical Research, v. 30, n. 4, 24 set. 2020.

SANTOS, R. S.; ALENCAR, J. B. R.; GALLO, R. Modeling the current and projected distribution of Brazilian peppertree Schinus terebinthifolia Raddi (Anacardiaceae) in the Americas. Brazilian Journal of Biology, v. 84, p. 1–9, 2024.

SANTOS-PUERTA, N.; PEÑACOBA-PUENTE, C. Sociodemographic, clinical and psychological predictors of subjective avoidance in endodontic therapy. Giornale Italiano di Endodonzia, v. 36, n. 2, p. 1–13, 1 nov. 2022.

SCHIENLE, A.; KÖCHEL, A.; LEUTGEB, V. Frontal late positivity in dental phobia: A study on gender differences. Biological Psychology, v. 88, n. 2–3, p. 263–269, dez. 2011.

SHINDOVA, M. P.; BELCHEVA, A. B. Dental fear and anxiety in children: a review of the environmental factors. Folia Medica, v. 63, n. 2, p. 177–182, 30 abr. 2021.

STEIN DUKER, L. I. et al. The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model. International Journal of Environmental Research and Public Health, v. 19, n. 4, p. 2380, 18 fev. 2022.

TOLLE, P. E. Manual ABNT: Regras gerais de estilo e formatação de trabalhos acadêmicos. 5. ed. São Paulo: Centro Universitário Álvares Penteado-FECAP, Biblioteca FECAP, 2021. v. 1

VANHEE, T. et al. Stimuli involved in dental anxiety: What are patients afraid of?: A descriptive study. International Journal of Paediatric Dentistry, v. 30, n. 3, p. 276–285, 29 maio 2020.

Published

11/29/2024

How to Cite

BARROS, J. L.; FREITAS, J. R. de. Abordagens terapêuticas no manejo da odontofobia: revisão de literatura sobre estratégias e desfechos clínicos. Brazilian Journal of Health Review, [S. l.], v. 7, n. 9, p. e75262, 2024. DOI: 10.34119/bjhrv7n9-244. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/75262. Acesso em: 18 oct. 2026.

Issue

Section

Original Papers