title: Emergency dental clinic patients in South Devon, their anxiety levels, expressed demand for treatment under sedation and suitability for management under sedation.
abstract: OBJECTIVE
  To assess the anxiety levels of patients attending two salaried dental service emergency clinics, their expressed demand for treatment under sedation, and their medical suitability for dental sedation.
  
  
  METHODS
  A questionnaire survey, incorporating the Modified Dental Anxiety Scale (MDAS) and assessment of American Society of Anesthesiologists' (ASA) physical status classification, of all adult patients attending two emergency dental clinics in Torquay and Newton Abbot.
  
  
  RESULTS
  513 patients returned questionnaires. Only five declined to take part in the study. The mean MDAS for patients attending the two emergency dental clinics was 14.09 (SD 6.04) and 41.9% of patients were classified as dentally anxious (MDAS >15). A preference for treatment under sedation was expressed by 56.3%, of all patients, of whom 50.5% were classified as ASA 1 (without health problems) and would have been suitable for sedation in primary dental care.
  
  
  CONCLUSIONS
  The reported dental anxiety levels of patients attending the two emergency dental clinics were found to be much higher than those found by previous studies in general dental practice and at dental school emergency clinics. There was a high expressed demand for treatment under sedation. Further studies are needed to assess the levels of dental anxiety seen at other dental emergency clinics and a health needs assessment to determine need as opposed to expressed demand.
authors.affiliation: South Devon Healthcare NHS Trust, Newton Abbot, Devon, UK. robert.baker@nhs.net
authors.forename: Robert A
authors.initials: RA
authors.lastname: Baker
authors.forename: Susan
authors.initials: S
authors.lastname: Farrer
authors.forename: Vanessa J
authors.initials: VJ
authors.lastname: Perkins
authors.forename: Hilary
authors.initials: H
authors.lastname: Sanders
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000766:Anesthesia, Dental / Q000379:methods / Q000706:statistics & numerical data*; D016292:Procedural Sedation / Q000706:statistics & numerical data*; D016854:Dental Anxiety / Q000453:epidemiology / Q000523:psychology*; D003740:Dental Clinics; D004632:Emergency Medical Services; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution; D011795:Surveys and Questionnaires