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Reliability and Validity of the Dental Anxiety Question Used With Children
Masahiro HeimaRDT, DDS, PhD and
Kelsey StehliDDS
Article Category: Research Article
Volume/Issue: Volume 69: Issue 3
Online Publication Date: Oct 06, 2022
Page Range: 13 – 19

–Dental Subscale (CFSS-DS), 10 has been adopted in many different languages with strong reliability and validity and is the most frequently used questionnaire in the world. 11 – 15 However, one of the main problems with the CFSS-DS is that it consists of multiple (currently 15) items. The best time to conduct dental fear screening is before exposing the patient to any dental equipment, ideally during the patient registration process. However, parents already complete several forms during registration, such as insurance, general health, and demographic information. Dentists

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Thomas ListDDS, Odont Dr,
Katerina MojirDDS,
Peter SvenssonDDS, PhD, Dr Odont, and
Maria PiggDDS, Odont Dr
Article Category: Other
Volume/Issue: Volume 61: Issue 4
Online Publication Date: Jan 01, 2014
Page Range: 135 – 144

reliability, validity, and sensitivity to change must be investigated. To advance the field and better understand the pain-relieving effect and the underlying mechanisms of topical anesthesia, a well-designed structured protocol is necessary, ideally comprising both self-report measures and quantitative somatosensory tests. The aims of this study were, therefore, to determine the reliability, validity, and sensitivity to change of punctuate pain thresholds and of self-reported pain on needle penetration, and to measure the effect of topically administered lidocaine

Figure 1.; Flowchart of experimental design. Gel I and II are lidocaine 2% and placebo gel, and subjects were randomized to testing order (cross-over). Gel application time was 5 minutes. MPT indicates mechanical pain threshold; PPT, pressure pain threshold; MPS, mechanical pain sensitivity—self-report of pain and discomfort during pinprick stimulus; and NPS, needle penetration sensitivity—self-report of pain and discomfort during needle penetration of oral mucosa.
Thomas List,
Katerina Mojir,
Peter Svensson, and
Maria Pigg
Figure 1.
Figure 1.

Flowchart of experimental design. Gel I and II are lidocaine 2% and placebo gel, and subjects were randomized to testing order (cross-over). Gel application time was 5 minutes. MPT indicates mechanical pain threshold; PPT, pressure pain threshold; MPS, mechanical pain sensitivity—self-report of pain and discomfort during pinprick stimulus; and NPS, needle penetration sensitivity—self-report of pain and discomfort during needle penetration of oral mucosa.


Thomas List,
Katerina Mojir,
Peter Svensson, and
Maria Pigg
Figure 2.
Figure 2.

Mean values and standard deviations of the mechanical pain threshold (MPT; g) for lidocaine and placebo at the 0, and 10-, 20-, and 30-minute assessments (n = 29).


Thomas List,
Katerina Mojir,
Peter Svensson, and
Maria Pigg
Figure 3.
Figure 3.

Mean values and standard deviations of the pressure pain threshold (PPT; kPa) for lidocaine and placebo at the 0, and 10-, 20-, and 30-minute assessments (n = 29).


Thomas List,
Katerina Mojir,
Peter Svensson, and
Maria Pigg
Figure 4.
Figure 4.

Mean values and standard deviations of mechanical pain sensitivity (MPS; visual analog scale) for lidocaine and placebo at the 0, and 10-, 20-, and 30-minute assessments; (a) pain intensity and (b) discomfort (n = 29).


Thomas List,
Katerina Mojir,
Peter Svensson, and
Maria Pigg
Figure 5.
Figure 5.

Mean values and standard deviations of needle penetration sensitivity (NPS; visual analog scale) for lidocaine and placebo at the 0, and 10-, 20-, and 30-minute assessments; (a) pain intensity and (b) discomfort (n = 29).


Lisa J. HeatonPhD,
Laura J. Garcia,
Lance W. GledhillBS,
Kent A. BeesleyBS, and
Susan E. ColdwellPhD
Article Category: Research Article
Volume/Issue: Volume 54: Issue 3
Online Publication Date: Jan 01, 2007
Page Range: 100 – 108

anxiety. The Interval Scale of Anxiety Response (ISAR) 9 is a labeled vertical visual analog scale developed to measure state anxiety associated with dental treatment. The ISAR includes phrases aligned along the scale at intervals representing the psychological distance between each phrase, developed through magnitude estimation. The ISAR was designed for patients to report anxiety during, in anticipation of, or immediately after dental treatment, and has been shown to have good reliability and validity. 9–10 The current 6-part study sought to develop

Sean G. BoynesDMD,
Paul A. MooreDMD, PhD, MPH,
Peter M. Tan Jr, and
Jayme ZovkoRHD, BS
Article Category: Research Article
Volume/Issue: Volume 57: Issue 2
Online Publication Date: Jan 01, 2010
Page Range: 52 – 58

population of 9456, at percent ± standard error  =  7.58% ± 0.27%. Data from the returned questionnaires were entered onto an Excel spreadsheet and were imported into a JMP Statistical Discovery Software program for analyses. Quantitative evaluations were confined to standard summation, an estimation of means, and a valid percent for identified variables. RESULTS Demographics Evaluation of the survey's demographic data was limited to how respondents described their main practice activity. Data analysis of this set ( N

Steven GanzbergDMD, MS
Article Category: Other
Volume/Issue: Volume 62: Issue 2
Online Publication Date: Jan 01, 2015
Page Range: 84 – 84

hard to find an ophthalmologist in the United States urgently is a valid point. It may be that the Japanese system of health care made this evaluation less challenging. The diagnostic test for corneal abrasion consisting of placing 1 to 2 drops of plain 1% or 2% lidocaine drops into the eye and assessing for pain relief is a good reminder when the anesthesiologist is faced with postoperative eye pain that is likely due to corneal abrasion. Again, we thank Dr Nissman for his thoughtful reply.