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Dentistry issues

For the most part, this has to do with fears, phobias and anxieties related to going to the dentist, including needle phobia, all very changeable with hypnotherapy.

 

Goodman, Ashley A.; Brown, Donald C. (2009). Pain, Anxiety, and 
Dental Gagging in Adults and Children. In Brown, Donald C. (Ed), 
Advances in the Use of Hypnosis for Medicine, Dentistry and Pain 
Prevention/Management, (pp. 99-128). Norwalk, CT: Crown House 
Publishing Limited. 

Hypnosis is an altered state of awareness in which individuals withdraw their 
peripheral awareness and concentrate on a focal goal. It is a deep state of 
concentration rather than relaxation. Communication is maintained and is direct to 
the subconscious. Suggestion is the process of accepting a proposition for belief in 
the absence of intervening and critical thought that would normally occur. In this 
chapter the authors begin with a brief discussion of hypnosis and then go on to 
describe the different forms of hypnosis. The chapter concludes with various 
examples of how hypnosis can be used as a therapeutic tool to ease dental fear, 
phobias, and pain in adults and children. 


Eitner, Stephan; Wichmann, Manfred; Schultze-Mosgau, Stefan; 
Schlegel, Andreas; Leher, Anna; Heckmann, Josef; Heckmann, 
Siegfried; Holst, Stefan. (Oct 2006). Neurophysiologic and Long-term Effects of Clinical

Hypnosis in Oral and Maxillofacial Treatment -- A Comparative Interdisciplinary Clinical Study. 
International Journal of Clinical and Experimental Hypnosis, Vol 
54(4), 457-479. 

This prospective comparative clinical study evaluated the effectiveness of clinical 
hypnosis and its long-term effect in oral and maxillofacial treatment. A total of 45 
highly anxious and non-anxious subjects were evaluated by subjective experience 
and objective parameters (EEG, ECG, heart rate, blood pressure, blood oxygen 
saturation, respiration rate, salivary cortisol concentration, and body temperature). 
During and subsequent to the operative treatment, hypnosis led to a significant 
reduction of systolic blood pressure, and respiration rate and to significant changes 
in the EEG. The subjective values of the parameters evaluated existing anxiety 
mechanisms and patterns and possible strategies to control them, whereas the 
objective parameters proved the effectiveness of hypnosis and its long-term effect. 


Gow, Michael A. (2006). Hypnosis with a 31-Year-Old Female with 
Dental Phobia Requiring an Emergency Extraction. Contemporary 
Hypnosis, Vol 23(2), 83-91. 

Presenting problem: Female, 31, attended emergency appointment at dental surgery 
with pain, dental phobia prevented extraction. Aim: Manage dental phobia using 
hypnosis integrated into anxiety management treatment plan to facilitate extraction. 
Anxiety management techniques: needle desensitization and hypnosis. Results: Pre-treatment questionnaire revealed high level anxiety (16/20 Corah score, and 25/30 
modified Corah score) and anticipation of pain during future dental treatment (5/10 
on a Visual Analogue Scale). Following the successful extraction of the tooth, a 
posttreatment questionnaire revealed low level anxiety (7/20 Corah and 11/30 
modified Corah) and low anticipation of future pain (1/10). Conclusion: Patient 
attended second emergency appointment and hypnotic intervention facilitated the 
removal of the troublesome tooth. Successful outcome of this treatment and new 
learned self-hypnosis techniques allowed patient to feel more confident about 
accepting future dental treatment without need for pharmacological intervention. 


Fábián, T. K.; Fábián, G. (1998). Stress of Life, Stress of Death: 
Anxiety in Dentistry from the Viewpoint of Hypnotherapy. In 
Csermely, Peter (Ed), Stress of Life: From Molecules to Man. Annals of 
the New York Academy of Sciences, Vol. 851, (pp. 495-500). New 
York, NY: New York Academy of Sciences. 

This chapter studied the effectiveness of hypnosis in reducing dental anxiety. In the 
first experiment, 23 adults with moderate anxiety related to dental treatment were 
divided into 2 groups. The 15 subjects in the experimental group underwent a hypnotic treatment to reduce anxiety, while the 8 subjects in the control group received no special treatment. In the hypnotically calmed subjects, the occurrence of spontaneous analgesia was significantly more frequent. In the second experiment, the effectiveness of hypnosis combined with local anaesthesia was investigated in the dental treatment of 12 dental needle-phobic patients (aged 30–56 yrs) with needle-related collapse in the anamnesis. After hypnosis, a reduction of anxiety from the dental needle occurred. In 8 cases, no indisposition appeared; in 3 cases moderate indisposition appeared; and in only 1 case a collapse occurred. Even in this case, however, hypnosis had the significant advantage that the patient did not remember the indisposition or collapse. 


Enqvist, Björn; Fischer, Kerstin. (Apr 1997). Pre-operataive Hypnotic 
Techniques Reduce Consumption of Analgesics after Surgical 
Removal of Third Mandibular Molars: A Brief Communication. 
International Journal of Clinical and Experimental Hypnosis, Vol 
45(2), 102-108. 

Evaluated the effects of preoperative hypnotic techniques (HTs) used by patients 
planned for surgical removal of third mandibular molars. The aim of the study was 
to examine whether preoperative HTs can reduce preoperative stress and improve 
healing and rehabilitation. Subjects were randomly assigned to an HT (n = 33) or a no-HT (n = 36) group. During the week before the surgery, the HT group listened to an 
audiotape containing a hypnotic relaxation induction. Posthypnotic suggestions of 
healing and recovery were given on the tape together with advice regarding ways to 
achieve control over stress and pain. Only 1 surgeon who was not aware of S group 
492 Journal of Heart-Centred Therapies, 2010, Vol. 13, No. 1 
assignments performed all the operations. Anxiety before the operation increased 
significantly in the no-HT group but remained at baseline level in the HT group. 
Postoperative consumption of analgesics was significantly reduced in the HT group 
compared with the no-HT group. 


 

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