Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Is aromatherapy associated with patient's dental anxiety levels? A systematic review and meta-analysis

  • Purohit, Abhishek (Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences) ;
  • Singh, Abhinav (Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences) ;
  • Purohit, Bharathi (Division of Public Health Dentistry, Centre for Dental Education & Research, WHO Collaborating Centre for Oral Health Promotion, All India Institute of Medical Sciences) ;
  • Shakti, Prateek (Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences) ;
  • Shah, Nidhi (Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences)
  • Received : 2021.05.01
  • Accepted : 2021.07.08
  • Published : 2021.08.01
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Abstract

The use of aromatherapy for the reduction of anxiety levels during dental treatment procedures has been well established in the literature; however, there is limited evidence regarding its efficacy. The present meta-analysis is an attempt to assess the association between the use of aromatherapy and anxiety levels among dental patients. A comprehensive search was conducted across Medline, Scopus, Web of Science, EBSCO host, Cochrane databases, and Google Scholar for studies evaluating aromatherapy and anxiety level among dental patients. PRISMA guidelines were followed for the meta-analysis. Randomized and cluster-randomized trials comparing aromatherapy with controls were included. The random-effects model was used to assess the mean differences in anxiety levels of patients visiting dental OPD. The significance value was set at P < 0.05. Six studies were identified that met the requirements for inclusion. Aromatherapy was significantly associated with reduction in patient anxiety levels during dental treatment (pooled mean difference: -3.36 [95% CI, -3.77 - -2.95, P = 0.00001). Low heterogeneity was noted between studies (I2 = 1%, P = 0.41) analyzed in the meta-analysis. High certainty of the evidence was obtained from the association between the use of aromatherapy and dental anxiety. This meta-analysis suggests that aromatherapy is effective in reducing dental anxiety. When used judiciously, the results of this work should encourage the use of aromatherapy to reduce patient anxiety levels during dental procedures

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References

  1. Gao X, Hamzah SH, Yiu CK, McGrath C, King NM. Dental fear and anxiety in children and adolescents: qualitative study using youtube. J Med Internet Res 2013; 15: e29. https://doi.org/10.2196/jmir.2290
  2. Zabirunnisa M, Gadagi JS, Gadde P, Myla N, Koneru J, Thatimatla C. Dental patient anxiety: possible deal with Lavender fragrance. J Res Pharm Pract 2014; 3: 100-3. https://doi.org/10.4103/2279-042X.141116
  3. Worwood VA. The Complete Book of Essential Oils and Aromatherapy, Revised and Expanded: Over 800 Natural, Nontoxic, and Fragrant Recipes to Create Health, Beauty, and Safe Home and Work Environments. first ed. New World Library. 2016.
  4. Fischer-Rizzi S. Complete aromatherapy handbook: Essential oils for radiant health. New York, Sterling Publishing Company. 1990.
  5. Aromatherapy: Uses, benefits, oils, and risks. Available from https://www.medicalnewstoday.com/articles/10884.php.
  6. Jimson S, Malathi L, Devi N, Sankari L. Aromatherapy in dentistry - a review. Biomed Pharmacol J 2016; 9: 827-8. https://doi.org/10.13005/bpj/1010
  7. Chouhan S, Sharma K, Guleria S. Antimicrobial Activity of some essential oils-present status and future perspectives. Medicines (Basel) 2017; 4: 58. https://doi.org/10.3390/medicines4030058
  8. Lim MAWT, Borromeo GL. The use of general anesthesia to facilitate dental treatment in adult patients with special needs. J Dent Anesth Pain Med 2017; 17: 91-103. https://doi.org/10.17245/jdapm.2017.17.2.91
  9. Lehrner J, Marwinski G, Lehr S, Johren P, Deecke L. Ambient odors of orange and lavender reduce anxiety and improve mood in a dental office. Physiol Behav 2005; 86: 92-5. https://doi.org/10.1016/j.physbeh.2005.06.031
  10. Rashidi Maybodi F, Jalali Pandary M, Karami E, Ebrahimi AR. The effect of music and lavender's aroma on patients anxiety, during periodontal surgery. J Dent Mater Tech 2018; 7: 117-22.
  11. Venkataramana M, Pratap KV, Padma M, Kalyan S, Reddy AA, Sandhya P. Effect of aromatherapy on dental patient anxiety: a randomized controlled trial. J Indian Assoc Public Health Dent 2016: 14: 131. https://doi.org/10.4103/2319-5932.183805
  12. Soni S, Bhatia R, Oberoi J. Evaluation of the efficacy of aromatherapy on anxiety level among pediatric patients in a dental setting: a randomized control trial. International J Oral Care Res 2018; 6: 44-9.
  13. Pradopo S, Sinaredi BR, Januarisca BV. Pandan Leaves (Pandanus Amaryllifolius) aromatherapy and relaxation music to reduce dental anxiety of pediatric patients. J Int Dent Med Res 2017; 10: 933-7.
  14. Nardarajah D, Dhanraj M, Jain AR. Effects of lavender aromatherapy on anxiety levels of patients undergoing mandibular third molar extraction. Drug Invent Today 2018; 10: 1318-22.
  15. Hasheminia D, Kalantar Motamedi MR, Karimi Ahmadabadi F, Hashemzehi H, Haghighat A. Can ambient orange fragrance reduce patient anxiety during surgical removal of impacted mandibular third molars? J Oral Maxillofac Surg 2014; 72: 1671-6. https://doi.org/10.1016/j.joms.2014.03.031
  16. Toet A, Smeets MA, van Dijk E, Dijkstra D, van den Reijen L. Effects of pleasant ambient fragrances on dental fear: comparing apples and oranges. Chemosens Percept 2010; 3: 182-9. https://doi.org/10.1007/s12078-010-9078-9
  17. Xiao Y, Li L, Xie Y, Xu J, Liu Y. Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018; 43: 656-61.
  18. Hanprasertpong T, Kor-anantakul O, Leetanaporn R, Suwanrath C, Suntharasaj T, Pruksanusak N, et al. Reducing pain and anxiety during second trimester genetic amniocentesis using aromatic therapy: a randomized trial. J Med Assoc Thai 2015; 98: 734-8.
  19. Fazlollahpour-Rokni F, Shorofi SA, Mousavinasab N, Ghafari R, Esmaeili R. The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery. Complement Ther Clin Pract 2019; 34: 201-7. https://doi.org/10.1016/j.ctcp.2018.11.014
  20. Hu PH, Peng YC, Lin YT, Chang CS, Ou MC. Aromatherapy for reducing colonoscopy related procedural anxiety and physiological parameters: a randomized controlled study. Hepatogastroenterology 2010; 57: 1082-6.
  21. Muzzarelli L, Force M, Sebold M. Aromatherapy and reducing preprocedural anxiety: a controlled prospective study. Gastroenterol Nurs 2006; 29: 466-71. https://doi.org/10.1097/00001610-200611000-00005
  22. Kritsidima M, Newton T, Asimakopoulou K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised-controlled trial. Community Dent Oral Epidemiol 2010; 38: 83-7. https://doi.org/10.1111/j.1600-0528.2009.00511.x
  23. Lehrner J, Eckersberger C, Walla P, Potsch G, Deecke L. Ambient odor of orange in a dental office reduces anxiety and improves mood in female patients. Physiol Behav 2000; 71: 83-6. https://doi.org/10.1016/S0031-9384(00)00308-5
  24. Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol 1992; 31: 301-6. https://doi.org/10.1111/j.2044-8260.1992.tb00997.x
  25. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period. Iran J Nurs Midwifery Res 2011; 16: 278-83.
  26. Conrad P, Adams C. The effects of clinical aromatherapy for anxiety and depression in the high risk postpartum woman - a pilot study. Complement Ther Clin Pract 2012; 18: 164-8. https://doi.org/10.1016/j.ctcp.2012.05.002
  27. Wotman M, Levinger J, Leung L, Kallush A, Mauer E, Kacker A. The efficacy of lavender aromatherapy in reducing preoperative anxiety in ambulatory surgery patients undergoing procedures in general otolaryngology. Laryngoscope Investig Otolaryngol 2017; 2: 437-41. https://doi.org/10.1002/lio2.121
  28. Ndao DH, Ladas EJ, Cheng B, Sands SA, Snyder KT, Garvin JH Jr, et al. Inhalation aromatherapy in children and adolescents undergoing stem cell infusion: results of a placebo-controlled double-blind trial. Psychooncology 2012; 21: 247-54. https://doi.org/10.1002/pon.1898
  29. Seyyed-Rasooli A, Salehi F, Mohammadpoorasl A, Goljaryan S, Seyyedi Z, Thomson B. Comparing the effects of aromatherapy massage and inhalation aromatherapy on anxiety and pain in burn patients: a single-blind randomized clinical trial. Burns 2016; 42: 1774-80. https://doi.org/10.1016/j.burns.2016.06.014
  30. Lee MS, Choi J, Posadzki P, Ernst E. Aromatherapy for health care: an overview of systematic reviews. Maturitas 2012; 71: 257-60. https://doi.org/10.1016/j.maturitas.2011.12.018
  31. Cai H, Xi P, Zhong L, Chen J, Liang X. Efficacy of aromatherapy on dental anxiety: a systematic review of randomised and quasi- randomised controlled trials. Oral Dis 2021; 27: 829-47. https://doi.org/10.1111/odi.13346
  32. Jadhav R, Mittal P. Evaluation of aromatherapy on success rate of inferior alveolar nerve block in teeth with irreversible pulpitis: a prospective randomized clinical trial. Quintessence Int 2020; 51: 864-70.
  33. Arslan I, Aydinoglu S, Karan NB. Can lavender oil inhalation help to overcome dental anxiety and pain in children? A randomized clinical trial. Eur J Pediatr 2020; 179: 985-92. https://doi.org/10.1007/s00431-020-03595-7
  34. Sharma R, Trivedi A, Kumar R, Gupta S, Garg S. Aromatherapy as an adjuvant therapy in dentistry. J Pearldent 2016; 7: 9-13. https://doi.org/10.5958/2229-4457.2016.00002.7
  35. Hosey MT, UK National Clinical Guidelines in Pediatric Dentistry. UK national clinical guidelines in paediatric dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry. Int J Paediatr Dent 2002; 12: 359-72.
  36. Martin GN. The effect of exposure to odor on the perception of pain. Psychosom Med 2006; 68: 613-6. https://doi.org/10.1097/01.psy.0000227753.35200.3e
  37. Field T, Diego M, Hernandez-Reif M, Cisneros W, Feijo L, Vera Y, et al. Lavender fragrance cleansing gel effects on relaxation. Int J Neurosci 2005; 115: 207-22. https://doi.org/10.1080/00207450590519175
  38. Weisfeld CC, Turner JA, Bowen JI, Eissa R, Roelk B, Ko A, et al. Dealing with anxious patients: an integrative review of the literature on nonpharmaceutical interventions to reduce anxiety in patients undergoing medical or dental procedures. J Altern Complement Med 2021 Jun 1. doi: 10.1089/acm.2020.0505. Epub ahead of print.
  39. Gong M, Dong H, Tang Y, Huang W, Lu F. Effects of aromatherapy on anxiety: a meta-analysis of randomized controlled trials. J Affect Disord 2020; 274: 1028-40. https://doi.org/10.1016/j.jad.2020.05.118