Perceptions and Anxiety Level of Students during Administration of Local Anesthesia

Authors

  • Beenish Abbas
  • Sana Abbas
  • Muhammad Umair
  • Ramesha Azam
  • Majida Rahim
  • Batool Zara

DOI:

https://doi.org/10.51985/JBUMDC2021089

Keywords:

Anxiety, Local Anesthesia, Students

Abstract

Objective: To assess perceptions and anxiety levels of dental students during administration of local anesthesia
Study Design & Setting: This comparative cross sectional study was conceived in Foundation University Dental College
and conducted in multiple institutes after endorsement from the ethical committee of the university from August – October
2021.
Methodology: The questionnaire comprised of three sections which included demographic profile section, perceptions,
and experience of administration of mandibular, maxillary, or inferior alveolar nerve block on the 5-point Likert’s scale
and comparative anxiety analysis before, during or after local anesthetic administration with interval scale of anxiety
response.
Results: It was found that 311 (81.8%) dental students/professionals were anxious (cumulative response of “little nervous”
and above) before administrating local anesthesia injection. It was found that students were significantly more anxious
during and after local anesthesia administration as compared to clinical practitioners (p<0.001). About 89% of the responders
agreed to the usefulness of video demonstration while 98% agreed to the usefulness of hands-on practice of local anesthesia
administration techniques
Conclusion: Students were significantly more anxious during and after local anesthesia administration as compared to
clinical practitioners. Video demonstration and hands-on practice are useful adjuvants in the reduction of local anesthesia
administration anxiety

References

Aghababaie ST, Monteiro J, Stratigaki E, Ashley PF.

Techniques for effective local anesthetic administration for

the pediatrics patient. Br Dent J. 2020;229(12):779–85.

DOI:1038/s41415-020-2453-2.

Milankumar F, Thakkar JP, Rai AB, Bulgannawar BA, Patel

C, Thakkar PG. Anxiety Measurements among Dental Students

Undergoing Local Anesthesia Administration. 2018;6(1):63–65.

Knipfer C, Rohde M, Oetter N, Muench T, Kesting MR,

Stelzle F. Local anesthesia training for undergraduate students

- How big is the step from model to man? BMC Med Educ.

;18(1):1–8.

Sjöström M, Brundin M. The effect of extra educational

elements on the confidence of undergraduate dental students

learning to administer local anesthesia. Dent J. 2021;9(7):77

Chengappa MM, Prashanth AK. Evaluation of efficacy of

computer-controlled local anesthetic delivery system vs

traditional injection system for minor pediatric surgical

procedures in children. Med J Armed Forces India. 2020;8(1):1-

DOI: https://doi.org/10.1016/j.mjafi.2020.08.010

Teeters AN, Gurenlian JR, Freudenthal J. Educational and

Clinical Experiences in Administering Local Anesthesia: a

study of dental and dental hygiene students in California. J

Dent Hyg. 2018;92(3):40-46.

Felemban OM, Alshamrani RM, Aljeddawi DH, Bagher SM.

Effect of virtual reality distraction on pain and anxiety during

infiltration anesthesia in pediatric patients: a randomized

clinical trial. BMC Oral Health. 2021;21(1):1–10. DOI:

https://doi.org/10.1186/s12903-021-01678-x

Zafar S, Siddiqi A, Yasir M, Zachar JJ. Pedagogical

development in local anesthetic training in pediatric dentistry

using virtual reality simulator. Eur Arch Paediatr Dent

[Internet]. 2021;22(4):667–674. DOI: https://doi.org/

1007/s40368-021-00604-7

Mladenovic R, Dakovic D, Pereira L, Matvijenko V,

Mladenovic K. Effect of augmented reality simulation on the

administration of local anesthesia in pediatric patients. Eur

J Dent Educ. 2020;24(3):507–512.

López-Cabrera C, Hernández-Rivas EJ, Komabayashi T,

Galindo-Reyes EL, Tallabs-López D, Cerda-Cristerna BI.

Positive influence of a dental anaesthesia simulation model

on the perception of learning by Mexican dental students. Eur

J Dent Educ. 2017;21(4):e142–147.

Chandrasekaran B, Cugati N, Kumaresan R. Dental students’

perception and anxiety levels during their first local anesthetic

injection. The Malaysian journal of medical sciences:

MJMS.2014;21(6):45.

Mendola P, O'Shea RM, Zielezny MA, Thines TJ, Corah NL.

Validity and reliability of the interval scale of the anxiety

response. Anesth Prog. 1987;34(6):202-206.

Lee JS, Graham R, Bassiur JP, Lichtenthal RM. Evaluation

of a Local Anesthesia Simulation Model with Dental Students

as Novice Clinicians. J Dent Educ. 2015;79(12):1411-7.

Rosenberg M, Orr DL 2nd, Starley ED, Jensen DR. Studentto-student local anesthesia injections in dental education:

moral, ethical, and legal issues. J Dent Educ. 2009;73(1):127-

Wong G, Apthorpe HC, Ruiz K, Nanayakkara S. Student-toStudent Dental Local Anesthetic Preclinical Training: Impact

on Students' Confidence and Anxiety in Clinical Practice. J

Dent Educ. 2019;83(1):56-63. DOI: 10.21815/JDE.019.007.

Kenny KP, Alkazme AM, Day PF. The effect of viewing video

clips of pediatric local anesthetic administration on the

confidence of undergraduate dental students. Eur J Dent Educ.

;22(1):e57–62.DOI: 10.1111/eje.12257

Wong G, Apthorpe HC, Ruiz K, Nanayakkara S. A Tale of

Two Teaching Methods: Students' Clinical Perspectives on

Administering Dental Local Anesthetics. J Dent Educ.

;84(2):166-175. DOI: 10.21815/JDE.019.171.

Hossaini M. Teaching local anesthesia in dental schools:

opinions about the student-to-student administration model.

J Dent Educ. 2011;75(9):1263-1269.

Brand HS, Baart JA, Maas NE, Bachet I. Effect of a training

model in local anesthesia teaching. J Dent Educ.

;74(8):876-9. PMID: 20679457.

Tricio JA, Montt JE, Ormeño AP, Del Real AJ, Naranjo CA.

Impact of Faculty Development Workshops in StudentCentered Teaching Methodologies on Faculty Members'

Teaching and Their Students' Perceptions. J Dent Educ. 2017

Jun;81(6):675-684. DOI: 10.21815/JDE.017.014. PMID:

Downloads

Published

2021-12-29

How to Cite

Abbas, B. ., Abbas, S. ., Umair, M. ., Azam, R. ., Rahim, M. ., & Zara, B. . (2021). Perceptions and Anxiety Level of Students during Administration of Local Anesthesia. Journal of Bahria University Medical and Dental College, 12(01), 41–45. https://doi.org/10.51985/JBUMDC2021089

Issue

Section

Original Articles