List of Articles by MeSH

ANXIETY

1. Badel T, Pandurić J, Marotti M, Kocijan Lovko S. Temporomandibular Joint Disorder in an Otalgia Patient. Acta Stomatol Croat. 2006;40(2):175-81.
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   Title in English:	Temporomandibular Joint Disorder in an Otalgia Patient
   Title in Croatian:	Poremećaj čeljusnog zgloba pacijentice s otalgijom
   Type of Article:	case report
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS MAGNETIC RESONANCE SPECTROSCOPY EARACHE ANXIETY DENTURES
   Abstract:	Often wrong judgment of unspecifi c otological symptoms, caused by some types of temporomandibular disorders, is based on the connection in the embryonic development of the temporomandibular joint (TMJ) and the ear. This is a report of a female patient who was previously treated by the ear-nose-throat specialist because of otalgia, but it was concluded that she had some TMJ pathology. Clinical examination and magnet resonance of the TMJs confi rmed anterior slide of the disc. Since the patient has fi ve-year-old complete dentures, new ones were fabricated. The symptoms recede, and for the patient the most important thing was that the pain disappeared. With regards to her age, acquired anodontia and impossible restitutio ad integrum treatment, she was instructed how to support the painless functional status of her masticatory system.

2. Majstorović M, Veerkamp JSJ, Škrinjarić I, Glavina D. Reliability and Validity of Measures Used in Assessing Dental Anxiety in 5-15 Year-Old Croatian Children. Acta Stomatol Croat. 2003;37(3):361-2.
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   Title in English:	Reliability and Validity of Measures Used in Assessing Dental Anxiety in 5-15 Year-Old Croatian Children
   Title in Croatian:	Vrjednovanje pouzdanosti psihometrijskih metoda u procjeni dentalne anksioznosti djece dobne skupine od 5-15 godina u Hrvatskoj
   Type of Article:	congress abstract
   MeSH:	ANXIETY ANXIETY DISORDERS CHILD
   Abstract:	The aim of the study was to evaluate reliability and validity of different questionnaires and predict related cause-concomitant factors in assessing differnet aspects to childrens dental anxiety.Children were interviewed on dental anxiety, dispositional risk factors and satisfaction with the dentist after dental treatment had been accomplished. Parents were interiewed on dental anxiety as well. The study population included 165 children (91 boys) between the age od 5 and 15 years. They were sent to the dental Clinic by generalpractitioners, because of their dental fear and uncooperative bahaviour during previous dental visits. Children were treated by two dentists, both experienced in treating fearful children.The childrens total average CFSS-DS score was 27.02, with no significant difference with respect to gender. The highest Cronbach alpha scores regarding reliability were obtained for the S - DAI, the CFSS - DS and the PDAS. Pearsons correlations regarding validity represented significant correlations between the CMFQ, the CDASand the S - DAI; the OAS, the CDAS and the S - DAI; as well as between the OAS and the DVSS - SV.Statistical analysis was performed in Statistics for Windows, Release 5.5 and release 7.5. Pearsons correlation coefficients were calculated for validity and Cronbach alpha for reliability of the measures. Spearman Brown prophecy formula was used for correction of the alpha scores.Previous negative medical experience has significant influence on children’s dental anxiety, supporting the Rachmans conditioning theory ( Rachman, 1991). Anxious children are more likely to exibit behaviour problems (agression) and are more introvert in expressing their judgement regarding the dentist. Both the S - DAI and tehCFSS - DS, which was standardized in the Croatian population sample, showed the highest reliability in assessment of children’s dental anxiety.

3. Badel T, Pandurić J, Kraljević-Šimunković S, Marotti M, Kocijan Lovko S, Šutalo J. Temporomandibular Disorders in a Patient With Anxiety. Acta Stomatol Croat. 2003;37(3):306-7.
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   Title in English:	Temporomandibular Disorders in a Patient With Anxiety
   Title in Croatian:	Temporomandibularna disfunkcija u pacijentice s anksioznošću
   Type of Article:	congress abstract
   MeSH:	TEMPOROMANDIBULAR JOINT DISORDERS + therapy ANXIETY
   Abstract:	A patient (28 yrs. old) during the last year has noticed wear facets on the teeth and also symptoms of temporomandibular disorders (TMD) - pain, limitation of mandibular movements, and also clicking in the right temporomandibular joint (TMJ). The pain was evaluated with analog-visual scale (0 - 10) = 7. Case history revealed the presence of mental trauma four years ago, which had caused the increase of anxiety and occurrence of panic attacks. By means of manual functional analysis myofacial pain and anterior disc displacement without reduction in the right TMJ was determined and confirmed with electronic axiography and magnetic resonance imaging (MRI). As a consequence of excessive teeth wear the interfering contacts in laterotrusive movements of mandibule were established. Anxiety was confirmed with psychological measuring instrument State-Trait Anxiety Inventory. For the initial treatment the fabrication of Michigan splint was indicated. After 2 months improvement in clinical condition was achieved. Stronger pain was only during larger mouth opening. In the right TMJ crepitation was found. In the last few months she took irregularly prescribed anxiolytic drugs. She still feels anxious, tense and insecure. After 9 months the anterior disc dislocation without reduction and with present signs of subchondral degeneration and condylar aplation in the right TMJ was established with controlling MRI. Orthopedic stability of TMJs was established with definitive occlusal treatment (restoration of wear teeth tissues with composite fillings). Because of accompanying osteoarthritis and better stabilisation of TMJs as well as teeth protection from bruxism a stabilisation splint was fabricated. Bruxism is a pathophysiological disorder of unclear aetiology. The most noticeable sign of bruxism is excessive teeth wear which can cause pathological occlusal relationships. The mechanism of aetiopathogenesis of TMD is insufficiently explained and occlusion is considered to be a secondary aetiological factor. Anxiety can be a pathophysiological factor of bruxism and can lead to persistence of chronic temporomandibular pain.

4. Richter I, Vidas I, Turčinović P. Relationship of Psychological Characteristics and Oral Diseases with Possible Psychosomatic Aaetiology. Acta Stomatol Croat. 2003;37(1):27-39.
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   Title in English:	Relationship of Psychological Characteristics and Oral Diseases with Possible Psychosomatic Aaetiology
   Title in Croatian:	Odnos psihičkih svojstava i oralnih bolesti s mogućom psihosomatskom etiologijom
   Type of Article:	original scientific paper
   MeSH:	MOUTH DISEASES + etiology PSYCHOSOMATIC DISORDERS ANXIETY ANXIETY DISORDERS
   Abstract:	The object of the study was to determine the incidence of the following oral diseases, Aphthae recidivante, Lichen ruber planus, symptoms of xerostomia and stomatopyrosis, and oral parafunction, bruxism and dysgeusia and to examine their possible connection with different intensities of psychological characteristics of self-esteem, anxiety and neuroticism in a sample of inhabitants from the Gorski Kotar area.The study consisted of 277 subjects in whom a detailed oral examination and oral testing were performed. Psychological testing was performed by using part of pychotest “18 PF”.The examination showed that in the area of Fuæina and Lokava oral parafunction most frequently occurred (in 36.1% of subjects) aphthae lesions (19.2%), followed by bruxism (13.7%), xerostomia (12.27%) and stomatopyrosis (10.3%). Taste disorders (2.3%) and oral lichen (1.2%) rarely occurred.The psychological examination indicated that there was a tendency towards a high level of self-esteem, low level of anxiety and still lower level of general neuroticism. Positive correlation was determined between the occurrence of xerostomia, stomatopyrosis, recurring aphthae and bruxism in relation to the occurrence of anxiety, and stomatopyrosis and xerostomia with neuroticism. The findings were statistically significant, although on the basis of such descriptive examinations it is impossible to claim that the examined psychological characteristics are the cause of the occurrence of these diseases, only that they are significantly connected with their occurrence.

5. Pokupec-Gruden JS, Cekić-Arambašin A, Gruden V. Psychogenic factors in the etiology of stomatopyrosis. Acta Stomatol Croat. 1999;33(2):189-98.
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   Title in English:	Psychogenic factors in the etiology of stomatopyrosis
   Title in Croatian:	Psihogeni čimbenici u etiologiji stomatopiroze
   Type of Article:	original scientific paper
   MeSH:	BURNING MOUTH SYNDROME + psychology ANXIETY DEPRESSION STRESS, PSYCHOLOGICAL PAIN SOMATOFORM DISORDERS
   Abstract:	(not available)

6. Richter I, Vidas I. The influence of psychological factors on the occurrence of symptoms of dryness and burning in the mouth. Acta Stomatol Croat. 1999;33(2):165-78.
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   Title in English:	The influence of psychological factors on the occurrence of symptoms of dryness and burning in the mouth
   Title in Croatian:	Utjecaj duševnih čimbenika na pojavu simptoma suhoće i pečenja u ustima
   Type of Article:	original scientific paper
   MeSH:	XEROSTOMIA BURNING MOUTH SYNDROME + psychology ANXIETY SOMATOFORM DISORDERS NEUROTIC DISORDERS
   Abstract:	(not available)

7. Pećina-Hrnčević A, Stevanović N. [Role of psychologic factors in dental practice with siblings]. Acta Stomatol Croat. 1991;25(2):117-21.
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   Title in English:	Role of psychologic factors in dental practice with siblings
   Title in Croatian:	Značenje psiholoških faktora u stomatološkom radu u djece iste obitelji
   Type of Article:	professional paper
   MeSH:	ANXIETY SIBLING RELATIONS DENTIST-PATIENT RELATIONS
   Abstract:	Results of a study of psychologic environmental factors and their effects on siblings in terms of fear from dental interventions are presented. Thirty pairs of siblings aged 6-15 years, treated at the Zagreb University Institute of Pediatric and Preventive Dental Medicine in Zagreb, were included in the study. The main criterion for inclusion in the study was the fact that one child accepted the treatment without reluctance, while the other child from the same family refused it or accepted it with considerable difficulties. According to this criterion, a cooperative group and a non-cooperative group of children were formed. The study was performed using a poll taken by means of a special questionnaire containing 22 questions. Results showed the psychologic environmental factors to have a marked but not most important role in the genesis of fear from dental interventions in children. Each child revealed himself/herself to be a person of his/her own, whereas environment, i.e. upbringing and education, was found to induce specific reactions in each of them. Therefore, care must be taken by a dental doctor-pedodontist to approach each little patient individually, fully respecting his/her personality.