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Does Modifying the Consent Process Based on the Dominant Intelligence Type Reduce Anxiety During 3rd Molar
Damla Torul1, Mehmet Melih Omezli2, Tolunay Avci3
1Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, Ordu, Turkey.
Summary
Modifying informed consent to match a patient's dominant intelligence type (DIT) did not significantly reduce anxiety during third molar surgery. Standard consent procedures were as effective as DIT-based consent in managing patient anxiety.
Area of Science:
- Oral and Maxillofacial Surgery
- Psychology
- Medical Education
Background:
- Third molar surgery is a common procedure often causing significant patient anxiety.
- Patient anxiety can impact surgical outcomes and patient satisfaction.
- Standardized consent procedures may not effectively address individual patient psychological needs.
Purpose of the Study:
- To investigate whether tailoring informed consent to a patient's dominant intelligence type (DIT) can reduce anxiety associated with third molar surgery.
- To compare the efficacy of DIT-based consent versus standard consent in managing pre-operative and post-operative anxiety.
Main Methods:
- A prospective randomized clinical study involving 80 patients undergoing lower third molar removal.
- Patients were assigned to either a DIT-based consent group or a standard consent group.
- Anxiety was measured using salivary cortisol levels and the Modified Dental Anxiety Scale (MDAS) before and after consent and surgery.
Main Results:
- No statistically significant difference was found in the reduction of salivary cortisol levels or MDAS scores between the DIT-based consent group and the standard consent group.
- Changes in anxiety measures (cortisol and MDAS) did not differ significantly between the groups before-after consent and before consent-after operation.
- No significant correlation was observed between changes in MDAS scores and salivary cortisol levels post-consent or post-operation.
Conclusions:
- Informed consent tailored to dominant intelligence type (DIT) does not offer a statistically significant advantage over standard consent methods in reducing anxiety for third molar surgery.
- Further research is needed to explore the effectiveness of different consent strategies in managing patient anxiety.
- The lack of correlation between salivary cortisol and MDAS warrants additional investigation in the context of surgical anxiety management.
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