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FEASIBILITY AND ACCEPTABILITY OF CONSCIOUS CIRCULAR BREATHING (CCB) TO REDUCE DENTAL ANXIETY
Vacio, Arianna Maritza
Vacio, Arianna Maritza
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2025-05
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Oral Biology
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https://doi.org/10.34944/3mwf-fa84
Abstract
Research indicates that around 19% of individuals experience moderate to high dental anxiety. Dental anxiety is multifaceted and subjective to the patient; thus, there is no monotherapy for management. Current management of dental anxiety includes pharmacological intervention and cognitive behavioral techniques. This study aims to explore the feasibility and acceptability of Conscious circular breathing (CCB) technique in reducing dental anxiety in dental patients. This study recruited 15 patients from Temple University Dental School clinics, aged 18- 65, who exhibit moderate dental anxiety. Eligible participants provided informed consent and completed the following set of questionnaires at baseline and post-intervention: Modified Dental Anxiety Scale (MDAS), Perceived Stress Scale (PSS-4), State-Trait Anxiety Inventory (STAI), and Daily Spiritual Experience Scale (DSES). Participants also completed the Client Satisfaction Questionnaire to determine the acceptability of CCB. The CCB protocol consisted of six sessions over the course of two weeks. Participants attended three live sessions in the first week, where they learned the CCB technique using a guided pre-recorded practice video. For the following week, participants were instructed to practice the CCB up to three times on their own time. Participants also completed a brief survey following each CCB session (up to 6 total) to assess stress and anxiety levels. 12 participants successfully completed the 2-week CCB intervention.
A Student T-Test was conducted to assess differences in anxiety, stress, and spiritual experience before and after the Conscious circular breathing intervention. There were no statistically significant differences for STAI (t = 0.08, p = 0.967), or DSES (t = 1.58, p = 0.224) when comparing the baseline to the immediate post-intervention survey results. However, a significant reduction in perceived stress was observed (t = -2.24, p = 0.043), suggesting the intervention effectively reduced stress levels. In addition, there was a statistical difference for MDAS (t = 1.88, p = 0.020), suggesting an overall sustained decrease in dental anxiety. The intervention received moderate to high acceptability with a mean CSQ score of 22.13 (SD = 9.91), indicating positive participant satisfaction. Findings indicate that Conscious Circular Breathing may be a feasible and acceptable intervention for individuals with moderate dental anxiety, as participants reported high satisfaction and significantly reduced perceived stress levels and dental anxiety over time. Future studies with larger sample sizes and longer follow-ups are needed to explore its potential as an adjunctive anxiety management tool in dental settings.
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