Stomatologist № 2 (37) – 2020, pp. 32-36                                                                                                                            SCIENTIFIC PUBLICATION

An algorithm of dental care for patients with “white coat” syndrome

E.N. Anisimovaa, N.Yu. Anisimovaa, A.V. Dayana, I.V. Orekhovab

aMD, PhD, Associate Professor, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
bMD, PhD, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia

https://doi.org/10.32993/stomatologist.2020.2(37).4

ABSTRACT
The aim of study – was developing an algorithm of dental care for patients with white coat syndrome (WCS).
Objects and methods. There were 60 patients (from 18 to 45 years old). women – 23, men – 37. All the patients felt fear, excitement, tension before dental treatment and their blood pressure was higher than normal (BP-198.2 ± 2.11 / 110.2 ± 3.12 mm Hg. St., heart rate-96.23 ± 2.12). Blood pressure and heart rate were measured using the AND TM 2655P device. The Spielberger-Hanin test was used to determine the level of anxiety. White coat syndrome was diagnosed using a daily blood pressure monitor, OSCAR2 (registration no. 25640 03, SunTech Medical Instruments, Inc., USA) by heart specialist. Sedation with preserved consciousness and the method of motivational interviewing were used to correct the psychoemotional state of the patients. Which allowed achieving a reduction in the level of situational anxiety, blood pressure and heart rate indicators for 4 visits. Oral cavity sanation was holding continuous monitoring of hemodynamic parameters using a bedside monitor ARMED PC-9000B.
Results and discussion. The correction of anxiety was carried out using the method of motivational interviewing, reinforcing the patient’s positive self-esteem, showing empathy, strengthening the opposites of judgments and avoiding open confrontation. All interventions were performed under continuous monitoring of hemodynamic parameters.
Conclusion. The application of the developed algorithm for dental care to patients with WCS allowed us to achieve a significant reduction in the level of situational anxiety, blood pressure and heart rate over four visits.

Keywords: arterial hypertension, white coat syndrome, patient’s anxiety level, dental care

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Correspondence to:  E-mail: irina-stomdent@mail.ru