Effects of Consent Methods Performed According to Intelligence Types on Anxiety Associated With Third Molar Surgery

Study Overview
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Brief Summary
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The aim of this study is to investigate the effect of information provided in accordance with intelligence type on anxiety associated with wisdom tooth surgery.

Detailed Description
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The participants who will undergo third molar surgery divided into study and control groups. Study group divided further into three groups according to multiple intellegence test. Ultimately four groups created as follows; Control: The group with standard (written and verbal) information without multiple intelligence test Visual/Spatial: The group with higher visual intelligence according to the multiple intelligence test results and watch video. Also, will given with a written informed consent document. Verbal/Linguistic: The group with higher verbal/linguistic intelligence according to the multiple intelligence test results and verbally informed in detail about the operation. lso, will given with a written informed consent document Bodily/Kinesthetic: The group with higher bodily/kinesthetic intelligence according to the multiple intelligence test results and informed with a dental model. lso, will given with a written informed consent document To evaluate anxiety; participants will asked to complete MDAS questionnairre before and after consent, and after operation. Also, saliva samples will obtained to evaluate the salivary cortisol before and after consent, and after operation.

Official Title
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Investigation of the Effects of Consent Methods Performed According to Intelligence Types on Anxiety Associated With Third Molar Surgery

Conditions
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Dental Anxiety

Intervention / Treatment
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* Behavioral: Informed consent
* Procedure: Third molar surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with mandibular third molar tooth in vertical or mesioangular position according to Winter classification, class I and II ramus relationship according to Pell-Gregory classification and class B and C depth Patients who maintain their normal sleep patterns, Patients with ASA I status according to the American Society of Anesthesiologists (ASA) classification. Exclusion Criteria: Patients did not agree to be a volunteer, and/or refused to watch videos or receive information in a different way from the standard procedure, Habits of Smoking and alcohol Patients who are pregnant or in the lactation period, Patients unable to cooperate, Patients having a psychiatric illness, Patients with systemic disease (local or systemic factors affecting salivary gland function, can cause changes in endocrine response) Patients using chronic medication and drugs that affect salivary cortisol levels, such as androgens, estrogens and corticosteroids. Patients with pericoronitis

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br>The group with standard (written and verbal) information without multiple intelligence test | Behavioral: Informed consent<br>* The style of informing patients about the procedure they will undergo<br>Procedure: Third molar surgery<br>* Surgical extraction of the third molar tooth<br>|
| Experimental: Visual/Spatial:<br>The group with higher visual intelligence according to the multiple intelligence test results and watch video. Also, will given with a written informed consent document | Behavioral: Informed consent<br>* The style of informing patients about the procedure they will undergo<br>Procedure: Third molar surgery<br>* Surgical extraction of the third molar tooth<br>|
| Experimental: Verbal/Linguistic<br>The group with higher verbal/linguistic intelligence according to the multiple intelligence test results and verbally informed in detail about the operation. lso, will given with a written informed consent document | Behavioral: Informed consent<br>* The style of informing patients about the procedure they will undergo<br>Procedure: Third molar surgery<br>* Surgical extraction of the third molar tooth<br>|
| Experimental: Bodily/Kinesthetic<br>The group with higher bodily/kinesthetic intelligence according to the multiple intelligence test results and informed with a dental model. lso, will given with a written informed consent document | Behavioral: Informed consent<br>* The style of informing patients about the procedure they will undergo<br>Procedure: Third molar surgery<br>* Surgical extraction of the third molar tooth<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dental anxiety | Anxiety change being assessed with Modified Dental Anxiety Scale (MDAS) MDAS consists of five questions in total which measures anxiety at different stages of dental treatment. 1 (no anxious) to 5 (very anxious) options are available for each question. The sum of the scores varies from 5 to 25 and the values between 19-25 indicates high dental anxiety. | at operation day (before and after operation and immediately after consent) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Salivary cortisol level | The amount of cortisol in saliva samples | at operation day (before and after operation and immediately after consent) |