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1. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .

Language: English

Format: Journal

Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks

Keywords: Acupuncture  Anxiety  Bi-Digital O-Ring Test  Dental Phobic Patients  Pharmacological sedation  Preferred Patterns  Visual Pathway  

Accuracy Verified: Yes

2. de Jongh, A., & ten Broeke, E. (2000, September). The use of ‘exposure’ in EMDR. EMDRIA Newsletter, 5(4), 4-8.

Language: English

Format: Newsletter

Abstract: An important feature of PTSD is that it is not very likely that the same traumatic event will happen again. For example, if a client has been raped and succesfully been treated with EMDR, generally not many clinicians will feel the urge to prepare the client for a next rape. Conversely, in a number of cases (for instance phobic conditions) the client does have to anticipate future situations in which the former phobic stimuli are present; and where he will have to interact with these. As a result of the application of the EMDR basic protocol, the likelihood or severity of the initial threat may have been reappraised, and the incident that initially felt traumatic may have been reattributed to an innocuous event. However, if a dental phobic has been successfully treated for his phobia, it is likely that he will still have to undergo invasive dental work, such as injections, root canal treatments or extractions. This has implications for treatment. Therefore, with specific phobias, after any successful reprocessing of anxiety related material occurs, it is of paramount importance that the client be properly prepared for future confrontations with the anxiety provoking objects and situations.

Keywords: Exposure  

Accuracy Verified: Yes

3. Lu, D. P. (2010, May/June). Using alternating bilateral stimulation of eye movement desensitization for treatment of fearful patients. General Dentistry, 58(3), e140-e147.

Language: English

Format: Journal

Abstract:
Since the mid-1990s, eye movement desensitization (EMD) has been used in the realm of clinical psychology and psychiatry as a nonpharmacotherapeutic modality for the treatment of phobias, post-traumatic symptoms, and various psychotrauma cases. EMD can also be incorporated into the use of hypnosis, although the two are not the same thing. This study examined various clinical applications of the eye movement component of EMD (known as alternating bilateral stimulation (ABS)) on fearful dental patients who had a history of traumatic dental experiences. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results show that ABS, while effective for enabling patients to undergo non-invasive dental procedures such as clinical examinations and simple prophylaxis, has only limited beneficial effect for extremely fearful patients who must undergo invasive procedures such as extraction, drilling, and injections. Nevertheless, ABS is effective for mild to moderate patient phobia and anxiety. Although EMD is more effective than ABS, ABS is simple and easy for patients and clinicians to perform during treatment and can be performed readily in the dental office.

Keywords: ABS  Alternating Bilateral Stimulation  Anxiety  Dental Patients  Denistry  Drilling  EMD  Extraction  Injections  Phobias  

Accuracy Verified: Yes

4. de Jongh, A., & ten Broeke, E. (2000, September). Why and how to use ‘in vivo exposure’ in EMDR. EMDRIA Newsletter, 5(3), 18.

Language: English

Format: Newsletter

Abstract:
An important feature of PTSD is that it is not very likely that the same traumatic event will ever happen again. Accordingly, if a client has been raped and succesfully been treated with EMDR, generally not many clinicians will feel the urge to prepare this client for a next rape. Conversely, in a number of cases (particularly phobic conditions) the client does have to anticipate future situations in which fear evoking stimuli are present; and where he will have to interact with these. For example, if a person who suffered from a dental phobia has been successfully treated for his phobia, it is likely that he will still have to undergo invasive dental work, such as injections, root canal treatments, or extractions. This has implications for treatment. As a result of the successful application of the EMDR basic protocol, the likelihood or severity of the initial threat may have been reappraised, and the incident that initially felt traumatic may have been reattributed to an innocuous event. Yet, it is possible that the client is still not completely convinced of her ability to cope, and therefore, avoids certain activities or situations. In that case, the client should be properly prepared for future encounters with the anxiety provoking objects and situations. One way to prepare the client for such confrontations, is the use of in vivo exposure.

Keywords: In Vivo Exposure  

Accuracy Verified: Yes