Anxiolytic Effects of Pleasant Ambient Fragrances on Patients undergoing Simple Extraction: A Randomized Controlled Trial

Keywords: Dental anxiety, Aromatherapy, Lavender oil, Rose oil, Modified Dental Anxiety Scale.

Abstract

Objective: To evaluate the effect of aromatherapy against dental anxiety among patients undergoing simple extractions.

Methodology: The present study was a Randomized Controlled Trial of concurrent parallel design with three (03) arms. A total of 90 subjects with age range of 15-45 years requiring simple extractions were included in the study. Participants were randomized into three groups: lavender oil group, rose oil group, and placebo (water) group. Participants' heart rate (HR) and blood pressure (BP) were measured using pulse oximeter and digital sphygmomanometer respectively. A questionnaire comprising Modified Dental Anxiety Scale (MDAS) was administered to the patients to measure their anxiety levels subjectively. All the data were recorded at before local anaesthesia (LA) administration, after LA administration (after 10 minutes) and post extraction stages. Data were analysed using SPSS version 16 (IBM corp, Armork, NY). Inferential statistics was done using non parametric tests. 

Results: Intragroup comparison showed statistically significant reduction in mean anxiety score in all the three groups from pre LA administration to post extraction except for pre LA administration to post LA administration stage in Rose oil group. Intergroup comparison of

MDAS scores showed statistically significant differences in post LA administration and post extraction stages. Post extraction anxiety was found to be least in Lavender oil group and maximum in the placebo group.

Conclusion: Both Lavender oil and Rose oil group were found to be effective against dental anxiety among dentally phobic patients but comparatively Lavender oil group showed better results than Rose oil group and placebo group.

Key words: Dental anxiety, Aromatherapy, Lavender oil, Rose oil, Modified Dental Anxiety Scale.

References

1. American Psychiatric Association A. Diagnostic and statistical manual of mental
disorders. Washington, DC: American Psychiatric Association; 1980.
2. Roy J, Dempster LJ. Dental anxiety associated with orthodontic care: Prevalence and
contributing factors. In Seminars in Orthodontics 2018;24(2):233-241.
3. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management
problems in children and adolescents: a review of prevalence and concomitant
psychological factors. Int J P aediatric dentistry 2007;17(6):391-406.
4. Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of
dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res
J.2015;12(3):248.
5. Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia:
literature review. Clinical, cosmetic and investigational dentistry 2016;8:35.
6. Coulthard P: Conscious sedation guidance. Evid Based Dent 2006, 7:90-1.
7. Nardarajah D, Dhanraj M, Jain AR. Effects of lavender aromatherapy on anxiety
levels of patients undergoing mandibular third molar extraction. Drug Intervention
Today 2018;18(30):18-30.
8. Venkataramana M, Pratap KV, Padma M, Kalyan S, Reddy AA, Sandhya P. Effect of
aromatherapy on dental patient anxiety: A randomized controlled trial. J Indian Assoc
Public Health Dent 2016;14(2):131.
9. Humphris GM, Freeman R, Campbell J, Tuutti H, D’souza V. Further evidence for
the reliability and validity of the Modified Dental Anxiety Scale. IDJl
2000;50(6):367-70.
10. Tellez M, Kinner DG, Heimberg RG, Lim S, Ismail AI. Prevalence and correlates of
dental anxiety in patients seeking dental care. Community Dent Oral Epidemiol
2015;43(2):135-42.
11. López V, Nielsen B, Solas M, Ramírez MJ, Jäger AK. Exploring Pharmacological
Mechanisms of Lavender (Lavandula angustifolia) Essential Oil on Central Nervous
System Targets. Front Pharmacol 2017;8:280.
12. Muzzarelli L, Force M, Sebold M. Aromatherapy and reducing preprocedural anxiety:
A controlled prospective study. Gastroenterol Nurs 2006;29:466-71.
13. Dias P, Pedro LG, Pereira OR, Sousa MJ. Aromatherapy in the control of stress and
anxiety. Alternative and Integrative Medicine 2017;6:1-5.
14. Barati F, Nasiri A, Akbari N, Sharifzadeh G. The Effect of Aromatherapy on Anxiety
in Patients. Nephro-urology Monthly 2016;8(5):e38347.
15. Akbay Oba A, Dülgergil ÇT, Şaroğlu Sönmez I: Prevalence of dental anxiety in 7 to
11-year old children and its relationship to dental caries. Med Princ Pract 2009;
18:453-7.
16. Burnett KM, Solterbeck LA, Strapp CM. Scent and mood state following an anxiety-
provoking task. Psychol Rep 2004;95(2):707-22.
17. Zabirunnisa M, Gadagi JS, Gadde P, Myla N, Koneru J, Thatimatla C. Dental patient
anxiety: Possible deal with Lavender fragrance. J Res Pharm Pract 2014;3(3):100-3.
18. Itai T, Amayasu H, Kuribayashi M, et al.: Psychological effects of aromatherapy on
chronic hemodialysis patients. Psychiatry Clin Neurosci 2000, 54:393-7.
19. Premkumar KS, Syed Aafaque J, Sumalatha S, Narendran N. Effect of aromatherapy
on dental anxiety among orthodontic patients: A randomized controlled trial. Cureus
2019;11(8):e5306.
Published
2025-08-21
How to Cite
Taneja, P., Mahapatra, S., Mohan Marya, C., Nagpal, R., & Kataria, S. (2025). Anxiolytic Effects of Pleasant Ambient Fragrances on Patients undergoing Simple Extraction: A Randomized Controlled Trial. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 11(3), 7-13. https://doi.org/10.21276/ujds.2025.v11.i3.2

Most read articles by the same author(s)