Authors

1 Department of Public Health Dentistry, Vishnu Dental College, Bhimavaram, India

2 Department of Periodontics, Vishnu Dental College, Bhimavaram, India

3 Department of Orthodontics, Vishnu Dental College, Bhimavaram, India

4 Department of Oral Medicine, Vishnu Dental College, Bhimavaram, India

5 Department of Public Health dentistry, Lenora Dental College, Rajahmundry, India

Abstract

Objective: The pure essence of plants (essential oils) provides both psychological and 
physiological benefits when used accurately and safely. Conventionally, Lavender oil is known 
for relaxing, carminative, and sedative effects. Hence, an attempt was made to know the 
effect of Lavender essential oil on dental patient anxiety.
Methods: The present study included two comparison groups (Lavender and control 
group), each comprising five dental clinics. In Lavender group, the ambient odor of Lavender
essential oil was maintained with the help of a candle warmer in the reception area and in 
the control group, candle warmer with normal water was used. A total of 597 patients, aged 
above 18 years were included. A questionnaire comprising demographic information, and a 
modified dental anxiety scale was given to the patients in waiting room, and data regarding 
anxiety levels was recorded.
Findings: Student’s t‑test (unpaired) showed a significant reduction in anxiety scores of 
Lavender group compared with the control group. Analysis of variances test showed reduction 
in anxiety scores as age increased in Lavender group.
Conclusion: Fragrance of Lavender oil at reception area may effectively reduce the patient’s 
state or current anxiety. This practice on routine usage can improve the quality of dental 
treatments.

Keywords

  1. Kritsidima M, Newton T, Asimakopoulou K. The effects of 
    Lavender scent on dental patient anxiety levels: A cluster 
    randomised‑controlled trial. Community Dent Oral Epidemiol 
    2010;38:83‑7.
    2. Gedney JJ, Glover TL, Fillingim RB. Sensory and affective pain 
    discrimination after inhalation of essential oils. Psychosom 
    Med 2004;66:599‑606.
    3. Hosey MT, UK National Clinical Guidelines in Pediatric 
    Dentistry. UK National Clinical Guidelines in Paediatric 
    Dentistry. Managing anxious children: The use of conscious 
    sedation in paediatric dentistry. Int J Paediatr Dent 
    2002;12:359‑72.
    4. Martin GN. The effect of exposure to odor on the perception 
    of pain. Psychosom Med 2006;68:613‑6.
    5. Lehrner J, Marwinski G, Lehr S, Johren P, Deecke L. Ambient 
    odors of orange and Lavender reduce anxiety and improve 
    mood in a dental office. Physiol Behav 2005;86:92‑5.
    6. Field T, Diego M, Hernandez‑Reif M, Cisneros W, Feijo L, 
    Vera Y, et al. Lavender fragrance cleansing gel effects on 
    relaxation. Int J Neurosci 2005;115:207‑22.
  2. 7. Moss M, Cook J, Wesnes K, Duckett P. Aromas of rosemary 
    and Lavender essential oils differentially affect cognition and 
    mood in healthy adults. Int J Neurosci 2003;113:15‑38.
    8. Lis‑Balchin M, Hart S. Studies on the mode of action of the 
    essential oil of Lavender (Lavandula angustifolia P. Miller). 
    Phytother Res 1999;13:540‑2.
    9. Robins JL. The science and art of aromatherapy. J Holist Nurs 
    1999;17:5‑17.
    10. Akbay Oba A, Dülgergil CT, Sönmez IS. Prevalence of dental 
    anxiety in 7‑ to 11‑year‑old children and its relationship to 
    dental caries. Med Princ Pract 2009;18:453‑7.
    11. Edwards RR, Fillingim RB. Age‑associated differences in 
    responses to noxious stimuli. J Gerontol A Biol Sci Med Sci 
    2001;56:M180‑5.
    12. Toet A, Smeets MA, van Dijk E, Dijkstra D, van den Reijen L. 
    Effects of Pleasant Ambient Fragrances on Dental Fear: 
    Comparing Apples and Oranges. Chemosens Percept 
    2010;3:182‑89.
    13. Marchand S, Arsenault P. Odors modulate pain perception: 
    A gender‑specific effect. Physiol Behav 2002;76:251‑6.
    14. Muzzarelli L, Force M, Sebold M. Aromatherapy and reducing 
    preprocedural anxiety: A controlled prospective study. 
    Gastroenterol Nurs 2006;29:466‑71.
    15. Burnett KM, Solterbeck LA, Strapp CM. Scent and mood 
    state following an anxiety‑provoking task. Psychol Rep 
    2004;95:707‑22.
    16. Itai T, Amayasu H, Kuribayashi M, Kawamura N, Okada M, 
    MomoseA, et al. Psychological effects of aromatherapy on chronic 
    hemodialysis patients. Psychiatry Clin Neurosci 2000;54:393‑7.
    17. Butje A, Repede E, Shattell MM. Healing scents: An overview 
    of clinical aromatherapy for emotional distress. J Psychosoc 
    Nurs Ment Health Serv 2008;46:46‑52.
    18. Heuberger E, Redhammer S, Buchbauer G. Transdermal 
    absorption of (‑) ‑linalool induces autonomic deactivation 
    but has no impact on ratings of well‑being in humans. 
    Neuropsychopharmacology 2004;29:1925‑32.
    19. Zald DH, Pardo JV. Functional neuroimaging of the olfactory 
    system in humans. Int J Psychophysiol 2000;36:165‑81.