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20 subjects anesthesia group anesthetic AORN Journal Berkum Bolton School Caucasians demonstration to allow dental chair dental context dental extractions performed dental surgery descriptions of sensations differences distress explanation of benefits fear feel frequency G Group Group n health team independent sample means indicated information and explanation informed consent investigation Janis Johnson levels of anxiety levels of psychological logical stress Mann-Whitney mean SSS score median class minor surgical procedures nursing approach nursing intervention Nursing Research oral surgery orientation passages participate patients receiving patients scheduled patients who received PCS scores possible postoperative potential subject preoperative anxiety psychological stress receive preoperative instruction receiving local anesthesia request general anesthesia research hypothesis score for subjects significant significantly situational variables standard deviation stress experienced Subjective Stress Scale subjects could expect subjects receiving subjects scored surgeon surgical patients teeth thesis third research hypotheses three sample groups tion Tomaro trait anxiety Western Reserve University