Pohjola Vesa, Lahti Satu, Suominen-Taipale Liisa, Hausen Hannu
Department of Community Dentistry, Institute of Dentistry, University of Oulu, Oulu, Finland.
Eur J Oral Sci. 2009 Jun;117(3):268-72. doi: 10.1111/j.1600-0722.2009.00631.x.
We aimed to study the association between subjective oral impacts and dental fear adjusted for age, gender, level of education, and dental attendance, and to evaluate whether this association was modified by the number of remaining teeth. Nationally representative data on Finnish adults, 30+ yr of age (n = 5,987), were gathered through interviews, clinical examination, and questionnaires. Dental fear was measured using the question: 'How afraid are you of visiting a dentist?' and subjective oral impacts were measured using the 14-item Oral Health Impact Profile (OHIP-14) questionnaire. The outcome variables were the percentage of people reporting one or more OHIP-14 items fairly often or very often, and the 'extent' and 'severity'. Those with high dental fear reported higher levels of prevalence, 'extent', and 'severity' of subjective oral impacts than did those with low dental fear or no fear. The association between dental fear and subjective oral impacts was not significantly modified by the number of remaining teeth. The greatest differences between those with high dental fear and low dental fear were found in psychological, social, and handicap dimensions, but not in functional or physical dimensions of the OHIP-14. Treating dental fear could have positive effects on subjective oral impacts by reducing psychological and social stress and by improving regular dental attendance and oral health.
我们旨在研究在对年龄、性别、教育程度和看牙就诊情况进行校正后，主观口腔影响与牙科恐惧之间的关联，并评估这种关联是否会因剩余牙齿数量而改变。通过访谈、临床检查和问卷调查收集了芬兰30岁及以上成年人具有全国代表性的数据（n = 5,987）。牙科恐惧通过以下问题进行测量：“你有多害怕去看牙医？”，主观口腔影响则使用14项口腔健康影响程度量表（OHIP - 14）问卷进行测量。结果变量包括报告经常或非常频繁出现一项或多项OHIP - 14项目的人群百分比，以及“程度”和“严重程度”。牙科恐惧程度高的人群比牙科恐惧程度低或无恐惧的人群报告的主观口腔影响的患病率、“程度”和“严重程度”更高。牙科恐惧与主观口腔影响之间的关联并未因剩余牙齿数量而有显著改变。在OHIP - 14的心理、社会和残障维度中，牙科恐惧程度高的人群与程度低的人群之间差异最大，但在功能或身体维度中并非如此。治疗牙科恐惧可能通过减轻心理和社会压力、改善定期看牙就诊情况和口腔健康状况，对主观口腔影响产生积极作用。
