Shrivastava Rahul, Srivastava Rajeev, Shigli Kamal, Prashanth M B, Kumaraswamy B N, Nethravathi T D
Department of Prosthodontics, Modern Dental College and Research Centre, 303-B Staff Quarters, Airport Road Opposite Gandhinagar, Indore-453112, Madhya Pradesh, India.
J Contemp Dent Pract. 2012 May 1;13(3):257-60. doi: 10.5005/jp-journals-10024-1133.
The objectives of this study were to measure the level of dental anxiety and its correlation with dental history, denture satisfaction and other variables.
A cross-sectional study was conducted on 150 completely edentulous patients reporting to the Department of Prosthodontics, KLES's Institute of Dental Sciences, Belgaum, over a period of 17 months (August 2005 to March 2007). The anxiety level of the patients was assessed with the help of a questionnaire, after obtaining an informed consent. Reliability of the dental anxiety scale was assessed by means of coefficient alpha.
The results of this study concluded that dental anxiety scale for edentulous patients was a reliable scale for measuring dental anxiety. The anxiety score was higher for female than male patients. A significant correlation was found between denture satisfaction score and anxiety.
Anxiety plays a major role in denture satisfaction. The variables included: Previous denture experience, occupation, medical history, age, gender, dental anxiety scale, period of edentulousness, age of previous dentures, number of complete dentures, denture satisfaction score, and the score on the Hamilton anxiety scale.
The study indicated that gender correlates significantly with dental anxiety. Patients with medical history were found to be more anxious than normal patients. Patients with higher anxiety values were less satisfied with the treatment. Lastly, subjects with higher general anxiety showed greater values on the dental anxiety scale.
The assessment of dental anxiety will help the prosthodontist in the management of anxious patients and secondly to provide evidence-based research into this psychological construct which has been shown to predict dental avoidance.
本研究的目的是测量牙科焦虑水平及其与牙科病史、义齿满意度和其他变量的相关性。
对150名全口无牙患者进行了一项横断面研究，这些患者在17个月（2005年8月至2007年3月）期间前往贝尔高姆KLES牙科学院口腔修复科就诊。在获得知情同意后，借助问卷对患者的焦虑水平进行评估。通过α系数评估牙科焦虑量表的信度。
本研究结果得出，无牙患者的牙科焦虑量表是测量牙科焦虑的可靠量表。女性患者的焦虑得分高于男性患者。义齿满意度得分与焦虑之间存在显著相关性。
焦虑在义齿满意度中起主要作用。变量包括：既往义齿佩戴经历、职业、病史、年龄、性别、牙科焦虑量表、无牙期、既往义齿的使用年限、全口义齿数量、义齿满意度得分以及汉密尔顿焦虑量表得分。
研究表明性别与牙科焦虑显著相关。有病史的患者比正常患者更焦虑。焦虑值较高的患者对治疗的满意度较低。最后，一般焦虑程度较高的受试者在牙科焦虑量表上的得分更高。
牙科焦虑的评估将有助于口腔修复医生管理焦虑患者，其次为这一已被证明可预测牙科回避行为的心理结构提供循证研究。
