Janković Slobodan M, Aleksić Dragana, Bahtijari Zulfer, Jelić Anica, Klacar Jelena, Kovacević Aleksandra, Mijailović Natasa, Milovanović Olivera, Petrović Aleksandra, Radovanović Ana, Sovrlić Miroslav, Zecević Dejana Ruzić
Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Sector for Pharmacy, Military Medical Academy, Belgrade, Serbia.
Vojnosanit Pregl. 2014 Jan;71(1):16-21. doi: 10.2298/vsp1401016j.
BACKGROUND/AIM: Severe dental anxiety (SDA) is the most severe form of dental anxiety, thus the aim of this study was to determine the factors associated with SDA in students of health-related disciplines.
In this case-control study the cases were students with severe dental anxiety. The study was conducted at the Faculty of Medical Sciences, University of Kragujevac, Serbia. The participants were undergraduate students attending lectures during spring semester 2010/2011 (n = 1,812). A random sample of 800 students was assessed for the association between various risk factors and the severe dental anxiety. The main outcome measures were the data on demographics, dental anxiety, habits concerning oral hygiene, nutrition, general anxiety and (co)morbidity which were collected from the study participants by semi-structured questionnaire.
Less frequent visits to the dentist (OR adjusted = 7.02 [2.65; 18.60]) and visiting the dentist only when there is a dental problem (OR adjusted = 8.08 [1.28; 50.93]) were associated with severe dental anxiety. The same was true for improper oral hygiene (OR adjusted = 4.25 [1.16; 15.60]). Factors as changing toothbrush more frequently (OR adjusted = 0.33 [0.14; 0.76]) and having chronic disease (OR adjusted = 0.01 [0.00; 0.09]) were inversely associated with severe dental anxiety. The level of education of students was not associated with severe dental anxiety.
Inappropriate oral hygiene, less frequent changes of a toothbrush and less frequent visits to the dentist are important risk factors for severe dental anxiety.
背景/目的：严重牙科焦虑（SDA）是牙科焦虑最严重的形式，因此本研究的目的是确定与健康相关专业学生的严重牙科焦虑相关的因素。
在这项病例对照研究中，病例为患有严重牙科焦虑的学生。该研究在塞尔维亚克拉古耶瓦茨大学医学科学院进行。参与者是2010/2011年春季学期上课的本科生（n = 1812）。随机抽取800名学生评估各种风险因素与严重牙科焦虑之间的关联。主要观察指标是通过半结构化问卷从研究参与者收集的关于人口统计学、牙科焦虑、口腔卫生习惯、营养、一般焦虑和（共）发病情况的数据。
看牙医频率较低（调整后的比值比[OR]=7.02[2.65；18.60]）以及仅在有牙科问题时才看牙医（调整后的OR = 8.08[1.28；50.93]）与严重牙科焦虑相关。口腔卫生不当（调整后的OR = 4.25[1.16；15.60]）情况也是如此。更频繁更换牙刷（调整后的OR = 0.33[0.14；0.76]）和患有慢性病（调整后的OR = 0.01[0.00；0.09]）等因素与严重牙科焦虑呈负相关。学生的教育水平与严重牙科焦虑无关。
口腔卫生不当、较少更换牙刷以及看牙医频率较低是严重牙科焦虑的重要风险因素。
