Liu Yeungyeung, Huang Xin, Yan Yuxia, Lin Hanxiao, Zhang Jincai, Xuan Dongying
Department of Periodontology, Guangdong Provincial Stomatological Hospital, Southern Medical University, S366 Jiangnan Boulevard, 510280, Guangzhou, China.
Department of Statistics, Southern Medical University, Guangzhou, China.
BMC Oral Health. 2015 Jan 28;15:18. doi: 10.1186/1472-6831-15-18.
The aim of the present study was to describe the characteristics of dental fear of Chinese adult patients with periodontal disease and provide information for clinical assessment.
A total of 1203 dental patients completed questionnaires that included Corach's Dental Anxiety Scales (DAS), Dental Fear Survey (DFS) and the short-form Dental Anxiety Inventory (S-DAI). Among all the patients, 366 cases were self-reported periodontal disease. The general characteristics were described, such as socio-demographics, dental attendances and oral health behaviors. The statistical analysis was performed by t-test, Mann-Whitney U test and linear regression respectively to evaluate correlations between dental fear and general characteristics according to the three scales.
The prevalence of dental fear was 74% among 1203 patients, 23.4% of total with high dental fear, while 27.3% in the patients with periodontal disease. The average score of DAS and DFS for patients with periodontal disease was significantly higher than those without periodontal disease. The regression analysis indicated that gender, age, periodontal status, dental attendances and oral health behaviors were correlated with dental fear. Among 366 patients with periodontal disease, gender, dental attendances and oral health behaviors had correlation with dental fear. The analysis of DFS scale exhibited that 'drilling with handpiece' and 'injecting the anesthetic' were the most important factors to contribute to dental fear.
There was high prevalence of dental fear in Chinese adult patients, particularly in patients with periodontal disease, and high level of dental fear may lead to poor periodontal status.
本研究旨在描述中国成年牙周病患者的牙科恐惧特征，并为临床评估提供信息。
共有1203名牙科患者完成了问卷，其中包括科拉赫牙科焦虑量表（DAS）、牙科恐惧调查（DFS）和简化版牙科焦虑量表（S-DAI）。在所有患者中，366例自述患有牙周病。描述了一般特征，如社会人口统计学、看牙次数和口腔健康行为。分别采用t检验、曼-惠特尼U检验和线性回归进行统计分析，以根据三个量表评估牙科恐惧与一般特征之间的相关性。
1203名患者中牙科恐惧的患病率为74%，其中23.4%为高度牙科恐惧，而牙周病患者中这一比例为27.3%。牙周病患者的DAS和DFS平均得分显著高于无牙周病患者。回归分析表明，性别、年龄、牙周状况、看牙次数和口腔健康行为与牙科恐惧相关。在366名牙周病患者中，性别、看牙次数和口腔健康行为与牙科恐惧相关。DFS量表分析显示，“手机钻牙”和“注射麻醉剂”是导致牙科恐惧的最重要因素。
中国成年患者中牙科恐惧的患病率较高，尤其是牙周病患者，高度的牙科恐惧可能导致牙周状况不佳。
