Lalabonova Christina K
Department of Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria
Folia Med (Plovdiv). 2015 Apr-Jun;57(2):116-21. doi: 10.1515/folmed-2015-0029.
Dental implants are increasingly used in modern dentistry as anchors for prosthetic restorations. Anxiety is a complex phenomenon which can become a risk factor for suppression of many functions of the body.
The aim of this study was to investigate the effect dental anxiety exerts on the choice of method of treatment by patients wanting to have dental implants.
The study included 174 patients that were referred to us for dental implants placement because of partial or total loss of teeth. Their dental anxiety was measured using the Dental Anxiety Scale (DAS) proposed by Norman Corah. The patients decided to have or refused to have treatment with dental implants either because they had dental anxiety or gave other reasons.
Distribution of patients by level of anxiety was as follows: 33% were anxiety free, in 34% the dental anxiety was moderate, 25% had severe anxiety, and 8% experienced an extremely severe anxiety. Dental fear was given as a reason for refusal of treatment by 24.1% of the patients wanting to have dental implants. Of the patients wanting to have dental implants, 40.8% decided to proceed with the treatment; these patients exhibited low dental anxiety.
The decision to have dental treatment with implants is affected by the patient's level of dental anxiety. Only those with low level of dental anxiety decide to proceed with such a treatment. The mild anxiety some patients experience is beneficial as it eliminates a risk factor that may hinder the process of osseointegration.
在现代牙科中，种植牙越来越多地被用作修复体的锚固装置。焦虑是一种复杂的现象，它可能成为抑制身体许多功能的危险因素。
本研究的目的是调查牙科焦虑对想要进行种植牙治疗的患者治疗方法选择的影响。
该研究纳入了174例因部分或全部牙齿缺失而前来我们这里进行种植牙植入的患者。使用诺曼·科拉提出的牙科焦虑量表（DAS）测量他们的牙科焦虑程度。患者决定接受或拒绝种植牙治疗，要么是因为他们有牙科焦虑，要么是因为其他原因。
按焦虑程度对患者进行的分布如下：33%无焦虑，34%牙科焦虑为中度，25%有严重焦虑，8%经历极其严重的焦虑。24.1%想要进行种植牙治疗的患者将牙科恐惧作为拒绝治疗的原因。在想要进行种植牙治疗的患者中，40.8%决定继续治疗；这些患者表现出低牙科焦虑。
是否进行种植牙治疗的决定受患者牙科焦虑程度的影响。只有牙科焦虑程度低的患者才决定进行这种治疗。一些患者经历的轻度焦虑是有益的，因为它消除了可能阻碍骨整合过程的一个危险因素。
