Wright Casey D, McNeil Daniel W, Edwards Cierra B, Crout Richard J, Neiswanger Katherine, Shaffer John R, Marazita Mary L
Department of Psychology, West Virginia University, 53 Campus Drive, P.O. Box 6040, Morgantown, WV 26506, USA; Center for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USA; Department of Dental Practice & Rural Health, Center for Oral Health Research in Appalachia (COHRA), School of Dentistry, West Virginia University, One Medical Center Drive, Morgantown, WV 26506, USA.
Center for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USA; Department of Periodontics, Center for Oral Health Research in Appalachia (COHRA), School of Dentistry, West Virginia University, One Medical Center Drive, Morgantown, WV 26506, USA.
Pain Res Manag. 2017;2017:5491923. doi: 10.1155/2017/5491923. Epub 2017 Mar 9.
. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. . Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including the mediating role of dental fear while accounting for fear of pain. . A significant total effect was found for the mandibular anterior sextant, components of dental anxiety/fear, and indicators of OHRQoL (pain and discomfort, = .165, = .001; psychosocial impact, = .199, < .001). The maxillary anterior region was significantly associated with pain discomfort ( = .116, = .017) and functionality ( = .130, = .011). . Findings provide a granular perspective of periodontal disease indicators and OHRQoL. Dental avoidance/anticipatory fear and physiological arousal mediate OHRQoL in individuals who have indicators of periodontal disease in sextants that may be visible and susceptible to higher pain and psychosocial impact.
口腔健康相关生活质量（OHRQoL）受到牙周疾病和口面部疼痛的影响。关于因害怕疼痛反应而避免就医或生理唤醒对牙周相关OHRQoL的影响的研究有限。数据来自阿巴拉契亚口腔健康研究中心以家庭为基础的研究，该研究聚焦于1339名成年人。测量指标包括改良的全口六个区段的牙周筛查和记录指数、牙科恐惧调查、疼痛恐惧问卷-9和口腔健康影响量表-14。采用结构方程模型来估计牙周疾病筛查指标对OHRQoL的影响，包括牙科恐惧的中介作用，同时考虑疼痛恐惧。在下颌前牙区段、牙科焦虑/恐惧的组成部分以及OHRQoL指标（疼痛和不适，β = 0.165，p = 0.001；心理社会影响，β = 0.199，p < 0.001）方面发现了显著的总体效应。上颌前部区域与疼痛不适（β = 0.116，p = 0.017）和功能（β = 0.130，p = 0.011）显著相关。研究结果提供了牙周疾病指标和OHRQoL的详细视角。在那些六个区段有牙周疾病指标、可能明显且更容易受到更高疼痛和心理社会影响的个体中，牙科回避/预期恐惧和生理唤醒介导了OHRQoL。
