Doganer Yusuf Cetin, Aydogan Umit, Yesil Hande Ucler, Rohrer James Edwin, Williams Mark Douglas, Agerter David Charles
National Defense University, Turkish Military Academy, Primary Care Examination Center, Ankara, Turkey.
University of Health Sciences, Gulhane Medical Faculty, Department of Family Medicine, Ankara, Turkey.
Braz Oral Res. 2017 May 4;31:e36. doi: 10.1590/1807-3107BOR-2017.vol31.0036.
The aims of the present study were to evaluate possible associations between trait anxiety, dental fear and the predictors of these interactions including demographic characteristics and dental history of patients applied to the dental care center in Ankara, Turkey. A sample of 607 participants (mean age: 21.02 ± 2.32) responded to a Turkish version of the Modified Dental Fear Survey (MDFS), the State-Trait Anxiety Inventory (STAI-T) and a questionnaire regarding previous negative dental experience. Multiple logistic regression analysis was used to identify the association between dental fear and the independent variables including trait anxiety, age groups, education level, dental visit frequency, experience and the source of dental knowledge. There was a trend for increasing in trait anxiety scores with greater levels of dental fear in a medium level of the dental fear group (OR = 1.055, 95%CI [1.025-1.086]; p < 0.001) and in a high level of the dental fear group (OR = 1.090 [1.057-1.124]; p < 0.001). Comparing to the low level of dental fear group; participants of medium dental fear level intended more likely to go to the dentist when they have a complaint instead of regularly going (odds ratio; OR = 3.177, 95%CI [1.304-7.741]; p = 0.011). Participants of high dental fear level tended to be less likely to have experienced no problem (OR = 0.476, 95%CI [0.284-0.795]; p = 0.005) than the low level of the dental fear group. We strongly indicate that higher dental fear scores have a predisposition of having high trait anxiety scores. Unpleasant dental experiences increased the risk for high dental fear levels. Patients with dental fear tended only to visit a dentist when necessary, avoiding regular visits.
本研究的目的是评估特质焦虑、牙科恐惧以及这些相互作用的预测因素之间可能存在的关联，这些预测因素包括土耳其安卡拉牙科护理中心患者的人口统计学特征和牙科病史。607名参与者（平均年龄：21.02±2.32岁）的样本对土耳其语版的改良牙科恐惧调查（MDFS）、状态-特质焦虑量表（STAI-T）以及一份关于既往负面牙科经历的问卷进行了回应。采用多元逻辑回归分析来确定牙科恐惧与包括特质焦虑、年龄组、教育水平、看牙频率、经历以及牙科知识来源在内的自变量之间的关联。在中等牙科恐惧水平组（比值比；OR = 1.055，95%置信区间[1.025 - 1.086]；p < 0.001）和高牙科恐惧水平组（OR = 1.090 [1.057 - 1.124]；p < 0.001）中，随着牙科恐惧程度的增加，特质焦虑得分有上升趋势。与低牙科恐惧水平组相比；中等牙科恐惧水平的参与者在有不适时更有可能去看牙医，而不是定期就诊（比值比；OR = 3.177，95%置信区间[1.304 - 7.741]；p = 0.011）。高牙科恐惧水平的参与者比低牙科恐惧水平组更不容易没有经历过任何问题（OR = 0.476，95%置信区间[0.284 - 0.795]；p = 0.005）。我们强烈指出，较高的牙科恐惧得分易导致较高的特质焦虑得分。不愉快的牙科经历增加了高牙科恐惧水平的风险。有牙科恐惧的患者往往只在必要时才去看牙医，避免定期就诊。
