Department of Periodontology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Clin Oral Investig. 2018 Apr;22(3):1411-1422. doi: 10.1007/s00784-017-2234-8. Epub 2017 Oct 11.
To measure dental anxiety levels and oral health-related qualities of life (OHRQoL) in patients with aggressive periodontitis (AgP) compared to controls and analyze their association with various demographic and clinical parameters.
Sixty consecutive patients with AgP were compared to 80 age- and sex-matched controls with no known history of periodontal disease. Collected data included demographics, smoking habits, numerical rating scale (NRS), Corah's Dental Anxiety Scale (DAS) and Oral Health Impact Profile-14 (OHIP-14), DMFT index (Decayed, Missing and Filled Teeth), Plaque Index (PI), probing depth (PD), bleeding on probing (BOP), and radiographic bone loss.
AgP patients exhibited statistically significant higher scores in the DAS total as well as sub-scores, except from DAS 1st question. Compared to the control group, AgP patients exhibited worse OHIP-14 global as well as in all individual OHIP-14 domains scores. Among both AgP and control patients, the physical pain domain was where the highest impact was recorded, while the lowest impact was recorded in the functional limitation domain.
AgP patients were positively associated with higher levels of dental anxiety and worse OHRQoL. Self-perception of dental anxiety and OHRQoL should be regarded as an integral element in routine diagnostic work-up process of periodontal diseases.
Aggressive periodontitis (AgP) patients exhibited higher dental anxiety levels and worse oral health-related quality of life (OHRQoL) compared to controls. Professionals should design strategies that will cope with the dental anxiety associated with the treatment and prevent decreases in OHRQoL.
测量侵袭性牙周炎（AgP）患者与对照组相比的牙科焦虑水平和口腔健康相关生活质量（OHRQoL），并分析其与各种人口统计学和临床参数的相关性。
将 60 例连续的 AgP 患者与 80 名年龄和性别匹配的无牙周病病史的对照组进行比较。收集的数据包括人口统计学资料、吸烟习惯、数字评分量表（NRS）、Corah's 牙科焦虑量表（DAS）和口腔健康影响量表-14（OHIP-14）、DMFT 指数（龋齿、缺失和填充牙）、菌斑指数（PI）、探诊深度（PD）、探诊出血（BOP）和放射学骨丧失。
AgP 患者的 DAS 总分和各分项得分均明显高于对照组，除 DAS 第 1 项外。与对照组相比，AgP 患者的 OHIP-14 总分以及所有单项 OHIP-14 领域得分均较差。在 AgP 和对照组患者中，身体疼痛领域的影响最大，而功能受限领域的影响最小。
AgP 患者与更高水平的牙科焦虑和更差的 OHRQoL 呈正相关。牙科焦虑和 OHRQoL 的自我感知应被视为牙周病常规诊断工作流程的一个组成部分。
侵袭性牙周炎（AgP）患者的牙科焦虑水平和口腔健康相关生活质量（OHRQoL）较对照组差。专业人员应制定策略来应对与治疗相关的牙科焦虑，并防止 OHRQoL 的下降。
