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.
Int Dent J. 2018 Aug;68(4):269-278. doi: 10.1111/idj.12381. Epub 2018 Jan 30.
To examine whether dental anxiety (DA) and oral health-related quality of life (OHRQoL) differ between persons with and those without chronic periodontitis.
One-hundred patients with chronic periodontitis and 50 age- and- sex-matched controls were included. Data were collected on the following: demographics; smoking habits; Numerical Rating Scale (NRS) for dental pain assessment; Corah's Dental Anxiety Scale (DAS); Oral Health Impact Profile 14 (OHIP-14); Decayed, Missing and Filled Teeth (DMFT) index; Plaque Index (PI); probing depth (PD); bleeding on probing (BOP); and radiographic bone loss.
Patients with chronic periodontitis exhibited a significantly higher percentage of high anxiety and phobia compared with subjects in the control group. Furthermore, patients with chronic periodontitis were statistically significantly more likely to consider themselves as suffering from dental anxiety (68.7% vs. 14.3%, P < 0.001) as well as more likely to have fear of receiving dental injections, hearing the dental drill noise and feeling a foreign object in the mouth. Patients with chronic periodontitis exhibited worse OHIP-14 global scores as well as worse scores in the following individual domains: functional limitation (P = 0.005); physical disability (P = 0.003); psychological disability (P = 0.010); social disability (P = 0.011); and handicap (P = 0.012).
Compared with controls, patients with chronic periodontitis had higher levels of dental anxiety and worse OHRQoL. It is important to consider dental anxiety and OHRQoL assessment as an integral component of the evaluation of patients with chronic periodontitis. Communication between dental and behavioral health professionals is needed to implement a multidisciplinary team approach involving behavioural and psychological interventions.
探讨慢性牙周炎患者与非慢性牙周炎患者的口腔焦虑症（DA）和口腔健康相关生活质量（OHRQoL）是否存在差异。
共纳入 100 例慢性牙周炎患者和 50 名年龄和性别匹配的对照组患者。收集以下数据：人口统计学资料；吸烟习惯；数字评分量表（NRS）评估牙痛；Corah 的牙科焦虑量表（DAS）；口腔健康影响量表 14 项（OHIP-14）；龋齿、缺失和补牙（DMFT）指数；菌斑指数（PI）；探诊深度（PD）；探诊出血（BOP）；放射学骨丧失。
与对照组相比，慢性牙周炎患者的高焦虑和恐惧症比例明显更高。此外，慢性牙周炎患者更有可能认为自己患有牙科焦虑症（68.7%比 14.3%，P < 0.001），并且更害怕接受牙科注射、听到牙科钻头噪音和感觉到口腔中有异物。慢性牙周炎患者的 OHIP-14 总体评分以及以下各个领域的评分均较差：功能受限（P = 0.005）；身体残疾（P = 0.003）；心理残疾（P = 0.010）；社会残疾（P = 0.011）；和障碍（P = 0.012）。
与对照组相比，慢性牙周炎患者的口腔焦虑症水平更高，口腔健康相关生活质量更差。在评估慢性牙周炎患者时，考虑口腔焦虑症和口腔健康相关生活质量评估作为评估的一个组成部分非常重要。需要口腔和行为健康专业人员之间进行沟通，以实施包括行为和心理干预在内的多学科团队方法。
