Stomatological Hospital of Chongqing Medical University, 426 Song Shi Bei Road, Chongqing, 401147, China.
Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, 426 Song Shi Bei Road, Chongqing, 401147, China.
BMC Oral Health. 2018 Jun 7;18(1):101. doi: 10.1186/s12903-018-0563-x.
The aim is to investigate the prevalence of dental anxiety and its association with pain and other related factors in adult patients with irreversible pulpitis.
One hundred and thirty patients with irreversible pulpitis were included in this cross-sectional study. Participants were asked to fill out an information table and a battery of questionnaires to assess their level of dental anxiety, pain at their first and most recent dental experience, and pain intensity before/during the present endodontic treatment. The level of anxiety that participants displayed during the present treatment was also evaluated by the dentists using an anxiety rating scale. Data were analyzed by t-test, ANOVA, and Spearman correlation tests.
83.1% of participants suffered from moderate or high dental anxiety, and 16.2% met criteria for specific phobia. Subjects who had higher MDAS scores were more likely to postpone their dental visits (P < 0.05). Subjects who had bad experiences at their most recent dental visit were more anxious (P < 0.05). Pain at the most recent dental visit (P < 0.01) or before the present dental visit (P < 0.05) was important factor correlating with dental anxiety among participants. Notably, 36.2% of participants displayed moderate or severe anxiety during this present visit for endodontic treatment based on dentist's judgement.
A high percentage of people with irreversible pulpitis suffer from dental anxiety. Pain at the most recent dental visit and during endodontic treatment have strongly positive association with dental anxiety. Effective pain control in endodontics is beneficial to manage the anxiety.
本研究旨在调查不可复性牙髓炎成年患者的牙科焦虑症患病率及其与疼痛等相关因素的关系。
本横断面研究纳入了 130 名不可复性牙髓炎患者。患者需填写一份信息表和一系列问卷，以评估其牙科焦虑程度、首次和最近一次牙科就诊时的疼痛程度，以及目前牙髓治疗前/期间的疼痛强度。牙医还使用焦虑评定量表评估患者在当前治疗过程中的焦虑水平。采用 t 检验、方差分析和 Spearman 相关检验对数据进行分析。
83.1%的患者存在中重度牙科焦虑，16.2%符合特定恐惧症标准。MDAS 评分较高的患者更有可能推迟就诊（P<0.05）。最近一次就诊体验较差的患者更焦虑（P<0.05）。最近一次就诊时的疼痛（P<0.01）或本次就诊前的疼痛（P<0.05）是患者牙科焦虑的重要相关因素。值得注意的是，根据牙医的判断，36.2%的患者在本次牙髓治疗就诊过程中表现出中度或重度焦虑。
患有不可复性牙髓炎的患者中有很大一部分存在牙科焦虑症。最近一次就诊时的疼痛和牙髓治疗期间的疼痛与牙科焦虑症呈强正相关。在牙髓治疗中有效控制疼痛有利于管理焦虑症。
