Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Division of Psychological and Social Medicine and Developmental Neurosciences, Research Group Applied Medical Psychology and Medical Sociology, Fetscherstr 74, 01307, Dresden, Germany.
Universitätsklinikum Carl Gustav Carus Dresden, Policlinic of Dental Maintenance, Fetscherstr 74, 01307, Dresden, Germany.
Head Face Med. 2018 Nov 20;14(1):25. doi: 10.1186/s13005-018-0182-4.
Dental Anxiety is still today one of the most common fears and is therefore a great challenge for every dental practitioner. The aim of this study was to identify patients with dental anxiety using the Dental Anxiety Scale and comparing different levels of dental anxiety with oral health using DMF-T and DMF-S index.
This study questioned 1549 patients over the course of three years (2002-2005). DAS questionnaires were handed out before treatment and the state of oral health was evaluated using DMF-T and DMF-S.
There is no significant relation between high anxiety and the global DMF-T Score (p = 0.237), missing teeth (p = 0.034) and filled teeth (p = 0.237). There is however a significant increase in destroyed teeth, the higher the level of dental anxiety in the patient (p < 0.0001). There is as well a significant relationship between the global DMF-S Score (p = 0.042) and dental anxiety. No relationship was found comparing missing surfaces (p = 0.107) and filled surfaces (p = 0.516) with dental anxiety. Destroyed 16 surfaces are, however, significantly higher in patients with more dental anxiety (p < 0.0001). A higher dental anxiety therefore often causes minimalistic dentistry to fail due to more teeth being destroyed.
Patients with dental anxiety still have a worse oral hygiene than patients without dental anxiety. It is still necessary, in this time of caries prevention rather than over-treatment, to be educated so that patients suffering dental fear receive the right treatment.
尽管如今牙科焦虑仍是最常见的恐惧之一，但它仍是每位牙科医生的巨大挑战。本研究旨在通过使用牙科焦虑量表（DAS）识别牙科焦虑症患者，并通过 DMF-T 和 DMF-S 指数比较不同程度的牙科焦虑与口腔健康。
本研究在三年内（2002-2005 年）调查了 1549 名患者。在治疗前发放 DAS 问卷，并使用 DMF-T 和 DMF-S 评估口腔健康状况。
高焦虑症与总体 DMF-T 评分之间没有显著关系（p=0.237），缺牙（p=0.034）和补牙（p=0.237）也无显著关系。然而，随着患者牙科焦虑程度的增加，破坏牙的数量显著增加（p<0.0001）。DMF-S 评分与牙科焦虑之间也存在显著关系（p=0.042）。然而，比较缺失牙面（p=0.107）和补牙面（p=0.516）与牙科焦虑之间没有关系。患有更严重牙科焦虑症的患者，破坏牙的 16 个牙面明显更高（p<0.0001）。因此，更高的牙科焦虑症往往会导致极简主义牙科治疗失败，因为更多的牙齿被破坏。
患有牙科焦虑症的患者的口腔卫生状况仍比没有牙科焦虑症的患者差。在这个以预防龋齿而非过度治疗为主的时代，我们仍然需要接受教育，以便让患有牙科恐惧的患者得到正确的治疗。
