Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, 457, Gonçalves Chaves Street, 96015-560, Brazil.
Australian Centre for Precision Health, University of South Australia, Adelaide, 101 Currie St, Adelaide, SA, 5001, Australia.
J Dent. 2021 May;108:103632. doi: 10.1016/j.jdent.2021.103632. Epub 2021 Mar 9.
To systematically review the literature about: 'What is the global estimated prevalence of dental fear in adults?'.
DATA/SOURCES: Inclusion criteria were observational population-based studies reporting the prevalence or raw data of dental fear in adults (>18 years). Five electronic databases (Embase, PubMed, Scopus, Virtual Health Library and Web of Science) were searched without language restrictions up to March 2020. Two researchers independently performed the study selection, data extraction and quality assessment of the included studies. Risk of bias was performed using the Joanna Briggs Critical Appraisal Checklist for Prevalence and Incidence studies. The prevalence pooled estimates of dental fear were calculated using fixed- and random-effect models. Subgroup analyses were performed.
The search strategy identified 4,486 studies. After removal of duplicates (1,722), title and abstract screening (2,764) and full-text reading (108), 31 publications were deemed eligible for this systematic review. Three studies presented low risk of bias and 28 studies presented high risk of bias. A total of 72,577 individuals 18 years of age or older composed the sample of this systematic review. The global estimated prevalence of dental fear and anxiety (DFA), high DFA and severe DFA in adults were 15.3 % (95 %CI 10.2-21.2), 12.4 % (95 %CI 9.5-15.6) and 3.3 % (95 %CI 0.9-7.1), respectively. Subgroup analyses showed a higher prevalence of DFA, high DFA and severe DFA among women and younger adults. The instruments used to measure dental fear also affected its prevalence.
Dental fear and high dental fear are prevalent in adults worldwide, being more prevalent among women.
Evidence suggests fear negatively impacts dental care pattern, clinical and subjective oral health conditions. A better knowledge of the global prevalence and the factors associated with this problem will allow that prevention or even behavior modulation strategies of the fearful individual's in dental setting being carried out.
系统综述文献关于：“成年人的牙科恐惧全球估计患病率是多少？”。
数据/来源：纳入标准为观察性基于人群的研究，报告成年人（>18 岁）中牙科恐惧的患病率或原始数据。在没有语言限制的情况下，检索了五个电子数据库（Embase、PubMed、Scopus、Virtual Health Library 和 Web of Science），检索时间截至 2020 年 3 月。两名研究人员独立进行了研究选择、纳入研究的数据提取和质量评估。使用 Joanna Briggs 对患病率和发病率研究的关键评估清单评估了偏倚风险。使用固定效应和随机效应模型计算了牙科恐惧的患病率汇总估计值。进行了亚组分析。
搜索策略确定了 4486 项研究。去除重复项（1722 项）、标题和摘要筛选（2764 项）以及全文阅读（108 项）后，有 31 篇文章被认为符合本系统综述的纳入标准。有 3 项研究被认为具有低偏倚风险，28 项研究具有高偏倚风险。共有 72577 名 18 岁或以上的个体组成了本系统综述的样本。成年人中牙科恐惧和焦虑（DFA）、高 DFA 和严重 DFA 的全球估计患病率分别为 15.3%（95%CI 10.2-21.2）、12.4%（95%CI 9.5-15.6）和 3.3%（95%CI 0.9-7.1）。亚组分析表明，女性和年轻成年人中 DFA、高 DFA 和严重 DFA 的患病率更高。用于测量牙科恐惧的工具也会影响其患病率。
牙科恐惧和高牙科恐惧在全球成年人中普遍存在，女性中更为普遍。
有证据表明，恐惧会对牙科护理模式、临床和主观口腔健康状况产生负面影响。更好地了解全球患病率以及与该问题相关的因素，将允许在牙科环境中对恐惧个体进行预防甚至行为调节策略。
