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牙科恐惧症与牙科治疗:已发表文献的综合评价

Dentophobia and dental treatment: An umbrella review of the published literature.

作者信息

Aburas Sarmad, Pfaffeneder-Mantai Florian, Hofmann Alina, Meller Oliver, Schneider Benedikt, Turhani Dritan

机构信息

Center for Oral and Maxillofacial Surgery, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University, Krems/Donau, Austria.

Division for Chemistry and Physics of Materials, Department of Medicine, Faculty of Medicine and Dentistry, Danube Private University, Krems/Donau, Austria.

出版信息

Spec Care Dentist. 2023 Mar;43(2):163-173. doi: 10.1111/scd.12749. Epub 2022 Jun 14.

Abstract

AIMS

Dentophobia is a well-know kind of phobia and psychological problem in dentistry. Although patients might suffer from severe oral pain and have serious health complications, dentophobia is still posing a threat to oral healthcare and remains an unresolved worldwide phenomenon. According to estimates, up to 80% of the general population are affected by this condition. Dentophobia is an unpleasant problem with serious consequences not only for patients but also for dentists and the public health system in general. This umbrella review provides a comprehensive overview of the various aspects of dentophoia as addressed in the published literature, and the current level of knowledge concerning their treatment.

METHODS AND RESULTS

Based on 35 reviews of the published literature, addressing various aspects of dentophobia and published between 2008 and 2021, this umbrella review was written. The search was based on the PubMed and PsycINFO databases. The extraction was structured by open coding and each aspect of the subject analyzed according to Ritchie and Lewis.

CONCLUSION

We conclude that the evidence concerning the efficacy of the various interventions is still rather weak and there is an obvious need for further research, because of the yet and unresolved challenges and the lack of standardised guidelines to deal with patients with dentophobia.

摘要

目的

牙科恐惧症是牙科领域一种广为人知的恐惧症和心理问题。尽管患者可能遭受严重的口腔疼痛并出现严重的健康并发症,但牙科恐惧症仍然对口腔保健构成威胁,并且在全球范围内仍是一个未解决的现象。据估计,高达80%的普通人群受此影响。牙科恐惧症是一个令人不快的问题,不仅对患者,而且对牙医和整个公共卫生系统都有严重后果。本综合性综述全面概述了已发表文献中涉及的牙科恐惧症的各个方面,以及目前关于其治疗的知识水平。

方法与结果

基于2008年至2021年间发表的35篇关于牙科恐惧症各个方面的文献综述,撰写了本综合性综述。检索基于PubMed和PsycINFO数据库。提取内容通过开放编码进行结构化,并根据里奇和刘易斯的方法对主题的各个方面进行分析。

结论

我们得出结论,由于尚未解决的挑战以及缺乏处理牙科恐惧症患者的标准化指南,关于各种干预措施有效性的证据仍然相当薄弱,显然需要进一步研究。

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