Quintessence Int. 2022 Sep 16;53(9):798-807. doi: 10.3290/j.qi.b3314971.
Dental anxiety (DA) is a frequent and widespread phenomenon worldwide. There are few studies that have discussed the preoperative intervention of dental anxiety. The aim of this study was to explore the clinical efficacy of an online intervention to improve understanding and reduce dental anxiety in patients with transcrestal sinus floor elevation (TSFE) and to explore the correlation between patients' understanding and dental anxiety, pain perception, and satisfaction.
This prospective randomized controlled trial enrolled patients who underwent TSFE and simultaneous implant placement. Patients were randomly allocated to the preoperative online intervention group (test group) and the non-online intervention group (control group). Two patient interview topic guide questionnaires were utilized to assess the extent and source of patients' understanding of the treatment process after a consultation at the hospital (T1) and prior to the surgery (T2). The preoperative dental anxiety was also assessed using the modified Corah dental anxiety scale (MDAS) at T1 and T2. All patients used the visual analog scale to describe their pain perception and satisfaction with the treatment process immediately after surgery (T3). A correlation analysis was performed to analyze the interrelationship between patient understanding, dental anxiety, pain perception, and satisfaction.
At T1, both groups were homogenous in their knowledge of the TSFE procedure and preoperative dental anxiety. At T2, the test group showed a better understanding of the TSFE procedure and lower preoperative dental anxiety than that of T1 and the control group at T2. Pain perception was significantly lower in the test group than in the control group at T3. Patients in the test group expressed significantly greater satisfaction with the treatment process than the control test group. There was a negative correlation between patients' understanding and preoperative dental anxiety. A positive correlation between preoperative dental anxiety and pain perception was found with a significant difference. Patients' satisfaction was positively correlated with understanding and negatively correlated with pain perception.
Preoperative online intervention effectively increased patients' understanding of the treatment process. This resulted in decreased preoperative dental anxiety, decreased pain perception, and greater postoperative satisfaction from patients who underwent TSFE.
Online medical care can be considered as an auxiliary tool to improve the effect of implant surgery.
牙科焦虑症（DA）是一种在全球范围内普遍存在的现象。很少有研究讨论牙科焦虑症的术前干预。本研究旨在探讨一种在线干预措施对改善经牙槽嵴窦底提升（TSFE）患者的认知并减轻其牙科焦虑症的临床疗效，并探讨患者的认知与牙科焦虑症、疼痛感知和满意度之间的相关性。
本前瞻性随机对照试验纳入了接受 TSFE 并同期植入的患者。患者被随机分配到术前在线干预组（试验组）和非在线干预组（对照组）。使用两个患者访谈主题指南问卷评估患者在医院就诊后（T1）和手术前（T2）对治疗过程的理解程度和来源。在 T1 和 T2 时还使用改良 Corah 牙科焦虑量表（MDAS）评估术前牙科焦虑症。所有患者均在手术后立即使用视觉模拟评分法（VAS）描述其疼痛感知和对治疗过程的满意度（T3）。进行相关性分析以分析患者认知、牙科焦虑症、疼痛感知和满意度之间的相互关系。
在 T1 时，两组对 TSFE 程序和术前牙科焦虑症的了解程度均相同。在 T2 时，试验组与 T1 时相比，对 TSFE 程序的理解更好，术前牙科焦虑症较低，且与 T2 时的对照组相比也较低。T3 时，试验组的疼痛感知明显低于对照组。与对照组相比，试验组患者对治疗过程的满意度显著更高。患者的理解与术前牙科焦虑呈负相关。术前牙科焦虑与疼痛感知呈正相关，差异有统计学意义。患者的满意度与理解呈正相关，与疼痛感知呈负相关。
术前在线干预可有效提高患者对治疗过程的理解。这导致接受 TSFE 的患者术前牙科焦虑症减轻，疼痛感知减轻，术后满意度提高。
在线医疗可被视为提高种植手术效果的辅助工具。
