评估牙科非侵入性治疗中牙科焦虑的临床参数。

Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry.

机构信息

Department of Clinical Dentistry, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, 28005 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2022 Sep 5;19(17):11141. doi: 10.3390/ijerph191711141.

Abstract

Dental anxiety is a matter of interest for the dentist since an anxious patient is a potential source of complications in the dental office. The main objectives of this study are to describe the correlation between dental anxiety levels and the values of physiological parameters related to dental anxiety and to study the evolution of blood pressure and heart rate over time during noninvasive dental treatments, i.e., not requiring local anesthesia. A descriptive, longitudinal, and prospective observational study was designed. The study population consisted of 200 patients who attended a university clinic for dental treatment without local anesthesia. The patients were asked to complete the Corah Dental Anxiety Scale. Afterward, blood pressure and heart rate were measured by means of a digital sphygmomanometer. Blood pressure and heart rate were taken throughout the procedure on four occasions. Most of the patients showed mild dental anxiety (5 [IQR: 3] points on Corah Dental Anxiety Scale). Significant but weak correlations were found between the level of dental anxiety and heart rate (Spearman rho: 0.166 and 0.176; = 0.019 and 0.013; 3 min before and after treatment, respectively), as well as between the level of dental anxiety and the duration of treatment (Spearman rho: 0.191 3 min; = 0.007). As for the evolution of physiological parameters, all patients showed a progressive decrease in values at different time points during treatment. When the types of treatment were evaluated separately, it was observed that there were statistically significant differences between them with respect to the level of dental anxiety ( = 0.006).

摘要

牙科焦虑是牙医关注的问题,因为焦虑的患者可能会给牙科诊室带来潜在的并发症。本研究的主要目的是描述牙科焦虑水平与与牙科焦虑相关的生理参数值之间的相关性,并研究在非侵入性牙科治疗期间,即无需局部麻醉,血压和心率随时间的变化。本研究采用描述性、纵向和前瞻性观察研究设计。研究人群由 200 名在大学诊所接受无局部麻醉的牙科治疗的患者组成。患者被要求完成 Corah 牙科焦虑量表。之后,通过数字血压计测量血压和心率。在四个时间点,即在整个治疗过程中,四次测量血压和心率。大多数患者表现出轻度的牙科焦虑(Corah 牙科焦虑量表评分为 5[IQR:3]分)。发现牙科焦虑水平与心率之间存在显著但较弱的相关性(Spearman rho:0.166 和 0.176; = 0.019 和 0.013;治疗前后 3 分钟),以及与治疗持续时间之间存在显著但较弱的相关性(Spearman rho:0.191 3 分钟; = 0.007)。至于生理参数的变化,所有患者在治疗过程中的不同时间点都表现出值的逐渐下降。当分别评估治疗类型时,发现它们在牙科焦虑水平方面存在统计学差异( = 0.006)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/003b/9518501/e6453218be54/ijerph-19-11141-g001.jpg

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