Saheer Abdul, Majid Shanila Abdul, Raajendran Janavi, Chithra P, Chandran Thara, Mathew Renu Ann
Department of Public Health Dentistry, Al-Azhar Dental College, Thodupuzha, Kerala, India.
Department of Oral Medicine and Radiology, Al-Azhar Dental College, Thodupuzha, Kerala, India.
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S394-S398. doi: 10.4103/jpbs.jpbs_632_21. Epub 2022 Jul 13.
The objective was to assess dental anxiety and to find its association with oral health status and oral health-related quality of life (OHRQoL) among 20-40-year-old patients visiting Vokkaligara Sangha Dental College and Hospital.
A single-center, hospital-based cross-sectional study was done among first-time dental visitors in the Department of Oral Medicine and Radiology, Vokkaligara Sangha Dental College and Hospital over a period of 8 months (July 14-February 18). The sample size was determined to be 700. Participants in the age group of 20-40 years were selected based on inclusion and exclusion criteria. Data were collected using Corah's Modified Dental Anxiety Scale, Oral Health Impact Profile-14 (OHIP-14), and clinical examination was done using the WHO oral health assessment form and OHI-S. Data were analyzed using Chi-square test and -test. The associations found through bivariate analysis were entered as predictor variables into linear and binomial logistic regression models with high dental anxiety as the outcome variable.
The results of the study suggested that 56% of the study participants were having dental anxiety. Local anesthetic injection (80%) and fear of tooth drilling (60%) were the most anxiety-provoking stimulus. Analysis of OHIP-14 suggested that respondents perceiving oral health as affecting their life quality (very often/fairly often) in the past year were observed for items such as tension, difficulty to relax, irritability, difficulty in doing usual jobs, and totally unable to function because of oral problems. Dental anxiety was significantly associated with gender (odds ratio [OR] = 1.32), education (OR = 1.43), occupation (OR = 2.07), poor oral hygiene status (OR = 3.15), presence of dental caries (OR = 2.67), bleeding on probing (OR = 1.57), presence of periodontal pockets (OR = 2.64), clinical attachment loss (OR = 1.63), and OHRQoL (OR = 1.76). Stepwise linear regression model of independent variables (<0.05 variables included) explained dental caries as highest predictor (39%), followed by debris (22%), calculus (38%), mean OHIS (27%), mean OHIP-14 (29%), deep pocket (14%), and the least predictor was shallow pocket (9%).
Dental anxiety was associated with poor oral health status seeking further attention to modify patients' behavior regarding improvement in oral health status.
评估20至40岁就诊于Vokkaligara Sangha牙科学院及医院的患者的牙科焦虑情况，并找出其与口腔健康状况及口腔健康相关生活质量（OHRQoL）之间的关联。
在Vokkaligara Sangha牙科学院及医院口腔医学与放射科对首次就诊的患者进行了一项为期8个月（7月14日至2月18日）的单中心、基于医院的横断面研究。样本量确定为700。根据纳入和排除标准选取年龄在20至40岁之间的参与者。使用科拉改良牙科焦虑量表、口腔健康影响量表-14（OHIP-14）收集数据，并使用世界卫生组织口腔健康评估表和OHI-S进行临床检查。数据采用卡方检验和t检验进行分析。通过双变量分析发现的关联作为预测变量输入以高度牙科焦虑为结果变量的线性和二项逻辑回归模型。
研究结果表明，56%的研究参与者存在牙科焦虑。局部麻醉注射（80%）和对牙钻的恐惧（60%）是最引发焦虑的刺激因素。对OHIP-14的分析表明，在过去一年中，对于紧张、难以放松、易怒、难以进行日常工作以及因口腔问题完全无法正常生活等项目，观察到有受访者认为口腔健康影响了他们的生活质量（非常频繁/相当频繁）。牙科焦虑与性别（优势比[OR]=1.32）、教育程度（OR=1.43）、职业（OR=2.07）、口腔卫生状况差（OR=3.15）、龋齿的存在（OR=2.67）、探诊出血（OR=1.57）、牙周袋的存在（OR=2.64）、临床附着丧失（OR=1.63）以及OHRQoL（OR=1.76）显著相关。自变量的逐步线性回归模型（纳入<0.05的变量）将龋齿解释为最高预测因素（39%），其次是牙菌斑（22%）、牙结石（38%）、平均OHIS（27%）、平均OHIP-14（29%）、深袋（14%），预测作用最小的是浅袋（9%）。
牙科焦虑与不良口腔健康状况相关，需要进一步关注以改变患者在改善口腔健康状况方面的行为。
