Department of Orthodontics, School of Dentistry, Gazi University, Ankara, Turkey, Bişkek cad. 1. Sok. No:4 06510 Emek, Ankara, Turkey.
Department of Psychology, Hacettepe University, 06800, Ankara, Turkey.
J Clin Pediatr Dent. 2023 Jul;47(4):40-45. doi: 10.22514/jocpd.2023.018. Epub 2023 Jul 3.
The aim of this study was to evaluate the relationship between personal traits, dental anxiety level and dental appearance of the individuals.
The study included 431 individuals who completed State Trait Anxiety Inventory-Trait Form (STAI-T) and Corah's Dental Anxiety Scale (CDAS) questionnaires during their first appointment at the orthodontic clinic. The Index of Complexity, Outcome and Need (ICON) index scoring was performed using intraoral frontal photographs by an orthodontist. According to the STAI-T scores, three anxiety groups were formed: mild, moderate, and severe. The Kruskal-Wallis H test was used for intergroup comparisons. Spearman's correlation analysis was performed to evaluate the relationship between STAI-T, CDAS, and ICON scores.
It was found that 38.28% of the participants had mild, 34.1% had severe, and 27.62% had moderate anxiety levels. CDAS score was significantly lower in the mild anxiety group ( ≤ 0.0001) compared to the groups showing moderate and severe anxiety. There was no significant difference between the moderate and severe anxiety groups. ICON score was significantly higher in the severe anxiety group ( ≤ 0.0001) than the other groups. It was also significantly higher in the moderate anxiety group ( ≤ 0.0001) than in the mild anxiety group. There was a significant positive correlation between STAI-T and both CDAS and ICON scores. There was no significant correlation between CDAS and ICON scores.
Dental appearance had a significant effect on the general anxiety of individuals. Improving the dental appearance with orthodontic treatments can have positive effects on reducing anxiety. The low level of dental anxiety in individuals with a high need for treatment will facilitate the work of the orthodontist in the procedures to be applied.
本研究旨在评估个体的个性特征、牙科焦虑水平和牙齿美观度之间的关系。
本研究纳入了 431 名个体，他们在正畸诊所首次就诊时完成了状态特质焦虑量表特质形式（STAI-T）和 Corah 的牙科焦虑量表（CDAS）问卷。由正畸医生通过口腔内正面照片进行复杂性、结果和需求指数（ICON）评分。根据 STAI-T 评分，将个体分为三组焦虑程度：轻度、中度和重度。采用 Kruskal-Wallis H 检验进行组间比较。采用 Spearman 相关分析评估 STAI-T、CDAS 和 ICON 评分之间的关系。
发现 38.28%的参与者有轻度焦虑，34.1%有中度焦虑，27.62%有重度焦虑。与中度和重度焦虑组相比，轻度焦虑组的 CDAS 评分显著更低（≤0.0001）。中度和重度焦虑组之间无显著差异。重度焦虑组的 ICON 评分显著高于其他两组（≤0.0001）。中度焦虑组的 ICON 评分也显著高于轻度焦虑组（≤0.0001）。STAI-T 与 CDAS 和 ICON 评分均呈显著正相关。CDAS 与 ICON 评分之间无显著相关性。
牙齿美观度对个体的整体焦虑有显著影响。通过正畸治疗改善牙齿美观度可以对降低焦虑产生积极影响。治疗需求高但焦虑程度低的个体，将有助于正畸医生在实施治疗过程中开展工作。
