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德国成年人群中牙科焦虑对牙科护理常规及口腔健康相关生活质量的影响——一项横断面研究

Impact of Dental Anxiety on Dental Care Routine and Oral-Health-Related Quality of Life in a German Adult Population-A Cross-Sectional Study.

作者信息

Winkler Christian H, Bjelopavlovic Monika, Lehmann Karl M, Petrowski Katja, Irmscher Lisa, Berth Hendrik

机构信息

Department of Prosthetic Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany.

Department of Medical Psychology and Medical Sociology, University Medical Center of the Johannes Gutenberg-University Mainz, Duesbergweg 6, 55131 Mainz, Germany.

出版信息

J Clin Med. 2023 Aug 14;12(16):5291. doi: 10.3390/jcm12165291.

Abstract

The interaction between dental anxiety and the establishment of a consistent dental care routine has been an ongoing challenge. Unfortunately, there is limited available data concerning the detailed dental care practices of individuals with dental anxiety. Therefore, this study aims to explore how dental anxiety influences dental care habits and oral-health-related quality of life within an adult population. By utilizing the Dental Anxiety Scale (DAS) and the German Oral Health Impact Profile (OHIP-G5), we assessed their extent. To evaluate the differences, we performed analyses of variance (Anova), an independent -test and rank correlation. The findings of this study unveil a significant correlation between elevated DAS scores and reduced frequency of tooth brushing; calculus removal and appointments for professional teeth cleaning. Interestingly; the use of dental floss and mouthwash solution as well as toothbrush hardness appeared to be not significantly affected by dental fear. Moreover, individuals with dental anxiety demonstrated a preference for manual toothbrushes over electric ones. In addition, higher DAS scores were found to be strongly associated with greater OHIP-G5 scores, thus leading to a substantial decline in overall oral health-related quality of life.

摘要

牙科焦虑与建立一致的牙科护理常规之间的相互作用一直是一个持续存在的挑战。不幸的是,关于牙科焦虑患者详细牙科护理行为的可用数据有限。因此,本研究旨在探讨牙科焦虑如何影响成年人群的牙科护理习惯和与口腔健康相关的生活质量。通过使用牙科焦虑量表(DAS)和德国口腔健康影响概况(OHIP-G5),我们评估了其程度。为了评估差异,我们进行了方差分析(Anova)、独立t检验和等级相关性分析。本研究结果揭示了DAS评分升高与刷牙频率降低、牙结石清除以及专业牙齿清洁预约之间存在显著相关性。有趣的是,使用牙线和漱口水以及牙刷硬度似乎不受牙科恐惧的显著影响。此外,患有牙科焦虑的个体表现出更喜欢手动牙刷而非电动牙刷。此外,发现较高的DAS评分与较高的OHIP-G5评分密切相关,从而导致整体与口腔健康相关的生活质量大幅下降。

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