Department of Community Dentistry, Dow Dental College, Dow University of health sciences Karachi, Karachi, Pakistan.
Department of Oral Biology, Dow Dental College, Dow University of health sciences Karachi, Karachi, Sindh 74200, Pakistan.
BMC Oral Health. 2023 Nov 19;23(1):884. doi: 10.1186/s12903-023-03626-3.
The primary objective of this study was to validate an Urdu translation of Kleinknecht's Dental Fear Survey (DFS) for use in Pakistan and to explore which items contribute the most to the variance in dental fear scores based on patient perceptions and lived experiences during dental care.
This mixed-method study was conducted at Dow Dental Hospital from February 2022 to June 2022. For quantitative analysis, a total of 273 participants were enrolled through convenience sampling. After obtaining signed consent, participants were asked to self-report their dental fear. In-depth interviews with 25 patients displaying moderate to high dental fear were conducted to clarify the elements of dental fear scores through the lens of individual perceptions and experiences.
The prevalence of moderate dental fear was significantly higher among female participants than males. The mean dental fear score was higher among females (39.47 ± 14.23) as compared to males (30.83 ± 10.50). Most of the female participants reported an increase in breathing rate and heartbeat during dental treatment. The highest mean fear score was reported by participants who underwent oral surgical treatment (42.98 ± 14.21), followed by participants who received restorative care (36.20 ± 12.60). Approaching the dentist's office was the significant factor that contributed the most to the variance in dental fear scores. Four themes were generated through the content analysis of the interviews: physical reactions to dental procedures, perceptions and fears about surgical and restorative procedures, and gender and environmental factors in dental fear and interaction with dentists.
The Urdu translation of DFS is a reliable and valid instrument for assessing dental fears in Pakistan based on the findings of this study. Patients perceive surgical and restorative procedures as unpleasant and threatening. It was noted that "the heart beats faster" and "the breathing rate increases." were the top two physiological responses.
本研究的主要目的是验证 Kleinknecht 牙科恐惧量表（DFS）的乌尔都语翻译版本在巴基斯坦的适用性，并探讨基于患者在牙科护理期间的感知和生活体验，哪些项目对牙科恐惧评分的差异贡献最大。
本混合方法研究于 2022 年 2 月至 6 月在道牙科医院进行。为了进行定量分析，通过方便抽样共招募了 273 名参与者。在获得书面同意后，要求参与者自我报告他们的牙科恐惧。对 25 名表现出中度至高度牙科恐惧的患者进行深入访谈，通过个人感知和体验的视角来澄清牙科恐惧评分的要素。
女性参与者中中度牙科恐惧的患病率显著高于男性。女性的平均牙科恐惧评分（39.47±14.23）高于男性（30.83±10.50）。大多数女性参与者在牙科治疗期间报告呼吸频率和心跳加快。接受口腔手术治疗的参与者报告的平均恐惧评分最高（42.98±14.21），其次是接受修复治疗的参与者（36.20±12.60）。接近牙医诊所是导致牙科恐惧评分差异的最重要因素。通过访谈的内容分析生成了四个主题：对牙科程序的身体反应、对手术和修复程序的看法和恐惧、牙科恐惧中的性别和环境因素以及与牙医的互动。
根据本研究的结果，DFS 的乌尔都语翻译版本是一种可靠和有效的评估巴基斯坦牙科恐惧的工具。患者认为手术和修复程序令人不快和威胁。注意到“心跳加快”和“呼吸频率增加”是前两个生理反应。
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