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探索希腊患者的牙科焦虑程度。

Exploring the Levels of Dental Anxiety in Greek Patients.

作者信息

Kritsidima Metaxia, Scambler Sasha, Asimakopoulou Koula

机构信息

Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.

Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.

出版信息

Int Dent J. 2025 Aug;75(4):100826. doi: 10.1016/j.identj.2025.04.006. Epub 2025 May 17.

DOI:10.1016/j.identj.2025.04.006
PMID:40382914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12146535/
Abstract

INTRODUCTION

Dental anxiety is the apprehension experienced by an individual when confronted with matters related to dentistry, it impacts individuals' dental experiences and the dental healthcare providers' professional lives, contributing to increased tension and potentially compromising performance. Levels of dental anxiety differ across cultures.

OBJECTIVE

To collect normative data on levels of dental anxiety in Greece from a representative sample of people attending their usual dentist for a routine dental appointment.

METHODS

A cross-sectional study was applied. 1313 Adults were recruited, as they attended 1 of 6 different dental settings and were scheduled for a routine dental appointment involving any of the following routine procedures: Check-up, hygiene, restoration, extraction, and pain relief. Their anxiety levels were assessed by applying the Modified Dental Anxiety Scale (MDAS), and by using the cut-off scores of 12 and 19 for assessing moderate and extreme anxiety, respectively.

RESULTS

32.6% per cent of the respondents were found to be dentally anxious, out of which 8.2 % experienced high levels of dental anxiety. The mean MDAS score for the total study population was 10.36 (SD= 4.639). The findings indicated that females and first-time dental patients reported significantly higher levels of dental anxiety than males and repeat attendees. However, dental anxiety levels did not vary significantly across different dental procedures, age groups and dental settings. These results are in line with those reported by White in the U.S. population, demonstrating comparable levels of dental anxiety across both populations.

CLINICAL SIGNIFICANCE

One in 3 patients visiting the dentist in Greece experience some level of dental anxiety. This finding underscores that dental anxiety is a prevalent public health concern in Greece. Dentists and healthcare providers should consider screening for dental anxiety that could lead to early identification and management.

摘要

引言

牙科焦虑是个体在面对与牙科相关的事情时所体验到的忧虑,它会影响个体的牙科就诊经历以及牙科医疗服务提供者的职业生涯,导致紧张情绪加剧,并可能影响工作表现。不同文化背景下的牙科焦虑水平存在差异。

目的

从前往常规牙医处进行定期牙科预约的具有代表性的人群样本中收集希腊牙科焦虑水平的规范数据。

方法

采用横断面研究。招募了1313名成年人,他们前往6个不同牙科机构中的1个,并安排进行以下任何一种常规程序的定期牙科预约:检查、口腔卫生、修复、拔牙和止痛。通过应用改良牙科焦虑量表(MDAS)评估他们的焦虑水平,并分别使用12分和19分的临界值来评估中度和极度焦虑。

结果

发现32.6%的受访者存在牙科焦虑,其中8.2%经历高水平的牙科焦虑。整个研究人群的MDAS平均得分为10.36(标准差=4.639)。研究结果表明,女性和首次看牙的患者报告的牙科焦虑水平明显高于男性和复诊患者。然而,不同牙科程序、年龄组和牙科机构之间的牙科焦虑水平没有显著差异。这些结果与美国人群中White报告的结果一致,表明两个群体的牙科焦虑水平相当。

临床意义

在希腊,每3名看牙医的患者中就有1人经历某种程度的牙科焦虑。这一发现强调了牙科焦虑是希腊普遍存在的公共卫生问题。牙医和医疗服务提供者应考虑对牙科焦虑进行筛查,以便早期识别和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/880a/12146535/ef76d49a324a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/880a/12146535/ecabb84aa4af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/880a/12146535/ef76d49a324a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/880a/12146535/ecabb84aa4af/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/880a/12146535/ef76d49a324a/gr2.jpg

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本文引用的文献

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Impact of Dental Anxiety on Dental Care Routine and Oral-Health-Related Quality of Life in a German Adult Population-A Cross-Sectional Study.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
J Clin Med. 2023 Aug 14;12(16):5291. doi: 10.3390/jcm12165291.
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Relationship between dental anxiety levels and oral health among dental patients in Turkey: a cross-sectional study.土耳其牙科患者的牙齿焦虑水平与口腔健康之间的关系:一项横断面研究。
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Dent J (Basel). 2022 Dec 5;10(12):228. doi: 10.3390/dj10120228.
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Effect of Dental Anxiety on Oral Health among the First-Time Dental Visitors: A Hospital-based Study.首次就诊牙科患者的牙科焦虑对口腔健康的影响:一项基于医院的研究。
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S394-S398. doi: 10.4103/jpbs.jpbs_632_21. Epub 2022 Jul 13.
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Evaluation of Dental Anxiety and Fear in Patients who Admitted to the Faculty of Dentistry: Which Patients are More Risky in terms of Dental Anxiety.对牙科学院收治患者的牙科焦虑和恐惧的评估:就牙科焦虑而言,哪些患者风险更高。
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