Öcal Fikri, Öcal Yasemin Demirtaş
Faculty of Dentistry, Department of Restorative Dentistry, Inonu University, Malatya, Turkey.
Psychologist, Turgut Ozal Medical Center, Department of Neurology, Inonu University, Malatya, Turkey.
BMC Oral Health. 2025 Jul 2;25(1):1007. doi: 10.1186/s12903-025-06413-4.
This study aimed to examine the short-term effects of restorative treatment for deep dentin caries on patients' pain, state-trait anxiety, and mood, and to explore how these outcomes are associated with personality traits.
This prospective clinical study included 67 participants (45 female, 22 male; mean age = 30.1 ± 13.2 years) presenting with symptomatic deep dentin caries. State and trait anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI-S, STAI-T), and personality traits were evaluated using the Big Five Inventory (BFI-44). Pain and mood were measured using Visual Analog Scales (VAS-DP, VAS-M) before treatment and at three weeks post-treatment. All participants received indirect pulp capping and/or direct composite restorations. Independent-samples t-tests, Paired-samples t-tests, correlation and simple linear regression analyses were used to assess changes and relationships among variables.
A statistically significant decrease was found in state anxiety (STAI-S), pain (VAS-DP), and mood disturbance (VAS-M) scores post-treatment (p < 0.05). Trait anxiety (STAI-T) did not change significantly. Individuals with high neuroticism displayed higher pre-treatment anxiety and pain levels, but also exhibited the greatest post-treatment improvement in mood and anxiety. Regression analyses indicated that neuroticism significantly predicted both state and trait anxiety (R² = 0.139 and R² = 0.255, respectively), while pre-treatment anxiety explained 12.7% of the variance in post-treatment state anxiety.
Restorative treatment of deep dentin caries significantly reduces patients' state anxiety, pain, and mood impairment, with the most marked improvements observed in individuals with neurotic personality traits.
Restorative treatment for deep dentin caries not only reduces pain but also alleviates anxiety and improves mood. Considering personality traits, especially neuroticism, may enhance patient comfort and treatment satisfaction.
本研究旨在探讨深龋修复治疗对患者疼痛、状态-特质焦虑及情绪的短期影响，并探究这些结果与人格特质之间的关联。
这项前瞻性临床研究纳入了67例有症状的深龋患者（45例女性，22例男性；平均年龄 = 30.1 ± 13.2岁）。使用状态-特质焦虑量表（STAI-S、STAI-T）评估状态和特质焦虑水平，使用大五人格量表（BFI-44）评估人格特质。在治疗前及治疗后3周，使用视觉模拟量表（VAS-DP、VAS-M）测量疼痛和情绪。所有参与者均接受间接盖髓术和/或直接复合树脂修复。采用独立样本t检验、配对样本t检验、相关性分析和简单线性回归分析来评估变量之间的变化及关系。
治疗后，状态焦虑（STAI-S）、疼痛（VAS-DP）和情绪障碍（VAS-M）得分有统计学意义的显著降低（p < 0.05）。特质焦虑（STAI-T）无显著变化。高神经质个体治疗前焦虑和疼痛水平较高，但治疗后情绪和焦虑改善最大。回归分析表明，神经质显著预测状态和特质焦虑（R²分别为0.139和0.255），而治疗前焦虑可解释治疗后状态焦虑变异的12.7%。
深龋修复治疗可显著降低患者的状态焦虑、疼痛和情绪损害，在具有神经质人格特质的个体中观察到最明显改善。
深龋修复治疗不仅能减轻疼痛，还能缓解焦虑并改善情绪。考虑人格特质，尤其是神经质，可能会提高患者舒适度和治疗满意度。
