Hakeberg M, Berggren U, Carlsson S G, Gröndahl H G
Department of Endodontology, University of Göteborg, Sweden.
Anesth Prog. 1993;40(3):72-7.
Three different treatments for dental fear were tested in a long-term perspective study. Twenty-nine patients with severe dental anxiety and avoidance behavior were assigned to Behavioral Therapy (BT, n = 12), PRemedication with bensodiazepine (PR, n = 8) or dental treatment under General Anesthesia (GA, n = 9). Ten years after initial treatment the patients were reexamined. Changes in dental anxiety and dental care attendance were reported. Patients' dental health status was assessed by radiographic survey. Regular dental attendance was reported by 19 patients (65.5%), with a significantly better result for the BT group (91.6%) compared to the GA group (33.3%). Reported level of dental anxiety, as measured by the Dental Anxiety Scale, revealed a significant reduction during the 10-yr period except among GA patients and those reporting irregular dental attendance behavior. A rise in mood as assessed by the Mood Adjective Checklist was revealed in the total group, with a better effect in the BT and PR groups as well as in patients who reported regular dental attendance. A substantial general improvement in oral health was seen during the 10-yr period, especially among patients receiving regular dental care. Thus, for a majority of patients in this study, directed treatment for dental anxiety and avoidance behavior made it possible to maintain regular dental care behavior during a 10-yr period.
在一项长期前瞻性研究中，对三种不同的牙科恐惧治疗方法进行了测试。29名患有严重牙科焦虑和回避行为的患者被分配到行为疗法组（BT，n = 12）、苯二氮䓬类药物预处理组（PR，n = 8）或全身麻醉下的牙科治疗组（GA，n = 9）。初始治疗十年后对患者进行复查。报告了牙科焦虑和牙科护理就诊情况的变化。通过影像学检查评估患者的牙齿健康状况。19名患者（65.5%）报告有定期牙科护理，与GA组（33.3%）相比，BT组的结果明显更好（91.6%）。用牙科焦虑量表测量的报告牙科焦虑水平显示，在10年期间除GA患者和报告有不定期牙科护理行为的患者外有显著降低。用情绪形容词检查表评估显示，总体组情绪有所改善，BT组、PR组以及报告有定期牙科护理的患者效果更好。在10年期间口腔健康有显著的总体改善，尤其是在接受定期牙科护理的患者中。因此，对于本研究中的大多数患者，针对牙科焦虑和回避行为的定向治疗使得在10年期间保持定期牙科护理行为成为可能。
