Eli I, Bar-Tal Y, Fuss Z, Silberg A
Section of Behavioral Sciences,The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
J Endod. 1997 Nov;23(11):694-7. doi: 10.1016/S0099-2399(97)80404-9.
Fear and anxiety are common emotional concomitants of acute pain that increase the perception of noxious events as painful. In the present study, 92 patients who were about to undergo various dental treatments (calculus removal, filling, root canal treatment, and extraction) were evaluated comparing the level of their dental anxiety and pain expectation from the intended treatment to their reaction to electric pulp stimulation. The data indicate that patients differ significantly in their dental anxiety levels and in their expectation to experience pain according to the following hierarchy (in descending order): extraction, root canal treatment, filling, and calculus removal. Anxiety and amount of pain expected from treatment correlated significantly with each other, but no simple correlations were found between anxiety and actual pain measures recorded after pulp stimulation.
恐惧和焦虑是急性疼痛常见的情绪伴发症状，会增强对有害事件的疼痛感知。在本研究中，对92名即将接受各种牙科治疗（洗牙、补牙、根管治疗和拔牙）的患者进行了评估，比较他们的牙科焦虑水平以及对预期治疗的疼痛预期与他们对牙髓电刺激的反应。数据表明，患者的牙科焦虑水平和对疼痛体验的预期根据以下等级（从高到低）存在显著差异：拔牙、根管治疗、补牙和洗牙。治疗预期的焦虑和疼痛程度之间存在显著相关性，但在焦虑与牙髓刺激后记录的实际疼痛指标之间未发现简单的相关性。
