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The consistency of the patient expressions with the surveys' results about the oral health status, dental anxiety levels and its possible determinants

Year 2014, Volume 5, Issue 2, 56 - 61, 30.08.2014

Abstract

Aim: The aim of this study was to test the consistency of the patients' self-reported oral health status, dental anxiety levels and its determinants with the scales' results measuring dental anxiety levels. Material and Method: One hundred-and thirteen volunteered subjects (71 female, 42 male) have participated in this study. The clinical periodontal parameters (gingival index, plaque index, bleeding on probing, probing depth and clinical attachment level) were recorded. The Modified Dental Anxiety Scale (MDAS) and Dental Hygiene Fear Survey (DHFS) were applied. The patients have also reported their own evaluations about their oral health, dental anxiety and pain expectations related to dental prophylaxis. Results: The anxiety scores (MDAS and DHFS) have not presented any correlations with periodontal parameters (p>0.05). The self-reported oral health status has negative correlation with DHFS scores (p<0.05). Besides, self-reported oral health status has not presented any correlations with periodontal parameters (p>0.05). The self-reported dental anxiety and dental anxiety related to dental prophylaxis were correlated strongly positive (p<0.001). Conclusions: The investigated study group has presented lower levels of dental anxiety and has mild to moderate periodontal problems. Further studies with larger study groups including the subjects with higher anxiety, and periodontitis parameters' levels might give the opportunity to make more clear comments about these relationships. Key Words: dental anxiety, oral health, periodontal health

References

  • Page RC, Kornman KS. The pathogenesis of human peri- odontitis: an introduction. Periodontology 2000; 1997; 14: 9–11.
  • Castro GD, Oppermann RV, Haas AN, Winter R, Alchieri JC. Association between psychosocial factors and periodon- titis: a case-control study. J Clin Periodontol. 2006; 33: 109- 114.
  • Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG, Te- desco LA. Models to evaluate the role of stress in periodontal disease. Annals of Periodontology, 1998; 3: 288–302.
  • Vettore MV, Leão AT, Monteiro da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol. 2003; 3: 394–402.
  • Vettore M, Quintanilha RS, Monteiro da Silva AM, La- marca GA, Leão ATT. The influence of stress and anxiety on the response of non-surgical periodontal treatment. J Clin Periodontol. 2005; 32: 1226–1235.
  • Kvale G, Berggren U, Milgrom P. Dental fear in adults: a meta analysis of behavioral intervention. Community Dent Oral Epidemiol. 2004; 32: 250-264.
  • Chadvick BL. Assessing the anxious patient. Dent Update, 2002; 29: 448-454.
  • ter Horst G, de Wit CA. Review of behavioral research in dentistry 1987-1992: Dental anxiety, dentist-patient relation- ship compliance, compliance and dental attendance. Int Dent J. 1993; 43: 265-278.
  • Corah NL. Development of Dental Anxiety Scale. J Dent Res. 1969; 48: 596.
  • Humphris GM, Freeman R, Campbell J, Tuuti H, D’Sou- za V: Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. Int Dent J. 2000; 50: 367– 370.
  • Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and Validity of the Modified Dental Anxiety Scale in Turkish Pa- tients. J Int Med Res. 2005; 33: 252-259.
  • Tunc EP, Firat D, Onur OD, Sar V. Reliability and va- lidity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005; 33: 357–362.
  • Gadbury-Amyot CC, Williams KB. Dental hygiene fear: gender and age differences. J Contemp Dent Pract 2000; 1: 42-59.
  • Ay ZY, Gündogar D, Büyüköztürk S, Gadbury-Amyot C. Dental Hygiene Fear Survey: reliability and validity of the Turkish version. J Dent Educ. 2008; 72: 183-194.
  • Löe H, Silness J. Periodontal disease in pregnancy. I. Prevalance and severity. Acta Odontol Scand. 1963; 21: 533- 551.
  • Silness P, Löe H. Periodontal disease in pregnancy. II Correlation between oral hygiene and periodontal conditions. Acta Odont Scand. 1964; 22: 121-135.
  • Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dental J. 1975; 25: 229-235.
  • Tulunay M, Tulunay FC. Ağrı Değerlendirilmesi ve Ağrı Ölçümleri. Erdine S (Ed), Ağrı, İstanbul: Alemdar Ofset; 2000: 91-107.
  • Yetkin Ay, Z., Y. Erdek, M. Öztürk, G. Kılınç, F.Y. Bozkurt ve H.R. Yılmaz. Süleyman Demirel Üniversitesi Dişhekimliği Fakültesi’ ne başvuran hastalarda dental korku düzeyinin incelenmesi. Cumhuriyet Üni Dişhek Fak Derg. 2005; 8: 12-18.
  • Hägglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol. 2000; 28: 451-460.
  • Kanaffa-Kilijanska U, Kaczmarek U, Kilijanska B, Frydecka D. Oral health condition and hygiene habits among adult patients with respect to their level of dental anxiety. Oral Health Prev Dent. 2014; doi: 10.3290/j.ohpd.a31668.
  • Appukuttan DP, Tadepalli A, Cholan PK, Subramanian S, Vinayagavel M. Prevalence of dental anxiety among patients attending a dental educational institution in chennai, India - a questionnaire based study. Oral Health Dent Manag. 2013; 12: 289-294.
  • Bernson JM, Elfström ML, Hakeberg M .Dental coping strategies, general anxiety, and depression among adult patients with dental anxiety but with different dental- attendance patterns. Eur J Oral Sci 2013; 121: 270–276.
  • Armfield JM, STewart JF, SPpencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 2007; 7: 1.
  • Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attanding a dental clinic. Quintessence Int 2006; 37: 304-310.
  • Fırat D, Tunç EP, Sar V. Dental anxiety among adults in Turkey. J Contemp Dent Pract 2006; 7: 75-82.
  • Akyıl Ş, Duymuş ZY, Akova T, Uzun İH, Okanlı A. Farklı iki bölgede yaşayan hasta grubunda dental ve durumluk- sürekli anksiyete düzeyinin tam protez memnuniyetine etkisi. Atatürk Üniv Diş Hek Fak Derg. 2007; 17: 1-10.
  • Özdemir AK, Özdemir HD, Coşkun A, Taşveren S. Diş Hekimliği Fakültesinde protez kliniği ile diğer kliniklerde hasta anksiyetesinin araştırılması. CÜ Diş Hek Fak Derg. 2001; 4: 71-74.
  • Ay S, Özdemir D, Öztürk M, Polat S. An assessment of dental anxiety in oral surgery patients. Gülhane Tıp Derg. 2002; 44: 395-398.
  • Oktay EA, Koçak MM, Şahinkesen G, Toksoy Topçu F. The role of age, gender, education and experiences on dental anxiety. Gülhane Tıp Derg. 2009; 51: 145-148.
  • Thomson WM, Stewart JF, Carter KD, Spencer AJ. Den- tal anxiety among Australians. Int Dent J. 1996; 46: 320-324. 32. Ragnarsson E. Dental fear and anxiety in an adult Icelan- dic population. Acta Odontol Scand. 1998; 56: 100-104.
  • Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in adult population in a major urban area in Sweden. Community Dent Oral Epidemiol. 1992; 20: 97-101. 34. Maggirias J, Locker D. Psychological factors and percep- tions of pain associated with dental treatment. Community Dent Oral Epidemiol. 2002; 30: 151-159.
  • Canakci V, Canakci CF. Pain levels in patients during periodontal probing and mechanical non-surgical therapy. Clin Oral Investig. 2007; 11: 377-383.
  • Lundegren N. Oral health and self-perceived oral treat- ment need of adults in Sweden. Swed Dent J. 2012; 223: 10- 76.
  • Karasar N. Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım; 2003: 183.
  • Karasar N. Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım; 2003: 176.
  • Pohjola V, Lahtı S, Vehkalahtı Mm, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adults in Finland. Acta Odontol Scand. 2007; 65: 224–230.

Hastaların ağız sağlığı, dental anksiyete düzeyleri ve olası belirleyicileri ile ilgili bildirimlerinin ölçek sonuçlarıyla tutarlılığı

Year 2014, Volume 5, Issue 2, 56 - 61, 30.08.2014

Abstract

Amaç: Bu çalışmanın amacı; hastaların ağız sağlığı durumları, dental anksiyete düzeyleri ve belirleyicileri hakkındaki bildirimleri ile dental anksiyete düzeylerini belirleyen ölçek sonuçları arasındaki tutarlılığı belirlemekti. Materyal ve Metot: Çalışmaya 113 gönüllü birey (71 kadın, 42 erkek) katıldı. Klinik periodontal parametreler (gingival indeks, plak indeksi, sondlamada kanama, cep derinliği ve klinik ataçman düzeyi) kaydedildi. Modifiye Dental Anksiyete Skalası (MDAS) ve Dental Hijyen Korku Skalası (DHKS) uygulandı. Ayrıca hastaların ağız sağlığı durumları, dental anksiyete düzeyleri, diş taşı temizliği kök yüzeyi düzleştirmesi işlemi ile ilgili ağrı beklentilerine yönelik bildirimleri de kaydedildi. Bulgular: Anksiyete skorları (MDAS ve DHKS) periodontal parametreler ile korelasyon sergilemedi (p>0.05). Bireyin bildirdiği ağız sağlığı durumu DHKS ile negatif korelasyon oluştururken (p<0.05), periodontal parametrelerle korelasyon göstermedi (p>0.05). Bireyin kendi bildirdiği dental anksiyete ve diş taşı temizliği kök yüzeyi düzleştirmesi işlemi ile ilgili dental anksiyete düzeyleri arasında kuvvetli pozitif korelasyon vardı (p<0.001). Sonuç: Çalışmaya katılan bireyler dental anksiyete açısından hafif ve periodontal problem açısından başlangıç-orta düzeydedir. Dental anksiyete ve periodontal parametre değerleri daha yüksek olan bireylerin bulunduğu daha geniş popülasyonlarda yapılacak çalışmalar, incelenen ilişkiler hakkında daha net yorumlar yapılması olanağını sunabilir. Anahtar Kelimeler: dental anksiyete, ağız sağlığı, periodontal sağlık

References

  • Page RC, Kornman KS. The pathogenesis of human peri- odontitis: an introduction. Periodontology 2000; 1997; 14: 9–11.
  • Castro GD, Oppermann RV, Haas AN, Winter R, Alchieri JC. Association between psychosocial factors and periodon- titis: a case-control study. J Clin Periodontol. 2006; 33: 109- 114.
  • Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG, Te- desco LA. Models to evaluate the role of stress in periodontal disease. Annals of Periodontology, 1998; 3: 288–302.
  • Vettore MV, Leão AT, Monteiro da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol. 2003; 3: 394–402.
  • Vettore M, Quintanilha RS, Monteiro da Silva AM, La- marca GA, Leão ATT. The influence of stress and anxiety on the response of non-surgical periodontal treatment. J Clin Periodontol. 2005; 32: 1226–1235.
  • Kvale G, Berggren U, Milgrom P. Dental fear in adults: a meta analysis of behavioral intervention. Community Dent Oral Epidemiol. 2004; 32: 250-264.
  • Chadvick BL. Assessing the anxious patient. Dent Update, 2002; 29: 448-454.
  • ter Horst G, de Wit CA. Review of behavioral research in dentistry 1987-1992: Dental anxiety, dentist-patient relation- ship compliance, compliance and dental attendance. Int Dent J. 1993; 43: 265-278.
  • Corah NL. Development of Dental Anxiety Scale. J Dent Res. 1969; 48: 596.
  • Humphris GM, Freeman R, Campbell J, Tuuti H, D’Sou- za V: Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. Int Dent J. 2000; 50: 367– 370.
  • Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and Validity of the Modified Dental Anxiety Scale in Turkish Pa- tients. J Int Med Res. 2005; 33: 252-259.
  • Tunc EP, Firat D, Onur OD, Sar V. Reliability and va- lidity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005; 33: 357–362.
  • Gadbury-Amyot CC, Williams KB. Dental hygiene fear: gender and age differences. J Contemp Dent Pract 2000; 1: 42-59.
  • Ay ZY, Gündogar D, Büyüköztürk S, Gadbury-Amyot C. Dental Hygiene Fear Survey: reliability and validity of the Turkish version. J Dent Educ. 2008; 72: 183-194.
  • Löe H, Silness J. Periodontal disease in pregnancy. I. Prevalance and severity. Acta Odontol Scand. 1963; 21: 533- 551.
  • Silness P, Löe H. Periodontal disease in pregnancy. II Correlation between oral hygiene and periodontal conditions. Acta Odont Scand. 1964; 22: 121-135.
  • Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dental J. 1975; 25: 229-235.
  • Tulunay M, Tulunay FC. Ağrı Değerlendirilmesi ve Ağrı Ölçümleri. Erdine S (Ed), Ağrı, İstanbul: Alemdar Ofset; 2000: 91-107.
  • Yetkin Ay, Z., Y. Erdek, M. Öztürk, G. Kılınç, F.Y. Bozkurt ve H.R. Yılmaz. Süleyman Demirel Üniversitesi Dişhekimliği Fakültesi’ ne başvuran hastalarda dental korku düzeyinin incelenmesi. Cumhuriyet Üni Dişhek Fak Derg. 2005; 8: 12-18.
  • Hägglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol. 2000; 28: 451-460.
  • Kanaffa-Kilijanska U, Kaczmarek U, Kilijanska B, Frydecka D. Oral health condition and hygiene habits among adult patients with respect to their level of dental anxiety. Oral Health Prev Dent. 2014; doi: 10.3290/j.ohpd.a31668.
  • Appukuttan DP, Tadepalli A, Cholan PK, Subramanian S, Vinayagavel M. Prevalence of dental anxiety among patients attending a dental educational institution in chennai, India - a questionnaire based study. Oral Health Dent Manag. 2013; 12: 289-294.
  • Bernson JM, Elfström ML, Hakeberg M .Dental coping strategies, general anxiety, and depression among adult patients with dental anxiety but with different dental- attendance patterns. Eur J Oral Sci 2013; 121: 270–276.
  • Armfield JM, STewart JF, SPpencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 2007; 7: 1.
  • Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attanding a dental clinic. Quintessence Int 2006; 37: 304-310.
  • Fırat D, Tunç EP, Sar V. Dental anxiety among adults in Turkey. J Contemp Dent Pract 2006; 7: 75-82.
  • Akyıl Ş, Duymuş ZY, Akova T, Uzun İH, Okanlı A. Farklı iki bölgede yaşayan hasta grubunda dental ve durumluk- sürekli anksiyete düzeyinin tam protez memnuniyetine etkisi. Atatürk Üniv Diş Hek Fak Derg. 2007; 17: 1-10.
  • Özdemir AK, Özdemir HD, Coşkun A, Taşveren S. Diş Hekimliği Fakültesinde protez kliniği ile diğer kliniklerde hasta anksiyetesinin araştırılması. CÜ Diş Hek Fak Derg. 2001; 4: 71-74.
  • Ay S, Özdemir D, Öztürk M, Polat S. An assessment of dental anxiety in oral surgery patients. Gülhane Tıp Derg. 2002; 44: 395-398.
  • Oktay EA, Koçak MM, Şahinkesen G, Toksoy Topçu F. The role of age, gender, education and experiences on dental anxiety. Gülhane Tıp Derg. 2009; 51: 145-148.
  • Thomson WM, Stewart JF, Carter KD, Spencer AJ. Den- tal anxiety among Australians. Int Dent J. 1996; 46: 320-324. 32. Ragnarsson E. Dental fear and anxiety in an adult Icelan- dic population. Acta Odontol Scand. 1998; 56: 100-104.
  • Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in adult population in a major urban area in Sweden. Community Dent Oral Epidemiol. 1992; 20: 97-101. 34. Maggirias J, Locker D. Psychological factors and percep- tions of pain associated with dental treatment. Community Dent Oral Epidemiol. 2002; 30: 151-159.
  • Canakci V, Canakci CF. Pain levels in patients during periodontal probing and mechanical non-surgical therapy. Clin Oral Investig. 2007; 11: 377-383.
  • Lundegren N. Oral health and self-perceived oral treat- ment need of adults in Sweden. Swed Dent J. 2012; 223: 10- 76.
  • Karasar N. Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım; 2003: 183.
  • Karasar N. Bilimsel Araştırma Yöntemi. Ankara: Nobel Yayın Dağıtım; 2003: 176.
  • Pohjola V, Lahtı S, Vehkalahtı Mm, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adults in Finland. Acta Odontol Scand. 2007; 65: 224–230.

Details

Primary Language English
Journal Section Original Article
Authors

Zuhal YETKİN AY>

0000-0003-4716-9404


Fethiye ÇAĞLAR>


Burcu ORUN This is me


Ersin USKUN>

0000-0001-6446-0186

Publication Date August 30, 2014
Application Date April 17, 2014
Acceptance Date
Published in Issue Year 2014, Volume 5, Issue 2

Cite

Vancouver Yetkin Ay Z. , Çağlar F. , Orun B. , Uskun E. The consistency of the patient expressions with the surveys' results about the oral health status, dental anxiety levels and its possible determinants. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2014; 5(2): 56-61.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.