The Effect of Computer-Assisted Visual Information on Dental Fear Before Periodontal Surgery

Öz

Aim: Dental anxiety is the response of a patient to specific psychological stresses associated with dental practices. By using the Dental Fear Scale (DFS) and the State–Trait Anxiety Inventory (STAI), this study aimed to evaluate the dental anxiety levels in preoperative patients who received only verbal information or both verbal and detailed computer-assisted visual information about periodontal procedures.

Materials and Methods: The study included 114 patients who were scheduled for surgical procedures at the Department of Periodontology of the Inonu University Dentistry Faculty. Patient data on sociodemographic characteristics, systemic and periodontal health conditions, dental visit frequency, past experiences of dental treatment, and reasons for seeing a periodontist were recorded. Dental anxiety was measured with the DFS. The STAI was used to determine the anxiety levels of the patients. The control group consisted of patients who were informed only verbally while the patients who received both verbal and detailed computer-assisted visual information formed the study group.

Results: The control and study groups consisted of 59 (51.7%) and 55 (48.2%) patients, respectively. The DFS scores were found to be statistically significantly higher in patients aged between 14 and 19 years (n=20) than in the 20–29 age group (n=37) and the 50–59 age group (n=9) (p=0.026; p<0.05), and in female patients than in male patients (p=0.036; p>0.05). While no statistically significant difference was found between the groups in terms of STAI-II scores (p>0.01), the STAI-I and DFS scores were statistically significantly higher in the study group compared to the control group (p=0.001; p<0.01).

Discussion and Conclusion: We observed that the patient anxiety scores increased with the level of information. Clinicians should be aware of how patient anxiety levels might change depending on the information provided by them.

Anahtar Kelimeler

• dental anxiety
• Dental Fear Scale
• periodontal surgery
• State–Trait Anxiety Inventory

Periodontal Cerrahi Öncesi Bilgisayar Yardımlı Görsel Bilgilendirmenin Dental Korkuya Etkisi

Öz

Amaç: Dental anksiyete, diş hekimliği pratiklerine bağlı özel streslerin hastada oluşturduğu yanıttır. Bu çalışmada, operasyon öncesinde periodontal işlemler hakkında yalnızca sözel bilgilendirme veya hem sözel hem bilgisayar yardımlı ayrıntılı görsel bilgilendirme yapılan hastalarda dental anksiyete düzeyini Dental Korku Skalası (DKS) ve Durumluk–Sürekli Anksiyete Envanteri (DSAE) ile değerlendirmek amaçlanmıştır.

Gereç ve Yöntemler: Çalışmaya İnönü Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı’nda cerrahi işlem planlanan 114 hasta dahil edildi. Sosyodemografik özelliklere, sistemik ve periodontal sağlık durumlarına, diş hekimine gitme sıklığına, geçmiş dental tedavi deneyimlerine ve periodontiste geliş nedenlerine dair hasta verileri kaydedildi. Çalışmaya katılan hastaların dental anksiyetesi DKS ile ölçüldü. DSAE hastaların anksiyete seviyelerinin belirlenmesinde kullanıldı. Kontrol grubu yalnızca sözel olarak bilgilendirilen hastalardan, çalışma grubu ise hem sözel hem bilgisayar yardımlı ayrıntılı görsel bilgilendirme yapılan hastalardan oluştu.

Bulgular: Kontrol grubu 59 (%51,7), çalışma grubu 55 (%48,2) hastadan oluştu. DKS değerleri 14–19 (n=20) yaş grubunda 20–29 (n=37) yaş grubuna ve 50–59 (n=9) yaş grubuna kıyasla (p=0,026; p<0,05), ve kadınlarda erkeklere kıyasla (p=0,036; p>0,05) istatistiksel olarak anlamlı biçimde daha yüksek bulundu. Gruplar arasında DSAE-II değeri bakımından istatistiksel olarak anlamlı bir farklılık bulunmazken (p>0,01), çalışma grubunun DSAE-I ve DKS değerleri kontrol grubuna kıyasla istatistiksel olarak anlamlı biçimde daha yüksekti (p<0,01).

Tartışma ve Sonuç: Bilgilendirme derecesi arttıkça hastaların anksiyete skorlarının da arttığı görülmüştür. Klinisyenler, hastalara verdikleri bilgilerin hastaların kaygı seviyelerini nasıl değiştirebileceğinin farkında olmalıdırlar.

Anahtar Kelimeler

• dental anksiyete
• Dental Korku Skalası
• Durumluk–Sürekli Anksiyete Envanteri
• periodontal cerrahi

Kaynakça

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