EFFECT OF DENTAL AND STATE-TRAIT ANXIETY LEVELS ON COMPLETE DENTURE SATISFACTION IN TWO GROUPS OF PATIENTS IN WHOM LIVING DIFFERENT REGIONS

Öz

The aim of this study was to evaluate relationship between dental and state and/or trait anxiety, and investigate to effect of anxiety on complete denture satisfaction in two group of patients in whom living different regions. This study was included total 62 patients who applied Faculties of Dentistry of Çukurova and Atatürk University. The patient’s dates were collected by used Modified Dental Anxiety Scale (MDAS) and State-Trait Anxiety Inventory (STAI Form I-II). In Group A, all of patients who have considerable problem with their dentures have high dental anxiety level, and the results obtained from Group A were similar to Group Ç in which 54% of patients have moderate problem. Besides, it was observed that there was highest level in both state and trait anxiety in this patients who have moderate problem. The Pearson Correlation analysis showed that there was a statistically significantly correlation between dental anxiety and trait anxiety. The results showed that the item of dissatisfaction which has level of middle or severe was chewing ability with complete denture, in addition, that patients who were in this condition have highest dental and state-trait anxiety. There was a statistically significantly correlation between dental anxiety and trait anxiety. 

Anahtar Kelimeler

• modified dental anxiety
• statetrait anxiety
• denture satisfaction

FARKLI İKİ BÖLGEDE YAŞAYAN HASTA GRUBUNDA DENTAL VE DURUMLUK-SÜREKLİ ANKSİYETE DÜZEYİNİN TAM PROTEZ MEMNUNİYETİNE ETKİSİ

Öz

İki farkl& bölgede yaayan hasta grubu üzerinde tan&mlay&c& olarak planlanm& bu arat&rma; dental anksiyete ile durumluk ve sürekli anksiyete düzeyleri aras&ndaki ilikiyi ve bu anksiyete düzeylerinin tam protez memnuniyetine etkisini belirlemeyi amaçlad&. Arat&rma Çukurova (Grup Ç) ve Atatürk Üniversitesi (Grup A) Di Hekimli?i Fakültesi Protetik Di Tedavisi Anabilimdallar&na bavuran toplam 62 tam protez hastas&n& içerdi. Hastalara ait veriler; Modifiye Dental Anksiyete Skalas& (MDAS), Durumluk-Sürekli Anksiyete Ölçe?i (STAI Form I-II) kullan&larak topland&. Tam protezlerinden, Grup A’da önemli oranda ikâyeti olan hastalar&n tamam&n&n, Grup Ç’de ise orta derecede ikâyeti olan hastalar&n %54’nün istatistiksel
olarak önemli oranda yüksek dental anksiyete düzeyine sahip oldu?u bulundu. Ek olarak, hem durumluk hem de sürekli anksiyete aç&s&ndan en yüksek ortalamalar&n bu hastalarda oldu?u tespit edildi. Pearson Korelasyon analizi dental anksiyete ile sürekli anksiyete aras&nda istatistiksel olarak çok önemli düzeyde pozitif bir iliki oldu?unu gösterdi. Sonuçlar, önemli veya orta derecede memnuniyetsiz olunan unsurun alt tam protezin çi?neme kabiliyeti oldu?unu, bununla birlikte, bu hastalar&n en yüksek dental, durumluk ve sürekli anksiyete ortalamas&na sahip oldu?unu gösterdi. Dental anksiyete ile sürekli anksiyete düzeyleri aras&nda, her iki hasta grubunda da, çok önemli düzeyde pozitif bir iliki oldu?u tespit edildi.

Anahtar Kelimeler

• dental anksiyete
• durumluk-sürekli anksiyete
• protez memnuniyeti

Kaynakça

1. Liedberg B, Stoltze K, Owall B. The masticatory handicap of wearing removable dentures in elderly men. Gerodontology 2005;22:(1):10–16.
2. Allen PF, Mc Millan AS. A review of the functional and psychosocial outcomes of edentulousness treated with complete replacement dentures. J Can Dent Assoc 2003;69(10):662.
3. Golebiewska M, Sierpinska T, Namiot D, Likeman PR. Affective state and acceptance of dentures in elderly patients. Gerodontology 1998;15(2):87- 92.
4. Fiske J, Davis DM, Frances C, Gelbier S. The emotional effects of tooth loss in edentulous people. Br Dent J 1998;184(2):90-3.
5. Guches AD, Simith D, Swoope CC. Counseling and related factors influencing satisfaction with complete dentures. J Prosthet Dent 1978;39:(3):259–67.
6. Vernoon JM, Duinkerke ASH, Lutcijin F, van de Poel ACM. Relative importance of psychologic factors in denture satisfaction. Community Dent Oral Epidemiol 1991;19:45–47.
7. Entee MM. Measuring the impact of oral health in old age: a qualitative reaction to some quantitative views. Gerodontology 1996;13:(2):76–81.
8. K&yak H. Measuring psychosocial variables that predict older persons oral health behaviour. Gerodontology 1996;13:(2):69–75.

9. Leao A, Sheiham A. Relation between clinical dental status and subjective impacts on daily living. J Dent Res 1995;74:(7):1408–13.
10. Carlsson GE. Facts and fallacies: an evidence base for complete dentures. Dent Update 2006;33(3):134-6, 38-40, 42.
11. Diehl RL, Foerster U, Sposetti VJ, Dolan TA. Factors associated with successful denture therapy. J Prosthodont 1996;5(2):84-90.
12. Zeng J, Hong L, Li G. The study on the personality factors in patients' satisfaction with their complete dentures. Zhonghua Kou Qiang Yi Xue Za Zhi 1999;34(3):184-6.
13. al Quran F, Clifford T, Cooper C, Lamey PJ. Influence of psychological factors on the acceptance of complete dentures. Gerodontology
14. Alwin NP, Murray JJ, Britton PG. An assessment of dental anxiety in children. Br Dent J 1991;171:(7):201-17.
15. Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res 1999;78(3):790-6.
16. Peretz B, Katz J, Eldad A. Behaviour of dental phobic residents of large and small communities. Bras Dent J 1999;10:(1):23-8.
17. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc 1973;86(4):842-8.
18. Beggren U, Meynert G. Dental fear and avoidance: Causes, symptoms and consequences. J Am Dent Assoc 1984;109:(2):247-51.
19. Jackson E. Managing dental fears: a tentative code of practice. J Oral Med 1974;29(4):96-101.
20. Sculiy JS. Psikiyatri, Çev:Refet Sayg&l&, Ege Un. Yay&nlar& no:136. Ege Ün. Bas&mevi, zmir, 1990.
21. Moore R, Birn H, Kirkegaard E, Brodsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol 1993;21(5):292-6.
22. Stabholz A, Peretz. B. Dental anxiety among patients prior to different dental treatments. Int Dent J 1999;49:(2):90-4.
23. Corah NL, O'Shea RM, Ayer WA. Dentists' management of patients' fear and anxiety. JADA 1985;110:734-6.
24. Aydemir Ö, Köro?lu E. Psikiyatride kullan&lan klinik ölçekler. Hekimler Yay&n Birli?i. Ankara, 2000:153- 63.
25. Öner N, Le Compte A. Süreksiz Durumluk/Sürekli Kayg& Envanteri El Kitab&, Bo?aziçi Üniversitesi Yay&nlar&. stanbul. 1982.
26. Lago-Mendez L, Diniz-Freitas M, Senra-Rivera C, Seoane-Pesqueira G, Gandara-Rey JM, Garcia- Garcia A. Dental anxiety before removal of a third molar and association with general trait anxiety. J Oral Maxillofac Surg 2006;64(9):1404-8.
27. Hakeberg M, Hagglin C, Berggren U, Carlsson SG. Structural relationships of dental anxiety, mood, and general anxiety. Acta Odontol Scand 2001;59(2):99-103.
28. Spielberger CD, Gorsuch RL, Lusahene RE. Manual for State-Trait Anxiety Inventory. California: Consulting Psychologists Press. 1970.
29. Humphris GM, Freeman R, Campbell J, Tuutti H, D'Souza V. Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. Int Dent J 2000;50(6):367-70.
30. Fenlon MR, Sherriff M, Newton JT. The influence of personality on patients' satisfaction with existing and new complete dentures. J Dent 2007;35(9):744-8.
31. Davis EL, Albino JE, Tedesco LA, Portenoy BS, Ortman LF. Expectations and satisfaction of denture patients in a university clinic. J Prosthet Dent 1986;55(1):59-63.
32. Peltola MK, Raustia AM, Salonen MA. Effect of complete denture renewal on oral health--a survey of 42 patients. J Oral Rehabil 1997;24(6):419-25.
33. Corrigan PJ, Basker RM, Farrin AJ, Mulley GP, Heath MR. The development of a method for functional assessment of dentures. Gerodontology 2002;19(1):41-5.
34. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48(4):596.
35. Corah NL. Dental anxiety. Assessment, reduction and increasing patient satisfaction. Dent Clin North Am 1988;32(4):779-90.
36. Ilguy D, Ilguy M, Dincer S, Bayirli G. Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res 2005;33(2):252-9.
37. Aartman IH. Reliability and validity of the short version of the Dental Anxiety Inventory. Community Dent Oral Epidemiol 1998;26(5):350- 4.
38. Abrahamsson KH, Berggren U, Hakeberg M, Carlsson SG. The importance of dental beliefs for the outcome of dental-fear treatment. Eur J Oral Sci 2003;111(2):99-105.
39. Bergdahl M, Bergdahl J. Temperament and character personality dimensions in patients with dental anxiety. Eur J Oral Sci 2003;111(2):93-8.
40. Locker D. Psychosocial consequences of dental fear and anxiety. Community Dent Oral Epidemiol
41. Haugejorden O, Klock KS. Avoidance of dental visits: the predictive validity of three dental anxiety scales. Acta Odontol Scand 2000;58(6):255-9.
42. Bay&nd&r F, Aky&l M , Kavrut R. Protetik di tedavisi anabilim dal&na ba vuran hastalarda dental anksiyete skalas& ve visual analog skalalar&n&n de?erlendirilmesi. Atatürk Üniv Di Hek Fak Derg 2003;13(1):34-39.
43. Ay S, Özdemir D, Öztürk M, Polat S. An assesment of dental anxiety in oral surgery patients. Gülhane T&p Dergisi 2002;4484:395-98.
44. Güner Y, Üçok C, Okçu K, Çanga C, Ayd&ntu? YS. A?&z cerrahisi ve genel cerrahi hastalar&nda anksiyete ölçümü. Gata Bülteni 1997;39:183-85.
45. Anastassiadou V, Naka O, Heath MR, Kapari D. Validation of indices for functional assessment of dentures. Gerodontology 2002;19(1):46-52.
46. Ellis JS, Pelekis ND, Thomason JM. Conventional rehabilitation of edentulous patients: the impact on oral health-related quality of life and patient satisfaction. J Prosthodont 2007;16(1):3 7-42.
47. Strassburger C, Heydecke G, Kerschbaum T. Influence of prosthetic and implant therapy on satisfaction and quality of life: a systematic literature review. Part 1--Characteristics of the studies. Int J Prosthodont 2004;17(1):83-93.
48. Veyrune JL, Tubert-Jeannin S, Dutheil C, Riordan PJ. Impact of new prostheses on the oral health related quality of life of edentulous patients. Gerodontology 2005;22(1):3-9.
49. Watson CJ, Reeve PE. The effects of combined psychological and controlled clinical management of preprosthetic surgery patients. Br Dent J 1985;159(9):286-91.
50. Reeve PE, Watson CJ, Stafford GD. The role of personality in the management of complete denture patients. Br Dent J 1984;156(10):356-62.
51. Hagglin C, Hakeberg M, Hallstrom T, Berggren U, Larsson L, Waern M, et al. Dental anxiety in relation to mental health and personality factors. A longitudinal study of middle-aged and elderly women. Eur J Oral Sci 2001;109(1):27-33.
52. Assuncao WG, Zardo GG, Delben JA, Barao VA. Comparing the efficacy of mandibular implant- retained overdentures and conventional dentures among elderly edentulous patients: satisfaction and quality of life. Gerodontology 2007;24(4):235-8.
53. Van Waas MA. The influence of clinical variables on patients' satisfaction with complete dentures. J Prosthet Dent 1990;63(3):307-10.
54. Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol 2003;31(3):161- 8. Yaz63ma Adresi
55. Yrd. Doç. Dr. "amil AKYIL
56. Atatürk Üniversitesi,
57. Di Hekimli?i Fakültesi
58. Protetik Di Tedavisi Anabilim Dal& 25240ERZURUM Tlf. 0 442 2311783 Fax. [phone]
59. e-mail: [e-mail]