Dental Kaygı ve Ağız Hijyeni Farkındalığı Arasındaki İlişkinin Belirlenmesi
Yıl 2023,
, 227 - 237, 23.06.2023
Musa Kazım Üçüncü
,
Sevda Özel Yıldız
,
Haşmet Ulukapı
Öz
Amaç: Bu çalışmanın amacı, dental kaygı düzeyinin, oral hijyen ve ağız diş sağlığı farkındalığı arasındaki ilişkinin incelenmesidir.
Gereç ve Yöntemler: Çalışma İstanbul Okan Üniversitesi çalışanları ve öğrencileri kapsamında toplam 431 katılımcı ile gerçekleştirildi. Hazırlanan anket formu internet üzerinden katılımcılara gönderilerek anket formlarının doldurulması istendi. Anket formunun ilk kısmı yaş, cinsiyet, diş hekimine gitme sıklığı, diş fırçalama sıklığı, yardımcı enstrüman kullanımı gibi sosyodemografik bulguları ve oral hijyen farkındalığını ortaya koyan sorular içermektedir. İkinci kısım ise Modifiye Dental Anksiyete Skalası’nı (MDAS) içermekte ve katılımcıların dental kaygı seviyelerini ölçmektedir.
Bulgular: “Cut off” değeri ≥19 baz alındığında 431 katılımcının %6.7’sinin (n=29) yüksek dental kaygı düzeyine sahip olduğu görüldü. Kadınlar (11.35±4.49), erkeklere (10.43±4.12) göre daha yüksek dental kaygıya sahip ve cinsiyete göre MDAS düzeyleri arasında istatistiksel açıdan anlamlı farklılık bulunurken (p=0.046); eğitim seviyelerine (p=0.680) göre istatistiksel açıdan anlamlı farklılık saptanmadı. Arayüz fırçası kullanan ile kullanmayan katılımcıların dental kaygı düzeyleri arasında istatistiksel olarak anlamlı farklılığa rastlanırken (p=0.028); diş hekimine gitme sıklığına göre dental kaygı seviyeleri arasında istatistiksel açıdan yüksek derecede anlamlılık tespit edildi (p<0.001).
Sonuç: Elde edilen verilerin ışığında ağız diş sağlığına önem veren ve oral hijyen farkındalığına sahip bireylerin dental kaygı düzeylerinin yüksek olması beklenmemektedir. Dental korkunun veya hekimden kaçınma isteğinin, hastaların ağız diş sağlığı ve oral hijyen farkındalığını artıran bir etmen olmadığı görülmektedir.
Kaynakça
- Abrahamsson, K. H., Berggren, U., Hakeberg, M., Carlsson, S. G. (2003). The importance of dental beliefs for the outcome of dental-fear treatment. Eur J Oral Sci, 111: 99-105.
- Al-Omari, W. M., Al-Omiri, M. K. (2009). Dental anxiety among university students an its correlation with their field of study. J Appl Oral Sci, 17(3): 199-203.
- Appukuttan, D., Subramanian, S., Tadepalli, A., Damodaran, L. K. (2015). Dental anxiety among adults: an epidemiological study in south india. N Am J Med Sci, 7:13–8.
- Armfield, J. M., Slade, G. D., Spencer, A. J. (2009). Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol, 37(3): 220–230.
- Bergdahl, M., & Bergdahl, J. (2003). Temperament and character personality dimensions in patients with dental anxiety. Eur J Oral Sci, 111: 93-98.
- Berggren, U., & Meynert, G. (1984). Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc, 109(2): 247–251.
- Bodrumlu, E., Pınar Sümer, A., Sümer, M., Köprülü, H. (2006). Ondokuz mayıs üniversitesi dişhekimliği fakültesine başvuran bireylerde dental korkunun değerlendirilmesi. Hacettepe Diş Hek Fak Derg, 30(1): 51-56.
- Choo, A., Delac, D. M., Messer, L. B. (2001). Oral hygiene measures and promotion: review and considerations. Aust Dent J, 46(3): 166-173.
- Corah, N. L. (1969). Development of a dental anxiety scale. J Dent Res, 48: 596.
- Cohen, M. E. (1985). Dental anxiety and DMFS status: association within a US naval population versus differences between groups. Community Dent Oral Epidemiol, 13: 75–8.
- Çağırankaya, L. B., & Kansu, Ö. (2005). Dişhekimliği öğrencilerinde dental anksiyetenin sebep ve sonuçları. Hacettepe Diş Hek Fak Derg. 29: 8-11.
- Dikmen, B., Saral, I., Ucuncu, M. K., Yıldız, E., Özel Yıldız, S. (2022). The relationship between prevalence of dental anxiety and dental caries: cross-sectional study. Braz Dent Sci, 25(1): e2598.
- Dil, S., & Bulantekin, Ö. (2011). Hemşirelik öğrencilerinde akademik başarı düzeyi ile aile işlevselliği ve kontrol odağı arasındaki ilişkinin belirlenmesi. J Psy Nurs, 2(1): 17-24.
- Doğaner, Y. Ç., Aydoğan, Ü., Üçler Yeşil, H., Sarı, O., Koç, B. (2015). Genç bireylerde dental anksiyete ve ilişkili faktörler. Gülhane Tıp Derg, 57: 160-164.
- Dou, L., Vanschaayk, M. M., Zhang, Y., Fu, X., Ji, P., Yang, D. (2018). The prevalence of dental anxiety and its association with pain and other variables among adult patients with irreversible pulpitis. BMC Oral Health, 18(1): 101.
- Drachev, S. N., Brenn, T., Trovik, T. A. (2018). Prevalence of and factors associated with dental anxiety among medical and dental students of the northern state medical university, arkhangelsk, north-west russia. Int J Circumpolar Health, 77: 1454786.
- Erten, H., Akarslan, Z. Z., Bodrumlu, E. (2006). Dental fear and axiety levels of patients attending a dental clinic. Quintessence Int, 37: 304-310.
- Firat, D., Tunc, E. P., Sar, V. (2006). Dental anxiety among adults in turkey. J Contemp Dent Pract, 7: 75-82.
- Frazer, M., & Hampson, S. (1988). Some personality factors related to dental anxiety and fear of pain. Br Dent J, 165(12): 436-9.
- Gale, E., & Ayer, W. (1969). Treatment of dental phobias. J Am Dent Assoc, 78: 1304–7.
- Gibson, S., & Williams, S. (1999). Dental caries in pre–school children:associations with social class, toothbrushing habit and consumption of sugars and sugar–containing foods. Caries Res, 33(2): 101-113.
- Guivarc’h, M., Saliba-Serre, B., Jacquot, B., Le Coz, P., Bukiet, F. (2017). Dental students' attitudes towards management of pain and anxiety during a dental emergency: educational issues. Int Dent J, 67(6):384-390.
- Gunjal, S., Pateel, D. G., Parkar, S. (2017). Dental anxiety among medical and paramedical undergraduate students of malaysia. Int J Dent, 2017: 4762576.
- Güngör, K., Tüter, G., Bal, B. (1999). Eğitim düzeyi ile ağız sağlığı arasındaki ilişkinin değerlendirilmesi. GÜ Diş Hek Fak Derg, 16: 15-20.
- Hagqvist, O., Tolvanen, M., Rantavuori, K., Karlsson, L., Karlsson, H., Lahti, S. (2018). Short-term longitudinal changes in adult dental fear. Eur J Oral Sci, 126(4): 1–7.
- Halonen, H., Salo, T., Hakko, H., Räsänen, P. (2014). The association between dental anxiety, general clinical anxiety and depression among finnish university students. Oral Health Dent Manag, 13:320–5.
- Holtzman, J. M., Berg, R. G., Mann, J., Berkey, D. B. (1997). The relationship of age and gender to fear and anxiety in response to dental care. Spec Care Dentist, 17(3): 82-87.
- Humphris, G. M., Freeman, R., Campbell, J., Tuutti, H., D'Souza, V. (2000). Further evidence for the reliability and validity of the modified dental anxiety scale. Int Dent J, 50(6): 367-70.
- Ilguy, D., Ilguy, M., Dincer, S., Bayirli, G. (2005). Reliability and validity of the modified dental anxiety scale in turkish patients. J Int Med Res, 33(2): 252–259.
- Jackson, M. A., Kellett, M., Worthington, H. V., Clerehugh, V. (2006). Comparison of interdental cleaning methods: a randomized controlled trial. J Periodontol, 77: 1421-29.
- Jankovic, S. M., Aleksić, D., Bahtijari, Z., Jelić, A., Klacar, J., Kovacević, A. (2014). Risk factors for severe dental anxiety among medical students. Vojnosanit Pregl, 71: 16-21.
- Kallestal, C., & Matsson, L. (1990). Periodontal conditions in a group of Swedish adolescents. J Clin Periodontol, 17: 609-612.
- Kavrık, F., Savaş, S., Küçükyılmaz, E., Uzer Çelik, E. (2016). Yüksek çürük riskli adolesanlarda farklı tedavi yaklaşımları. Turkiye Klinikleri J Dental Sci Casesi, 2(1): 35-43
- Kesim, S., Unalan, D., Esen, C., Ozturk, A. (2012). The relationship between peri¬odontal disease severity and state-trait anxiety level. J Pak Med Assoc, 62(12): 1304–1308.
- Kwan, S. Y. L., Petersen, P. E., Pine, C. M., Borutta, A. (2005). Health-promotion schools: an opportunity for oral health promotion. Bull World Health Organ, 83(9): 667-85.
- Liddell, A., & Locker, D. (1997). Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol, 25: 314-318.
- Locker, D. (1989). An introduction to behavioural science & dentistry. New York: Tavistock/Routledge; 1989 pp. 31–38, 88–101, 136–160.
- Lopez-Jornet, P., Camacho-Alonso, F., Sanchez-Siles, M. (2014). Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. Br J Oral Maxillofac Surg, 52(1): 18-23.
- Marsh, P. D. (2010). Microbiology of dental plaque biofilms and their role in oral health and caries. Dent Clin North Am, 54(3): 441-454.
- Mehrstedt. M., John, M.T., Tönnies, S., Micheelis, W. (2007). Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol, 35(5): 357–363.
- Ng, S. K., & Leung, W. K. (2008). A community study on the relationship of dental anxiety with oral health status and oral health-relatsed quality of life. Community Dent Oral Epidemiol, 36(4): 347-56.
- Nicolas, E., Collado, V., Faulks, D., Bullier, B., Hennequin, M. (2007). A national crosssectional survey of dental anxiety in the french adult population. BMC Oral Health, 7: 12. Doi: 10.1186/1472-6831-7-12.
- Oktay, E. A., Koçak, M. M., Şahinkesen, G., Topçu, F. T. (2009). The role of age, gender, education and experiences on dental anxiety. Gulhane Med J, 51: 145-148.
- Öztunç, H., Haytaç, M. C., Özmeriç, N., Uzel, İ. (2000). Adana ilinde 6-11 yaş grubu çocukların ağız-diş sağlığı durumlarının değerlendirilmesi. GÜ Diş Hek Fak Derg, 17: 1-6.
- Peretz, B., & Efrat, J. (2000). Dental anxiety among young adolescent patients in Israel. Int J Paediatr Dent, 10: 126-32.
- Pohjola, V., Rekola, A., Kunttu, K., Virtanen, J. I. (2016). Association between dental fear and oral health habits and treatment need among university students in finland: national study. BMC Oral Health, 16: 26.
- Ritsner, M., Ponizovsky, A., Nechamkin, Y., Modai, I. (2001). Gender differences in psychosocial risk factors for psychological distress among immigrants. Compr Psychiatry, 42(2): 151-60.
- Schuller, A. A., Willumsen, T., Holst, D. (2003). Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol, 31(2): 116-21.
- Schuurs, A. H. B., Duivenvoorden, H. J., Thoden van Velzen, S. K., Verhage, F. (1980). Three factors predicting irregular versus regular dental attendance: a model fitting to empirical data. Community Dent Oral Epidemiol, 8: 413–9.
- Sghaireen, M. G., Zwiri, A. M., Alzoubi, I. A., Qodceih, S. M., Al-Omiri, M. K. (2013). Anxiety due to dental treatment and procedures among university students and its correlation with their gender and field of study. Int J Dent, 2013: 647436.
- Storjord, H. P., Teodorsen, M. M., Bergdahl, J., Wynn, R., Johnsen, J. A. (2014). Dental anxiety: a comparison of students of dentistry, biology, and psychology. J Multidiscip Healthc, 7: 413-418.
- Talo Yıldırım, T. (2016). Evaluating the relationship of dental fear with dental health status and awareness journal of clinical and diagnostic research. J Clin Diagn Res, 10(7): ZC105-ZC109. doi: 10.7860/JCDR/2016/19303.8214
- Thomson, W. M, Stewart, J. F, Carter, K. D., Spencer, A. J. (1996). Dental anxiety among Australians. Int Dent J, 46(4): 320-4.
- Thomson, W. M., Locker, D., Poulton, R. (2000). Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol, 28: 289-294.
- Tulunoğlu, Ö., Bodur, H., Akal, N. (1999). Aile eğitim düzeyinin okul öncesi çocuklardaki ağız-diş sağlığı uygulamaları üzerine etkisinin değerlendirilmesi. GÜ Diş Hek Fak Derg, 16: 27-32.
- Tunc, E. P., Firat, D., Onur, O. D., Sar, V. (2005). Reliability and validity of the modified dental anxiety scale (MDAS) in a turkish population. Community Dent Oral Epidemiol, 33: 357-362.
- Woolgrove, J., Cumberbatch, G., Gelbier, S. (1987). Understanding dental attendance behaviour. Community Dent Health, 4: 215–21.
- Yost, K. G., Mallatt, M. E., Liebman, J. (2006). Interproximal gingivitis and plaque reduction by four interdental products. J Clin Dent, 17: 79-83.
Determination of the Relationship Between Dental Anxiety and Oral Hygiene Awareness
Yıl 2023,
, 227 - 237, 23.06.2023
Musa Kazım Üçüncü
,
Sevda Özel Yıldız
,
Haşmet Ulukapı
Öz
Background: The aim of this study was to investigate the relationship between dental & oral hygiene and oral health awareness.
Methods: A total of 431 subjects were included in the study. The questionnaire was sent to the subjects over the internet and asked to fill out the questionnaire forms. The first part of the questionnaire included questions about sociodemographic findings such as age, gender, frequency of dental visits, frequency of brushing, use of extra dental instruments and awareness of oral hygiene. The second part includes the Modified Dental Anxiety Scale (MDAS) and measures subjects' dental anxiety levels.
Results: Based on the “cut off” value of ≥19, 6.7% (n=29) of the 431 participants were found to have high dental anxiety levels. While females (11.35±4.49) had higher dental anxiety than males (10.43±4.12) and there was a statistically significant difference between MDAS levels by gender (p=0.046); No statistically significant difference was found according to education levels (p=0.680). While there was a statistically significant difference between the dental anxiety levels of the participants who use interface brushes and those who do not (p=0.028); A statistically high degree of significance was found between dental anxiety levels according to the frequency of going to the dentist (p<0.001).
Conclusion: High level of dental anxiety is not seen as a factor that increases the awareness of oral health and oral hygiene of individuals.
Kaynakça
- Abrahamsson, K. H., Berggren, U., Hakeberg, M., Carlsson, S. G. (2003). The importance of dental beliefs for the outcome of dental-fear treatment. Eur J Oral Sci, 111: 99-105.
- Al-Omari, W. M., Al-Omiri, M. K. (2009). Dental anxiety among university students an its correlation with their field of study. J Appl Oral Sci, 17(3): 199-203.
- Appukuttan, D., Subramanian, S., Tadepalli, A., Damodaran, L. K. (2015). Dental anxiety among adults: an epidemiological study in south india. N Am J Med Sci, 7:13–8.
- Armfield, J. M., Slade, G. D., Spencer, A. J. (2009). Dental fear and adult oral health in Australia. Community Dent Oral Epidemiol, 37(3): 220–230.
- Bergdahl, M., & Bergdahl, J. (2003). Temperament and character personality dimensions in patients with dental anxiety. Eur J Oral Sci, 111: 93-98.
- Berggren, U., & Meynert, G. (1984). Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc, 109(2): 247–251.
- Bodrumlu, E., Pınar Sümer, A., Sümer, M., Köprülü, H. (2006). Ondokuz mayıs üniversitesi dişhekimliği fakültesine başvuran bireylerde dental korkunun değerlendirilmesi. Hacettepe Diş Hek Fak Derg, 30(1): 51-56.
- Choo, A., Delac, D. M., Messer, L. B. (2001). Oral hygiene measures and promotion: review and considerations. Aust Dent J, 46(3): 166-173.
- Corah, N. L. (1969). Development of a dental anxiety scale. J Dent Res, 48: 596.
- Cohen, M. E. (1985). Dental anxiety and DMFS status: association within a US naval population versus differences between groups. Community Dent Oral Epidemiol, 13: 75–8.
- Çağırankaya, L. B., & Kansu, Ö. (2005). Dişhekimliği öğrencilerinde dental anksiyetenin sebep ve sonuçları. Hacettepe Diş Hek Fak Derg. 29: 8-11.
- Dikmen, B., Saral, I., Ucuncu, M. K., Yıldız, E., Özel Yıldız, S. (2022). The relationship between prevalence of dental anxiety and dental caries: cross-sectional study. Braz Dent Sci, 25(1): e2598.
- Dil, S., & Bulantekin, Ö. (2011). Hemşirelik öğrencilerinde akademik başarı düzeyi ile aile işlevselliği ve kontrol odağı arasındaki ilişkinin belirlenmesi. J Psy Nurs, 2(1): 17-24.
- Doğaner, Y. Ç., Aydoğan, Ü., Üçler Yeşil, H., Sarı, O., Koç, B. (2015). Genç bireylerde dental anksiyete ve ilişkili faktörler. Gülhane Tıp Derg, 57: 160-164.
- Dou, L., Vanschaayk, M. M., Zhang, Y., Fu, X., Ji, P., Yang, D. (2018). The prevalence of dental anxiety and its association with pain and other variables among adult patients with irreversible pulpitis. BMC Oral Health, 18(1): 101.
- Drachev, S. N., Brenn, T., Trovik, T. A. (2018). Prevalence of and factors associated with dental anxiety among medical and dental students of the northern state medical university, arkhangelsk, north-west russia. Int J Circumpolar Health, 77: 1454786.
- Erten, H., Akarslan, Z. Z., Bodrumlu, E. (2006). Dental fear and axiety levels of patients attending a dental clinic. Quintessence Int, 37: 304-310.
- Firat, D., Tunc, E. P., Sar, V. (2006). Dental anxiety among adults in turkey. J Contemp Dent Pract, 7: 75-82.
- Frazer, M., & Hampson, S. (1988). Some personality factors related to dental anxiety and fear of pain. Br Dent J, 165(12): 436-9.
- Gale, E., & Ayer, W. (1969). Treatment of dental phobias. J Am Dent Assoc, 78: 1304–7.
- Gibson, S., & Williams, S. (1999). Dental caries in pre–school children:associations with social class, toothbrushing habit and consumption of sugars and sugar–containing foods. Caries Res, 33(2): 101-113.
- Guivarc’h, M., Saliba-Serre, B., Jacquot, B., Le Coz, P., Bukiet, F. (2017). Dental students' attitudes towards management of pain and anxiety during a dental emergency: educational issues. Int Dent J, 67(6):384-390.
- Gunjal, S., Pateel, D. G., Parkar, S. (2017). Dental anxiety among medical and paramedical undergraduate students of malaysia. Int J Dent, 2017: 4762576.
- Güngör, K., Tüter, G., Bal, B. (1999). Eğitim düzeyi ile ağız sağlığı arasındaki ilişkinin değerlendirilmesi. GÜ Diş Hek Fak Derg, 16: 15-20.
- Hagqvist, O., Tolvanen, M., Rantavuori, K., Karlsson, L., Karlsson, H., Lahti, S. (2018). Short-term longitudinal changes in adult dental fear. Eur J Oral Sci, 126(4): 1–7.
- Halonen, H., Salo, T., Hakko, H., Räsänen, P. (2014). The association between dental anxiety, general clinical anxiety and depression among finnish university students. Oral Health Dent Manag, 13:320–5.
- Holtzman, J. M., Berg, R. G., Mann, J., Berkey, D. B. (1997). The relationship of age and gender to fear and anxiety in response to dental care. Spec Care Dentist, 17(3): 82-87.
- Humphris, G. M., Freeman, R., Campbell, J., Tuutti, H., D'Souza, V. (2000). Further evidence for the reliability and validity of the modified dental anxiety scale. Int Dent J, 50(6): 367-70.
- Ilguy, D., Ilguy, M., Dincer, S., Bayirli, G. (2005). Reliability and validity of the modified dental anxiety scale in turkish patients. J Int Med Res, 33(2): 252–259.
- Jackson, M. A., Kellett, M., Worthington, H. V., Clerehugh, V. (2006). Comparison of interdental cleaning methods: a randomized controlled trial. J Periodontol, 77: 1421-29.
- Jankovic, S. M., Aleksić, D., Bahtijari, Z., Jelić, A., Klacar, J., Kovacević, A. (2014). Risk factors for severe dental anxiety among medical students. Vojnosanit Pregl, 71: 16-21.
- Kallestal, C., & Matsson, L. (1990). Periodontal conditions in a group of Swedish adolescents. J Clin Periodontol, 17: 609-612.
- Kavrık, F., Savaş, S., Küçükyılmaz, E., Uzer Çelik, E. (2016). Yüksek çürük riskli adolesanlarda farklı tedavi yaklaşımları. Turkiye Klinikleri J Dental Sci Casesi, 2(1): 35-43
- Kesim, S., Unalan, D., Esen, C., Ozturk, A. (2012). The relationship between peri¬odontal disease severity and state-trait anxiety level. J Pak Med Assoc, 62(12): 1304–1308.
- Kwan, S. Y. L., Petersen, P. E., Pine, C. M., Borutta, A. (2005). Health-promotion schools: an opportunity for oral health promotion. Bull World Health Organ, 83(9): 667-85.
- Liddell, A., & Locker, D. (1997). Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol, 25: 314-318.
- Locker, D. (1989). An introduction to behavioural science & dentistry. New York: Tavistock/Routledge; 1989 pp. 31–38, 88–101, 136–160.
- Lopez-Jornet, P., Camacho-Alonso, F., Sanchez-Siles, M. (2014). Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. Br J Oral Maxillofac Surg, 52(1): 18-23.
- Marsh, P. D. (2010). Microbiology of dental plaque biofilms and their role in oral health and caries. Dent Clin North Am, 54(3): 441-454.
- Mehrstedt. M., John, M.T., Tönnies, S., Micheelis, W. (2007). Oral health-related quality of life in patients with dental anxiety. Community Dent Oral Epidemiol, 35(5): 357–363.
- Ng, S. K., & Leung, W. K. (2008). A community study on the relationship of dental anxiety with oral health status and oral health-relatsed quality of life. Community Dent Oral Epidemiol, 36(4): 347-56.
- Nicolas, E., Collado, V., Faulks, D., Bullier, B., Hennequin, M. (2007). A national crosssectional survey of dental anxiety in the french adult population. BMC Oral Health, 7: 12. Doi: 10.1186/1472-6831-7-12.
- Oktay, E. A., Koçak, M. M., Şahinkesen, G., Topçu, F. T. (2009). The role of age, gender, education and experiences on dental anxiety. Gulhane Med J, 51: 145-148.
- Öztunç, H., Haytaç, M. C., Özmeriç, N., Uzel, İ. (2000). Adana ilinde 6-11 yaş grubu çocukların ağız-diş sağlığı durumlarının değerlendirilmesi. GÜ Diş Hek Fak Derg, 17: 1-6.
- Peretz, B., & Efrat, J. (2000). Dental anxiety among young adolescent patients in Israel. Int J Paediatr Dent, 10: 126-32.
- Pohjola, V., Rekola, A., Kunttu, K., Virtanen, J. I. (2016). Association between dental fear and oral health habits and treatment need among university students in finland: national study. BMC Oral Health, 16: 26.
- Ritsner, M., Ponizovsky, A., Nechamkin, Y., Modai, I. (2001). Gender differences in psychosocial risk factors for psychological distress among immigrants. Compr Psychiatry, 42(2): 151-60.
- Schuller, A. A., Willumsen, T., Holst, D. (2003). Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol, 31(2): 116-21.
- Schuurs, A. H. B., Duivenvoorden, H. J., Thoden van Velzen, S. K., Verhage, F. (1980). Three factors predicting irregular versus regular dental attendance: a model fitting to empirical data. Community Dent Oral Epidemiol, 8: 413–9.
- Sghaireen, M. G., Zwiri, A. M., Alzoubi, I. A., Qodceih, S. M., Al-Omiri, M. K. (2013). Anxiety due to dental treatment and procedures among university students and its correlation with their gender and field of study. Int J Dent, 2013: 647436.
- Storjord, H. P., Teodorsen, M. M., Bergdahl, J., Wynn, R., Johnsen, J. A. (2014). Dental anxiety: a comparison of students of dentistry, biology, and psychology. J Multidiscip Healthc, 7: 413-418.
- Talo Yıldırım, T. (2016). Evaluating the relationship of dental fear with dental health status and awareness journal of clinical and diagnostic research. J Clin Diagn Res, 10(7): ZC105-ZC109. doi: 10.7860/JCDR/2016/19303.8214
- Thomson, W. M, Stewart, J. F, Carter, K. D., Spencer, A. J. (1996). Dental anxiety among Australians. Int Dent J, 46(4): 320-4.
- Thomson, W. M., Locker, D., Poulton, R. (2000). Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol, 28: 289-294.
- Tulunoğlu, Ö., Bodur, H., Akal, N. (1999). Aile eğitim düzeyinin okul öncesi çocuklardaki ağız-diş sağlığı uygulamaları üzerine etkisinin değerlendirilmesi. GÜ Diş Hek Fak Derg, 16: 27-32.
- Tunc, E. P., Firat, D., Onur, O. D., Sar, V. (2005). Reliability and validity of the modified dental anxiety scale (MDAS) in a turkish population. Community Dent Oral Epidemiol, 33: 357-362.
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