COVID-19 döneminde rutin endodontik muayenelerin ertelenmesi sonrası acil endodontik tedaviye yönelik anksiyete: kesitsel bir çalışma

Year 2025, Volume: 6 Issue: 6, 701 - 709, 27.12.2025

Sevda Tok , Leyla Ayrancı , Bengi Gülgü , Nagihan Kara Şimsek

Abstract

Amaç: COVID-19 Aralık 2019’da ortaya çıkmış ve 11 Mart 2020 tarihinde küresel pandemi olarak ilan edilmiştir. Birçok ülke, 21 Mart 2020 tarihinden itibaren rutin endodontik muayeneler dahil, acil olmayan diş bakım hizmetlerini ertelemiştir. Sınırlı diş tedavisine erişim ve uzun süren karantina süreci psikolojik sıkıntıyı tetikleyebilir. Bu çalışma, pandemi döneminde acil endodontik tedaviye yönelik hastaların anksiyete düzeylerini değerlendirmeyi amaçlamıştır.

Yöntem: Kesitsel bir çalışma kapsamında, Ordu Üniversitesi Endodonti Anabilim Dalı’nda 21 Mart – 21 Aralık 2021 tarihleri arasında toplam 261 hastaya anket uygulanmıştır. Katılımcılardan yazılı onam alındıktan sonra 28 soruluk anonim bir form doldurmaları istenmiştir. Psikolojik sıkıntı düzeyi Kessler 10 ölçeği ile değerlendirilmiş, istatistiksel analizlerde anlamlılık seviyesi p<0,05 olarak belirlenmiştir.

Bulgular 261 katılımcı arasında 33 kişi Anksiyete(+) olarak sınıflandırılmış, 228 kişi Anksiyete(-) grupta yer almıştır. Anksiyete (+) grup, pandemi şiddetini, Anksiyete (-) gruba kıyasla anlamlı derecede daha düşük puanlamıştır (p<0,05). Yaş, cinsiyet, diş bakım alışkanlıkları, tedavi kesintisine dair endişeler veya karantina döneminde yapılan randevulara katılım istekliliği açısından gruplar arasında anlamlı fark gözlenmemiştir. Ancak, Anksiyete(+) hastalar “pandemi tedavimi uzattı” ve “pandemi tedavi sonucumu etkileyecek” ifadelerine anlamlı derecede daha fazla katılmışlardır (p < 0,05).

Sonuç: COVID-19 pandemisi, acil endodontik tedaviye yönelik anksiyete düzeyleri; özellikle tedavi süresi ve tedavi sonuçlarıyla ilgili tutum ve davranışlar üzerinde etkili olmuştur. Diş hekimlerinin, pandemi koşullarında acil tedaviyi yönetirken bu psikolojik boyutları da göz önünde bulundurmaları önemlidir.

Keywords

coronavirüs , dental anksiyete , pandemi

Ethical Statement

Bu çalışma, Türkiye'deki Ordu Üniversitesi Klinik Araştırma Merkezi Etik Kurulu'nun onayı ile gerçekleştirilmiştir. (Tarih: 12 Kasım 2020, Karar No: 243)

Supporting Institution

Bu çalışma herhangi bir kurum tarafından mali olarak desteklenmemiştir.

Project Number

This study has not received any project support./ Bu çalışma projelendirilmemiştir.

Thanks

Bulunmamaktadır.

Anxiety about emergency endodontic treatment after deferred routine visits during COVID-19: a cross sectional study

Abstract

Aims: COVID 19 emerged in December 2019 and was declared a global pandemic on March 11, 2020. Many countries postponed non urgent dental care, including routine endodontic visits from March 21, 2020. Restricted access to dental treatment and prolonged quarantine may trigger psychological distress. This study evaluated patients’ anxiety regarding emergency endodontic treatment during the pandemic.
Methods: A cross-sectional survey was administered to 261 patients at the Department of Endodontics, Ordu University, between March 21 and December 21, 2021. Participants completed a 28-question anonymous questionnaire after providing written informed consent. Psychological distress was assessed using the Kessler 10 scale, and statistical analyses were performed with significance set at p<0.05.
Results: Among 261 participants, 33 were classified as anxiety (+) and 228 as anxiety (-). anxiety (+) group rated pandemic severity significantly lower than the anxiety (-) group (p<0.05). No significant differences emerged regarding age, gender, dental habits, concerns about treatment disruption, or willingness to attend quarantine period appointments. However, anxiety (+) patients were significantly more likely to agree that “the pandemic prolonged my treatment” and “the pandemic will affect my treatment outcome” (p<0.05).
Conclusion: The COVID 19 pandemic influenced anxiety levels, attitudes, and behaviors toward emergency endodontic treatment—particularly in relation to treatment duration and outcomes. Dental professionals should recognize these psychological dimensions when managing emergency care during pandemic conditions.

Keywords

Coronavirus , dental anxiety , pandemic

Ethical Statement

This study was conducted with the approval of the Ethics Committee of the Clinical Research Center at Ordu University, Turkey. (Date: November 12, 2020, Decision No: 243)

Supporting Institution

This study did not receive financial support from any institution.

Project Number

This study has not received any project support./ Bu çalışma projelendirilmemiştir.

Thanks

None.

References

• Lin CY, Broström A, Griffiths MD, Pakpour AH. Investigating mediated effects of fear of COVID-19 and COVID-19 misunderstanding in the association between problematic social media use, psychological distress, and insomnia. Internet Interv. 2020;21:100345. doi:10.1016/j.invent.2020.100345
• Bäuerle A, Teufel M, Musche V, et al. Increased generalized anxiety, depression and distress during the COVID-19 pandemic: a cross-sectional study in Germany. J Public Health (Bangkok). 2020;42(4):672-678. doi:10.1093/pubmed/fdaa106
• Volgenant CMC, Persoon IF, de Ruijter RAG, de Soet JJ. Infection control in dental health care during and after the SARS-CoV-2 outbreak. Oral Dis. 2021;27(S3):674-683. doi:10.1111/odı.13408
• Gambarini E, Galli M, di Nardo D, et al. A survey on perceived covid-19 risk in dentistry and the possible use of rapid tests. J Contemp Dent Pract. 2020;21(7):718-722. doi:10.5005/jp-journals-10024-2851
• Campus G, Diaz Betancourt M, Cagetti MG, et al. The COVID-19 pandemic and its global effects on dental practice. An International survey. J Dent. 2021;114. doi:10.1016/j.jdent.2021.103749
• Walter E, von Bronk L, Hickel R, Huth KC. Impact of COVID-19 on dental care during a national lockdown: a retrospective observational study. Int J Environ Res Public Health. 2021;18(15):7963. doi:10.3390/ıjerph18157963
• Nijakowski K, Cieślik K, Łaganowski K, Gruszczyński D, Surdacka A. The impact of the COVID-19 pandemic on the spectrum of performed dental procedures. Int J Environ Res Public Health. 2021;18(7):3421. doi: 10.3390/ıjerph18073421
• Barabari P, Moharamzadeh K. Novel coronavirus (COVID-19) and dentistry–a comprehensive review of literature. Dent J (Basel). 2020;8(2). doi:10.3390/dj8020053
• Tofangchiha M, Lin CY, Scheerman JFM, et al. Associations between fear of COVID-19, dental anxiety, and psychological distress among Iranian adolescents. BDJ Open. 2022;8(1):19. doi:10.1038/s41405-022-00112-w
• Campagnaro R, Collet G de O, Andrade MP de, et al. COVID-19 pandemic and pediatric dentistry: fear, eating habits and parent’s oral health perceptions. Child Youth Serv Rev. 2020;118:105469. doi:10.1016/j.childyouth.2020.105469
• Cotrin P, Peloso RM, Oliveira RC, et al. Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthod Craniofac Res. 2020;23(4):455-461. doi: 10.1111/ocr.12395
• Migas K, Marczak M, Kozłowski R, Kot A, Wysocka A, Sierocka A. Impact of the COVID-19 pandemic on the dental preferences of patients in the private sector. Int J Environ Res Public Health. 2022;19(4):2183. doi:10.3390/ıjerph19042183
• Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007;7:1. doi:10.1186/1472-6831-7-1
• Goriuc A, Sandu D, Tatarciuc M, Luchian I. The impact of the COVID-19 pandemic on dentistry and dental education: a narrative review. Int J Environ Res Public Health. 2022;19(5):2537. doi:10.3390/ıjerph19052537
• Elm E von, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ. 2007;335(7624):806. doi:10.1136/bmj.39335.541782.ad
• Orhan AI, Alkan A, Orhan K, Tezel A, Karaoglanoglu S, Oztas D. Dental caries and associated factors among Turkish children and adults: findings from the 3rd National Oral Health Survey. Community Dent Oral Epidemiol. 2024;52(4):499-508. doi:10.1111/cdoe.12943
• Sabrina F, Chowdhury MTH, Nath SK, et al. Psychological distress among Bangladeshi Dental students during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;19(1):176. doi:10.3390/ıjerph19010176
• Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the fear of COVID-19 scale: its association with psychological distress and life satisfaction in Turkey. Int J Ment Health Addict. 2020;19(6):1980-1988. doi:10.1007/s11469-020-00294-0
• Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 Scale: development and initial validation. Int J Ment Health Addict. 2022;20(3):1537-1545. doi:10.1007/s11469-020-00270-8
• El-Din MS, Alhazmi RM, Moussa R. Psychological impact of COVID-19 on dental graduates: a cross-sectional study. Cureus. 2023;15(12):e50673. doi:10.7759/cureus.50673
• Klarić Puđa I, Goršeta K, Jurić H, Soldo M, Marks LAM, Majstorović M. A cohort study on the impact of oral health on the quality of life of adolescents and young adults. Clinics and Practice. 2025;15(4):76. doi:10. 3390/clınpract15040076
• Kanathila H, Pangi A, Bharathi B. COVID–19–threat to dentistry–how to overcome? J Evol Med Dent Sci. 2020;9(37):2746-2750. doi:10.14260/jemds/2020/596
• Gurzawska-Comis K, Becker K, Brunello G, Gurzawska A, Schwarz F. Recommendations for dental care during COVID-19 pandemic. J Clin Med. 2020;9(6):1-15. doi:10.3390/jcm9061833
• Jum’ah AA, Elsalem L, Loch C, Schwass D, Brunton PA. Perception of health and educational risks amongst dental students and educators in the era of COVID-19. Eur J Educ 2021;25(3):506-515. doi:10.1111/eje. 12626
• Daltaban Ö, Aytekin Z. Fear and anxiety of COVID-19 in dental patients during the COVID-19 pandemic: a cross-sectional survey in Turkey. Dent Med Probl. 2022;59(3):343-350. doi:10.17219/dmp/150075
• Berberoğlu B, Koç N, Boyacioglu H, et al. Assessment of dental anxiety levels among dental emergency patients during the COVID-19 pandemic through the Modified Dental Anxiety Scale. Dent Med Probl. 2021;58(4):425-432. doi:10.17219/dmp/139042
• Olivieri JG, de España C, Encinas M, et al. Dental anxiety, fear, and root canal treatment monitoring of heart rate and oxygen saturation in patients treated during the Coronavirus disease 2019 pandemic: an observational clinical study. J Endod. 2021;47(2):189-195. doi:10.1016/j.joen.2020.10.024
• Shamsoddin E, DeTora LM, Tovani-Palone MR, Bierer BE. Dental care in times of the COVID-19 pandemic: a review. Medical Sciences. 2021; 9(1):13. doi:10.3390/medscı9010013
• Baroncelli A, Righi S, Facci C, Ciucci E. Behavioral inhibition and fear: the moderating role of emotional competence and gender in preadolescents. Children. 2025;12(2):179. doi:10.3390/children12020179
• Haas SA, Amso D, Fox NA. The effects of emotion priming on visual search in socially anxious adults. Cogn Emot. 2017;31(5):1041-1054. doi:10.1080/02699931.2016.1180281
• Van Damme S, Crombez G, Notebaert L. Attentional bias to threat: a perceptual accuracy approach. Emotion. 2008;8(6):820-827. doi:10.1037/a0014149
• Suls J, Fletcher B. The relative efficacy of avoidant and nonavoidant coping strategies: a meta-analysis. Health Psychol. 1985;4(3):249-288. doi:10.1037//0278-6133.4.3.249
• Santana MRM, Zatti C, Spader ML, et al. Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital. Trends Psychiatry Psychother. 2017;39(4):247-256. doi:10.1590/2237-6089-2016-0071
• Paun AGE, Chifor R, Radu C, Strilciuc Ștefan, Badea IC, Borzan CM. Oral health, the patients’ perspective during the COVID 19 pandemic. Med Pharm Rep. 2023;96(3):305. doi:10.15386/mpr-2553
• Keleş ZH, Sancaklı HŞ. Evaluation of knowledge, attitude and behaviour on oral health through COVID-19 pandemic. Meandros Med Dent J.2020;21(3):222-231. doi:10.4274/meandros.galenos.2020.60352
• Liu C, Zhang S, Zhang C, Tai B, Jiang H, Du M. The impact of coronavirus lockdown on oral healthcare and its associated issues of pre-schoolers in China: an online cross-sectional survey. BMC Oral Health. 2021;21(1):54. doi:10.1186/s12903-021-01410-9
• Amato A, Iandolo A, Scelza G, Spirito F, Martina S. COVID-19: the patients’ perceived impact on dental care. Eur J Dent. 2021;16(2):333. doi:10.1055/s-0041-1734470
• Kranz AM, Gahlon G, Dick AW, Stein BD. Characteristics of US adults delaying dental care due to the COVID-19 pandemic. JDR Clin Trans Res. 2021;6(1):8-14. doi:10.1177/2380084420962778
• Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. Int J Environ Res Public Health. 2020;17(10):3740. doi:10.3390/ıjerph17103740
• Soraci P, Ferrari A, Abbiati FA, et al. Validation and psychometric evaluation of the Italian version of the fear of COVID-19 Scale. Int J Ment Health Addict. 2022;20(4):1913-1922. doi:10.1007/s11469-020-00277-1
• Knipe D, Evans H, Marchant A, Gunnell D, John A. Mapping population mental health concerns related to COVID-19 and the consequences of physical distancing: a Google Trends analysis. Wellcome Open Res. 2020;5:82. doi:10.12688/wellcomeopenres.15870.2
• Ciardo A, Simon MM, Sonnenschein SK, Büsch C, Kim TS. Impact of the COVID-19 pandemic on oral health and psychosocial factors. Scientific Reports. 2022;12(1):1-12. doi:10.1038/s41598-022-07907-9
• Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders-a systematic review and meta-analysis. J Affect Disord. 2016;200:119-132. doi:10.1016/j.jad.2016.04.040
• Cao R, Lai J, Fu X, Qiu P, Chen J, Liu W. Association between psychological stress, anxiety and oral health status among college students during the Omicron wave: a cross-sectional study. BMC Oral Health. 2023;23(1). doi:10.1186/S12903-023-03151-3
• Asiri A, Nazir MA, Alsharief M, Shahin S, Al-Ansari A, Al-Khalifa KS. Effect of psychological distress on oral health: a cross-sectional study. BMC Oral Health. 2024;24(1):1-8. doi:10.1186/s12903-024-05319-x/tables/5