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Dental Anksiyetede Kuşak Farklılıkları ve İlişkili Demografik Faktörler; Kesitsel Bir Çalışma

Year 2025, Volume: 12 Issue: 2, 262 - 267, 22.08.2025
https://doi.org/10.15311/selcukdentj.1538731

Abstract

Öz
Amaç: Dental anksiyete çeşitli yaş gruplarında önemli bir endişe kaynağı olmaya devam etmektedir. Kuşak demografisindeki farklılıklar dental anksiyetenin yaygınlığını ve yoğunluğunu etkileyebilir. Bu çalışmada dental anksiyete, kuşak farklılıkları ve çeşitli demografik faktörler arasındaki ilişki araştırılmıştır.
Gereç ve Yöntemler: İstanbul'da Marmara Üniversitesi Ağız Diş ve Çene Cerrahisi Anabilim Dalı'nda dört kuşaktan (Baby Boomers, X Kuşağı, Y Kuşağı ve Z Kuşağı) 273 hastayı kapsayan kesitsel bir çalışma yürütülmüştür. Çalışma Türkçe olarak yürütülmüş ve uluslararası geçerliliği olan ölçüm araçları kullanılmıştır. Dental anksiyete, ağız sağlığı ile ilgili yaşam kalitesi (OHIP) ve çürük, eksik ve dolgulu diş (DMFT) verileri sırasıyla MDAS, OHIP-14 ve diş kayıtları kullanılarak değerlendirilmiştir.
Bulgular: Dental anksiyete ile nesil arasında anlamlı bir ilişki bulunmamıştır (F=0.16, p=0.92). Kadınların MDAS skorları erkeklerden daha yüksek olmakla birlikte (kadın M=11, SD=5.06; erkek M=9.83, SD=4.71), bu fark istatistiksel olarak anlamlı değildi (p=0.05). Eğitim düzeyi dental anksiyete üzerinde anlamlı bir etki göstermemiştir (p=0.22). MDAS ile yaş (r=0.02, p=0.70) ya da OHIP ile yaş (r=0.07, p=0.23) arasında anlamlı bir ilişki bulunmamıştır. Ancak, DMFT ile yaş arasında pozitif yönde anlamlı bir ilişki vardı (r=0.51, p<0.01). OHIP skorları kadınlarda (M=18.99, SD=12.4) erkeklerden (M=15.94, SD=9.95) anlamlı olarak daha yüksektir (p=0.03). DMFT skorları kuşak grupları arasında anlamlı farklılıklar göstermiş (F=26.9, p<0.01) ve bazı çiftler arasında anlamlı farklılıklar görülmüştür (tüm p-değerleri <0.05).
Sonuç: Çalışmada dental anksiyete ile kuşak arasında anlamlı bir bağlantı bulunmamıştır. Diğer demografik faktörlerin dental anksiyete üzerindeki etkisinin daha fazla araştırılması gerekmektedir.
Anahtar Kelimeler: Dental anksiyete, dental korku, kuşaklar

References

  • 1. Twenge JM, Campbell SM, Hoffman BJ, Lance CE. Generational differences in work values: Leisure and extrinsic values increasing, social and intrinsic values decreasing. Journal of management. 2010;36(5):1117-1142.
  • 2. Lamarca GD, Vettore MV, Monteiro da Silva AM. The influence of stress and anxiety on the expectation, perception, and memory of dental pain in schoolchildren. Dent J. 2018;6(4):60.
  • 3. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391-406.
  • 4. Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med. 2015;15(2):53-61.
  • 5. McNeil DW, Randall CL, Cohen LL, et al. Transmission of dental fear from parent to adolescent in an Appalachian sample in the USA. Int J Paediatr Dent. 2019;29(6):720-727.
  • 6. Pohjola V, Mattila AK, Joukamaa M, Lahti S. Anxiety and depressive disorders and dental fear among adults in Finland. Eur J Oral Sci. 2011;119(1):55-60.
  • 7. Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006;33(8):588-593.
  • 8. Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103(6):405-412.
  • 9. Nalci G, Alacam T, Altunkaynak B. Evaluation of the effectiveness of a mobile application in the management of dental anxiety: A randomised controlled trial. J Oral Rehabil. 2022;49(5):535-540.
  • 10. Czaja SJ, Charness N, Fisk AD, et al. Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychol Aging. 2006;21(2):333-352.
  • 11. Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999;78(3):790-796.
  • 12. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842-848.
  • 13. Bernson JM, Hallberg LR, Elfstrom ML, Hakeberg M. 'Making dental care possible: a mutual affair': a grounded theory relating to adult patients with dental fear and regular dental treatment. Eur J Oral Sci. 2011;119(5):373-380.
  • 14. Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013;58(4):390-407.
  • 15. Tunc EP, F irat D, O nur O D, S ar V. R eliability a nd v alidity of t he Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005;33(5):357-362.
  • 16. Mumcu G, Inanc N, Ergun T, et al. Oral health related quality of life is affected by disease activity in Behcet's disease. Oral Dis. 2006;12(2):145-151.
  • 17. Leimonis E, Koutra K. Social media use and mental health in young adults of Greece: a cross-sectional study. Clin Psychol Eur. 2022;4(2):e4621.
  • 18. Acharya S. Factors affecting dental anxiety and beliefs in an Indian population. J Oral Rehabil. 2008;35(4):259-267.
  • 19. Hagglin C, Berggren U, Hakeberg M, Hallstrom T, Bengtsson C. Variations in dental anxiety among middle-aged and elderly women in Sweden: a longitudinal study between 1968 and 1996. J Dent Res. 1999;78(10):1655-1661.
  • 20. Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res J (Isfahan). 2015;12(3):248- 253.
  • 21. Caltabiano ML, Croker F, Page L, et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018;18(1):48.
  • 22. Yuzugullu B, Gulsahi A, Celik C, Bulut S. Dental anxiety and fear: relationship with oral health behavior in a Turkish population. Int J Prosthodont. 2014;27(1):50-53.
  • 23. Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int. 2006;37(4):304-310.
  • 24. Jeddy N, Nithya S, Radhika T, Jeddy N. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. Indian J Dent Res. 2018;29(1):10-15.
  • 25. Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. J Int Soc Prev Community Dent. 2017;7(2):100-104.
  • 26. Stouthard ME, Hoogstraten J. Prevalence of dental anxiety in The Netherlands. Community Dent Oral Epidemiol. 1990;18(3):139- 142.
  • 27. Dobros K, Hajto-Bryk J, Wnek A, Zarzecka J, Rzepka D. The level of dental anxiety and dental status in adult patients. J Int Oral Health. 2014;6(3):11-14.
  • 28. Locker D, Shapiro D, Liddell A. Negative dental experiences and their relationship to dental anxiety. Community Dent Health. 1996;13(2):86-92.
  • 29. Khetawat D, Steele RG. Examining the association between digital stress components and psychological wellbeing: a metaanalysis. Clin Child Fam Psychol Rev. 2023;26(4):957-974.
  • 30. Kossioni AE. Baby boomers in Europe: demography, socioeconomic and health status, and oral health needs. Spec Care Dentist. 2023;43(3):304-312.

Generational Differences in Dental Anxiety and Associated Demographic Factors; A Cross-Sectional Study

Year 2025, Volume: 12 Issue: 2, 262 - 267, 22.08.2025
https://doi.org/10.15311/selcukdentj.1538731

Abstract

Abstract
Background: Dental anxiety remains a significant concern across various age groups. Differences in generational demographics may influence the prevalence of dental anxiety. This study investigated the relationship between dental anxiety, generational differences, and various demographic factors.
Methods: A cross-sectional study was conducted involving 273 patients across four generational groups (Baby Boomers, Generation X, Millennials, and Generation Z) at the Department of Oral and Maxillofacial Surgery at Marmara University in Istanbul, Turkey. The study was conducted in Turkish and utilized internationally validated measurement instruments. Dental anxiety, oral health-related quality of life (OHIP), and decayed, missing, and filled teeth (DMFT) data were assessed using MDAS, OHIP-14, and dental records, respectively.
Results: No significant correlation between dental anxiety and generation was found (F=0.16, p=0.92). While females exhibited higher MDAS scores than males (female M=11, SD=5.06; male M=9.83, SD=4.71), the difference was not statistically significant (p=0.05). Education level did not show a significant impact on dental anxiety (p=0.22). There was no significant association between MDAS and age (r=0.02, p=0.70) nor between OHIP and age (r=0.07, p=0.23). However, there was a significant positive association between DMFT and Age (r=0.51, p<0.01). OHIP scores were significantly higher for females (M=18.99, SD=12.4) than for males (M=15.94, SD=9.95) (p=0.03). DMFT scores varied significantly among generational groups (F=26.9, p<0.01), with certain pairs showing significant differences (all p-values < 0.05).
Conclusion: The study found no significant link between dental anxiety and generation. The impact of other demographic factors on dental anxiety needs further investigation.
Keywords: Dental anxiety, dental fear, generations

References

  • 1. Twenge JM, Campbell SM, Hoffman BJ, Lance CE. Generational differences in work values: Leisure and extrinsic values increasing, social and intrinsic values decreasing. Journal of management. 2010;36(5):1117-1142.
  • 2. Lamarca GD, Vettore MV, Monteiro da Silva AM. The influence of stress and anxiety on the expectation, perception, and memory of dental pain in schoolchildren. Dent J. 2018;6(4):60.
  • 3. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391-406.
  • 4. Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med. 2015;15(2):53-61.
  • 5. McNeil DW, Randall CL, Cohen LL, et al. Transmission of dental fear from parent to adolescent in an Appalachian sample in the USA. Int J Paediatr Dent. 2019;29(6):720-727.
  • 6. Pohjola V, Mattila AK, Joukamaa M, Lahti S. Anxiety and depressive disorders and dental fear among adults in Finland. Eur J Oral Sci. 2011;119(1):55-60.
  • 7. Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006;33(8):588-593.
  • 8. Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103(6):405-412.
  • 9. Nalci G, Alacam T, Altunkaynak B. Evaluation of the effectiveness of a mobile application in the management of dental anxiety: A randomised controlled trial. J Oral Rehabil. 2022;49(5):535-540.
  • 10. Czaja SJ, Charness N, Fisk AD, et al. Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychol Aging. 2006;21(2):333-352.
  • 11. Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999;78(3):790-796.
  • 12. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc. 1973;86(4):842-848.
  • 13. Bernson JM, Hallberg LR, Elfstrom ML, Hakeberg M. 'Making dental care possible: a mutual affair': a grounded theory relating to adult patients with dental fear and regular dental treatment. Eur J Oral Sci. 2011;119(5):373-380.
  • 14. Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013;58(4):390-407.
  • 15. Tunc EP, F irat D, O nur O D, S ar V. R eliability a nd v alidity of t he Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005;33(5):357-362.
  • 16. Mumcu G, Inanc N, Ergun T, et al. Oral health related quality of life is affected by disease activity in Behcet's disease. Oral Dis. 2006;12(2):145-151.
  • 17. Leimonis E, Koutra K. Social media use and mental health in young adults of Greece: a cross-sectional study. Clin Psychol Eur. 2022;4(2):e4621.
  • 18. Acharya S. Factors affecting dental anxiety and beliefs in an Indian population. J Oral Rehabil. 2008;35(4):259-267.
  • 19. Hagglin C, Berggren U, Hakeberg M, Hallstrom T, Bengtsson C. Variations in dental anxiety among middle-aged and elderly women in Sweden: a longitudinal study between 1968 and 1996. J Dent Res. 1999;78(10):1655-1661.
  • 20. Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res J (Isfahan). 2015;12(3):248- 253.
  • 21. Caltabiano ML, Croker F, Page L, et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018;18(1):48.
  • 22. Yuzugullu B, Gulsahi A, Celik C, Bulut S. Dental anxiety and fear: relationship with oral health behavior in a Turkish population. Int J Prosthodont. 2014;27(1):50-53.
  • 23. Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int. 2006;37(4):304-310.
  • 24. Jeddy N, Nithya S, Radhika T, Jeddy N. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. Indian J Dent Res. 2018;29(1):10-15.
  • 25. Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. J Int Soc Prev Community Dent. 2017;7(2):100-104.
  • 26. Stouthard ME, Hoogstraten J. Prevalence of dental anxiety in The Netherlands. Community Dent Oral Epidemiol. 1990;18(3):139- 142.
  • 27. Dobros K, Hajto-Bryk J, Wnek A, Zarzecka J, Rzepka D. The level of dental anxiety and dental status in adult patients. J Int Oral Health. 2014;6(3):11-14.
  • 28. Locker D, Shapiro D, Liddell A. Negative dental experiences and their relationship to dental anxiety. Community Dent Health. 1996;13(2):86-92.
  • 29. Khetawat D, Steele RG. Examining the association between digital stress components and psychological wellbeing: a metaanalysis. Clin Child Fam Psychol Rev. 2023;26(4):957-974.
  • 30. Kossioni AE. Baby boomers in Europe: demography, socioeconomic and health status, and oral health needs. Spec Care Dentist. 2023;43(3):304-312.
There are 30 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Surgery
Journal Section Research
Authors

Ferit Bayram 0000-0002-4395-4547

Sebiha Nihal Yılmaz 0000-0002-6906-1536

Burcu Öztürk 0000-0002-6729-1004

Gokhan Gocmen 0000-0003-0317-4308

Publication Date August 22, 2025
Submission Date August 29, 2024
Acceptance Date January 31, 2025
Published in Issue Year 2025 Volume: 12 Issue: 2

Cite

Vancouver Bayram F, Yılmaz SN, Öztürk B, Gocmen G. Generational Differences in Dental Anxiety and Associated Demographic Factors; A Cross-Sectional Study. Selcuk Dent J. 2025;12(2):262-7.