Mukogingival Cerrahi Tedavi Uygulanacak Hastalarda Farkındalığın Dental Anksiyete Düzeyine Etkisi
Yıl 2022,
Cilt: 3 Sayı: 2, 1 - 9, 31.12.2022
Kübra Eskin
,
Büşra Sümeyye Kavut
Elif Töre Sari
,
Yasemin Beliz Önder
,
Nazlı Zeynep Alpaslan
Öz
Anksiyete, tehdit edici uyaranlarla fiili olarak karşılaşmadan önce hissedilen duygusal bir durumdur. Diş hekimine ve diş tedavisine yönelik korku ve kaygı, tedaviden kaçınmaya sebep olabilen önemli bir faktördür. Tedavi, operasyon veya hastalık farkındalığının da anksiyete düzeyini etkileyebileceği düşünülmüştür. Bu çalışmanın amacı mukogingival cerrahi tedavi uygulanacak hastaların işlem öncesi operasyona dair anksiyetelerinin değerlendirilmesi ve periodontal hastalık farkındalıklarının anksiyete düzeyine etkisinin değerlendirilmesidir. Bu kesitsel çalışmaya 18-65 yaş arası 100 katılımcı dahil edilmiştir. Gönüllü olan katılımcılara 2 bölümden oluşan farkındalık ve anksiyetenin değerlendirildiği bir anket dağıtılmıştır. İstatistiksel analiz için Student’s-t testi kullanılmıştır. Farkındalığa sahip olan hastaların dental anksiyete puanı ortalama 10,83’ tür. Farkındalığa sahip olmayan hastaların dental anksiyete puanı ortalama 11,71’dir. Periodontal farkındalığa göre dental anksiyete değerleri arasında istatistiksel olarak anlamlı fark yoktur (p:0,419). Çalışmaya dahil olan hastaların yarısından fazlası periodontal hastalığın farkındadır. Farkındalığa sahip olanlarda daha yüksek olmakla birlikte, tüm popülasyonda en fazla görülen şikâyet diş eti/diş hassasiyetidir. Dental anksiyete, periodontal farkındalığa sahip olmayan hastalarda oransal olarak daha fazla bulunmuştur. Örneklem büyüklüğü daha fazla olan çalışmalarda ve farkındalığın artması ile daha etkili sonuçlara ulaşılabileceği düşünülmektedir.
Kaynakça
- 1. Berggren U, Hakeberg M, Carlsson SG. No differences could be demonstrated between relaxation therapy and cognitive therapy for dental fear. J. Evid. Based Dent. Pract. 2001;1(2):117-8.
- 2. Güzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol. 2008;79(12):2247-55.
- 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.Pohjola V, Lahti S, Vehkalahti MM, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adults in Finland. Acta Odontol Scand. 2007;65(4):224-30.
- 5. Agras S, Sylvester D, Oliveau D. The epidemiology of common fears and phobia. Compr Psychiatry. 1969;10(2):151-6.
- 6. Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, Cattano D. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. 2018;84(11):1307-17.
- 7. Hill KB, Chadwick B, Freeman R, O'Sullivan I, Murray JJ. Adult Dental Health Survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Br Dent J. 2013;214(1):25-32.
- 8. Seeman K, Molin C. Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA). Behav Res Ther. 1976;54(2):81-91.
- 9. Benjamins C, Schuurs AHB, And TK. Self-reported and physiologically measured dental anxiety, coping styles and personality traits. Acta Psychiatr Scand. 1996;9(2):151-62.
- 10. Oosterink FMD, de Jongh A, Aartman IHA. What are people afraid of during dental treatment? Anxiety-provoking capacity of 67 stimuli characteristic of the dental setting. Eur J Oral Sci. 2008;116(1):44-51.
- 11. Beaton L, Freeman R, Humphris G. Why Are People Afraid of the Dentist? Observations and Explanations. Med Princ. 2014;23(4):295-301.
- 12. Keith DJ, Rinchuse DJ, Kennedy M, Zullo T. Effect of text message follow-up on patient’s self-reported level of pain and anxiety. Angle Orthod. 2013;83(4):605-10.
- 13. 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. 2015;12(3):248-53.
- 14. Appukuttan D, Subramanian S, Tadepalli A, Damodaran LK. Dental anxiety among adults: an epidemiological study in South India. North Am J Med Sci. 2015;7(1):13-8.
- 15. Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent. 2010;8(2):107-15.
- 16. Armfield JM. A comparison of three continuous scales used to determine the prevalence of clinically significant dental fear. Community Dent Oral Epidemiol. 2011;39(6):554-63.
- 17. Humphris G, Crawford JR, Hill K, Gilbert A, Freeman R. UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results. BMC Oral Health. 2013;13:29.
- 18. Bilgin Çetı̇n M, Sezgı̇n Y. Periodontal Hastalık Öz Farkındalığının ve Potansiyel İlişkili Faktörlerin Değerlendirilmesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi 2020;11(4):407-15.
- 19. Şen DÖ, Yarkac FU, Öncü E. Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Kliniğine Başvuran Hastalarda Periodontal Hastalık Farkındalığı. Selcuk Dent. J. 2021;8(2):280-7.
- 20. Lin HC, Wong MC, Wang ZJ, Lo EC. Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res. 2001;80(5):1466-70.
- 21. Newman MG, Takei H, Klokkevold PR, vd. Newman and Carranza's Clinical periodontology E-book. Elsevier Health Sciences 2018.
- 22. Fisher J, Selikowitz HS, Mathur M, Varenne B. Strengthening oral health for universal health coverage. Lancet 2018;392(10151):899–901.
- 23. Imber JC, Kasaj A. Treatment of Gingival Recession: When and How? Int Dent J. 2021;71(3):178-87.
- 24. Dailey Y, Humphris GM, Lennon M. The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners. Br Dent J. 2001;190(8):450-3.
- 25. Humphris GM, Morrison T, Lindsay SJE. The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent Health. 1995;12(3):143-50.
- 26.Yılmaz B, Gökçe Aykol Şahin GA, Başer Ü, Yalçın F, Onan U. İstanbul Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hastalarda periodontal hastalık farkındalığı. Yeditepe Üniversitesi Diş Hekimliği Fakültesi Dergisi 2016;12(3):29-34.
- 27. Brady WF. Periodontal disease awareness. J Am Dent Assoc. 1939;109(5):706-10.
- 28. Luo H, Wu B. Self-awareness of “gum disease” among US adults. J Public Health Manag Pract. 2017;23(2):1-7.
- 29. Varela-Centelles P, Diz-Iglesias P, Estany-Gestal A, Seoane-Romero JM, Bugarín-González R, Seoane J. Periodontitis awareness amongst the general public: a critical systematic review to identify gaps of knowledge. J Periodontol. 2016;87(4):403-15.
- 30. Nisanci Yilmaz MN, Bulut S, Bakirarar B. Impact of stage-grade of periodontitis and self-reported symptoms on oral health-related quality of life. Int J Dent Hyg. 2022;20(2):291-300.
- 31. Ozsin Ozler C, Dalgara T, Sozen Sahne B, Yegenoglu S, Dilek Turgut M, Baydar T, Uzamis Tekciceka M. Oral Care Habits, Awareness and Knowledge on Oral Health: A Sample of Pharmacy Students. Am J Pharm Educ. 2022:9104.
- 32. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol. 2018;89:74-84.
- 33. Kalhan AC, Wong ML, Allen F, Gao X. Periodontal disease and systemic health: An update for medical practitioners. Ann Acad Med Singap. 2022;51(9):567-574.
- 34. Peng X, Cheng L, You Y, Tang C, Ren B, Li Y, Xu X, Zhou X. Oral microbiota in human systematic diseases. Int J Oral Sci. 2022;14(1):14.
The Effect Of Awareness On The Level Of Dental Anxiety In Patients To Be Applied Mucogingival Surgery
Yıl 2022,
Cilt: 3 Sayı: 2, 1 - 9, 31.12.2022
Kübra Eskin
,
Büşra Sümeyye Kavut
Elif Töre Sari
,
Yasemin Beliz Önder
,
Nazlı Zeynep Alpaslan
Öz
Anxiety is an emotional state felt before actually encountering threatening stimuli. Fear and anxiety towards the dentist and dental treatment is an important factor that can lead to avoidance of treatment. It was thought that awareness of treatment, operation or disease may also affect the level of anxiety. The aim of this study is to evaluate the pre-operational anxiety of the patients who will undergo mucogingival surgical treatment and to evaluate the effect of periodontal disease awareness on the anxiety level. 100 participants aged 18-65 years were included in this cross-sectional study. A questionnaire consisting of 2 parts, evaluating awareness and anxiety, was distributed to the volunteers. Student's-t test was used for statistical analysis. The average dental anxiety score of patients with awareness’s 10.83. The average dental anxiety score of patients who don’t have awareness is 11.71. There’s no statistically significant difference between dental anxiety values according to periodontal awareness(p:0.419). More than half of the patients included in the study are aware of periodontal disease. Although it’s higher in those with awareness, the most common complaint is gingival/tooth sensitivity. Dental anxiety was found to be proportionally higher in patients who didn’t have periodontal awareness. It’s thought that more effective results can be achieved in studies with larger sample sizes and with increased awareness.
Kaynakça
- 1. Berggren U, Hakeberg M, Carlsson SG. No differences could be demonstrated between relaxation therapy and cognitive therapy for dental fear. J. Evid. Based Dent. Pract. 2001;1(2):117-8.
- 2. Güzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol. 2008;79(12):2247-55.
- 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.Pohjola V, Lahti S, Vehkalahti MM, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adults in Finland. Acta Odontol Scand. 2007;65(4):224-30.
- 5. Agras S, Sylvester D, Oliveau D. The epidemiology of common fears and phobia. Compr Psychiatry. 1969;10(2):151-6.
- 6. Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, Cattano D. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. 2018;84(11):1307-17.
- 7. Hill KB, Chadwick B, Freeman R, O'Sullivan I, Murray JJ. Adult Dental Health Survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Br Dent J. 2013;214(1):25-32.
- 8. Seeman K, Molin C. Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA). Behav Res Ther. 1976;54(2):81-91.
- 9. Benjamins C, Schuurs AHB, And TK. Self-reported and physiologically measured dental anxiety, coping styles and personality traits. Acta Psychiatr Scand. 1996;9(2):151-62.
- 10. Oosterink FMD, de Jongh A, Aartman IHA. What are people afraid of during dental treatment? Anxiety-provoking capacity of 67 stimuli characteristic of the dental setting. Eur J Oral Sci. 2008;116(1):44-51.
- 11. Beaton L, Freeman R, Humphris G. Why Are People Afraid of the Dentist? Observations and Explanations. Med Princ. 2014;23(4):295-301.
- 12. Keith DJ, Rinchuse DJ, Kennedy M, Zullo T. Effect of text message follow-up on patient’s self-reported level of pain and anxiety. Angle Orthod. 2013;83(4):605-10.
- 13. 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. 2015;12(3):248-53.
- 14. Appukuttan D, Subramanian S, Tadepalli A, Damodaran LK. Dental anxiety among adults: an epidemiological study in South India. North Am J Med Sci. 2015;7(1):13-8.
- 15. Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent. 2010;8(2):107-15.
- 16. Armfield JM. A comparison of three continuous scales used to determine the prevalence of clinically significant dental fear. Community Dent Oral Epidemiol. 2011;39(6):554-63.
- 17. Humphris G, Crawford JR, Hill K, Gilbert A, Freeman R. UK population norms for the modified dental anxiety scale with percentile calculator: adult dental health survey 2009 results. BMC Oral Health. 2013;13:29.
- 18. Bilgin Çetı̇n M, Sezgı̇n Y. Periodontal Hastalık Öz Farkındalığının ve Potansiyel İlişkili Faktörlerin Değerlendirilmesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi 2020;11(4):407-15.
- 19. Şen DÖ, Yarkac FU, Öncü E. Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Kliniğine Başvuran Hastalarda Periodontal Hastalık Farkındalığı. Selcuk Dent. J. 2021;8(2):280-7.
- 20. Lin HC, Wong MC, Wang ZJ, Lo EC. Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res. 2001;80(5):1466-70.
- 21. Newman MG, Takei H, Klokkevold PR, vd. Newman and Carranza's Clinical periodontology E-book. Elsevier Health Sciences 2018.
- 22. Fisher J, Selikowitz HS, Mathur M, Varenne B. Strengthening oral health for universal health coverage. Lancet 2018;392(10151):899–901.
- 23. Imber JC, Kasaj A. Treatment of Gingival Recession: When and How? Int Dent J. 2021;71(3):178-87.
- 24. Dailey Y, Humphris GM, Lennon M. The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners. Br Dent J. 2001;190(8):450-3.
- 25. Humphris GM, Morrison T, Lindsay SJE. The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent Health. 1995;12(3):143-50.
- 26.Yılmaz B, Gökçe Aykol Şahin GA, Başer Ü, Yalçın F, Onan U. İstanbul Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hastalarda periodontal hastalık farkındalığı. Yeditepe Üniversitesi Diş Hekimliği Fakültesi Dergisi 2016;12(3):29-34.
- 27. Brady WF. Periodontal disease awareness. J Am Dent Assoc. 1939;109(5):706-10.
- 28. Luo H, Wu B. Self-awareness of “gum disease” among US adults. J Public Health Manag Pract. 2017;23(2):1-7.
- 29. Varela-Centelles P, Diz-Iglesias P, Estany-Gestal A, Seoane-Romero JM, Bugarín-González R, Seoane J. Periodontitis awareness amongst the general public: a critical systematic review to identify gaps of knowledge. J Periodontol. 2016;87(4):403-15.
- 30. Nisanci Yilmaz MN, Bulut S, Bakirarar B. Impact of stage-grade of periodontitis and self-reported symptoms on oral health-related quality of life. Int J Dent Hyg. 2022;20(2):291-300.
- 31. Ozsin Ozler C, Dalgara T, Sozen Sahne B, Yegenoglu S, Dilek Turgut M, Baydar T, Uzamis Tekciceka M. Oral Care Habits, Awareness and Knowledge on Oral Health: A Sample of Pharmacy Students. Am J Pharm Educ. 2022:9104.
- 32. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Periodontol. 2018;89:74-84.
- 33. Kalhan AC, Wong ML, Allen F, Gao X. Periodontal disease and systemic health: An update for medical practitioners. Ann Acad Med Singap. 2022;51(9):567-574.
- 34. Peng X, Cheng L, You Y, Tang C, Ren B, Li Y, Xu X, Zhou X. Oral microbiota in human systematic diseases. Int J Oral Sci. 2022;14(1):14.