Impact of non-surgical periodontal treatment on dental anxiety: A comparative study on patients with periodontitis

IF 3.4 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Dental Sciences Pub Date : 2024-07-01 DOI:10.1016/j.jds.2024.04.018
Jun-Chin Tu , Cheng-Yang Chiang , Hsien-Chung Chiu , Fu-Gong Lin , I-Shiang Tzeng , Earl Fu
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Abstract

Background/purpose

Dental anxiety is prevalent and may result in the avoidance of periodontal therapy and maintenance. This study aimed to explore the impact of non-surgical periodontal treatment (NSPT) on dental anxiety among patients with periodontitis.

Materials and methods

In this study, 122 patients with periodontitis participated. The Chinese version of the Modified Dental Anxiety Scale (MDAS) gauged baseline dental anxiety during the initial appointment. Patients receiving non-surgical periodontal treatment (NSPT) in subsequent appointments formed the NSPT group, while those with a delayed NSPT of at least two months constituted the delayed group. In the NSPT group, the second termination questionnaire was administered one month post the last NSPT visit, just before the periodontal re-evaluation. In the delayed group, the second questionnaire was completed before the delayed NSPT initiation.

Results

Baseline MDAS scores were comparable between the delay and NSPT groups. However, the NSPT group exhibited lower total scores and scores for each of the five MDAS items at termination compared with the delay group. At baseline, MDAS total scores were inversely associated with age and were lower in males. A reduction in MDAS total scores between observation points was correlated with NSPT, sex, and age after adjustment. Regarding MDAS item 4 (teeth scaled/polished), score reduction consistently correlated with NSPT and age.

Conclusion

Participation in NSPT may alleviate dental anxiety, and consequently enhance the patients' conceptiveness to undergo periodontal maintenance or surgery.

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非手术牙周治疗对牙科焦虑的影响:牙周炎患者比较研究
背景/目的牙科焦虑很普遍,可能会导致患者逃避牙周治疗和维护。本研究旨在探讨非手术牙周治疗(NSPT)对牙周炎患者牙科焦虑的影响。中文版改良牙科焦虑量表(MDAS)用于测量初次就诊时的牙科焦虑基线。在随后的就诊中接受非手术牙周治疗(NSPT)的患者组成NSPT组,而延迟至少两个月接受NSPT的患者组成延迟组。在 NSPT 组中,第二份终止问卷是在最后一次 NSPT 就诊一个月后,也就是牙周重新评估之前发放的。结果延迟组和 NSPT 组的 MDAS 基线得分相当。然而,与延迟组相比,NSPT 组在终止时的 MDAS 总分和五个项目中每个项目的得分都较低。基线时,MDAS 总分与年龄成反比,男性较低。经调整后,观察点之间 MDAS 总分的降低与 NSPT、性别和年龄相关。结论参加 NSPT 可减轻牙科焦虑,从而增强患者接受牙周维护或手术的观念。
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来源期刊
Journal of Dental Sciences
Journal of Dental Sciences 医学-牙科与口腔外科
CiteScore
5.10
自引率
14.30%
发文量
348
审稿时长
6 days
期刊介绍: he Journal of Dental Sciences (JDS), published quarterly, is the official and open access publication of the Association for Dental Sciences of the Republic of China (ADS-ROC). The precedent journal of the JDS is the Chinese Dental Journal (CDJ) which had already been covered by MEDLINE in 1988. As the CDJ continued to prove its importance in the region, the ADS-ROC decided to move to the international community by publishing an English journal. Hence, the birth of the JDS in 2006. The JDS is indexed in the SCI Expanded since 2008. It is also indexed in Scopus, and EMCare, ScienceDirect, SIIC Data Bases. The topics covered by the JDS include all fields of basic and clinical dentistry. Some manuscripts focusing on the study of certain endemic diseases such as dental caries and periodontal diseases in particular regions of any country as well as oral pre-cancers, oral cancers, and oral submucous fibrosis related to betel nut chewing habit are also considered for publication. Besides, the JDS also publishes articles about the efficacy of a new treatment modality on oral verrucous hyperplasia or early oral squamous cell carcinoma.
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