Impact of Dental Anxiety on the Dental Health Status of Nepali Adult Patients

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical and Experimental Dental Research Pub Date : 2024-11-11 DOI:10.1002/cre2.70034

Tanuja Singh, Tika R. Ghimire, Manoj Dhungana

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Abstract

Background

Patients with high dental anxiety are found to visit dental offices less frequently and have a higher number of severely diseased teeth so they are at a greater need for intensive oral care and rehabilitation.

Objectives

The aim of this study was to assess the prevalence of dental anxiety and its impact on the dental status of Nepali adult patients.

Material and Methods

A semi-structured questionnaire of the Modified Dental Anxiety Scale (MDAS) in the Nepali version was used for data collection. The data analysis was done using Statistical Package for Social Sciences (SPSS IBM, Chicago, IL, USA, version 24). Variables were calculated as frequency and percentage, while the comparisons of different factors were done using the ANOVA and t-test. A difference with p < 0.05 was considered statistically significant.

Results

The study population consisted of 446 subjects, among them 205 were male (45.96%), 241 were female (54.04%), 357 (80.04%) were married, and 222 (49.78%) were employed. The mean age of the patients was 41.24 years (ranging between 18 and 79 years). Only 41 subjects (9.19%) showed high dental anxiety (MDAS ≥ 19). The mean MDAS for the total study population was 10.81. The highest mean MDAS was seen in the age group 30–39 (11.78) and the lowest mean MDAS was seen in the age group 40–49 (9.64). While comparing dental anxiety among genders, dental anxiety was higher in females (mean MDAS = 11.78) compared to males (mean MDAS = 9.67). Patients having high dental anxiety had a significantly higher number of decayed teeth (p-value = 0.001, t-test).

Conclusion

Oral health and dental status both are negatively affected by dental anxiety. It interferes with dental attendance, service delivery, prevention of dental diseases, and early diagnosis. Thus, dental practitioners have a major role to play in the management of dental anxiety.

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牙科焦虑症对尼泊尔成年患者牙齿健康状况的影响。

背景：高度牙科焦虑的患者到牙科诊所就诊的频率较低，严重病变牙齿的数量较多，因此他们更需要强化口腔护理和康复：本研究旨在评估牙科焦虑症的普遍程度及其对尼泊尔成年患者牙齿状况的影响：采用尼泊尔语版的改良牙科焦虑量表（MDAS）半结构式问卷进行数据收集。数据分析采用社会科学统计软件包（SPSS IBM，美国伊利诺斯州芝加哥，第 24 版）。变量以频率和百分比计算，不同因素之间的比较采用方差分析和 t 检验。结果与 p 存在差异：研究对象共 446 人，其中男性 205 人（45.96%），女性 241 人（54.04%），已婚 357 人（80.04%），在职 222 人（49.78%）。患者的平均年龄为 41.24 岁（18 至 79 岁不等）。只有 41 名受试者（9.19%）表现出高度牙科焦虑（MDAS ≥ 19）。研究总人数的平均 MDAS 为 10.81。30-39 岁年龄组的平均 MDAS 值最高（11.78），40-49 岁年龄组的平均 MDAS 值最低（9.64）。在比较不同性别的牙科焦虑时，女性的牙科焦虑（平均 MDAS = 11.78）高于男性（平均 MDAS = 9.67）。高度牙齿焦虑的患者蛀牙数量明显较多（p 值 = 0.001，t 检验）：结论：口腔健康和牙齿状况都会受到牙科焦虑的负面影响。结论：口腔健康和牙齿状况都会受到牙科焦虑的负面影响，牙科焦虑会影响牙科就诊、服务提供、牙科疾病预防和早期诊断。因此，牙科医生在牙科焦虑症的管理中扮演着重要角色。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.