Factors associated with dental anxiety and attendance in middle‐aged and elderly women

Abstract

U: Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol 2000; 28: 451-60. C Munksgaard, 2000 Abstract -The aim of this study was to analyze the association between dental anxiety, dental attendance, health status and social factors. Our previous studies have shown that dental anxiety declines with age and is associated with poor oral health. In addition, correlations between dental anxiety, dental utilization and dental status have been revealed. However, the association of these factors with general health and social factors has not been analyzed in our previous studies. In a study of women's health in Gö teborg, Sweden in 1992, 1017 urban women aged 38 to 84 years took part in a series of investigations including clinical examinations, interviews and questionnaires. In addition to descriptive and simple inference statistics, a two-part multiple logistic regression model was utilized to investigate dental anxiety and dental utilization. Dental fear was less prevalent among older women, dentate or not, although 10% of females 62 years of age and older still reported high dental anxiety (DASØ12). 94% of the younger (AE62 yr) and 76% of the older (Ø70 yr) women reported regular dental attendance. When separating all women into dentate and edentulous groups, 94% of the dentate and 11% of the edentulous respondents reported regular dental care. Due to the large difference in dental attendance between dentate and edentulous women, these groups were analyzed separately. Multiple logistic regression analyses showed that the following factors were associated with irregular dental utilization among dentate women: high dental anxiety, fewer teeth and restorations, more caries, poorer chewing ability and dissatisfaction with dental esthetics. In the multiple regres-Key words: dental anxiety; dental attendance; sion for dental anxiety, high fear was shown to be associated with irregular dental elderly women; epidemiology; oral state; SF-36 care, age (younger), fewer teeth, dissatisfaction with dental esthetics and lower scores on the SF-36 mental health scale. A separate analysis showed that individ-Catharina Hägglin, Department of Endodontology/Oral Diagnosis, Faculty of uals with high fear and regular, as opposed to irregular, dental attendance had Odontology, Gö teborg University, Box 450,

The Level of Anxiety and Pain Perception of Endodontic Patients

“…Unatoč napretku u obavljanju stomatoloških zahvata i metodama kontrole boli, većina pacijenata opisuje posjet dentalnom liječniku kao bolno i neugodno iskustvo (12,13,14).…”

“…Istraživanje koje se bavilo upravo dentalnim strahom kod žena pokazalo je povećanje srčane frekvencije čak 24 sata prije dogovorenoga termina. Ova skupina imala je prividno manji broj ispuna (zbog manjega broja zuba) i veću učestalost karijesa u odnosu na žene bez dentalnoga straha (12). Učestalost odlaska stomatologu bitno je manja kod anksioznih pacijenata.…”

“…Učestalost odlaska stomatologu bitno je manja kod anksioznih pacijenata. Osim toga, skloni su izgovorima radi izbjegavanja dogovorenog termina (5,12).…”

“…Despite the progress in the way of conducting dental procedures and methods of pain control, most patients describe a visit to the dentist as a painful and unpleasant experience (12)(13)(14).…”

6-12 Yaş Grubu Çocuklarda Di̇ş Heki̇mi̇ni̇n Diş Görünüşünün Dental Korku Ve Di̇ş Çürüğü İle İli̇şki̇si̇ni̇n Değerlendi̇ri̇lmesi̇

“…Diş hekimliği k orkusu ile daha az diş hekimine gitme, kötü ağız bakımı ve ciddi düzeyde fonksiyonel bozukluklar arasında bir ilişki olduğu belirlenmiştir. Yapılan çalışmalarda anksiyete varlığının diş hekimi ziyaretlerinin sayı ve düzenini değiştirdiği ve anksiye tik hastaların diş hekimi ziyaret sayısını azaltmaya veya ertelemeye yönelik isteklerini bildirdikleri ortaya konulmuştur (34,38,39). Schuller ve arkadaşlarının (35) yaptıkları bir çalışmada , diş hekimi korku düzeyi yüksek olan bireylerin diş hekimini d aha az ziyaret ettikleri ve randevularını daha fazla erteledikleri veya iptal ettikleri rapor edilmiştir.…”