Prevalence of dental anxiety in relation to sociodemographic factors using two psychometric scales in Baghdad

Abstract

Background: In spite of advances in dentistry, anxiety about dental treatment and thefear of pain remains public health problem and is a significant impediment todental treatment. The purpose of this study was to assess the levels of dentalanxiety in patients who referred to Al-Mustansiriyah dental clinics and Al-ShiekhOmar specialized dental center in Baghdad and their relation to their gender, age,educational level.Materials and methods: The study was done on (800) patients, aged (20-59) years inBaghdad. The survey form was prepared and translated from English to Arabiclanguages by certified translator and were filled by patients themselves withoutany help from dentists. Patients with mental retarded, those who not havingcompleted the survey form and those below 20 years and above 59 years wereexcluded. The survey was divided into 3 parts (socio-demographic information,Modified dental anxiety scale (MDAS) and Dental fear survey (DFS).Results: The present study showed that females had higher anxiety (13.57, 47.38)than males (8.98, 37.75) for Modified dental anxiety scale and Dental fear surveyrespectively. The anxiety decreased with advance of age (12.31, 11.41, 10.89,10.45 for Modified dental anxiety scale and 43.10, 41.22, 38.69, 37.93 for Dentalfear survey) in groups (1,2,3,4) respectively. The anxiety decreased with advanceof teaching, so the uneducated patients had higher mean of anxiety (14.45, 48.59)while the postgraduate patients had lower anxiety (9.10, 36.30) for Modifieddental anxiety scale and Dental fear survey respectively than others. There washigh significant difference between males and females at P-value (≤ 0.01) for bothModified dental anxiety scale and Dental fear survey scales.Analysis of variance (ANOVA) test showed high significant difference among agegroups and among education level groups at P-value (≤ 0.01) for both Modifieddental anxiety scale and Dental fear survey scales. The higher percentage ofanxiety scales was appeared in minimal anxiety score in males (56%, 48%) inModified dental anxiety scale and Dental fear survey respectively, while lessorpercentage was appeared in very high anxiety score in males (5.1%, 5.5%) inModified dental anxiety scale and Dental fear survey respectively. Pearson'scorrelation coefficient (R) showed that there was a positive relationship betweengender and anxiety scales, with statistically high significant at P-value (≤ 0.01).While, there was inverse relationship between age and anxiety scales, and between education and anxiety scales with statistically high significant at P-value (≤ 0.01)for both relations.Conclusion: The females had higher rate of anxiety than males. The anxietydecreased with advance of age and education level of patients. There was a strong(positive) relationship between gender and anxiety. While, there was inverse(negative) relationship between anxiety with age and education.

State and Trait Anxiety Evaluation in Dental Patients

“…Age: We found that age had not have a significant relationship with dental anxiety which is in agreement with Wong and Reed Lytle [3], Rankin and Haris [26] and Arslan, et al [27]. In contrast, several studies have shown that younger patients are more anxious than older ones [11,20,28,29]. More specifically, Hamissi, et al [7] reported a significant relation between dental anxiety and age in Persian patients.…”

Dental anxiety and the effectiveness of local anesthesia

“…According to the results of the present study, there was a significant difference among the three groups of elementary education, high school, and university degrees in terms of mean dental anxiety. In this regard, subjects with primary education experienced a higher level of anxiety, compared to the other two groups, which is congruent with the results obtained by Saeed, Saatchi, et al, and Firat [43][44][45] . According to these studies, the level of dental anxiety decreased with increased literacy level.…”

<p>The influence of endodontic treatment on blood pressure reduction in patients with vital irreversible pulpitis</p>

“…The percentage reductions in BP were higher in males than in females at all visits but are not statistically significant, and this result agrees with Huang et al in 2017 6. This may be linked to the fact that females had greater average levels of anxiety than males 17,18. Therefore, the decreasing anxiety in males leads to activation of the PNS, which leads to a decrease in BP in males that is higher than that in females.…”

“…We chose patients whose ages ranged from 20–65 years because these ages represent the ages at which most patients undergo root canal treatment for maintaining their teeth. The 51–65 age group constituted 47% of the total sample, and this may be related to the fact that younger patients may have less time to go to endodontists and maintain their teeth; additionally, financial factors may form a barrier that prevents them from making endodontic visits, or it may be related to dental or endodontic anxiety 15–18…”