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Aim: The aim of the study was to investigate levels of Dental Fear (DF) and Dental Anxiety (DA) among individuals awaiting appointments at the clinics of two courses in dentistry and determine the impact on oral health status and quality of life. Methods: An observational study was conducted with a sample of adult dental patients. Levels of DF and DA and the perception of quality of life were determined using questionnaires and periodontal data. Results: Among the 287 subjects, 71.4% were female, 7.3% were classified as very anxious and 16% were classified as anxious. Gender was significantly associated with DA (p = 0.001); 20% of the female volunteers and 6.1% of the males were classified as anxious. The frequency of moderate and extreme fear was 42.9% and was not significantly correlated with gender (p = 0.071). The prevalence of a negative impact from oral health status on quality of life (measured using the OHIP-14 scale) was 38.3% and income was significantly associated with this outcome (p = 0.000). Conclusion: Levels of DA and DF were substantial among the individuals analyzed. Women with a lower education were susceptible to anxiety. DA and DF were associated with periodontal status or impact on quality of life.References
Moore R, Birn H. [Phenomenon of dental fear]. Tandlaegebladet. 1990 Jan;94(2):34-41. Danish.
Chellappah NK, Vignehsa H, Milgrom P, Lam LG. Prevalence of dental anxiety and fear in children in Singapore. Community Dent Oral Epidemiol. 1990 Oct;18(5):269-71.
Weinstein P, Shimono T, Domoto P, Wohlers K, Matsumura S, Ohmura M, et al. Dental fear in Japan: Okayama Prefecture school study of adolescents and adults. Anesth Prog. 1992;39(6):215-20.
Schwarz E, Birn H. Dental anxiety in Danish and Chinese adults—a cross-cultural perspective. Soc Sci Med. 1995 Jul;41(1):123-30.
Ragnarsson E. Dental fear and anxiety in an adult Icelandic population. Acta Odontol Scand. 1998 Apr;56(2):100-4.
Armfield JM, Spencer AJ, Stewart JF. Dental fear in Australia: who's afraid of the dentist? Aust Dent J. 2006 Mar;51(1):78-85.]
Oosterink FM, de Jongh A, Hoogstraten J. Prevalence of dental fear and phobia relative to other fear and phobia subtypes. Eur J Oral Sci. 2009 Apr;117(2):135-43. doi: 10.1111/j.1600-0722.2008.00602.x.
do Nascimento DL, da Silva Araújo AC, Gusmão ES, Cimões R. Anxiety and fear of dental treatment among users of public health services. Oral Health Prev Dent. 2011;9(4):329-37.
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 (Isfahan). 2015 May-Jun;12(3):248-53.
Moore R, Brødsgaard I. Differential diagnosis of odontophobic patients using the DSM-IV. Eur J Oral Sci. 1995 Apr;103(2 (Pt 1)):121-6.
Quteish Taani DS. Dental anxiety and regularity of dental attendance in younger adults. J Oral Rehabil. 2002 Jun;29(6):604-8.
Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int. 2006 Apr;37(4):304-10.
Carter AE, Carter G, Boschen M, AlShwaimi E, George R. Pathways of fear and anxiety in dentistry: A review. World J Clin Cases. 2014 Nov 16;2(11):642-53. doi: 10.12998/wjcc.v2.i11.642.]
Lundgren J, Berggren U, Carlsson SG. Psychophysiological reactions in dental phobic patients with direct vs. indirect fear acquisition. J Behav Ther Exp Psychiatry. 2004 Mar;35(1):3-12.
Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007 Jan 14;7:1.
Armfield JM. What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance. Community Dent Oral Epidemiol. 2013 Jun;41(3):279-87. doi: 10.1111/cdoe.12005.
Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behav Res Ther. 1993 Sep;31(7):659-66.
Ragnarsson E. Dental fear and anxiety in an adult Icelandic population. Acta Odontol Scand. 1998 Apr;56(2):100-4.
Quteish Taani DS. Dental anxiety and regularity of dental attendance in younger adults. J Oral Rehabil. 2002 Jun;29(6):604-8.
Kanegane K, Penha SS, Borsatti MA, Rocha RG. [Dental anxiety in an emergency dental service]. Rev Saude Publica. 2003 Dec;37(6):786-92. Portuguese.
Ferreira CM, Gurgel-Filho ED, Bönecker-Valverde G, Moura EH, De Deus G, Coutinho-Filho T. [Dental anxiety: score, prevalence and behavior]. RBPS. 2004;17(2):51-5. Portuguese.
Sohn W, Ismail AI. Regular dental visits and dental anxiety in an adult dentate population. J Am Dent Assoc. 2005 Jan;136(1):58-66; quiz 90-1.
Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health. 2009 Aug 26;9:20. doi: 10.1186/1472-6831-9-20.
Arslan S, Erta E, Ülker M. The relationship between dental fear and sociodemographic variables. Erciyes Med J. 2011 Jan;33(4):295–300.
Esa R, Savithri V, Humphris G, Freeman R. The relationship between dental anxiety and dental decay experience in antenatal mothers. Eur J Oral Sci. 2010 Feb;118(1):59-65. doi: 10.1111/j.1600-0722.2009.00701.x.
Leão ATT, Sheiham A. The dental impact on daily living. In: Slade GD, editor. Measuring oral health and quality of live. Chapel Hill, NC: University of North Carolina; 1997.
Alvarenga FAS, Henriques C, Takatsui F, Montandon AAB, Telarolli Júnior R, Monteiro ALCC, et al. Oral health impact profile in the quality of life of patients over 50 years old of two public institutions of Araraquara city]. Rev Odontol UNESP. 2011;40(3):118-24.
Mehrstedt M, Tönnies S, Eisentraut I. Dental fears, health status, and quality of life. Anesth Prog. 2004;51(3):90-4.
Bowling A. Mode of questionnaire administration can have serious effects on data quality. J Public Health (Oxf). 2005 Sep;27(3):281-91.
Corah NL. Development of a dental anxiety scale. J Dent Res. 1969 Jul-Aug;48(4):596.
Rosa AL, Ferreira CM. [Dental anxiety: the anxiety level, prevalence and behaviour of anxious individuals]. Rev Bras Odontol. 1997;54(3):171-4. Portuguese.
Kaakko T, Getz T, Martin MD. Dental anxiety among new patients attending a dental school emergency clinic. J Dent Educ. 1999 Oct;63(10):748-52.
Haugejorden O, Klock KS. Avoidance of dental visits: the predictive validity of three dental anxiety scales. Acta Odontol Scand. 2000 Dec;58(6):255-9.
Kleinknecht AR, Medeiros JA, Pereira A, Ponciano E, Lopes PN. [Dental anxiety psychometrics: evaluation of the psychometric characteristics of a Portuguese version of the Dental Fear Survey]. Rev Port Estomatol Med Dent Cirur Maxilofacial. 2004;45(3):133-46. Portuguese.
Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dent Health. 1995 Sep;12(3):143-50.
Gatchel RJ. The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. J Am Dent Assoc. 1989 May;118(5):591-3.
Hu LW, Gorenstein C, Fuentes D. Portuguese version of Corah's Dental Anxiety Scale: transcultural adaptation and reliability analysis. Depress Anxiety. 2007;24(7):467-71..
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994 Mar;11(1):3-11.
Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004 Jun;31(6):454-7.
Ng SK, Leung WK. Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol. 2006 Apr;34(2):114-22.
Araújo AC, Gusmão ES, Batista JE, Cimões R. Impact of periodontal disease on quality of life. Quintessence Int. 2010 Jun;41(6):e111-8.
Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997 Aug;25(4):284-90.
Wong MC, Lo EC, McMillan AS. Validation of a Chinese version of the Oral Health Impact Profile (OHIP). Community Dent Oral Epidemiol. 2002 Dec;30(6):423-30.
Silva PSB. Oral health and quality of life an elderly group of Araçatuba - SP: use Oral Health Impact Profile (OHIP-14), and characterization of the social-economic of interviewees. Araçatuba Dental School, UNESP; 2000.
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol. 2005 Aug;33(4):307-14.
Lima ALO, Albuquerque VWTA, Silvam JIBW, Peixoto FB, Ferreira SMS. [Perception on oral health of women living with HIV/AIDS]. Rev Semente. 2011;6(6):117-30. Portuguese.
Biazevic MG, Rissotto RR, Michel-Crosato E, Mendes LA, Mendes MO. Relationship between oral health and its impact on quality of life among adolescents. Braz Oral Res. 2008 Jan-Mar;22(1):36-42.
Allen PF, Locker D. Do item weights matter? An assessment using the oral health impact profile. Community Dent Health. 1997 Sep;14(3):133-8.
Figueiredo A, Soares S, Lopes H, dos Santos JN, Ramalho LM, Cangussu MC, et al. Destructive periodontal disease in adult Indians from Northeast Brazil: cross-sectional study of prevalence and risk indicators. J Clin Periodontol. 2013 Nov;40(11):1001-6. doi: 10.1111/jcpe.12147.
Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975 Dec;25(4):229-35.
American Academy of Periodontology (AAP). Parameters of care. J.Periodontol. 2000 May;71(5 Suppl):847-83.
Peretz B, Moshonov J. Dental anxiety among patients undergoing endodontic treatment. J Endod. 1998 Jun;24(6):435-7.
Tunc EP, Firat D, Onur OD, Sar V. Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol. 2005 Oct;33(5):357-62.
Lopes MWF, Gusmão ES, de Vasconcelos Alves R, Cimões R. The impact of chronic periodontitis on quality of life in Brazilian subjects. Acta Stomatol Croat. 2009 Jan;43(2):89-98.
Meusel DR, Ramacciato JC, Motta RH, Brito Júnior RB, Flório FM. Impact of the severity of chronic periodontal disease on quality of life. J Oral Sci. 2015 Jun;57(2):87-94. doi: 10.2334/josnusd.57.87.
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