Autoren

Mehrstedt, Mats

John, Mike T.

Tönnies, Sven

Micheelis, Wolfgang


Schlagwörter

Dental anxiety

Dental health

Quality of life

Publikation — Zeitschriftenbeiträge

Titel
Oral health-related quality of life in patients with dental anxiety

Titel kurz
Community Dent Oral Epidemiol

Titel Ausgeschrieben
Community Dentistry and Oral Epidemiology

ISSN
0301-5661 (Print); 0301-5661 (Linking)

Jahr
2007

Ausgabe
35

Issue
5

Seitenzahl
357-363

Erscheinungsdatum
01.10.2007

DOI
10.1111/j.1600-0528.2007.00376.x

Oral health-related quality of life in patients with dental anxiety

OBJECTIVES: To investigate the frequency of impaired oral health-related quality of life (OHRQoL) in patients with dental anxiety.

 

METHODS: OHRQoL was measured with the German version of the 14-item Oral Health Impact Profile (OHIP) developed by Slade and Spencer (1994) in 173 adult patients with dental anxiety [Dental Anxiety Scale (DAS) score 15 or above and Dental Fear Survey (DFS) score 60 or above]. The OHIP summary scores were characterized with an empirical cumulative distribution function and compared with the level of impaired OHRQoL in the general population (n = 2026, age: 16-79 years). In addition, OHIP item prevalences (responses 'fairly often'/'very often') were compared between patients and population subjects. The correlation between DAS, DFS and OHIP scores was calculated using the Pearson correlation coefficient.

 

RESULTS: A median value of 1 and a 90th percentile value of 13 were observed for general population subjects. In contrast, patients with phobic dental anxiety had a median OHIP-14 of 21 and the 90th percentile of 40. All problems mentioned in the OHIP-14 were more prevalent in patients than in population subjects. The most frequently occurring items in patients were 'self-conscious', 'life in general was less satisfying', and 'feeling tense' with prevalences of 50% or greater. In contrast, these items had prevalences of only 1-3% in the general population. A low to moderate relationship between OHRQoL and both dental anxiety measures (DAS and DFS) was observed (r = 0.25/0.26, P < 0.01).

 

CONCLUSIONS: Patients with dental anxiety/fear suffer considerably from impaired OHRQoL and the degree of this impairment is related to the extent of dental anxiety/fear.







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