nach oben

Erschienen in:

11.10.2017 | Original Article

Dental anxiety and oral health-related quality of life in aggressive periodontitis patients

verfasst von: Liran Levin, Avraham Zini, Jonathan Levine, Maor Weiss, Ron A. Lev, Avihai Hai, Daniella Chebath-Taub, Galit Almoznino

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To measure dental anxiety levels and oral health-related qualities of life (OHRQoL) in patients with aggressive periodontitis (AgP) compared to controls and analyze their association with various demographic and clinical parameters.

Methods

Sixty consecutive patients with AgP were compared to 80 age- and sex-matched controls with no known history of periodontal disease. Collected data included demographics, smoking habits, numerical rating scale (NRS), Corah’s Dental Anxiety Scale (DAS) and Oral Health Impact Profile-14 (OHIP-14), DMFT index (Decayed, Missing and Filled Teeth), Plaque Index (PI), probing depth (PD), bleeding on probing (BOP), and radiographic bone loss.

Results

AgP patients exhibited statistically significant higher scores in the DAS total as well as sub-scores, except from DAS 1st question. Compared to the control group, AgP patients exhibited worse OHIP-14 global as well as in all individual OHIP-14 domains scores.

Among both AgP and control patients, the physical pain domain was where the highest impact was recorded, while the lowest impact was recorded in the functional limitation domain.

Conclusions

AgP patients were positively associated with higher levels of dental anxiety and worse OHRQoL. Self-perception of dental anxiety and OHRQoL should be regarded as an integral element in routine diagnostic work-up process of periodontal diseases.

Statement of Clinical Relevance

Aggressive periodontitis (AgP) patients exhibited higher dental anxiety levels and worse oral health-related quality of life (OHRQoL) compared to controls. Professionals should design strategies that will cope with the dental anxiety associated with the treatment and prevent decreases in OHRQoL.

Armitage GC (1999) Development of a classification system for periodontal diseases and conditions. Ann Periodontol 4(1):1–6. https://doi.org/10.1902/annals.1999.4.1.1 CrossRefPubMed

Albandar JM (2014) Aggressive periodontitis: case definition and diagnostic criteria. Periodontol 2000 65(1):13–26. https://doi.org/10.1111/prd.12014 CrossRefPubMed

Susin C, Haas AN, Albandar JM (2014) Epidemiology and demographics of aggressive periodontitis. Periodontol 2000 65(1):27–45. https://doi.org/10.1111/prd.12019 CrossRefPubMed

Levin L (2011) Aggressive periodontitis: the silent tooth killer. Alpha Omegan 104(3–4):74–78PubMed

Laine ML, Crielaard W, Loos BG (2012) Genetic susceptibility to periodontitis. Periodontol 58(1):37–68. https://doi.org/10.1111/j.1600-0757.2011.00415.x CrossRef

Levin L, Baev V, Lev R, Stabholz A, Ashkenazi M (2006) Aggressive periodontitis among young Israeli army personnel. J Periodontol 77(8):1392–1396. https://doi.org/10.1902/jop.2006.050323 CrossRefPubMed

Levin L, Einy S, Zigdon H, Aizenbud D, Machtei EE (2012) Guidelines for periodontal care and follow-up during orthodontic treatment in adolescents and young adults. J Appl Oral Sci 20(4):399–403CrossRefPubMedPubMedCentral

Silness J, Loe H (1964) Periodontal disease in pregnancy. Ii. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135CrossRefPubMed

Shibly O, Rifai S, Zambon JJ (1995) Supragingival dental plaque in the etiology of oral diseases. Periodontol 8:42–59CrossRef

10.

Christersson LA, Zambon JJ, Genco RJ (1991) Dental bacterial plaques. Nature and role in periodontal disease. J Clin Periodontol 18(6):441–446CrossRefPubMed

11.

Moulton R, Ewen S, Thieman W (1952) Emotional factors in periodontal disease. Oral Surg Oral Med Oral Pathol 5(8):833–860CrossRefPubMed

12.

Gupta OP (1966) Psychosomatic factors in periodontal disease. Dent Clin N Am:11–19

13.

Clarke NG, Hirsch RS (1995) Personal risk factors for generalized periodontitis. J Clin Periodontol 22(2):136–145CrossRefPubMed

14.

Johannsen A, Asberg M, Soder PO, Soder B (2005) Anxiety, gingival inflammation and periodontal disease in non-smokers and smokers—an epidemiological study. J Clin Periodontol 32(5):488–491. https://doi.org/10.1111/j.1600-051X.2005.00704.x CrossRefPubMed

15.

Corah NL (1969) Development of a dental anxiety scale. J Dent Res 48(4):596CrossRefPubMed

16.

Corah NL (1988) Dental anxiety. Assessment, reduction and increasing patient satisfaction. Dent Clin N Am 32(4):779–790PubMed

17.

Levin L, Eli I, Ashkenazi M (2006) Dental anxiety among young Israeli male adults as related to treatment received during childhood. J Public Health Dent 66(2):147–151CrossRefPubMed

18.

Almoznino G, Zini A, Aframian DJ, Kaufman E, Lvovsky A, Hadad A, Levin L (2014) Demographic profile, plaque index and DMFT scores of young individuals with dental anxiety and exaggerated gag reflex. Oral Health Prev Dent. https://doi.org/10.3290/j.ohpd.a32345

19.

Maggirias J, Locker D (2002) Five-year incidence of dental anxiety in an adult population. Community Dent Health 19(3):173–179PubMed

20.

Almoznino G, Zini A, Sharav Y, Yanko R, Lvovsky A, Aframian DJ (2016) Overlap between dental anxiety, gagging and blood-injection-injury related fears—a spectrum of one multidimensional phenomenon. Physiol Behav 165:231–238. https://doi.org/10.1016/j.physbeh.2016.07.021. S0031-9384(16)30586-8 [pii] CrossRefPubMed

21.

van Houtem CM, Aartman IH, Boomsma DI, Ligthart L, Visscher CM, de Jongh A (2013) Is dental phobia a blood-injection-injury phobia? Depress Anxiety. https://doi.org/10.1002/da.22168

22.

Kilic C, Ak S, Ak HB (2014) Anxiety sensitivity: another reason to separate dental fears from blood-injury fears? J Anxiety Disord 28(2):280–282. https://doi.org/10.1016/j.janxdis.2014.01.001 CrossRefPubMed

23.

Schierz O, John MT, Reissmann DR, Mehrstedt M, Szentpetery A (2008) Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res 17(6):857–866. https://doi.org/10.1007/s11136-008-9360-3 CrossRefPubMed

24.

Lin CS (2013) Pain catastrophizing in dental patients: implications for treatment management. J Am Dent Assoc 144(11):1244–1251CrossRefPubMed

25.

Boman UW, Lundgren J, Berggren U, Carlsson SG (2010) Psychosocial and dental factors in the maintenance of severe dental fear. Swed Dent J 34(3):121–127PubMed

26.

Berggren U, Meynert G (1984) Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 109(2):247–251CrossRefPubMed

27.

Kurer JR, Watts TL, Weinman J, Gower DB (1995) Psychological mood of regular dental attenders in relation to oral hygiene behaviour and gingival health. J Clin Periodontol 22(1):52–55CrossRefPubMed

28.

Monteiro da Silva AM, Newman HN, Oakley DA, O'Leary R (1998) Psychosocial factors, dental plaque levels and smoking in periodontitis patients. J Clin Periodontol 25(6):517–523CrossRefPubMed

29.

Fardal O, Johannessen AC, Linden GJ (2001) Pre-treatment conceptions of periodontal disease and treatment in periodontal referrals. J Clin Periodontol 28(8):790–795CrossRefPubMed

30.

Liu Y, Huang X, Yan Y, Lin H, Zhang J, Xuan D (2015) Dental fear and its possible relationship with periodontal status in Chinese adults: a preliminary study. BMC Oral Health 15:18. https://doi.org/10.1186/1472-6831-15-18 CrossRefPubMedPubMedCentral

31.

Fardal O, Hansen BF (2007) Interviewing self-reported highly anxious patients during periodontal treatment. J Periodontol 78(6):1037–1042. https://doi.org/10.1902/jop.2007.060407 CrossRefPubMed

32.

Guzeldemir E, Toygar HU, Cilasun U (2008) Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol 79(12):2247–2255. https://doi.org/10.1902/jop.2008.080152 CrossRefPubMed

33.

Delgado-Angulo EK, Sabbah W, Suominen AL, Vehkalahti MM, Knuuttila M, Partonen T, Nordblad A, Sheiham A, Watt RG, Tsakos G (2015) The association of depression and anxiety with dental caries and periodontal disease among Finnish adults. Community Dent Oral Epidemiol. https://doi.org/10.1111/cdoe.12179

34.

Khambaty T, Stewart JC (2013) Associations of depressive and anxiety disorders with periodontal disease prevalence in young adults: analysis of 1999-2004 National Health and Nutrition Examination Survey (NHANES) data. Ann Behav Med 45(3):393–397. https://doi.org/10.1007/s12160-013-9471-0 CrossRefPubMed

35.

Kressin NR, Reisine S, Spiro A 3rd, Jones JA (2001) Is negative affectivity associated with oral quality of life? Community Dent Oral Epidemiol 29(6):412–423CrossRefPubMed

36.

Sanders C, Egger M, Donovan J, Tallon D, Frankel S (1998) Reporting on quality of life in randomised controlled trials: bibliographic study. BMJ 317(7167):1191–1194CrossRefPubMedPubMedCentral

37.

Scott DL, Garrood T (2000) Quality of life measures: use and abuse. Baillieres Best Pract Res Clin Rheumatol 14(4):663–687. https://doi.org/10.1053/berh.2000.0106 CrossRefPubMed

38.

Chavers LS, Gilbert GH, Shelton BJ (2002) Racial and socioeconomic disparities in oral disadvantage, a measure of oral health-related quality of life: 24-month incidence. J Public Health Dent 62(3):140–147CrossRefPubMed

39.

Slade GD (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4):284–290CrossRefPubMed

40.

Slade GD, Spencer AJ (1994) Development and evaluation of the oral health impact profile. Community Dent Health 11(1):3–11PubMed

41.

Kushnir D, Zusman SP, Robinson PG (2004) Validation of a Hebrew version of the oral health impact profile 14. J Public Health Dent 64(2):71–75CrossRefPubMed

42.

Kressin NR, Spiro A 3rd, Atchison KA, Kazis L, Jones JA (2002) Is depressive symptomatology associated with worse oral functioning and well-being among older adults? J Public Health Dent 62(1):5–12CrossRefPubMed

43.

Ferreira MC, Dias-Pereira AC, Branco-de-Almeida LS, Martins CC, Paiva SM (2017) Impact of periodontal disease on quality of life: a systematic review. J Periodontal Res. https://doi.org/10.1111/jre.12436

44.

Eltas A, Uslu MO (2013) Evaluation of oral health-related quality-of-life in patients with generalized aggressive periodontitis. Acta Odontol Scand 71(3–4):547–552. https://doi.org/10.3109/00016357.2012.696698 CrossRefPubMed

45.

Araujo AC, Gusmao ES, Batista JE, Cimoes R (2010) Impact of periodontal disease on quality of life. Quintessence Int 41(6):e111–e118PubMed

46.

Abramson JH (2004) WINPEPI (PEPI-for-windows): computer programs for epidemiologists. Epidemiol Perspect Innov 1(1):6. https://doi.org/10.1186/1742-5573-1-6 CrossRefPubMedPubMedCentral

47.

Almoznino G, Aframian DJ, Sharav Y, Sheftel Y, Mirzabaev A, Zini A (2015) Lifestyle and dental attendance as predictors of oral health-related quality of life. Oral Dis 21(5):659–666. https://doi.org/10.1111/odi.12331 CrossRefPubMed

48.

American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of periodontal diseases and conditions (2015). J Periodontol 86 (7):835–838. https://doi.org/10.1902/jop.2015.157001

49.

Saito A, Kikuchi M, Ueshima F, Matsumoto S, Hayakawa H, Masuda H, Makiishi T (2009) Assessment of oral self-care in patients with periodontitis: a pilot study in a dental school clinic in Japan. BMC Oral Health 9:27. https://doi.org/10.1186/1472-6831-9-27 CrossRefPubMedPubMedCentral

50.

Meusel DR, Ramacciato JC, Motta RH, Brito Júnior RB, Flório FM (2015) Impact of the severity of chronic periodontal disease on quality of life. J Oral Sci 57(2):87–94. https://doi.org/10.2334/josnusd.57.87 CrossRefPubMed

51.

Loe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 21:533–551CrossRefPubMed

52.

Kingman A, Susin C, Albandar JM (2008) Effect of partial recording protocols on severity estimates of periodontal disease. J Clin Periodontol 35(8):659–667. https://doi.org/10.1111/j.1600-051X.2008.01243.x CrossRefPubMed

53.

Beltran-Aguilar ED, Eke PI, Thornton-Evans G, Petersen PE (2012) Recording and surveillance systems for periodontal diseases. Periodontol 60(1):40–53. https://doi.org/10.1111/j.1600-0757.2012.00446.x CrossRef

54.

Weinberg MA, Hassan H (2012) Bleeding on probing: what does it mean? Gen Dent 60(4):271–276 quiz page 277–278PubMed

55.

Breivik EK, Bjornsson GA, Skovlund E (2000) A comparison of pain rating scales by sampling from clinical trial data. Clin J Pain 16(1):22–28CrossRefPubMed

56.

dos Santos Calderon P, Peixoto RF, Gomes VM, da Mota Correa AS, de Alencar EN, Rossetti LM, Conti PC (2012) Concordance among different pain scales in patients with dental pain. J Orofac Pain 26(2):126–131PubMed

57.

Scott J, Huskisson EC (1976) Graphic representation of pain. Pain 2(2):175–184CrossRefPubMed

58.

Wide Boman U, Carlsson V, Westin M, Hakeberg M (2013) Psychological treatment of dental anxiety among adults: a systematic review. Eur J Oral Sci 121(3 Pt 2):225–234. https://doi.org/10.1111/eos.12032 CrossRefPubMed

59.

Corah NL, Gale EN, Illig SJ (1978) Assessment of a dental anxiety scale. J Am Dent Assoc 97(5):816–819CrossRefPubMed

60.

Schuurs AH, Duivenvoorden HJ, Thoden van Velzen SK, Verhage F, Makkes PC, Eijman MA (1985) Dimensionality of dental anxiety measurements. Community Dent Oral Epidemiol 13(3):152–155CrossRefPubMed

61.

Kim S, Lee YJ, Lee S, Moon HS, Chung MK (2013) Assessment of pain and anxiety following surgical placement of dental implants. Int J Oral Maxillofac Implants 28(2):531–535. 10.11607/jomi.2713 CrossRefPubMed

62.

Kirova DG, Atanasov DT, Lalabonova CK, Janevska S (2010) Dental anxiety in adults in Bulgaria. Folia Med (Plovdiv) 52(2):49–56

63.

Eli I, Uziel N, Baht R, Kleinhauz M (1997) Antecedents of dental anxiety: learned responses versus personality traits. Community Dent Oral Epidemiol 25(3):233–237CrossRefPubMed

64.

Eli I, Bar-Tal Y, Fuss Z, Silberg A (1997) Effect of intended treatment on anxiety and on reaction to electric pulp stimulation in dental patients. J Endod 23(11):694–697. https://doi.org/10.1016/S0099-2399(97)80404-9 CrossRefPubMed

65.

Kleinhauz M, Eli I, Baht R, Shamay D (1992) Correlates of success and failure in behavior therapy for dental fear. J Dent Res 71(11):1832–1835CrossRefPubMed

66.

Berggren U, Pierce CJ, Eli I (2000) Characteristics of adult dentally fearful individuals. A cross-cultural study. Eur J Oral Sci 108(4):268–274CrossRefPubMed

67.

Kaufman E, Rand RS, Gordon M, Cohen HS (1992) Dental anxiety and oral health in young Israeli male adults. Community Dent Health 9(2):125–132PubMed

68.

Humphris GM, Morrison T, Lindsay SJ (1995) The modified dental anxiety scale: validation and United Kingdom norms. Community Dent Health 12(3):143–150PubMed

69.

Ng SK, Leung WK (2006) Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol 34(2):114–122. https://doi.org/10.1111/j.1600-0528.2006.00267.x CrossRefPubMed

70.

Lawrence HP, Thomson WM, Broadbent JM, Poulton R (2008) Oral health-related quality of life in a birth cohort of 32-year olds. Community Dent Oral Epidemiol 36(4):305–316. https://doi.org/10.1111/j.1600-0528.2007.00395.x CrossRefPubMedPubMedCentral

71.

Baer PN (1971) The case for periodontosis as a clinical entity. J Periodontol 42(8):516–520. https://doi.org/10.1902/jop.1971.42.8.516 CrossRefPubMed

72.

Monteiro Mde F, Casati MZ, Taiete T, Vale HF, Nociti FH Jr, Sallum EA, Silverio KG, Casarin RC (2015) Periodontal clinical and microbiological characteristics in healthy versus generalized aggressive periodontitis families. J Clin Periodontol 42(10):914–921. https://doi.org/10.1111/jcpe.12459 CrossRefPubMed

73.

Cakmak O, Tasdemir Z, Aral CA, Dundar S, Koca HB (2016) Gingival crevicular fluid and saliva stress hormone levels in patients with chronic and aggressive periodontitis. J Clin Periodontol 43(12):1024–1031. https://doi.org/10.1111/jcpe.12614 CrossRefPubMed

74.

Iqbal PS, Khan SN, Haris M, Narayanan M, Laju S, Kumar SS (2015) Assessment of systemic inflammatory markers in patients with aggressive periodontitis. J Int Oral Health 7(Suppl 2):48–51PubMedPubMedCentral

75.

Susin C, Albandar JM (2005) Aggressive periodontitis in an urban population in southern Brazil. J Periodontol 76(3):468–475. https://doi.org/10.1902/jop.2005.76.3.468 CrossRefPubMed

76.

Borges Tde F, Regalo SC, Taba M Jr, Siessere S, Mestriner W Jr, Semprini M (2013) Changes in masticatory performance and quality of life in individuals with chronic periodontitis. J Periodontol 84(3):325–331. https://doi.org/10.1902/jop.2012.120069 CrossRefPubMed

77.

Ehrenthal JC, Graetz C, Plaumann A, Dorfer CE, Herzog W (2016) Number of teeth predict depressive symptoms in a longitudinal study on patients with periodontal disease. J Psychosom Res 89:16–19. https://doi.org/10.1016/j.jpsychores.2016.08.002 CrossRefPubMed

78.

Graetz C, Ehrenthal JC, Senf D, Semar K, Herzog W, Dorfer CE (2013) Influence of psychological attachment patterns on periodontal disease - a pilot study with 310 compliant patients. J Clin Periodontol 40(12):1087–1094. https://doi.org/10.1111/jcpe.12159 CrossRefPubMed

79.

McGrath C, Bedi R (1999) The value and use of 'quality of life’ measures in the primary dental care setting. Prim Dent Care 6(2):53–57PubMed

80.

Cunha-Cruz J, Hujoel PP, Kressin NR (2007) Oral health-related quality of life of periodontal patients. J Periodontal Res 42(2):169–176. https://doi.org/10.1111/j.1600-0765.2006.00930.x CrossRefPubMed

81.

Dahl KE, Wang NJ, Skau I, Ohrn K (2011) Oral health-related quality of life and associated factors in Norwegian adults. Acta Odontol Scand 69(4):208–214. https://doi.org/10.3109/00016357.2010.549502 CrossRefPubMed

82.

Yang SE, Park YG, Han K, Kim SY (2016) Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey: a population-based cohort study. Medicine (Baltimore) 95(35):e4707. https://doi.org/10.1097/MD.0000000000004707 CrossRef

Titel: Dental anxiety and oral health-related quality of life in aggressive periodontitis patients
verfasst von: Liran Levin
Avraham Zini
Jonathan Levine
Maor Weiss
Ron A. Lev
Avihai Hai
Daniella Chebath-Taub
Galit Almoznino
Publikationsdatum: 11.10.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2018
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2234-8

Neu im Fachgebiet Zahnmedizin

19.04.2024 | Vorhofflimmern | Nachrichten

Newsletter bestellen

Springer Medizin

Dental anxiety and oral health-related quality of life in aggressive periodontitis patients

Abstract

Objectives

Methods

Results

Conclusions

Statement of Clinical Relevance

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Statement of Clinical Relevance

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2018

Color adjustment potential of resin composites

A comparative study between traditional fixation with miniplates and modified lag screws for the treatment of mandibular fractures

Partial caries removal in deep caries lesions: a 5-year multicenter randomized controlled trial

Lymph node density as a prognostic predictor in patients with betel nut-related oral squamous cell carcinoma

Correction to: No difference between manual and different power toothbrushes with and without specific instructions in young, oral healthy adults—results of a randomized clinical trial

Effectiveness and predictability of titanium-prepared platelet-rich fibrin for the management of multiple gingival recessions

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter