Ansiedad dental antes del primer paso y después del segundo paso del tratamiento de la periodontitis
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https://doi.org/10.17533/udea.rfo.v35n2a6Palabras clave:
Ansiedad al tratamiento odontológico, tratamiento periodontal no quirúrgico, enfermedades periodontalesResumen
Introduction: individuals that experience Dental Anxiety (DA) may avoid dental appointments and even postpone treatments, including periodontal treatment. The aim of this study was to 1) determine DA in patients with periodontitis before the first step and after the se cond step of periodontitis therapy (non surgical periodontal treatment), and 2) collect sociodemographic and clinical characteristics of the studied population. Methods: patients with periodontitis that had never received subgingival instrumentation and attended the Clinic of Periodontics of the Facultad de Odontología, Universidad de Costa Rica, were invited to participate. From the electronic dental record, the following information was obta ined: periodontal staging, Plaque Index (PI) and Gingival Bleeding Index (GBI). A questionnaire was applied before the first step and after the second step of periodontitis therapy. Data collected included: sociodemographic factors, smoking habits, ex smoker status, pain, and the Modified Corah Dental Anxiety Scale (MDAS). Results: fift y one patients completed the study, 19 men and 32 women, mean age 46 ±11.16 years. Most of the participants reported having com pleted high school. Regarding smoking habits, 46% were non smokers. Of the non smokers, 7.8% were former smokers. Patient’s maxim al pain in the last month decreased after the completion periodontitis therapy. The most prevalent periodontal diagnosis was Stage III followed by Stage II. The average PI was 61.4% and the average GBI was 39.5%. Fear to the sound of rotatory instruments/u ltrasonic scalers ameliorated after completion of therapy. Total MDAS score and sub scores decreased from baseline. Conclusion: self perceptions of DA improved over the course of periodontal treatment in our clinical setting.
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Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet. 2005; 366(9499): 1809-20. DOI: https://doi.org/10.1016/s0140-6736(05)67728-8
Liu F, Wen YF, Zhou Y, Lei G, Guo QY, Dang YH. A meta-analysis of emotional disorders as possible risk factors for chronic periodontitis. Medicine (Baltimore). 2018; 97(28): e11434. DOI: https://doi.org/10.1097/md.0000000000011434
Liu Y, Huang X, Yan Y, Lin H, Zhang J, Xuan D. Dental fear and its possible relationship with periodontal status in Chinese adults: a preliminary study. BMC Oral Health. 2015; 15(18). DOI: https://doi.org/10.1186/1472-6831-15-18
Murillo G, Vargas MA, Castillo J, Serrano JJ, Ramirez GM, Viales JH, et al. Prevalence and severity of plaque-induced gingivitis in three Latin American Cities: Mexico City-Mexico, Great Metropolitan Area-Costa Rica and Bogota-Colombia. Odovtos-International Journal of Dental Sciences. 2018; 20(2): 91-102. DOI: http://dx.doi.org/10.15517/ijds.v0i0.32451
Lao Gallardo W, Araya Rodríguez H. Enfermedad periodontal en Costa Rica 2017. Odo Vit. 2018; 2(29): 59-68. DOI: https://doi.org/10.59334/ROV.v2i29.150
Kieser JB. Non-surgical periodontal therapy. In Lang N & Karring T (Eds.), Proceedings of the 1st European Workshop on Periodontology. (pp. 131.158). London, UK: Quintessence Publishing Co; 1994.
Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, et al. Treatment of stage I-III periodontitis: the EFP S3 level clinical practice guideline. J Clin Periodontol. 2020; 47 (Suppl 22): 4-60. DOI: https://doi.org/10.1111%2Fjcpe.13290
Herrera D, Sanz M, Kebschull M, Jepsen S, Sculean A, Berglundh T, et al. Treatment of stage IV periodontitis: the EFP S3 level clinical practice guideline. J Clin Periodontol. 2022; 49(Suppl 24): 4-71. DOI: https://doi.org/10.1111/jcpe.13639
Guzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. Journal of Periodontology. 2008; 79(12): 2247-55. DOI: https://doi.org/10.1902/jop.2008.080152
Liu Y, Zhang C, Wu J, Yu H, Xie C. Evaluation of the relationship among dental fear, scaling and root planing and periodontal status using periodontitis stages: a retrospective study. J Dent Sci. 2022; 17(1): 293-9. DOI: https://doi.org/10.1016/j.jds.2021.04.002
Aardal V, Evensen KB, Willumsen T, Hervik Bull V. The complexity of dental anxiety and its association with oral health-related quality of life: an exploratory study. European Journal of Oral Sciences. 2022; 131(1): e12907. DOI: https://doi.org/10.1111/eos.12907
Fardal Ø, Johannessen AC, Linden GJ. Pre-treatment conceptions of periodontal disease and treatment in periodontal referrals. J Clin Periodontol. 2001; 28(8): 790-5. DOI: https://doi.org/10.1034/j.1600-051x.2001.280811.x
Fardal O, Hansen BF. Interviewing self-reported highly anxious patients during periodontal treatment. J Periodontol. 2007; 78(6): 1037-42. DOI: https://doi.org/10.1902/jop.2007.060407
Aragão WAB, Souza-Monteiro D, Frazão DR, Né YGS, Ferreira RO, Rivera LFS, et al. Is there any association between chronic periodontitis and anxiety in adults? a systematic review. Front Psychiatry. 2021; 12: 710606. DOI: https://doi.org/10.3389/fpsyt.2021.710606
Santuchi CC, Cortelli SC, Cortelli JR, Cota LOM, Alencar CO, Costa FO. Pre- and post-treatment experiences of fear, anxiety, and pain among chronic periodontitis patients treated by scaling and root planing per quadrant versus one-stage full-mouth disinfection: a 6-month randomized controlled clinical trial. J Clin Periodontol. 2015; 42(11): 1024–31. DOI: https://doi.org/10.1111/jcpe.12472
Penteado LAM, Pinho RCM, dos Santos NB, Vajgel BCF, Cimões R. The impact of dental anxiety and dental fear on the periodontal status and quality of life among dental patients. Braz J Oral Sci. 2018; 17: e18220. DOI: https://doi.org/10.20396/bjos.v17i0.8653836
Bhat PK, Shekar M, Jayachandra MY. Relationship between dental anxiety with dental caries and periodontal disease among army recruits in Bangalore city: a cross sectional study. J Oral Maxillofac Pathol. 2022; 26(1): 126. DOI: https://doi.org/10.4103/jomfp.jomfp_207_21
Bryne E, Hean SCPD, Evensen KB, Bull VH. Seeing the person before the teeth: a realist evaluation of a dental anxiety service in Norway. Eur J Oral Sci. 2022; 130(3): e12860. DOI: https://doi.org/10.1111/eos.12860
Sreeja SS, Bhandary R, Bhat AR, Shenoy N. An assessment of dental anxiety in patients before and after scaling and polishing procedures. JHAS. 2022; 12(03): 243–6. DOI: https://doi.org/ 10.1055/s-0041-1736453
Naik VK, Balasundaram A, Appukuttan D, Nainar DA, Milward MR, Victor DJ, et al. Preprocedural anxiety and pain perception following root surface debridement in chronic periodontitis patients. J Nat Sci Biol Med. 2018; 9(1): 82-9. DOI: https://doi.org/10.4103/jnsbm.jnsbm_70_17
O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972; 43(1): 38. DOI: https://doi.org/10.1902/jop.1972.43.1.38
Carter HG, Barnes GP. The Gingival Bleeding Index. J Periodontol. 1974; 45(11): 801–5. DOI: https://doi.org/10.1902/jop.1974.45.11.801
Coolidge T, Chambers MA, Garcia LJ, Heaton LJ, Coldwell SE. Psychometric properties of Spanish-language adult dental fear measures. BMC Oral Health. 2008; 8(1): 15. DOI: https://doi.org/10.1186/1472-6831-8-15
Chowdhury CR, Khijmatgar S, Chowdhury A, Harding S, Lynch E, Gootveld M. Dental anxiety in first- and final-year Indian dental students. BDJ Open. 2019; 5: 15. DOI: https://doi.org/10.1038/s41405-019-0017-9
Aljohani M, Ashley M, Alshammari FR, Yates J. Assessment of dental anxiety using modified dental anxiety scale among adults with cleft lip and/or palate. Saudi Dent J. 2021; 33(8): 1078-83. DOI: https://doi.org/10.1016%2Fj.sdentj.2021.04.005
Cohen J. Statistical power analysis for the behavioral sciences. 2nd Ed. New York: Lawrence Erlbaum Associates Publishers; 1988. Available in: https://www.utstat.toronto.edu/~brunner/oldclass/378f16/readings/CohenPower.pdf
Ihara Y, Fukuda KI, Saita N, Ichinohe T. Male gender and high trait anxiety are 2 major factors associated with severe dental fear and avoidance. Anesth Prog. 2018; 65(3): 177-80. DOI: https://doi.org/10.2344/anpr-65-03-08
Oosterink FMD, de Jongh A, Hoogstraten J. Prevalence of dental fear and phobia relative to other fear and phobia subtypes. Eur J Oral Sci. 2009; 117(2): 135-43. DOI: https://doi.org/10.1111/j.1600-0722.2008.00602.x
Domoto PK, Weinstein P, Melnick S, Ohmura M, Uchida H, Ohmachi K, et al. Results of a dental fear survey in Japan: implications for dental public health in Asia. Community Dent Oral Epidemiol. 1988; 16(4): 199-201. DOI: https://doi.org/10.1111/j.1600-0528.1988.tb01753.x
Skaret E, Raadal M, Kvale G, Berg E. Gender-based differences in factors related to non-utilization of dental care in young Norwegians: a longitudinal study. Eur J Oral Sci. 2003; 111(5): 377-82. DOI: https://doi.org/10.1034/j.1600-0722.2003.00072.x
Deogade SC, Suresan V. Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school. Ind Psychiatry J. 2016; 25(2): 202-9. DOI: https://doi.org/10.4103/ipj.ipj_16_16
Kassem El Hajj H, Fares Y, Abou-Abbas L. Assessment of dental anxiety and dental phobia among adults in Lebanon. BMC Oral Health. 2021; 21(48): 2-10. DOI: https://doi.org/10.1186/s12903-021-01409-2
Sukumaran I, Taylor S, Thomson WM. The prevalence and impact of dental anxiety among adult New Zealanders. Int Dent J. 2020; 71(2): 122–6. DOI: https://doi.org/10.1111/idj.12613
Pohjola V, Rannanautio L, Kunttu K, Virtanen JI. Dental fear, tobacco use and alcohol use among university students in Finland: a national survey. BMC Oral Health. 2014; 14(1): 86 DOI: http://dx.doi.org/10.1186/1472-6831-14-86
Gaurilcikaite E, Renton T, Grant AD. The paradox of painless periodontal disease. Oral Dis. 2017; 23(4): 451-63. DOI: https://doi.org/10.1111/odi.12537
Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS. Four dimensions of fear of dental injections. J Am Dent Assoc. 1997; 128(6): 756-66. DOI: https://doi.org/10.14219/jada.archive.1997.0301
Gufran K, Khan MS, Alqahtani AS, Alnufaiy B. Pain assessment and need for analgesics after scaling and root planing in patients with Stage II and Stage III Periodontitis. Medicina. 2023; 59(7): 1203. DOI: https://doi.org/10.3390/medicina59071203
Bhattarai B, Gupta S, Dahal S, Roy DK, Pant S, Karki R et al. Anxiety among patients visiting for periodontal therapy in a tertiary care dental hospital: a descriptive cross-sectional study. J Nepal Med Assoc. 2021; 59(239): 697–702. DOI: https://doi.org/10.31729/jnma.6109
Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018; 89 (Suppl 1): S159-72. DOI: https://doi.org/10.1002/jper.18-0006
Piedra-Hernández L, Batista-Cárdenas D, Gómez-Fernández A, Ramírez K. Dental anxiety and oral health-related quality of life before and after non-surgical periodontal treatment. Clin Oral Investig. 2023; 27(9): 5459-74. DOI: https://doi.org/10.1007/s00784-023-05165-1
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