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Evaluation of anxiety level changes during the first three months of orthodontic treatment

  • Yildirim, Ersin (GMMA Haydarpasha Training Hospital, Section of Orthodontics) ;
  • Karacay, Seniz (GMMA Haydarpasha Training Hospital, Section of Orthodontics)
  • Received : 2012.02.11
  • Accepted : 2012.03.26
  • Published : 2012.08.30

Abstract

Objective: To determine the changes in dental anxiety, state anxiety, and trait anxiety levels of patients and their parents after 3 months of active orthodontic treatment. Methods: We evaluated 120 patients and one parent of each patient. State Anxiety (STAI-S), Trait Anxiety (STAI-T), and Corah's Dental Anxiety Scale (DAS) were administered before orthodontic treatment (T1) and after 3 months of treatment (T2). Differences in scores between T1 and T2 were compared using paired-sample t-tests and the relationship between the scores of the DAS and the STAI were analyzed using a bivariate two-tailed Pearson correlation test. Results: Dental anxiety and state anxiety levels decreased among the patients after adjustment to orthodontic treatment (p < 0.001). However, 3 months of treatment was not sufficient to decrease the anxiety levels of parents (p > 0.05). Patient trait anxiety affected patient state anxiety and dental anxiety (p < 0.01). Additionally, a significant correlation was found between patient dental anxiety and parent dental anxiety (p < 0.05). Conclusions: Dental anxiety and state anxiety levels decrease after patients become familiar with their orthodontist and they became accustomed to orthodontic treatment. However, 3 months is not a sufficient length of time to decrease parental anxiety levels.

Keywords

References

  1. Caumo W, Broenstrub JC, Fialho L, Petry SM, Brathwait O, Bandeira D, et al. Risk factors for postoperative anxiety in children. Acta Anaesthesiol Scand 2000;44:782-9. https://doi.org/10.1034/j.1399-6576.2000.440703.x
  2. Levitt J, Mcgoldrick P, Evans D. The management of severe dental phobia in an adolescent boy: a case report. Int J Paediatr Dent 2000;10:348-53.
  3. Shoben EJ Jr, Borland L. An empirical study of the etiology of dental fears. J Clin Psychol 1954;10:1714.
  4. Weiner AA, Sheehan DV. Etiology of dental anxiety: psychological trauma or CNS chemical imbalance? Gen Dent 1990;38:39-43.
  5. Cohen SM, Fiske J, Newton JT. The impact of dental anxiety on daily living. Br Dent J 2000;189:385-90.
  6. Dinjian MD. The psychic factor in dental practice. Dent Surg 1921;17:471-5.
  7. Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behav Res Ther 1993;31:659-66. https://doi.org/10.1016/0005-7967(93)90119-F
  8. Locker D, Liddell A, Shapiro D. Diagnostic categories of dental anxiety: a population-based study. Behav Res Ther 1999;37:25-37. https://doi.org/10.1016/S0005-7967(98)00105-3
  9. Stabholz A, Peretz B. Dental anxiety among patients prior to different dental treatments. Int Dent J 1999;49:90-4. https://doi.org/10.1111/j.1875-595X.1999.tb00514.x
  10. Wong M, Lytle WR. A comparison of anxiety levels associated with root canal therapy and oral surgery treatment. J Endod 1991;17:461-5. https://doi.org/10.1016/S0099-2399(07)80138-5
  11. Bergdahl M, Bergdahl J. Temperament and character personality dimensions in patients with dental anxiety. Eur J Oral Sci 2003;111:93-8. https://doi.org/10.1034/j.1600-0722.2003.00028.x
  12. Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dent Oral Epidemiol 1992;20:97-101. https://doi.org/10.1111/j.1600-0528.1992.tb00686.x
  13. Sari Z, Uysal T, Karaman AI, Sargin N, Ure O. Does orthodontic treatment affect patients' and parents' anxiety levels? Eur J Orthod 2005;27:155-9. https://doi.org/10.1093/ejo/cjh072
  14. Crowley RE, Klebanoff SG, Singer JL, Napoli PJ. Relationship between personality factors and cooperation in dental treatment. J Dent Res 1956;35:157-65. https://doi.org/10.1177/00220345560350010801
  15. Maj G, Grilli AT, Belletti MF. Psychologic appraisal of children facing orthodontic treatment. Am J Orthod 1967;53:849-57. https://doi.org/10.1016/0002-9416(67)90090-5
  16. Lewis HG, Brown WA. The attitude of patients to the wearing of a removable orthodontic appliance. Br Dent J 1973;134:87-90. https://doi.org/10.1038/sj.bdj.4802964
  17. Breistein B, Burden DJ. Equity and orthodontic treatment: a study among adolescents in Northern Ireland. Am J Orthod Dentofacial Orthop 1998;113: 408-13.
  18. Wright NS, Fleming PS, Sharma PK, Battagel J. Influence of supplemental written information on adolescent anxiety, motivation and compliance in early orthodontic treatment. Angle Orthod 2010;80:329-35. https://doi.org/10.2319/042809-138.1
  19. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory. Palo Alto CA: Consulting Psychologists Press; 1970.
  20. Okun A, Stein RE, Bauman LJ, Silver EJ. Content validity of the psychiatric symptom index, ces-depression scale, and State-Trait Anxiety Inventory from the perspective of DSM-IV. Psychol Rep 1996;79:1059-69. https://doi.org/10.2466/pr0.1996.79.3.1059
  21. Oner N, Le Compte A. Handbook of state and trait anxiety inventory (in Turkish). Istanbul: Bogazici University Press; 1983.
  22. Ilgüy D, Ilgüy M, Dincer S, Bayirli G. Reliability and validity of the modified dental anxiety scale in Turkish patients. J Int Med Res 2005;33:252-9. https://doi.org/10.1177/147323000503300214
  23. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48:596. https://doi.org/10.1177/00220345690480041801
  24. Sergl HG, Klages U, Zentner A. Pain and discomfort during orthodontic treatment: causative factors and effects on compliance. Am J Orthod Dentofacial Orthop 1998;114:684-91. https://doi.org/10.1016/S0889-5406(98)70201-X
  25. Liddell A, Locker D. Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol 1997;25:314-8. https://doi.org/10.1111/j.1600-0528.1997.tb00945.x
  26. Fuentes D, Gorenstein C, Hu LW. Dental anxiety and trait anxiety: an investigation of their relationship. Br Dent J 2009;206:E17. https://doi.org/10.1038/sj.bdj.2009.253
  27. Gordis EB, Margolin G, John RS. Parents' hostility in dyadic marital and triadic family settings and children's behavior problems. J Consult Clin Psychol 2001;69:727-34. https://doi.org/10.1037/0022-006X.69.4.727
  28. Kashani JH, Suarez L, Jones MR, Reid JC. Perceived family characteristic differences between depressed and anxious children and adolescents. J Affect Disord 1999;52:269-74. https://doi.org/10.1016/S0165-0327(98)00055-X
  29. Heaton LJ, Carlson CR, Smith TA, Baer RA, de Leeuw R. Predicting anxiety during dental treatment using patients'self-reports: less is more. J Am Dent Assoc 2007;138:188-95. https://doi.org/10.14219/jada.archive.2007.0135
  30. Dailey YM, Humphris GM, Lennon MA. The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners. Br Dent J 2001;190:450-3.
  31. Corah NL. Dental anxiety. Assessment, reduction and increasing patient satisfaction. Dent Clin North Am 1988;32:779-90.

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