Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school
Identifieur interne : 000569 ( Main/Exploration ); précédent : 000568; suivant : 000570Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school
Auteurs : Suryakant C. Deogade [Inde] ; Vinay Suresan [Inde]Source :
- Industrial Psychiatry Journal [ 0972-6748 ] ; 2016.
Abstract
Anxiety toward dental treatment can cause people to delay or avoid seeking oral health care despite being in need of treatment. Therefore, recognizing such anxious patients and their appropriate management plays important aspects in clinical practice.
The aim of this study was to investigate the level of dental anxiety (DA), factors affecting it, and anxiety toward dental extraction among adults seeking dental care to a dental school in Central India.
The study sample consisted of 1360 consecutive patients aged 18–70 years. Participants completed a questionnaire while in the waiting room, which included the Modified Dental Anxiety Scale (MDAS) to assess the level of DA. An additional item was included which asked participants to rate the anxiety felt on having a tooth extracted.
Among the study group, 65.1% were men and 34.9% were women. Based on the MDAS score, 41.8% of the participants were identified to be less anxious, 53.2% were moderately or extremely anxious, and 5% were suffering from dental phobia. Female participants and younger patients were more anxious (
Majority of patients in this population revealed high levels of DA. Factors such as age, gender, education level, occupation, financial stability, and previous bad dental experience influence DA to various levels. Extraction followed by injection of local anesthetics and drilling of tooth provoked more anxiety.
Url:
DOI: 10.4103/ipj.ipj_16_16
PubMed: 28659701
PubMed Central: 5479095
Affiliations:
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<author><name sortKey="Deogade, Suryakant C" sort="Deogade, Suryakant C" uniqKey="Deogade S" first="Suryakant C." last="Deogade">Suryakant C. Deogade</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Prosthodontics and Crown and Bridge, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India</nlm:aff>
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<wicri:regionArea>Department of Prosthodontics and Crown and Bridge, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh</wicri:regionArea>
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<author><name sortKey="Suresan, Vinay" sort="Suresan, Vinay" uniqKey="Suresan V" first="Vinay" last="Suresan">Vinay Suresan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Psychometric assessment of anxiety with the Modified Dental Anxiety Scale among central Indian adults seeking oral health care to a dental school</title>
<author><name sortKey="Deogade, Suryakant C" sort="Deogade, Suryakant C" uniqKey="Deogade S" first="Suryakant C." last="Deogade">Suryakant C. Deogade</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Prosthodontics and Crown and Bridge, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Prosthodontics and Crown and Bridge, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh</wicri:regionArea>
<wicri:noRegion>Madhya Pradesh</wicri:noRegion>
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<author><name sortKey="Suresan, Vinay" sort="Suresan, Vinay" uniqKey="Suresan V" first="Vinay" last="Suresan">Vinay Suresan</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha</wicri:regionArea>
<wicri:noRegion>Odisha</wicri:noRegion>
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<series><title level="j">Industrial Psychiatry Journal</title>
<idno type="ISSN">0972-6748</idno>
<idno type="eISSN">0976-2795</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title>
<p>Anxiety toward dental treatment can cause people to delay or avoid seeking oral health care despite being in need of treatment. Therefore, recognizing such anxious patients and their appropriate management plays important aspects in clinical practice.</p>
</sec>
<sec id="st2"><title>Aim:</title>
<p>The aim of this study was to investigate the level of dental anxiety (DA), factors affecting it, and anxiety toward dental extraction among adults seeking dental care to a dental school in Central India.</p>
</sec>
<sec id="st3"><title>Materials and Methods:</title>
<p>The study sample consisted of 1360 consecutive patients aged 18–70 years. Participants completed a questionnaire while in the waiting room, which included the Modified Dental Anxiety Scale (MDAS) to assess the level of DA. An additional item was included which asked participants to rate the anxiety felt on having a tooth extracted.</p>
</sec>
<sec id="st4"><title>Results:</title>
<p>Among the study group, 65.1% were men and 34.9% were women. Based on the MDAS score, 41.8% of the participants were identified to be less anxious, 53.2% were moderately or extremely anxious, and 5% were suffering from dental phobia. Female participants and younger patients were more anxious (<italic>P</italic>
= 0.0008). Patients who were anxious had postponed their dental visit (<italic>P</italic>
= 0.0008). Participants who had negative dental experience were more anxious (<italic>P</italic>
= 0.03). Nearly, 83% reported anxiety toward extraction procedure. A significant association was observed between anxiety toward dental extraction and the patients' gender (<italic>P</italic>
= 0.03), age (<italic>P</italic>
= 0.0007), education level (<italic>P</italic>
= 0.03), employment status (<italic>P</italic>
= 0.0006), income (<italic>P</italic>
= 0.0007), self-perceived oral health status (<italic>P</italic>
= 0.03), and their history of visit to dentist (<italic>P</italic>
= 0.02).</p>
</sec>
<sec id="st5"><title>Conclusion:</title>
<p>Majority of patients in this population revealed high levels of DA. Factors such as age, gender, education level, occupation, financial stability, and previous bad dental experience influence DA to various levels. Extraction followed by injection of local anesthetics and drilling of tooth provoked more anxiety.</p>
</sec>
</div>
</front>
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