Liran Levin1, Avraham Zini2, Jonathan Levine3, Maor Weiss3, Ron A Lev4, Avihai Hai4, Daniella Chebath-Taub4, Galit Almoznino5,6,7. 1. Department of Periodontology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada. 2. Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel. 3. Department of Prosthodontics, Oral and Maxillofacial Center, Israel Defense Forces, Medical Corps, Tel-Hashomer, Israel. 4. Department of Periodontology, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel. 5. Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel. galit@almoznino.com. 6. Department of Oral Medicine, Oral and Maxillofacial center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel. galit@almoznino.com. 7. Department of Oral Medicine, Sedation and Maxillofacial imaging, Hebrew University-Hadassah School of Dental Medicine, P.O. Box 12272, 91120, Jerusalem, Israel. galit@almoznino.com.
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.
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.
Entities:
Keywords:
Aggressive periodontitis; Dental anxiety; Dental fear; Periodontal disease; Quality of life
Authors: Galit Almoznino; Naama Gal; Liran Levin; Eitan Mijiritsky; Guy Weinberg; Ron Lev; Avraham Zini; Riva Touger-Decker; Daniella Chebath-Taub; Boaz Shay Journal: Int J Environ Res Public Health Date: 2020-03-30 Impact factor: 3.390