Investigation of dental fear in patients undergoing impacted mandibular third molar extraction

doi:10.19438/j.cjoms.2023.03.011

Abstract

Abstract: PURPOSE: To explore the occurrence of dental fear in patients undergoing impacted mandibular third molar extraction, and to provide evidence for formulating corresponding preventive measures. METHODS: Two hundred patients who underwent extraction of impacted mandibular third molar in outpatient operating room of Department of Oral and Maxillofacial Surgery of Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from August 2021 to November 2021 were selected. A questionnaire survey was conducted with Dental Fear Questionnaire (DFS) to analyze ages, genders, occupations, education levels, and dental experience on the occurrence of dental fear and the related factors leading to dental fear. A total of 196 valid questionnaires were collected, and were randomly divided into routine treatment group and comfortable intervention group, with 98 cases in each group. Routine treatment and comfortable intervention were given corresponding management, and the satisfaction was compared between the two groups. SPSS 19.0 software package was used for data analysis. RESULTS: Among 196 cases, 35 cases(17.8%) developed dental fear, the average DFS score was 45.21±13.48. There was significant differences in the incidence of dental fear among gender, occupation and dental experience(P<0.05), no significant difference in age, education level and incidence of dental fear (P>0.05). The main factors causing dental fear in tooth extraction events were when the drill was grinding teeth(31.1%), when the sound of the drill was heard (29.6%), when the drill was seen (26.5%), and when anesthetic was injected (23.5%). The satisfaction of the comfortable intervention group was significantly higher than that of the routine treatment group(P<0.05). CONCLUSIONS: The occurrence of dental fear is affected by many factors. Targeted and comfortable intervention and nursing strategies can improve patients' satisfaction and have a positive effect on reducing patients' dental fear.

Key words: Impacted mandibular third molar, Dental fear, Intervention countermeasures, Comfortable treatment

CLC Number:

R782.1

GUAN Ya-qin, DAI Jie-wen, HE Hua, YU Li-ya. Investigation of dental fear in patients undergoing impacted mandibular third molar extraction[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(3): 267-271.

References

[1] 毛旭, 胡开进, 张新庆, 等. 牙科畏惧症在经历拔牙术患者中的流行状况研究[J]. 实用口腔医学杂志, 2016, 32(5): 705-707.
Mao X, Hu KJ, Zhang XQ, et al.Prevalence of dental fear in patients undergoing tooth extraction[J]. Journal of Practical Stomatology, 2016, 32(5): 705-707.
[2] Jeyashree T, Kumar MPS.Evaluation of difficulty index of impacted mandibular third molar extractions[J]. J Adv Pharm Technol Res, 2022, 13(Suppl 1): S98-S101.
[3] Astramskaite I, Poškevicius L, Juodžbalys G.Factors determining tooth extraction anxiety and fear in adult dental patients: a systematic review[J]. Int J Oral Maxillofac Surg, 2016, 45(12): 1630-1643.
[4] 梁焕友, 彭助力, 潘集阳, 等. 牙科畏惧调查(DFS)量表中文版的研制与评价[J]. 中山大学学报(医学科学版), 2006, 27(2):236-240.
Liang HY, Peng ZL, Pan JY, et al.Development and evaluation of Chinese version of dental fear survey (DFS)[J]. Journal of Sun Yat-sen University (Medical Sciences), 2006, 27(2): 236-240.
[5] Alaki SM, Al-Raddadi RA, Sabbagh HJ.Children's electronic screen time exposure and its relationship to dental anxiety and behavior[J]. J Taibah Univ Med Sci, 2023, 18(4): 778-786.
[6] 王志刚, 吉雅丽. 246例成年人牙科畏惧症调查分析[J]. 中华实用诊断与治疗杂志, 2015, 29(10): 1037-1038.
Wang ZG, Ji YL.Analysis of 246 cases of dental fear in adults[J]. Journal of Chinese Practical Diagnosis and Therapy, 2015, 29(10): 1037-1038.
[7] 蔡婧, 冯广智, 石春茹, 等. 某医院口腔门诊牙科焦虑症患病及治疗情况调查[J]. 人民军医, 2021, 64(1): 69-72.
Cai J, Feng GZ, Shi CR, et al.Investigation on the incidence and treatment of dental anxiety disorder in the stomatology department of a hospital[J]. People's Military Surgeon, 2021, 64(1): 69-72.
[8] 潘文雷, 徐永清, 吕晓, 等. 中青年楼宇人群焦虑状况及影响因素研究[J]. 中国全科医学, 2022, 25(22): 2790-2795.
Pan WL, Xu YQ, Lyu X, et al.A study on Anxiety of young and middle-aged building population and its Influencing factors[J]. Chinese General Practice, 2022, 25(22): 2790-2795.
[9] 唐彧, 朱亚琴. 口腔门诊成人牙科焦虑症调查分析[J]. 上海口腔医学, 2013, 22(6): 695-697.
Tang Y, Zhu YQ.Survey and analysis of dental anxiety in adult outpatients[J]. Shanghai Journal of Stomatology, 2013, 22(6): 695-697.
[10] 陈阳, 刘敏. 口腔种植患者牙科焦虑症影响因素分析[J]. 上海口腔医学, 2016, 25(6): 711-714.
Chen Y, Liu M.Influential factors of dental anxiety among dental implantation patients[J]. Shanghai Journal of Stomatology, 2016, 25(6): 711-714.
[11] 叶萍, 余粤海, 潘丽娜. 成人患者牙科畏惧症的临床调查及相关因素分析[J]. 广东牙病防治, 2010, 18(6): 320-322.
Ye P, Yu YH, Pan LN.Study on dental fear and relieving measures among adults patients[J]. Journal of Dental Prevention and Treatment, 2010, 18(6): 320-322.
[12] Mansell W, Morris K.The dental cognitions questionnaire in CBT for dental phobia in an adolescent with multiple phobias[J]. J Behav Ther Exp Psychiatry, 2003, 34(1): 65-71.
[13] Oosterink FM, de Jongh A, Aartman IH. Negative events and their potential risk of precipitating pathological forms of dental anxiety[J]. J Anxiety Disord, 2009, 23(4): 451-457.
[14] Kheir OO, Ziada HM, Abubakr NH, et al. Patient dentist relationship and dental anxiety among young Sudanese adult patients[J]. Int Dent J, 2019, 69(1): 35-43.
[15] Wu L, Chen Y, Zhang J, et al.Review on comfort nursing interventions for patients undergoing neurosurgery and general surgery[J]. Evid Based Complement Alternat Med, 2022: 6735054.
[16] Bleiel D, Nitschke I, Noack MJ, et al.Impact of care level, setting and accommodation costs on a newly developed oral care nursing plan format for elderly patients with care needs-results from a cross-sectional study[J]. Int J Dent Hyg, 2022, 20(3): 543-552.
[17] 唐光兰, 郑运凤. 舒适护理在口腔微创拔牙术护理中的作用[J]. 中国继续医学教育, 2021, 13(33): 185-189.
Tang GL, Zheng YF.The effect of comfortable nursing in the nursing of minimally invasive extraction[J]. China Continuing Medical Education, 2021, 13(33): 185-189.
[18] Sorribes De Ramón LA, Ferrández Martínez AF, García Carricondo AR, et al. Effect of virtual reality and music therapy on anxiety and perioperative pain in surgical extraction of impacted third molars[J]. J Am Dent Assoc, 2023, 154(3): 206-214.
[19] Qiao F, Zhang M, Zhang T, et al.Dental anxiety is related to postoperative symptoms in third molar surgery[J]. Front Psychiatry, 2022, 13: 956566.
[20] 何双. 减压球联合心理护理在微创拔牙患者中的应用效果[J].中国民康医学, 2022, 34(7): 178-180.
He S.Application effects of decompression ball combined with psychological nursing in patients with minimally invasive tooth extraction[J]. Medical Journal of Chinese People's Health, 2022, 34(7): 178-180.