• 한국치위생학회지
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• 제6권4호
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• pp.419-436
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• 2006

PURPOSE: The purpose of this study was to explore dental hygiene treatment fear and anxiety in dental patients. METHODS: The sample consisted of 466 dental patients who had received the dental hygiene treatment at 8 Dental Hospitals and Clinics in Daegu city between March and August 2006 studied. Dental hygienists recruited a questionnaire, which includes generalized anxiety sub-scale(4 items), specific fear sub-scale(5 items), distrust sub-scale(5 items), and catastrophic anxiety sub-scale(4 items). Minimum score is 1, and maximum score is 5. The research was designed to be a cross-sectional measured study. SAS statistical software was used for the analysis. The characteristics of the study sample were described by mean and standard deviation(SD) for continuous variables and by frequency and percentage for categorical variables. The Student's t-test and analysis of variance(ANOVA) were used to compare fear and anxiety score in demographic variables. A Pearson's correlation analysis was conducted for relationship among values of fear and anxiety for dental hygiene. Multiple regression analysis was performed to determine the factors associated with fear and anxiety related with dental hygiene. RESULTS: A total of 466 dental patients were analyzed, their average age${\pm}$SD was $37.7{\pm}12.9$ years(range: 15-79 yr). The mean value for dental hygiene fear and anxiety was 2.70(generalized anxiety 2.65, specific fear 2.93, distrust anxiety 2.72, and catastrophic anxiety 2.42, respectively). There was a statistically significant difference in gender(p<0.05), 2.81 for women was higher than 2.55 for men(p=.0000). The older we are, the higher fear and anxiety for dental hygiene treatment were. that is, under age of 20 years 2.49, 20 years 2.59, 30 years 2.69, 40 years 2.77, 50 years 2.88, 60 years 2.69, and over age of 70 2.45, respectively(p=.0321). Factors related to dental hygiene treatment fear and anxiety by multiple regressions were gender(${\square}$=0.18, p=0.0001), age(${\square}$=.07, p=.0058), and the time when visits dentist recently(${\square}$=.07, p=.0058). CONCLUSIONS: In conclusion, gender, age and the time when visits dentist recently were significantly associated with dental hygiene treatment fear and anxiety. We recommend that further research should investigate a dental hygiene treatment fear and anxiety by using more follow-up study.

• 한국치위생학회지
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• 제13권4호
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• pp.645-650
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• 2013

Objectives : The aim of this study is to investigate dental clinic fear and anxiety in high school students. Methods : The subjects were 311 high school students aged 19 years. They completed self-reported questionnaire including general characteristics, dental clinic experiences, dentist or dental hygienist confidence, and dental fear. Data were analyzed using SPSS 18.0. Results : Poor oral health status showed negative attitude towards dental clinic visit. Girl students tended to have more fear than boy students. Muscle tension was the most common experience and was closely related to anesthetic needles and drills. Dental anxiety was caused by lack of confidence to dentists and dental hygienists. Students were more afraid of dentists than dental hygienists. Higher score of dental anxiety seemed to be associated with infrequent visit to dental clinic. Conclusions : Frequent regular dental checkup may reduce dental fear and anxiety. Dental clinic staff should try to minimize dental anxiety in performing treatment.

• 한국치위생학회지
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• 제21권1호
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• pp.53-63
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• 2021

Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor's degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권4호
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• pp.193-212
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• 2023

It is important to understand patients' anxiety and fear about dental treatment. A patient's anxiety can be quantified through a self-report questionnaire, and many related scales have been developed. In this review, I tried to find out which scale is most suitable for the patient's dental anxiety and fear evaluation by examining the contents of previously developed scales and comparing the strengths and weaknesses of each scale.

• 대한치과의사협회지
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• 제51권7호
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• pp.405-413
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• 2013

Pediatric and adolescent dental anxiety and fear have been researched in the connection with behavior modification for a long time and this dental anxiety can persist until the adult hoods resulting in extreme fear of and avoidance of dental treatments and causes oral health deterioration. However, the domestic researches regarding adolescent dental anxiety and fear are insufficient. For this reason, this study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Gyeonggi-Do. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students. The distribution of responses in each category of fear was examined by frequency analysis. The analysis was conducted using cross tabulation in order to examine the difference between male students and female students and using independent sample t-test in order to compare the fear score of each category. The study results showed the fear score of female students for the category 'causing irritation during the dental treatments' was significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.

• 치위생과학회지
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• 제15권3호
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• pp.369-376
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• 2015

본 연구는 서울시 일개 치과의원에 내원한 환자를 대상으로 치과공포 수준을 측정하고, 치과공포 수준 감소를 위한 중재법에 대해 환자가 요구하는 방법을 적용한 후 치과공포 중재법의 효과를 측정하였다. 개입한 치과공포 중재법에 대해서는 전체적으로 '도움이 된다(3.57점)'는 의견이었고, 항목별로는 '어떤 진료인지 미리 설명해 준다(4.38점)', '진료 중에 환자가 손을 들면 언제든 치료를 잠시 멈추어 준다(4.35점)', '진료 중 통증이 발생할 것 같으면 미리 말해준다(4.24점)', '의료진이 부드럽고 웃는 표정을 한다(4.06점)' 순으로 도움이 된다고 하였다. 치과공포 중재법 적용 전과 후의 전체적인 만족도는 각각 4.37점과 4.35점으로 높은 수준이었으나, 적용 후 미미하게 감소하였으며 이는 치과치료 항목과 밀접한 연관이 있을 것으로 사료된다. 치과공포 수준을 감소하기 위해서는 환자의 치과공포 수준 뿐 아니라 치과공포 중재를 위한 요구도를 파악하여 이에 맞는 개입방법을 적용하여 주는 것이 효과적이며, 이에 대한 치과의료 인력에 대한 교육과 매뉴얼 개발이 필요하리라 생각된다.

• 대한심미치과학회지
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• 제28권1호
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• pp.54-60
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• 2019

연구목적: 치과공포는 주로 과거의 부정적인 치과 치료 경험에 기인하여 치과 방문 시 중재되지 않은 불안과 두려움의 감정을 의미하며, 성인에서는 치과치료의 필요함을 인식함에도 불구하고 진료회피로 이어져 구강건강의 악화를 야기할 수 있다. 따라서 본 연구는 일부 성인을 대상으로 치과공포 및 불안 수준을 측정하고, 그와 관련된 요인 및 이에 영향을 미치는 원인에 대해 파악하고자 수행되었다. 연구방법: Kleinknecht's의 치과 공포 척도(Dental Fear Survey scale)를 이용하였고, SPSS 21 프로그램(IBM SPSS Statistics 21)을 사용하여 분석하였다. 연구결과: 치과공포도가 높을수록 "치과병원 문을 열고 들어설 때 두려움"가 가장 높게 나타났으며, "치과의자에 낮아 치료를 기다릴 때 두려움", "치과의사를 쳐다볼 때 두려움", "치과기구가 돌아가는 소리가 들릴 때 두려움", "치과 진료실에서 병원 냄새가 날 때 두려움" 순으로 나타났다. 고안: 치과의사와 치과위생사는 환자가 느끼는 공포와 두려움을 이해하여 체계적인 의료서비스를 제공할 수 있도록 치과 불안에 대한 여러가지 중재법을 모색할 수 있어야 한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제15권2호
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• pp.53-61
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• 2015

Background: There are few previous studies investigating the relationship of dental fear and anxiety (DFA) with dental pain among children and adolescents. To address this issue, we examined the literature published between November 1873 and May 2015 to evaluate the prevalence of DFA and dental pain among children and adolescents, and their relationships with age and sex. Methods: We performed a broad search of the PubMed database using 3 combinations of the search terms dental fear, anxiety, and dental pain and prevalence. A large proportion of the identified articles could not be used for the review due to inadequate end points or measures, or because of poor study design. Thirty-two papers of acceptable quality were identified and reviewed. Results: We found that the prevalence of DFA was estimated to be 10%, with a decrease in prevalence with age. It was more frequently seen in girls, and was related to dental pain. Conclusions: We concluded that dental fear, anxiety, and pain are common, and several psychological factors are associated with their development. In order to better understand these relationships, further clinical evaluations and studies are required.

• 한국치위생학회지
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• 제20권6호
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• pp.937-947
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• 2020

Objectives: This study was conducted to investigate the factors that prevent dental patients from visiting the dental clinic. Methods: From June 22, 2020 to July 17, 2020, among patients 10 years or older who had visited the dental clinic, 314 individuals who agreed to the study were asked to fill out a self-administered questionnaire. The data were analyzed using the SPSS Statistics 22.0 program, and the significance level was set at 0.05. Results: The dental avoidance factors according to the general characteristics were high in women and housewives, and among the dental-related characteristics, the most common reason for visiting the dental clinic was experiencing pain. The factors influencing anxiety were fear, environment, stimulus, age, and exercise, and the factors influencing the fear were anxiety, stimulus, subjective oral health status, education, and exercise. The factors influencing the stimulus were environmental factors, fear, anxiety, and age, and the factors that influenced environmental factors were stimulus and anxiety. Conclusions: There is a need to develop measures and policies to overcome fear of dental procedures, such as developing a dental experience program and allowing patients to experience dental fear and anxiety in advance.

• 한국치위생학회지
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• 제17권3호
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• pp.395-404
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• 2017

Objectives: The purpose of this study was to identify the effects of music intervention on the patient's fear and anxiety during scaling. Methods: 360 patients who had visited W University dental hygiene laboratory were selected as study subjects and divided into experiment group and control group. Results: Study results showed that the control group (71.9%) and the experimental group (75.1%) had experiences avoiding dental treatment due to fear. In the control group (37.6%) and experimental group (40.6%), the highest influencing factor was the sound of machine and followed by pain. The experimental group preferred classical music, followed by pop songs, trot music and instrumental music. In the experimental group (83.3%), fear and anxiety were alleviated by music, and 77.9% of the patients mentioned they would recommend music for scaling to other patients. There was an interaction effect (p=0.014) between the groups before and after the measurement of the lowest blood pressure. There was a significant difference in pulse before and after pulse measurement (p=0.000). There was a significant difference in respiration between groups (p=0.042) and before and after respiration (p=0.030). Conclusions: Study results showed that music intervention that utilizes music during scaling showed significant effects on the alleviation of fear and anxiety, affecting Pulse number among vital signs. Therefore, more systematic program is to be required to alleviate dental fear and anxiety with music therapy not only for scaling, but also for dental clinic in the future.