• 치위생과학회지
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• 제10권5호
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• pp.357-363
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• 2010

치과불안과 관련된 사회인구학적 특성과 치과 의료이용 행태를 분석하기 위해 540명의 대학생을 대상으로 Modified Anxiety Dental Scale(MDAS)와 Dental Fear Survey(DFS)를 측정도구로 사용하여 평균과 표준 편차하여 독립표본 t-test로 분석과 일원분산분석을 하였으며 모든 분석은 SPSS 12.0으로 하였고 그 결과는 다음과 같다. 1. 조사대상자의 인구학적 특성은 치과불안수준과 관련된 성별에서 여성 MDAS 평균 $2.86{\pm}0.06$으로 남성 MDAS 평균 $2.49{\pm}0.06$보다 높았고 통계적으로 유의하였다(p=0.000). 또한 연령이 낮을수록 치과불안 수준이 높은 것으로 나타났다(p=0.023) 2. 치과의료이용 행태는 정기적으로 치과의료기관이용, 문제가 있을 때만 치과의료기관이용, 치과의료이용 기관을 한번도 경험해 보지 않은 집단 중에서 문제가 발생했을 때 치과방문시 치과불안의 정도가 높은 것으로 통계적 유의한 결과를 나타냈다(p=0.000). 또한 최근 치과방문 시기가 3년 이상 이었을 때 MDAS 평균 $2.80{\pm}1.00$이고, DFS평균 $2.43{\pm}0.79$로 최근치과방문 시기가 멀수록 치과불안수준이 높은 것으로 나타났다. 3. MDAS의 문항 중 실제 치료상황에서 치과불안과 DFS의 하위척도 중 치과진료시 자극유발요인으로 인한 치과불안수준이 높은 것으로 나타났다.

• 한국치위생학회지
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• 제14권3호
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• pp.439-446
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• 2014

Objectives : The purpose of the study is to investigate the correlation between the pain, depression, dental anxiety in the patients visiting to dental clinic for the ultrasonic scaling treatment. Methods : The study is a cross-sectional correlation study. A self-reported questionnaire was filled out by 254 patients having no history of mental illness in Seoul and Gyeonggido from December 12 to 20, 2013. The study instruments included modified Beck's Depression Inventory (BDI), STAI items by Spilberger, Humphis' Modified Dental Anxiety Survey(MDAS), and Visual Analogue Scale. Results : There existed correlation between the ultrasonic scaling pain, depression, dental anxiety, trait anxiety, and state anxiety. Dental anxiety was the most influencing factors on the pain. Conclusions : It is very important to reduce the anxiety in the patients more actively.

• 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 the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권5호
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• pp.252-261
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• 2023

Objectives: Patients undergoing oral surgery exhibit high anxiety, which may elevate their cortisol levels and affect postoperative recovery. Overweight patients are often encountered in the dental clinic due to the increasing prevalence of overweight. We aimed to investigate the relationships between preoperatively assessed body mass index (BMI), serum cortisol and high-sensitivity C-reactive protein (hs-CRP) levels, and visual analog scale (VAS) scores and preoperative anxiety in patients undergoing mandibular third molar (MM3) extraction and to identify predictors of postoperative complications. Patients and Methods: We analyzed 43 patients (age, 20-42 years) undergoing MM3 extraction. At the first visit, patients completed the Modified Dental Anxiety Scale (MDAS) and Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaires. Their BMI and VAS scores were also calculated. The participants underwent blood tests 1 hour before MM3 extraction. On the first postoperative day, the participants' VAS scores and serum hs-CRP levels were reevaluated. Results: We found that BMI was significantly correlated with preoperative VAS scores. Further, BMI and preoperative hs-CRP levels were significantly correlated among women and patients undergoing extractions of fully impacted MM3s. No correlations were found between serum cortisol and other variables. The preoperative MDAS and VAS scores were significantly positively correlated, especially among patients undergoing extractions of fully impacted MM3s. Multiple linear regression showed that BMI and the eruption status of the MM3 were significant predictors of postoperative hsCRP levels and VAS scores, respectively. Conclusion: In MM3 removals, patients with higher BMI showed elevated hs-CRP and higher VAS scores before surgery. Patients with higher anxiety among those undergoing extractions of fully impacted MM3s showed higher preoperative VAS scores. The two main predictors of postoperative complications were BMI and MM3 eruption status.