Oral Health Related Quality of Life in Young Individuals with Dental Anxiety and Exaggerated Gag Reflex
Oral Health Related Quality of Life in Young Individuals with Dental Anxiety and Exaggerated Gag Reflex
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DOI：
10.3290/j.ohpd.a33921
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发表时间：
2015-01-01
影响因子：
1.6
通讯作者：
Levin, Liran
中科院分区：
文献类型：
--
作者：
Almoznino, Galit;Zini, Avraham;Levin, Liran
目的：测量口腔健康相关生活质量（OHRQoL）在表现为牙科焦虑和夸张呕吐反射的年轻人中，并将其与参加修复性牙科治疗的年轻人的OHRQoL进行比较。材料和方法：纳入转介到口腔内科就诊的牙科焦虑和/或夸张呕吐反射患者。临床检查包括根据WHO标准的龋缺补指数（DMFT）和牙菌斑指数（PI）评估口腔卫生。该调查包括经过验证的希伯来语版本的口腔健康影响概况（OHIP-14）。结果：总共有322名患者完成了研究。口腔焦虑组68例，夸张呕吐反射组54例，对照组200例。对照组患者PI值和DMFT值均较低。牙科焦虑和/或夸张呕吐的患者表现出更差的OHIP-14总体得分以及每个单独的子量表。PI和DMFT与OHIP-14密切相关。对影响OHIP-14评分的因素进行多变量logistic回归分析，发现DMFT评分对OHIP-14评分有显著影响。结论：口腔焦虑和夸张呕吐反射患者的口腔健康相关生活质量明显受损。这种损害可能归因于较高的龋齿患病率和不愿接受牙科治疗。应查明和仔细监测这些人群，并鼓励他们寻求适当的行为治疗，以改善他们的牙齿健康和与口腔健康有关的生活质量。
Purpose: To measure the oral health-related quality of life (OHRQoL) among young individuals presenting with dental anxiety and exaggerated gag reflex and to compare it to the OHRQoL among young individuals attending restorative dental treatment.Materials and Methods: Patients with dental anxiety and/or exaggerated gag reflex who were referred to the Department of Oral Medicine were included. Clinical examinations included DMFT index (Decayed, Missing and Filled Teeth) according to the WHO criteria and oral hygiene was assessed with the plaque index (PI). The survey included the validated Hebrew version of the Oral Health Impact Profile (OHIP-14).Results: Overall, 322 patients completed the study. The dental anxiety group consisted of 68 patients, the exaggerated gag reflex group of 54 patients and the control group of 200 patients. Control group patients presented with lower PI and DMFT values. Patients with dental anxiety and/or exaggerated gag exhibited worse OHIP-14 scores overall as well as on each separate subscale. PI and DMFT were found to be in strong relation to the OHIP-14. Multivariable logistic regression analysis of factors influencing the OHIP-14 scores revealed a significant influence of the DMFT score.Conclusions: Patients with dental anxiety and exaggerated gag reflex were shown to suffer considerably from impaired oral health-related quality of life. This impairment may be attributed to a higher prevalence of caries and avoidance of dental treatment. Those populations should be identified and monitored carefully as well as encouraged to seek the appropriate behavioural treatment in order to improve their dental heath and oral health related quality of life.