Relationships between Dental Fear and Dental Services Utilization with Respect to Oral Health Promotion

구강건강증진 관점에서의 치과의료서비스와 치과공포의 연관성

  • Choi, Jun-Seon (Dept. of Dental Hygiene, Gachon University of Medicine and Science) ;
  • Kim, Kwang-Kee (Inje Institute of Advanced Studies.?Inje University Center for Alcohol Studies)
  • 최준선 (가천의과학대학교 치위생학과) ;
  • 김광기 (인제대학원대학교.인제대 음주연구소)
  • Published : 2006.12.30

Abstract

Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was $52.16{\pm}15.71$ and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.

Keywords

References

  1. 강희양. 한국판 치과 불안 검사의 타당화 연구 [석사학위논문]. 전북: 전북대학교 대학원, 1999
  2. 김지영 외. 일부지역 초등학생을 대상으로 치과공포측정을 위한 CFSS-DS 수정 설문지의 타당성 여부와 관련요인 분석. 대한구강보건학회지 2005:29(2):131-140
  3. 대한구강보건학회, 보건복지부 구강보건사업지원단. 지역구강보건사업 활성화를 위한 연찬회. 서울: 대한구강보건학회, 2006
  4. 박덕영, 정세환, 마득상. 환자의 만족도를 높이는 구강진료 행동과학. 서울: 대한나래출판사, 2004. 쪽.85-107
  5. 박미성, 한경수. 치과외래환자에서 공포, 불안, 우울 및 구강안면부 스트레스증상에 관한 연구. 원광치의학연구소 1998:8(3):129-144
  6. 송근배 외. 한국 성인들의 사회 경제적 요인 및 구강보건의식행태에 따른 치아우식증 분석실태. 대한구강보건학회지 2003:27(2):319-328
  7. 이형숙, 권현숙, 최병옥. 치과임상심리학. 서울: 고문사, 2000. 쪽.139-145
  8. 조영식 외. 치과 병의원 관리. 서울: 고문사, 2003 쪽.95-123
  9. 최준선. 치과공포가 치과의료서비스 이용에 미치는 영향 [박사학위논문]. 경남: 인제대학교 대학원, 2006
  10. 한지형. 환자 만족도와 애호도에 미치는 치과위생사 관련 요인 분석 [석사학위논문]. 서울: 인제대학교 보건대학원, 2002
  11. Bedi R, McGrath C. Factors associated with dental anxiety among older people in Britain. Gerodontology 2000:17(2):97-103 https://doi.org/10.1111/j.1741-2358.2000.00097.x
  12. Berggren U et al. Assessment of patients with phobic dental anxiety. Acta Odontologica Scandinavica 1997;55(4):217-222 https://doi.org/10.3109/00016359709115420
  13. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. Journal American Dentist Association 1984:109(August):247-251 https://doi.org/10.14219/jada.archive.1984.0328
  14. Dionne RA, Phero JC, Becker DE. Management of Pain & Anxiety in the Dental Office, W.B. Saunders Co., 2002. pp.3-13
  15. Domoto PK et al. Results of a dental fear survey in Japan: implications for dental public health in Asia. Community Dentistry and Oral Epidemiology 1988:16(4):199-201 https://doi.org/10.1111/j.1600-0528.1988.tb01753.x
  16. Duncan RP et al. The Dynamics of Toothache Pain and Dental Service Utilization: 24-month Incidence. Journal Of Public Health Dentistry 2003:63(4):227-234 https://doi.org/10.1111/j.1752-7325.2003.tb03504.x
  17. Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence International 2006;37(4):304-310
  18. Hakeberg M, Berggren U. Dimension of the Dental Fear Survey among patients with dental phobia. Acta Odontologica Scandinavica 1997:55(5):314-318 https://doi.org/10.3109/00016359709114970
  19. Hagglin C, Berggren U, Hakeberg M, Ahlqwist M. Dental anxiety among middle-aged and elderly women in Sweden. A study of oral state, utilization of dental services and concomitant factors, Gerodontology 1996:13(1):25-34 https://doi.org/10.1111/j.1741-2358.1996.tb00147.x
  20. Hagglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dentistry and Oral Epidemiology 2000:25:451-60
  21. Holtzman JM, Berg RG, Mann J, Berkey D. The relationship of age and gender to fear and anxiety in response to dental care. Special Care in Dentistry 1997:17:82-86 https://doi.org/10.1111/j.1754-4505.1997.tb00873.x
  22. Holtzman JM, Berkey AB, Mann J. Utilization of dental services by aged. Journal of Public Health Dentistry 1990:50:164-171 https://doi.org/10.1111/j.1752-7325.1990.tb02110.x
  23. Klingberg G et al. Child dental fear: cause related factor and clinical effects. European Journal of Oral Sciences 1995:103(6):405-412 https://doi.org/10.1111/j.1600-0722.1995.tb01865.x
  24. Kvale G, Berg E, Nilsen CM et al. Validation of the Dental Fear Scale and the Dental Belief survey in a Norwegian sample. Community Dentistry and Oral Epidemiology 1997:25:160-164 https://doi.org/10.1111/j.1600-0528.1997.tb00915.x
  25. Locker D, Shapiro D, Liddell A. Negative dental experiences and their relationship to dental anxiety. Community Dental Health 1996:13:86-92
  26. Mehrstedt M, Tonnies S, Eisentraut I. Dental Fear, Health Status, and Quality of life. Anesthesia Progress 2004;51(3):90-94
  27. Moore R et al. Prevalence and characteristics of dental anxiety in Danish adults. Community Dentistry and Oral Epidemiology 1993:21:292-296 https://doi.org/10.1111/j.1600-0528.1993.tb00777.x
  28. Moore R, Berggren U, Carlsson SG. Reliability and Clinical usefulness of psychometric measures in a self-referred population of odontophobics. Community Dentistry and Oral Epidemiology 1991:19:341-351
  29. Pavi E, Kay EJ, Stephen KW. The effect of social and personal factors on the utilization of dental services in Glasgow, Scotland. Community Dental Health 1995;12(June):208-215
  30. Reisine SA. Path analysis of the utilization of dental service. Community Dentistry and Oral Epidemiology 1987:15:119-124 https://doi.org/10.1111/j.1600-0528.1987.tb00497.x
  31. Rowe MM, Moore TA. Development of a Measure of Dental Fear. American Journal of Health Behavior 1997:21(3):187-192
  32. Scheutz F, Heidmann J. Determinants of utilization of dental services among 20 to 34 year old Dans. Acta Odontologica Scandinavica 2001:59(4):201-208 https://doi.org/10.1080/00016350152509201
  33. Schuller A, Willumsen T, Holst D. Are there differences in oral health and oral health behavior between individuals with high and low dental fear?, Community Dentistry and Oral Epidemiology 2003:31:116-121 https://doi.org/10.1034/j.1600-0528.2003.00026.x
  34. Schuurs A, Hoogstraten J. Appraisal of dental anxiety and fear questionnaires: a review. Community Dentistry and Oral Epidemiology 1993;21(6):329-339 https://doi.org/10.1111/j.1600-0528.1993.tb01095.x
  35. Skaret E et al. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. European Journal of Oral Sciences 1999:107:422-428 https://doi.org/10.1046/j.0909-8836.1999.eos107602.x
  36. Teo CS et al. Prevalence of dental fear in young adult Singaporeans. International Dental Journal 1990:40:37-42