COMPARISON OF DENTAL EXTRACTION ANXIETY AND DEPRESSION BETWEEN YOUNG AND OLDER ADULTS

MQK GHAURI; S HUSSAIN; Z IQBAL; I JAVED; AL DIN; A NAND; S SYED; . AVINASH

doi:10.54112/bcsrj.v2024i1.681

Authors

MQK GHAURI Department of Orthodontics, Bhitai Dental and Medical College, Mirpurkhas, Sindh, Pakistan
S HUSSAIN PKLI, College of Nursing & Allied Health, University of Health Sciences, Pakistan
Z IQBAL Department of Community and Preventive Dentistry, Bhittai Dental and Medical College, Mirpurkhas, Sindh, Pakistan
I JAVED PKLI, College of Nursing & Allied Health, University of Health Sciences, Pakistan
AL DIN PKLI, College of Nursing & Allied Health, University of Health Sciences, Pakistan
A NAND Departmemt of Periodontology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh
S SYED Ziauddin College of Dentistry, Karachi, Sindh
. AVINASH Liaquat University of Medical & Health Sciences, Jamshoro, Sindh

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.681

Keywords:

Dental Anxiety, Depression, Dental Extractions, Modified Dental Anxiety Scale (MDAS), Patient Health Questionnaire-9 (PHQ-9), Oral Health

Abstract

Dental anxiety and depression represent significant psychological factors that can influence an individual's willingness to seek and undergo dental treatments, including routine procedures such as dental extractions. The main objective of the study is to find the comparison of dental extraction anxiety and depression in young adults as compared to older adults. This cross-sectional study was conducted in Karachi from January 2023 to November 2023. Data was collected from 320 participants in two age groups: young and older adults. Young adults age 8-35 years and older adults 60 years and above. Demographic information, including age, gender, education level, and dental history, was gathered alongside clinical details such as the type and complexity of dental extractions. Validated scales, notably the Modified Dental Anxiety Scale (MDAS) for dental anxiety and the Patient Health Questionnaire-9 (PHQ-9) for depression were employed for assessment. Data were collected from 320 participants. Approximately 36% of the population is estimated to be affected by dental anxiety, with 10 to 20% experiencing extreme levels. The mean Modified Dental Anxiety Scale (MDAS) scores differed significantly between age groups, with young adults having a mean score of 16.2 (SD=4.5) compared to older adults with a mean score of 14.5 (SD=3.8) (p<0.05). Similarly, the mean Patient Health Questionnaire-9 (PHQ-9) scores varied significantly between age groups, showing that young adults had a higher mean score of 8.3 (SD=3.2) compared to older adults with a mean score of 6.7 (SD=2.8) (p<0.01). It is concluded that gender and educational influences further emphasize the need for personalized approaches in dental care. Tooth extraction anxiety and depression are common in older adults. These insights highlight the potential for integrating mental health considerations into routine dental practices, fostering more patient-centered and age-specific interventions to enhance oral health and well-being.

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References

Saba, Z., Katirci, G. Relationship between dental anxiety levels and oral health among dental patients in Turkey: a cross-sectional study. BMC Oral Health 23, 328 (2023). https://doi.org/10.1186/s12903-023-03041-8

Won SY, Shim SY, An YS. The relationship between subjective oral health and dental fear in Korean adolescents. J Dent Anesth Pain Med. 2017;17(4):289–95. https://doi.org/10.17245/jdapm.2017.17.4.289.

Folayan OM, Kolawole AK, Onyejaka KN, Agbaje OH. General anxiety, dental anxiety, digit sucking, caries and oral hygiene status of children resident in a semi-urban population in Nigeria. BMC Oral Health. 2018;18(1):66. https://doi.org/10.1186/s12903-018-0529-z.

Veeraboina N, Doshi D, Kulkarni S, Kumar SP, Narayana SD, Srilatha A. Association of state and trait anxiety with oral health status among adult dental patients. Acta Biomed. 2020;91(3):2020070. https://doi.org/10.23750/abm.v91i3.8986.

Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018;18(1):48. https://doi.org/10.1186/s12903-018-0507-5.

Musalam, Kauther, et al. "Magnitude and Determinants of Dental Anxiety among Adult Patients Attending Public Dental Clinics in Dar-Es-Salaam, Tanzania." International Journal of Dentistry, vol. 2021 2021, https://doi.org/10.1155/2021/9965204.

Minja I. K., Kahabuka F. K. Dental Anxiety and its Consequences to Oral Health Care Attendance and Delivery. Anxiety Disorder- From Child to Adulthood. London, UK: IntechOpen; 2019. p. p. 35

Laizer P., Nderkero T., Sohal K. Prevalence of dental anxiety among undergraduate students at Muhimbili university of health and allied Sciences, Tanzania.International Journal of Psychosocial Rehabilitation.2018;3(2):33–36.

Zinke, A., Hannig, C. & Berth, H. Comparing oral health in patients with different levels of dental anxiety. Head Face Med 14, 25 (2018). https://doi.org/10.1186/s13005-018-0182-4

Kupeli, I., & Gülnahar, Y. (2020). Comparing different music genres in decreasing dental anxiety in young adults who underwent third molar surgery in Turkey: randomised controlled trial—journal of oral and maxillofacial surgery, 78(4), 546-e1.

Kisely, S., & Najman, J. M. (2022). A study of the association between psychiatric symptoms and oral health outcomes in a population-based birth cohort at 30-year-old follow-up. Journal of Psychosomatic Research, 157, 110784.