ABSTRACT
Dental anxiety is a matter of interest for the dentist since an anxious patient is a potential source of complications in the dental office. The main objectives of this study are to describe the correlation between dental anxiety levels and the values of physiological parameters related to dental anxiety and to study the evolution of blood pressure and heart rate over time during noninvasive dental treatments, i.e., not requiring local anesthesia. A descriptive, longitudinal, and prospective observational study was designed. The study population consisted of 200 patients who attended a university clinic for dental treatment without local anesthesia. The patients were asked to complete the Corah Dental Anxiety Scale. Afterward, blood pressure and heart rate were measured by means of a digital sphygmomanometer. Blood pressure and heart rate were taken throughout the procedure on four occasions. Most of the patients showed mild dental anxiety (5 [IQR: 3] points on Corah Dental Anxiety Scale). Significant but weak correlations were found between the level of dental anxiety and heart rate (Spearman rho: 0.166 and 0.176; p = 0.019 and 0.013; 3 min before and after treatment, respectively), as well as between the level of dental anxiety and the duration of treatment (Spearman rho: 0.191 3 min; p = 0.007). As for the evolution of physiological parameters, all patients showed a progressive decrease in values at different time points during treatment. When the types of treatment were evaluated separately, it was observed that there were statistically significant differences between them with respect to the level of dental anxiety (p = 0.006).
Subject(s)
Dental Anxiety , Dentistry , Humans , Prospective Studies , UniversitiesABSTRACT
Resumen: El objetivo de este estudio fue determinar la prevalencia y distribución de las lesiones de la mucosa oral en los pacientes que acudieron a la Policlínica Universitaria de la Universidad Europea de Madrid entre 2014 y 2018, así como establecer si existe una relación entre el sexo y la edad con la presencia de lesiones de la mucosa oral. Material y métodos: Al ser un estudio retrospectivo a 5 años, se requería la revisión de 2000 historias clínicas para obtener un nivel de precisión y de confianza aceptable. La recogida de las variables de investigación se llevó a cabo mediante una base de datos diseñada en Access. El análisis de los datos se realizó con el paquete estadístico Stata IC versión 14 (StataCorp LLC., Texas USA). Resultados: En un análisis preliminar de 1536 historias clínicas se determinó que la prevalencia global de lesiones orales era del 29,27%, existiendo una diferencia estadísticamente significativa en cuanto al sexo, y no encontrándose diferencias estadísticamente significativas entre los diferentes grupos de edad. Siendo las lesiones de la mucosa oral más frecuentes la línea alba (9,78%) y el morsicatio buccarum (9,38%). Conclusiones: Este estudio tiene unaprevalencia global similar a otros publicados previamente, destacamos la importancia de la exploración oral para la identificación y prevalencia de lesiones orales. (AU)
Abstract: The objective of this study was to determine the prevalence and distribution of oral mucosa lesions in patients who attended the University Clinic of the European University of Madrid, between the years 2014 and 2018. Secundary objectives were to assess if there is a relationship between sex and age and the presence of lesions in the oral mucosa. Material and methods: Being a 5-year retrospective study, the review of 2000 medical records was required to obtain an acceptable level of precision and confidence level. The collection of all the variables was carried out using a database designed in Access. Data analysis was performed with the Stata IC version 14 statistical package (StataCorp LLC., Texas USA). Results: In a preliminary analysis of 1536 medical records we determined that the global prevalence of oral lesions was 29.27%, with a significant difference regarding sex. No significant differences were found between the different age groups. The most frequent lesions of the oral mucosa were linea alba (9.78%) and morsicatio buccarum (9.38%). Conclusions: Our study has a global prevalence similar to other previously published studies; we highlight the importance of oral examination for the identification and prevalence of oral lesions. (AU)
