Endodonti Klinik Eğitimi Öncesi ve Sonrası Diş Hekimliği Öğrencilerinin Dental Anksiyete Düzeylerinin Belirlenmesi

Amaç: Bu çalışmanın amacı, Ordu Üniversitesi Diş Hekimliği Fakültesindeki Endodonti klinik eğitimi almış ve almamış öğrencilerinin dental kaygı düzeylerini saptamak ve dental kaygının bağlı olabileceği düşünülen faktörlerle olan ilişkisini belirlemektir.Materyal ve metod: Çalışmamıza Ordu Üniversitesi Diş Hekimliği Fakültesindeki endodonti klinik eğitimi almış (4. ve 5. Sınıf) ve endodonti klinik eğitimi almamış (2. ve 3. Sınıf) öğrenciler dahil edildi. Toplamda 142’si kadın ( % 63,7), 81’i erkek (% 36,3) olmak üzere 223 öğrenci anket çalışmamıza katıldı. Dental kaygı düzeyinin belirlenmesi amacıyla Modifiye Dental Anksiyete Skalası (MDAS) ve dental kaygının ilişkili olabileceği düşünülen faktörlere yönelik soruları içeren anketler uygulandı. Yüksek dental kaygı düzeyi MDAS skor değeri ≥19 olarak değerlendirildi. Çalışmada elde edilen veriler NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) paket programına aktarılarak sonuçlar değerlendirilmiştir. Bulgular: Endodonti klinik eğitimi almamış öğrencilerin (Sınıf 2-3) ve endodonti klinik eğitimi almış öğrencilerin (Sınıf 4-5) gruplarının MDAS ortalamaları arasında istatistiksel olarak anlamlı farklılık gözlenmemiştir (p=0,598). Çalışmaya katılan öğrencilerin modifiye dental anksiyete düzeyleri kadınlarda 12±3,8, erkeklerde ise 9,6±3,2’dir ve kadınların MDAS ortalamaları erkeklerin MDAS ortalamalarından istatistiksel olarak anlamlı derecede yüksek bulunmuştur (p=0,0001). Travmatik diş hekimliği deneyimi varlığı bulunan öğrencilerin MDAS ortalamaları bulunmayanlara göre anlamlı olarak daha yüksek bulunmuş ve yine travmatik diş hekimliği deneyimi varlığı bulunan öğrencilerin bulunmayanlara göre anlamlı olarak yüksek dental anksiyeteye sahip olduğu rapor edilmiştir (p=0,001). Sonuç: Endodonti klinik eğitiminin dental anksiyete seviyeleri üzerinde etkisinin olmadığı düşünülmektedir.

Anahtar Kelimeler:

Dental anksiyete, Endodonti, Diş Hekimliği Öğrencisi

Determination of Dental Anxiety Levels of Dental Students Before and After Endodontics Clinic Education

Background: The aim of this study is to determine the dental anxiety levels of the students who have received and not received Endodontic clinical education at the Ordu University Faculty of Dentistry and to evaluate the relationship between dental anxiety and the factors thought to be related to dental anxiety. Materials and Methods: The study was at the Faculty of Dentistry of Ordu University and included after endodontic clinical education (4th and 5th Grade) and before endodontic clinical education (2nd and 3rd year) students. A total of 223 students, 142 of them were women (63.7%) and 81 of them (36.3%) was men, participated in our study. In order to evaluate the dental anxiety level, questionnaires were conducted to the questions about the Modified Dental Anxiety Scale (MDAS) and the factors that were thought to be related to dental anxiety. Questionnaires with an MDAS score of ≥19 were evaluated as having a high dental anxiety level. The data obtained from the study were transferred to the NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program and the results were evaluated.Results: No statistically significant difference was observed between the MDAS mean scores of the students who had not received endodontic clinical education (Grade 2- 3) and those with endodontic clinical education (Grade 4-5) (p = 0.598). Modified dental anxiety levels of the students were found to be 12±3,8 in females, 9,6 ± 3,2 in males and MDAS averages of females were found significantly higher than the males.(p = 0,0001). MDAS averages of the students who had traumatic dentistry experience were found to be significantly higher than whom had no traumatic dentistry experience, and students with traumatic dentistry experience were reported to have significantly higher dental anxiety levels than whom had no traumatic dentistry experience (p = 0.001). Conclusion: It is thought that endodontics clinical education has no effect on dental anxiety levels.

PDF

___

1. Newton JT, Buck DJ. Anxiety and pain measures in dentistry: a guide to their quality and application. J Am Dent Assoc 2000;131:1449-1457.
2. Bellini M, Maltoni O, Gatto MR, Pelliccioni G, Checchi V, Checchi L. Dental phobia in dentistry patients. Minerva Stomatol 2008;57:485-495.
3. Öcek ZA KA, Türk M, Çiçeklioğlu M. Ege Üniversitesi Diş hekimliği Fakültesi’ne başvuran hastalarda dental anksiyete etiyolojisinin değerlendirilmesi. EÜ Diş Hek Fak Derg 2001;22:121-129.
4. Freeman. R. Barriers to accessing and accepting dentalcare. Bri Dent J 1999;187:81-84.
5. De Jongh A, Adair P, Meijerink-Anderson M. Clinical management of dental anxiety: what works for whom? Int Dent J 2005;55:73-80.
6. Boyle CA, Newton T, Milgrom P. Who is referred for sedation for dentistry and why? Br Dent J 2009;206:E12; discussion 322-323.
7. Smith TA, Heaton LJ. Fear of dental care: are we making any progress? J Am Dent Assoc 2003;134:1101-1108.
8. Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health 2009;9:20.
9. Sohn W, Ismail AI. Regular dental visits and dental anxiety in an adult dentate population. J Am Dent Assoc 2005;136:58-66; quiz 90-51.
10. Firat D, Tunc EP, Sar V. Dental anxiety among adults in Turkey. J Contemp Dent Pract 2006;7:75-82.
11. Tunc EP, Firat D, Onur OD, Sar V. Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population. Community Dent Oral Epidemiol 2005;33:357-362.
12. de Jongh A, Fransen J, Oosterink-Wubbe F, Aartman I. Psychological trauma exposure and trauma symptoms among individuals with high and low levels of dental anxiety. Eur J Oral Sci 2006;114:286-292.
13. Thomson WM, Locker D, Poulton R. Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol 2000;28:289-294.
14. Locker D, Thomson WM, Poulton R. Psychological disorder, conditioning experiences, and the onset of dental anxiety in early adulthood. J Dent Res 2001;80:1588-1592.
15. Locker D, Poulton R, Thomson WM. Psychological disorders and dental anxiety in a young adult population. Community Dent Oral Epidemiol 2001;29:456-463.
16. Al-Omari WM, Al-Omiri MK. Dental anxiety among university students and its correlation with their field of study. J Appl Oral Sci 2009;17:199-203.
17. Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int 2006;37:304-310.
18. Nicolas E, Collado V, Faulks D, Bullier B, Hennequin M. A national cross-sectional survey of dental anxiety in the French adult population. BMC Oral Health 2007;7:12.
19. Doğaner YÇ AÜ, Yeşil HÜ, Sarı O, Koç B. Genç bireylerde dental anksiyete ve ilişkili faktörler. Gülhane Tıp Derg 2015;57:160-164.
20. Sümer AP BE, Sümer M, Köprülü H. Diş hekimliği öğrencileri ile diş hekimliği dışındaki diğer fakülte öğrencilerinin dental kaygılarının değerlendirilmesi. Türkiye Klinikleri J DentalSci 2007;13:1-5.
21. Acharya S. Factors affecting dental anxiety and beliefs in an Indian population. J Oral Rehabil 2008;35:259-267.
22. Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent 2010;8:107-115.
23. Dailey YM, Humphris GM, Lennon MA. The use of dental anxiety questionnaires: a survey of a group of UK dental practitioners. Br Dent J 2001;190:450-453.
24. Ilguy D, Ilguy M, Dincer S, Bayirli G. Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res 2005;33:252-259.
25. Peretz B, Moshonov J. Dental anxiety among patients undergoing endodontic treatment. J Endod 1998;24:435-437.
26. Peretz B, Mann J. Dental anxiety among Israeli dental students: a 4-year longitudinal study. Eur J Dent Educ 2000;4:133-137.
27. Acharya S, Sangam DK. Dental anxiety and its relationship with self-perceived health locus of control among Indian dental students. Oral Health Prev Dent 2010;8:9-14.
28. Ergüven SS IB, Kılınç Y. Diş hekimliği fakültesi birinci sınıf öğrencileri ile son sınıf öğrencilerinin dental kaygı-korku düzeylerinin karşılaştırmalı olarak değerlendirilmesi. Acta Odontol Turc 2013;30:70-76.
29. DG. K. Dental anxiety among dental students. J of IMAB 2011;17:137-139.
30. Halonen H, Salo T, Hakko H, Rasanen P. Association of dental anxiety to personality traits in a general population sample of Finnish University students. Acta Odontol Scand 2012;70:96-100.
31. Kaakko T, Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS. Dental fear among university students: implications for pharmacological research. Anesth Prog 1998;45:62-67.
32. Menziletoğlu D, Akbulut, MB., Büyükerkmen, EB.,Işık, BK. Diş hekimliği fakültesi öğrencilerinin dental anksiyete-korku düzeylerinin değerlendirilmesi. Selcuk Dent J, 2018;5:22-30.
33. Sghaireen MG, Zwiri AM, Alzoubi IA, Qodceih SM, Al-Omiri MK. Anxiety due to Dental Treatment and Procedures among University Students and Its Correlation with Their Gender and Field of Study. Int J Dent 2013;2013:647436.
34. Economou GC. Dental anxiety and personality: investigating the relationship between dental anxiety and self-consciousness. J Dent Educ 2003;67:970-980.
35. Oktay EA KM, Şahinkesen G, Topçu FT. The role of age, gender, education and experiences on dental anxiety. Gulhane Med J 2009;51:145-148.