SULTAN KELEŞ, FİLİZ ABACIGİL, FİLİZ ADANA, DUYGU YEŞİLFİDAN, PINAR OKYAY

The Association Between Dental Anxiety and Oral Health Related Quality of Life Among Individuals with Mild Intellectual Disability

Objective: The aim of this study is to determine the oral health related quality of life and the effect of dental anxiety on the oral health related quality of life in young, mildly intellectually disabled individuals who are attending a special school. Materials and Methods: Eighty six mildly intellectually disabled students participated this cross-sectional study. Oral health-related quality of life-United Kingdom Scale and Oral Health Impact Profile-14 were used to evaluate the effects of oral health of the individuals on their quality of life. Modified Dental Anxiety Scale was used to determine the dental anxiety levels of the individuals. Data were analyzed statistically. Results: The mean age of the participants was 17.12±1.40 years and the mean decayed, missing, and filled teeth (DMFT) score of the students was 3.10±2.76. According to the Modified Dental Anxiety Scale, 28.0% of the students had dental anxiety. A significant inverse relationship was detected between dental anxiety levels and oral health-related quality of life (r=-0.239; p=0.028). Conclusion: Nearly 30% of individuals with mild intellectual disabilities were determined to have dental anxiety. Considering that the oral health-related quality of life decreases with increasing dental anxiety, it may be beneficial for dentists to administer premedication before treatment to decrease the anxiety levels of these patients.

Hafif Seviyede Zihinsel Engeli Bulunan Bireylerde Dental Anksiyete ve Ağız Diş Sağlığına Bağlı Yaşam Kalitesi Arasındaki İlişki

Amaç: Bu çalışmanın amacı hafif seviyede zihinsel engeli olan ve bir engelli okuluna devam eden genç bireylerde ağız diş sağlığına bağlı yaşam kalitesini ve dental anksiyetenin ağız diş sağlığına bağlı yaşam kalitesi üzerine olan etkisini araştırmaktır. Gereç ve Yöntemler: Bu kesitsel çalışmaya hafif seviyede zihinsel engeli olan 86 öğrenci katıldı. Ağız diş sağlığına bağlı yaşam kalitesinin belirlenmesi için ağız diş sağlığına bağlı yaşam kalitesi-Birleşik Krallık Ölçeği ve Ağız Sağlığına Bağlı Etki Profili-14 ölçekleri kullanıldı. Dental anksiyetenin belirlenmesinde Modifiye Dental Anksiyete Skalası kullanıldı. Veriler istatistiksel olarak analiz edildi. Bulgular: Öğrencilerin ortalama yaşları 17,13±1,40 ve ortalama çürük, eksik ve dolgulu diş sayıları (DMFT) 3,10±2,76 olarak hesaplandı. Modifiye Dental Anksiyete Skalası’na göre öğrencilerin %28’inde dental anksiyete saptandı. Dental anksiyete ile ağız diş sağlığına bağlı yaşam kalitesi arasında negatif yönde anlamlı bir ilişki saptandı (r=-0,239; p=0,028). Sonuç: Hafif seviyede zihinsel engelli öğrencilerin yaklaşık %30’unda dental anksiyete saptandı. Dental anksiyetenin artmasının ağız diş sağlığına bağlı yaşam kalitesini düşürdüğü düşünüldüğünde diş hekimlerinin, bu hastaların anksiyete seviyelerini azaltmak için tedavi öncesi premedikasyon uygulamaları faydalı olabilir.

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