Long-term effects on dental care behavior and dental health after treatments for dental fear.

• Three different treatments for dental fear were tested in a long-term perspective study. Twenty-nine patients with severe dental anxiety and avoidance behavior were assigned to Behavioral Therapy (BT, n = 12), PRemedication with bensodiazepine (PR, n = 8) or dental treatment under General Anesthesia (GA, n = 9). Ten years after initial treatment the patients were reexamined. Changes in dental anxiety and dental care attendance were reported. Patients' dental health status was assessed by radiographic survey. Regular dental attendance was reported by 19 patients (65.5%), with a significantly better result for the BT group (91.6%) compared to the GA group (33.3%). Reported level of dental anxiety, as measured by the Dental Anxiety Scale, revealed a significant reduction during the 10-yr period except among GA patients and those reporting irregular dental attendance behavior. A rise in mood as assessed by the Mood Adjective Checklist was revealed in the total group, with a better effect in the BT and PR groups as well as in patients who reported regular dental attendance. A substantial general improvement in oral health was seen during the 10-yr period, especially among patients receiving regular dental care. Thus, for a majority of patients in this study, directed treatment for dental anxiety and avoidance behavior made it possible to maintain regular dental care behavior during a 10-yr period.

Ämnesord

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)

SOCIAL SCIENCES  -- Psychology (hsv//eng)

Nyckelord

Adult

Alveolar Bone Loss

pathology

Analysis of Variance

Behavior Therapy

Chi-Square Distribution

DMF Index

Dental Anxiety

therapy

Dental Care

psychology

utilization

Diazepam

therapeutic use

Female

Humans

Male

Outcome Assessment (Health Care)

Patient Acceptance of Health Care

Preanesthetic Medication

Prospective Studies

Questionnaires

Statistics

Nonparametric

Adult

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)