Rezwana Begum Mohammed1, Thota Lalithamma2, Dandu Maruti Varma3, Korukonda Naga Venkata Sudhakar4, Baratam Srinivas5, Penumetsa Venkata Krishnamraju6, Ahammad Basha Shaik7
1 Assistant Professor, Department of Oral Medicine and Radiology, GITAM Dental College and Hospital, Rushikonda, Visakhapatnam, India
2 M. D. S. and Reader, Department of Oral Medicine & Radiology, C.K.S. Teja Dental College and Hospital, Tirupati, Andhra Pradesh, India
3 Assistant Professor, Department of Orthodontics and Dentofacial Orthopaedics, Anil Neerukonda Institute of Dental Sciences, Bheemunipatnam, Visakhapatnam, Andhra Pradesh, India
4 Professor, Department of Oral and Maxillofacial Surgery, Kalinga institute of dental sciences, Bhubaneshwar, Odisha, India
5 Professor, Department of Orthodontics and Dentofacial Orthopaedics, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
6 Professor, Department of Periodontics, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha, India
7 Statistician cum Assistant Professor, Department of Community Medicine, Narayana Medical College, Nellore, Andhra Pradesh, India

DOI: 10.4103/0976-9668.136210


Background: Dental fear, anxiety and phobia have consistently been reported as widespread problems that persist despite the technological advances that have made dentistry less painful and less uncomfortable. The aim of this study was to assess the prevalence of dental anxiety (DA) and its relation to age and sex among Coastal Andhra (Visakhapatnam) population. Materials and Methods : A randomized controlled study was designed among 340 individuals at GITAM Dental College and Hospital, Visakhapatnam. The sample for the study consisted of 180 female and 160 male subjects between 15 and 65 years of age; all were supplied with two questionnaires (Corah DA scale [CDAS] and Clarke and Rustvold dental concerns assessment scale describing anxiety provoking stimuli. The Mann-Whitney U-test and the Kruskal-Wallis test were applied (significance level P < 0.05). The correlations between the two questionnaires were calculated using the Spearman’s rank correlation coefficient. Results: Two questionnaires were collected from all 340 individuals and the Indian translation of both instruments was found to be internally reliable with a Cronbach’s alpha of 0.093. Overall prevalence of DA was high (77.4%) but severe (22.6%) anxiety (phobia) was low. Kruskal-Wallis test showed a significant relation between age and DA. The mean CDAS scores were high in 25-35 (11.08) and low in 55-65 (9.45) year age groups. Mann-Whitney U test showed significant relation between sex and DA. Mean CDAS score levels were significantly higher in females (10.88) than in males (9.96) (P < 0.0001). Conclusion: Patients anxious about dental procedures are often more difficult to treat. If Dentists become aware about the level of DA among their patients, they can anticipate patient’s behavior and can be prepared to take behavioral/pharmacological measures to reduce anxiety levels.

Keywords: Dental anxiety, dental anxiety scale, dental concerns assessment scale, dental fear, prevalence

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