The relationship between the anxiety inventory and plaque control record of patients with periodontitis.

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  • Naito Toru
    Department of Periodontology and Endodontology, Kyushu Dental College
  • Muraoka Kosuke
    Department of Periodontology and Endodontology, Kyushu Dental College
  • Yokota Makoto
    Department of Periodontology and Endodontology, Kyushu Dental College

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  • 患者の不安尺度とプラークコントロールとの関係

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Abstract

A lack of concern about oral health contributes to the reluctance of patients to perform oral hygiene procedures. The personality of the patient thus has a significant role with regard to the patient's compliance with dental treatment. This study analyzed the relationship between the anxiety scale and the state of oral hygiene.<BR>The subjects consisted of 41 periodontitis patients, 15 male and 26 female, who completed 5 or more sessions of oral hygiene instruction. Their anxiety was measured using State-Trait Anxiety Inventory (STAI) at the initial examination. Oral hygiene instruction was performed using the Bass brushing method. The use of an interdental brush was also encouraged. Their oral hygiene condition was evaluated by Plaque Control Record (PCR) at each appointment.<BR>The low state anxiety group had a significantly higher PCR value at the initial examination than the high state anxiety group (p<0.05). There was no significant difference of PCR between the high and low trait anxiety groups. An improvement of PCR after 5 sessions of oral hygiene instruction was observed in each group, regardless the anxiety status of the patient at the initial examination. There was no difference in the degree of improvement of PCR between in each group.<BR>The results of this study indicate that the anxiety scale at the initial examination may influence the initial oral hygiene status, but has no impact on the improvement of oral hygiene status following a series of sessions of oral hygiene instruction. Each patient's degree of concern about oral health care and attendance behavior at the clinic were probably more important than the level of anxiety at the first visit in securing the patient's compliance with periodontal treatment.

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