Self-Reported Periodontal Disease and its Association with Dental Anxiety in Lagos, Nigeria

Modupeore Ekua  Sorunke; Olubunmi O.  Onigbinde; Afolabi  Oyapero; Olurotimi A.  Coker

Authors

Modupeore Ekua Sorunke
Olubunmi O. Onigbinde
Afolabi Oyapero
Olurotimi A. Coker

Keywords:

Dental Anxiety, Oral Health, Periodontal Diseases, Self Report

Abstract

Objective: To determine the relationship between dental anxiety and self-reported periodontal status. Material and Methods: The study was conducted among 263 patients at the Family Medicine Clinic of the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. Self-assessed gingival and periodontal disease was measured using the validated periodontal disease self-report surveillance questionnaire. The Modified Dental Anxiety Scale (MDAS) was used for evaluating dental anxiety. Student’s t-test was used to test for association between categorical variables. P-value < 0.05 was considered to be statistically significant. Results: Seventy-seven (29.3%) participants had high dental anxiety, while 49 (18.6%) had very high dental anxiety. The prevalence of periodontal disease was higher among those with very high dental anxiety (77.6%), while female respondents had a significantly higher proportion of self-reported periodontitis (34.1%). There was a significantly higher prevalence of very high dental anxiety among respondents who had never visited the dentist (23.2%). Similarly, females (19.4%), middle-class respondents (30.8%), and those with a primary level of school education (23.5%) had a higher prevalence of high dental anxiety, even though the association was not significant. Conclusion: The prevalence of self-reported periodontal disease among the respondents with very high dental anxiety was higher than in those with high dental anxiety and those without dental anxiety, but the difference was not significant.

References

Liu Y, Huang X, Yan Y, Lin H, Zhang J, Xuan D. Dental fear and its possible relationship with periodontal status in Chinese adults: a preliminary study. BMC Oral Health 2015, 15:18. https://doi.org/10.1186/1472-6831-15-18

Jaakkola S, Rautava R, Alanen P, Aromaa M, Pienihäkkinen K, Räihäet H, et al. Dental fear: one single clinical question for measurement. Open Dent J 2009; 3:161-6. https://doi.org/10.2174/1874210600903010161

Storjord HP, Teodorsen MM, Bergdahl J, Wynn R, Johnsen JK. Dental anxiety: a comparison of students of dentistry, biology, and psychology. J Multidisciplinary Healthcare 2014; 14(7):413-8. https://doi.org/10.2147/JMDH.S69178

Malvania BA, Aithkrishnan CG. Prevalence and sociodemographic correlates of dental anxiety in a group of patients attending a dental institution in Vadodara city, Gurajat, India. Indian J Dent Res 2011; 22(1):179-80. https://doi.org/10.1111/cdoe.12132

Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of dental anxiety among dental patients in Saudi Arabia. J Int Soc Prev Community Dent 2017; 7(2):100-4. https://doi.org/10.4103/jispcd.JISPCD_19_17

Ogbebor OG, Azodo CC. Oral health knowledge and dental attendance among adolescents with and without dental fear. Borno Med J 2017; 14(2):175-82.

Bashiru BO, Omotola OE. Prevalence and determinants of dental anxiety among adult population in Benin City, Nigeria. Eur J Gen Dent 2016; 5(3):99-103. https://doi.org/10.4103/2278-9626.189252

Akhigbe KO, Koleoso ON. Trait anxiety, sex, age and dental treatment experience as determinants of dental anxiety among chronic dental patients in Nigeria. Eur Sci J 2014; 10(12):316-28.

Taiwo JO, Ibiyemi O, Osuh ME, Lawal FB. Validity of the periodontal disease surveillance self-report questionnaire in a Nigerian population. Port Harcourt Med J 2017; 11(2):84-9. https://doi.org/10.4103/phmj.phmj_7_16

Taiwo JO, Jeboda SO, Motayo TO, Obiechina AE. Periodontal health of the elderly people in South East local government area in Ibadan, Nigeria. Afr J Med Med Sci 2004; 33(4):285-91.

Eke PI, Genco RJ. CDC Periodontal disease surveillance project: background, objectives, and progress report. J Periodontol 2007; 78(7s):1366-71. https://doi.org/10.1902/jop.2007.070134

Kim HN, Jang YE, Kim CB, Kim NH. Socioeconomic status and self-reported periodontal symptoms in community-dwelling individuals: data from the Korea Community Health Surveys of 2011 and 2013. Int Dent J 2018; 68(6):411-9. https://doi.org/10.1111/idj.12407

Oyapero A, Ogunbanjo BO. Socio-demographic correlates of dental anxiety among patients attending a public dental clinic in Lagos, Nigeria. Libyan Dental Journal 2016; 6:1-7. https://doi.org/10.5542/LDJ.v6i0.26021031

Coker AO, Sorunke ME, Onigbinde OO, Awotile AO, Ogunbanjo OB, Ogunbanjo VO. The prevalence of dental anxiety and validation of the Modified Dental Anxiety Scale in a sample of Nigerian population. Niger Med Pract 2012; 62(5-6):138-43.

Abbood HM, Hinz J, Cherukara G, Macfarlane TV. Validity of self-reported periodontal disease: a systematic review and meta-analysis. J Periodontol 2016; 87(12):1474-83. https://doi.org/10.1902/jop.2016.160196

Carra MC, Gueguen A, Thomas F, Pannier B, Caligiuri G, Steg PG, et al. Self-report assessment of severe periodontitis: periodontal screening score development. J Clin Periodontol 2018; 45(7):818-31. https://doi.org/10.1177/0022034513505621

Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Beck JD, et al. Self-reported measures for surveillance of periodontitis. J Dent Res 2013; 92(11):10411047. https://doi.org/10.1177/0022034513505621

Chatzopoulos GS, Cisneros A, Sanchez M, Lunos S, Wolff LF. Validity of self-reported periodontal measures, demographic characteristics, and systemic medical conditions. J Periodontol 2018; 89(8):924-32. https://doi.org/10.1002/JPER.17-0586

Khader Y, Alhabashneh R, Alhersh F. Development and validation of a self-reported periodontal disease measure among Jordanians. Int Dent J 2015; 65(4):203-10. https://doi.org/10.1111/idj.12170

Wu X, Weng H, Lin X. Self-reported questionnaire for surveillance of periodontitis in Chinese patients from a prosthodontic clinic: a validation study. J Clin Periodontol 2013; 40(6):616-23. https://doi.org/10.1111/jcpe.12103

Azodo CC, Umoh AO. Perception of gingival bleeding and oral health practices in dental anxious and nonanxious Nigerian teachers. J Interdiscip Dentistry 2016; 6(1):14-8. https://doi.org/10.4103/2229-5194.188156

Vettore MV, Leão AT, Monteiro Da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol 2003; 30(5):394-402.

https://doi.org/10.1034/j.1600-051X.2003.10271.x

Van Dyke TE, Sheilesh D. Risk factors for periodontitis. J Int Acad Periodontol 2005; 7(1):3-7.

Ng SK, Keung Leung W. A community study on the relationship between stress, coping, affective dispositions and periodontal attachment loss. Community Dent Oral Epidemiol 2006; 34(4):252-66.

https://doi.org/10.1111/j.1600-0528.2006.00282.x

Tolvanen M, Hagqvist O, Luoto A, Rantavuori K, Karlsson L, Karlsson H, et al. Changes over time in adult dental fear and correlation to depression and anxiety: a cohort study of pregnant mothers and fathers. Eur J Oral Sci 2013; 121(3 Pt 2):264-9. https://doi.org/10.1111/eos.12026

Storjord HP, Teodorsen MM, Bergdahl J, Wynn R, Johnsen JA. Dental anxiety: a comparison of students of dentistry, biology, and psychology. J Multidiscip Health 2014; 7:413-18. https://doi.org/10.2147/JMDH.S69178

Kirova DG. Dental anxiety among dental students. J Imab 2011; 17(2011):137-9. https://doi.org/10.5272/jimab.2011172.137

Skaret E, Berg E, Kvale G. Psychological characteristics of Norwegian adolescents reporting no likelihood of visiting a dentist in a situation with toothache. Int J Paediatric Dent 2007; 17(6):430-8.

https://doi.org/10.1111/j.1365-263X.2007.00869.x

Armfield JM. How do we measure dental fear and what are we measuring anyway? Oral Health Prev Dent 2010; 8(2):107-5. https://doi.org/10.3290/j.ohpd.a19198

Anttila S, Knuuttila M, Ylöstalo P, Joukamaa M. Symptoms of depression and anxiety in relation to dental health behavior and self-perceived dental treatment need. Eur J Oral Sci 2006; 114(2):109-14. https://doi.org/10.1111/j.1600-0722.2006.00334.x

Cinar AB, Murtomaa H. A comparison of psychosocial factors related to dental anxiety among Turkish and Finnish pre-adolescents. Oral Health Prev Dent 2007; 5(3):173-9.

Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Seoane-Pesqueira G, Gándara-Rey JM, Garcia-Garcia A. Dental anxiety before removal of a third molar and association with general trait anxiety. J Oral Maxillofac Surg 2006; 64:1404-8. https://doi.org/10.1016/j.joms.2006.05.030

Sohn W, Ismail AI. Regular dental visits and dental anxiety in an adult dentate population. J Am Dent Assoc 2005; 136(1):58-66. https://doi.org/10.14219/jada.archive.2005.0027

Ng SK, Leung WK. A community study on the relationship of dental anxiety with oral health status and oral health-related quality of life. Community Dent Oral Epidemiol 2008; 36(4):347-56.

https://doi.org/10.1111/j.1600-0528.2007.00412.x

Peruzzo DC, Benatti BB, Ambrosano GM, Nogueira-Filho GR, Sallum EA, Casati MZ, et al. A systematic review of stress and psychological factors as possible risk factors for periodontal disease. J Periodontol 2007; 78(8):1491-1504. https://doi.org/10.1902/jop.2007.060371

Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012; 91(10):914-20. https://doi.org/10.1177/0022034512457373

Blizniuk A, Ueno M, Zaitsu T, Kawaguchi Y. Association between selfreported and clinical oral health status in Belarusian adults. J Investig Clin Dent 2017; 8:e12206. https://doi.org/10.1111/jicd.12206

Joshipura KJ, Douglass CW, Garcia RI, Valachovic R, Willett WC. Validity of a self-reported periodontal disease measure. J Public Health Dent 1996; 56(4):205-12. https://doi.org/10.1111/j.1752-7325.1996.tb02437.x

Oyapero A, Adeniyi AA, Edomwonyi AI. Can the fear of the chair be worsened by dental appointments?” Dent Hypotheses 2018; 9(3):56-63. https://doi.org/10.4103/1735-3327.294326

Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health 2007; 7:1. https://doi.org/10.1186/1472-6831-7-1

Formicola AJ, Witte ET, Curran PM. A study of personality traits and acute necrotizing ulcerative gingivitis. J Periodontol 1970; 41(1):36-8. https://doi.org/10.1902/jop.1970.41.41.36

Goyal S, Jajoo S, Nagappa G, Rao G. Estimation of relationship between psychosocial stress and periodontal status using serum cortisol level: a clinico-biochemical study. Indian J Dent Res 2011; 22(1):6-9. https://doi.org/10.4103/0970-9290.79966

Cohen S, Janicki-Deverts D, Doyle WJ, Miller GE, Frank E, Rabin BS, et al. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci U S A. 2012; 109(16):5995-9. https://doi.org/10.1073/pnas.1118355109

Song C, Wang H. Cytokines mediated inflammation and decreased neurogenesis in animal models of depression. Prog Neuropsychopharmacol Biol Psychiatry 2011; 35(3):760-8. https://doi.org/10.1016/j.pnpbp.2010.06.020