Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from th...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2017/5491923 |
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| author | Casey D. Wright Daniel W. McNeil Cierra B. Edwards Richard J. Crout Katherine Neiswanger John R. Shaffer Mary L. Marazita |
| author_facet | Casey D. Wright Daniel W. McNeil Cierra B. Edwards Richard J. Crout Katherine Neiswanger John R. Shaffer Mary L. Marazita |
| author_sort | Casey D. Wright |
| collection | DOAJ |
| description | Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including the mediating role of dental fear while accounting for fear of pain. Results. A significant total effect was found for the mandibular anterior sextant, components of dental anxiety/fear, and indicators of OHRQoL (pain and discomfort, β=.165, p=.001; psychosocial impact, β=.199, p<.001). The maxillary anterior region was significantly associated with pain discomfort (β=.116, p=.017) and functionality (β=.130, p=.011). Conclusions. Findings provide a granular perspective of periodontal disease indicators and OHRQoL. Dental avoidance/anticipatory fear and physiological arousal mediate OHRQoL in individuals who have indicators of periodontal disease in sextants that may be visible and susceptible to higher pain and psychosocial impact. |
| format | Article |
| id | doaj-art-a45055c25a1d4bebb229de8cef08a1fa |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-a45055c25a1d4bebb229de8cef08a1fa2025-02-03T06:05:05ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/54919235491923Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental FearCasey D. Wright0Daniel W. McNeil1Cierra B. Edwards2Richard J. Crout3Katherine Neiswanger4John R. Shaffer5Mary L. Marazita6Department of Psychology, West Virginia University, 53 Campus Drive, P.O. Box 6040, Morgantown, WV 26506, USADepartment of Psychology, West Virginia University, 53 Campus Drive, P.O. Box 6040, Morgantown, WV 26506, USADepartment of Psychology, West Virginia University, 53 Campus Drive, P.O. Box 6040, Morgantown, WV 26506, USACenter for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USACenter for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USACenter for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USACenter for Oral Health Research in Appalachia (COHRA), University of Pittsburgh, Pittsburgh, PA 15219, USABackground. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including the mediating role of dental fear while accounting for fear of pain. Results. A significant total effect was found for the mandibular anterior sextant, components of dental anxiety/fear, and indicators of OHRQoL (pain and discomfort, β=.165, p=.001; psychosocial impact, β=.199, p<.001). The maxillary anterior region was significantly associated with pain discomfort (β=.116, p=.017) and functionality (β=.130, p=.011). Conclusions. Findings provide a granular perspective of periodontal disease indicators and OHRQoL. Dental avoidance/anticipatory fear and physiological arousal mediate OHRQoL in individuals who have indicators of periodontal disease in sextants that may be visible and susceptible to higher pain and psychosocial impact.http://dx.doi.org/10.1155/2017/5491923 |
| spellingShingle | Casey D. Wright Daniel W. McNeil Cierra B. Edwards Richard J. Crout Katherine Neiswanger John R. Shaffer Mary L. Marazita Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear Pain Research and Management |
| title | Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear |
| title_full | Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear |
| title_fullStr | Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear |
| title_full_unstemmed | Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear |
| title_short | Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear |
| title_sort | periodontal status and quality of life impact of fear of pain and dental fear |
| url | http://dx.doi.org/10.1155/2017/5491923 |
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