International Poster Journal of Dentistry and Oral Medicine
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Int Poster J Dent Oral Med 18 (2016), No. 1     15. Mar. 2016
Dentsply Förderpreis. 2. Platz in der Kategorie klinische Studien. Int Poster J Dent Oral Med 18 (2016), No. 1  (15.03.2016)

Poster 984, Language: German/English


Effekte psychotherapeutischer Behandlung bei Patienten mit Zahnbehandlungsphobie
Parallel Study about the Effects of Psychotherapy on Patients with Dental Phobia Determined by Anxiety Scores and Saliva Secretion and Composition

Arnold, Wolfgang H. / Faber, S. / Naumova, E. A. / Lindner, P. / Wannemüller, A. / Sandulescu, T. / Jöhren, P.
Die Zahnbehandlungshobie kommt relativ häufig vor. Jüngere Studien haben gezeigt, dass 68% der Bevölkerung Angst vor dem Zahnarzt haben und 11% davon an einer Zahnbehandlungsphobie leiden. Im Gegensatz zur Zahnbehandlungsangst bedarf die Zahnbehandlungsphobie einer psychotherapeutischen Behandlung. Ziel der vorliegenden Studie war es den Erfolg von psychotherapeutischer Behandlung bei Patienten mit Zahnbehandlungsphobie zu erfassen.

The aim of this study was to determine the success of psychotherapeutic treatment for dental phobia by measurement of anxiety using the dental anxiety score (DAS), the state trait anxiety score (STAI state), salivary cortisol and protein concentrations and the salivary secretion rate. The primary endpoint of the study was the comparison of the data before and after psychotherapeutic treatment. Forty patients were included in the study. 24 were allocated to the phobic group and 16 to the control group. Saliva was collected upon entering the dental clinic and again after three weeks of psychotherapy. The results were compared with those of a control group. The DAS and STAI questionnaires were completed at each visit. A significant reduction in DAS values was found after psychotherapy. However, the values remained significantly higher in the phobic group than in the controls. Similar results were found for STAI scores. A higher salivary cortisol level was found in the phobic group. No changes occurred in cortisol or protein concentrations. The salivary secretion rate increased in the phobic patients after psychotherapy. It could be concluded that psychotherapy is effective in the treatment of dental phobic patients, thus improving oral health.

Keywords: Zahnbehandlungsphobie, Speichelcortisol, Speichelproteine, STAI-sate, HAF
dental phobia, salivary cortisol, salivary protein, dental anxiety score, state trait anxiety score, psychotherapy


Poster Award: Dentsply Förderpreis. 2. Platz in der Kategorie klinische Studien.

Conference/Exhibition:
Deutscher Zahnärztetag
06.-07. November 2015
Messe Frankfurt