Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study
Abstract Introduction Dental fear is a prevalent problem leading to severe deterioration of oral health and health‐related quality of life. Despite the knowledge that dental fear is closely linked to painful experience, the association between pain sensitivity and dental fear remains unclear. This s...
Published in: | Community Dentistry and Oral Epidemiology |
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Online Access: | http://dx.doi.org/10.1111/cdoe.12443 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fcdoe.12443 https://onlinelibrary.wiley.com/doi/pdf/10.1111/cdoe.12443 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/cdoe.12443 |
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crwiley:10.1111/cdoe.12443 2024-06-23T07:55:30+00:00 Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study Kankaanpää, Rami Auvinen, Juha Rantavuori, Kari Jokelainen, Jari Karppinen, Jaro Lahti, Satu European Regional Development Fund Academy of Finland Opetus- ja Kulttuuriministeriö Suomalainen Lääkäriseura Duodecim Oulun Yliopisto 2018 http://dx.doi.org/10.1111/cdoe.12443 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fcdoe.12443 https://onlinelibrary.wiley.com/doi/pdf/10.1111/cdoe.12443 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/cdoe.12443 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Community Dentistry and Oral Epidemiology volume 47, issue 3, page 193-200 ISSN 0301-5661 1600-0528 journal-article 2018 crwiley https://doi.org/10.1111/cdoe.12443 2024-06-11T04:47:08Z Abstract Introduction Dental fear is a prevalent problem leading to severe deterioration of oral health and health‐related quality of life. Despite the knowledge that dental fear is closely linked to painful experience, the association between pain sensitivity and dental fear remains unclear. This study was designed to evaluate this association with validated measures of dental fear and pressure pain sensitivity in a cohort population. Methods The study population consisted of a subpopulation of the Northern Finland Birth Cohort 1966. At the age of 46 years, 1736 participants completed the valid and reliable Modified Dental Anxiety Scale ( MDAS ) and participated in a clinical examination, where their nonorofacial pressure pain sensitivity was evaluated by validated pressure pain threshold ( PPT ) and tolerance ( PPT o) measurements. Gender‐specific Tobit regressions were performed to analyse this association adjusted for smoking and depressive and anxiety symptoms. Results Women with moderate dental fear had 5% (31.3 kP a; P < 0.05), and women with high dental fear had 7% (42.9 kP a; n.s.) lower pressure pain threshold than women with low dental fear. Women with moderate dental fear had 4% (35.4 kPa; P < 0.05) and women with high dental fear had 9% (82.7 kP a; P < 0.01) lower pressure pain tolerance than women with low dental fear. Men with moderate and high dental fear had 3% lower pressure pain tolerance (35.4 kPa; P < 0.05 and 29.6 kP a; n.s., respectively) than men with low dental fear, whereas the associations with pain threshold were not statistically significant. Among women, both anticipatory and treatment‐related dental fears were associated with pain threshold and pain tolerance. Among men, pain threshold was associated with treatment‐related dental fear only and the associations with pain tolerance were not statistically significant. Conclusions Nonorofacial pressure pain threshold and tolerance appeared to be lower in participants with dental fear, which emphasizes the role of pain ... Article in Journal/Newspaper Northern Finland Wiley Online Library Community Dentistry and Oral Epidemiology 47 3 193 200 |
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Wiley Online Library |
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English |
description |
Abstract Introduction Dental fear is a prevalent problem leading to severe deterioration of oral health and health‐related quality of life. Despite the knowledge that dental fear is closely linked to painful experience, the association between pain sensitivity and dental fear remains unclear. This study was designed to evaluate this association with validated measures of dental fear and pressure pain sensitivity in a cohort population. Methods The study population consisted of a subpopulation of the Northern Finland Birth Cohort 1966. At the age of 46 years, 1736 participants completed the valid and reliable Modified Dental Anxiety Scale ( MDAS ) and participated in a clinical examination, where their nonorofacial pressure pain sensitivity was evaluated by validated pressure pain threshold ( PPT ) and tolerance ( PPT o) measurements. Gender‐specific Tobit regressions were performed to analyse this association adjusted for smoking and depressive and anxiety symptoms. Results Women with moderate dental fear had 5% (31.3 kP a; P < 0.05), and women with high dental fear had 7% (42.9 kP a; n.s.) lower pressure pain threshold than women with low dental fear. Women with moderate dental fear had 4% (35.4 kPa; P < 0.05) and women with high dental fear had 9% (82.7 kP a; P < 0.01) lower pressure pain tolerance than women with low dental fear. Men with moderate and high dental fear had 3% lower pressure pain tolerance (35.4 kPa; P < 0.05 and 29.6 kP a; n.s., respectively) than men with low dental fear, whereas the associations with pain threshold were not statistically significant. Among women, both anticipatory and treatment‐related dental fears were associated with pain threshold and pain tolerance. Among men, pain threshold was associated with treatment‐related dental fear only and the associations with pain tolerance were not statistically significant. Conclusions Nonorofacial pressure pain threshold and tolerance appeared to be lower in participants with dental fear, which emphasizes the role of pain ... |
author2 |
European Regional Development Fund Academy of Finland Opetus- ja Kulttuuriministeriö Suomalainen Lääkäriseura Duodecim Oulun Yliopisto |
format |
Article in Journal/Newspaper |
author |
Kankaanpää, Rami Auvinen, Juha Rantavuori, Kari Jokelainen, Jari Karppinen, Jaro Lahti, Satu |
spellingShingle |
Kankaanpää, Rami Auvinen, Juha Rantavuori, Kari Jokelainen, Jari Karppinen, Jaro Lahti, Satu Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
author_facet |
Kankaanpää, Rami Auvinen, Juha Rantavuori, Kari Jokelainen, Jari Karppinen, Jaro Lahti, Satu |
author_sort |
Kankaanpää, Rami |
title |
Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
title_short |
Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
title_full |
Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
title_fullStr |
Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
title_full_unstemmed |
Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study |
title_sort |
pressure pain sensitivity is associated with dental fear in adults in middle age: findings from the northern finland 1966 birth cohort study |
publisher |
Wiley |
publishDate |
2018 |
url |
http://dx.doi.org/10.1111/cdoe.12443 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fcdoe.12443 https://onlinelibrary.wiley.com/doi/pdf/10.1111/cdoe.12443 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/cdoe.12443 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
Community Dentistry and Oral Epidemiology volume 47, issue 3, page 193-200 ISSN 0301-5661 1600-0528 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/cdoe.12443 |
container_title |
Community Dentistry and Oral Epidemiology |
container_volume |
47 |
container_issue |
3 |
container_start_page |
193 |
op_container_end_page |
200 |
_version_ |
1802648135690878976 |