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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Autor*in:	Casey D. Wright [verfasserIn] Daniel W. McNeil [verfasserIn] Cierra B. Edwards [verfasserIn] Richard J. Crout [verfasserIn] Katherine Neiswanger [verfasserIn] John R. Shaffer [verfasserIn] Mary L. Marazita [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Übergeordnetes Werk:	In: Pain Research and Management - Hindawi Limited, 2016, (2017)
Übergeordnetes Werk:	year:2017

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1155/2017/5491923

Katalog-ID:	DOAJ03768647X

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520			\|a 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.
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allfields	10.1155/2017/5491923 doi (DE-627)DOAJ03768647X (DE-599)DOAJa45055c25a1d4bebb229de8cef08a1fa DE-627 ger DE-627 rakwb eng R5-920 Casey D. Wright verfasserin aut Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine (General) Daniel W. McNeil verfasserin aut Cierra B. Edwards verfasserin aut Richard J. Crout verfasserin aut Katherine Neiswanger verfasserin aut John R. Shaffer verfasserin aut Mary L. Marazita verfasserin aut In Pain Research and Management Hindawi Limited, 2016 (2017) (DE-627)329420801 (DE-600)2048409-4 19181523 nnns year:2017 https://doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/article/a45055c25a1d4bebb229de8cef08a1fa kostenfrei http://dx.doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/toc/1203-6765 Journal toc kostenfrei https://doaj.org/toc/1918-1523 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017
spelling	10.1155/2017/5491923 doi (DE-627)DOAJ03768647X (DE-599)DOAJa45055c25a1d4bebb229de8cef08a1fa DE-627 ger DE-627 rakwb eng R5-920 Casey D. Wright verfasserin aut Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine (General) Daniel W. McNeil verfasserin aut Cierra B. Edwards verfasserin aut Richard J. Crout verfasserin aut Katherine Neiswanger verfasserin aut John R. Shaffer verfasserin aut Mary L. Marazita verfasserin aut In Pain Research and Management Hindawi Limited, 2016 (2017) (DE-627)329420801 (DE-600)2048409-4 19181523 nnns year:2017 https://doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/article/a45055c25a1d4bebb229de8cef08a1fa kostenfrei http://dx.doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/toc/1203-6765 Journal toc kostenfrei https://doaj.org/toc/1918-1523 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017
allfields_unstemmed	10.1155/2017/5491923 doi (DE-627)DOAJ03768647X (DE-599)DOAJa45055c25a1d4bebb229de8cef08a1fa DE-627 ger DE-627 rakwb eng R5-920 Casey D. Wright verfasserin aut Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine (General) Daniel W. McNeil verfasserin aut Cierra B. Edwards verfasserin aut Richard J. Crout verfasserin aut Katherine Neiswanger verfasserin aut John R. Shaffer verfasserin aut Mary L. Marazita verfasserin aut In Pain Research and Management Hindawi Limited, 2016 (2017) (DE-627)329420801 (DE-600)2048409-4 19181523 nnns year:2017 https://doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/article/a45055c25a1d4bebb229de8cef08a1fa kostenfrei http://dx.doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/toc/1203-6765 Journal toc kostenfrei https://doaj.org/toc/1918-1523 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017
allfieldsGer	10.1155/2017/5491923 doi (DE-627)DOAJ03768647X (DE-599)DOAJa45055c25a1d4bebb229de8cef08a1fa DE-627 ger DE-627 rakwb eng R5-920 Casey D. Wright verfasserin aut Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine (General) Daniel W. McNeil verfasserin aut Cierra B. Edwards verfasserin aut Richard J. Crout verfasserin aut Katherine Neiswanger verfasserin aut John R. Shaffer verfasserin aut Mary L. Marazita verfasserin aut In Pain Research and Management Hindawi Limited, 2016 (2017) (DE-627)329420801 (DE-600)2048409-4 19181523 nnns year:2017 https://doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/article/a45055c25a1d4bebb229de8cef08a1fa kostenfrei http://dx.doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/toc/1203-6765 Journal toc kostenfrei https://doaj.org/toc/1918-1523 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017
allfieldsSound	10.1155/2017/5491923 doi (DE-627)DOAJ03768647X (DE-599)DOAJa45055c25a1d4bebb229de8cef08a1fa DE-627 ger DE-627 rakwb eng R5-920 Casey D. Wright verfasserin aut Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine (General) Daniel W. McNeil verfasserin aut Cierra B. Edwards verfasserin aut Richard J. Crout verfasserin aut Katherine Neiswanger verfasserin aut John R. Shaffer verfasserin aut Mary L. Marazita verfasserin aut In Pain Research and Management Hindawi Limited, 2016 (2017) (DE-627)329420801 (DE-600)2048409-4 19181523 nnns year:2017 https://doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/article/a45055c25a1d4bebb229de8cef08a1fa kostenfrei http://dx.doi.org/10.1155/2017/5491923 kostenfrei https://doaj.org/toc/1203-6765 Journal toc kostenfrei https://doaj.org/toc/1918-1523 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2088 GBV_ILN_2118 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017
language	English
source	In Pain Research and Management (2017) year:2017
sourceStr	In Pain Research and Management (2017) year:2017
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Medicine (General)
isfreeaccess_bool	true
container_title	Pain Research and Management
authorswithroles_txt_mv	Casey D. Wright @@aut@@ Daniel W. McNeil @@aut@@ Cierra B. Edwards @@aut@@ Richard J. Crout @@aut@@ Katherine Neiswanger @@aut@@ John R. Shaffer @@aut@@ Mary L. Marazita @@aut@@
publishDateDaySort_date	2017-01-01T00:00:00Z
hierarchy_top_id	329420801
id	DOAJ03768647X
language_de	englisch
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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.</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Daniel W. McNeil</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Cierra B. Edwards</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Richard J. 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topic_title	R5-920 Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
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title	Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
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title_full	Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
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author_browse	Casey D. Wright Daniel W. McNeil Cierra B. Edwards Richard J. Crout Katherine Neiswanger John R. Shaffer Mary L. Marazita
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title_sort	periodontal status and quality of life: impact of fear of pain and dental fear
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title_auth	Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
abstract	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.
abstractGer	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.
abstract_unstemmed	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.
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title_short	Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear
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Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear

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