焦虑抑郁状态对智齿冠周炎复发的影响

 目的 探讨焦虑抑郁状态对非外科手术治疗的智齿冠周炎复发的影响。方法 选择就诊于中日友好医院口腔医学中心的首发非外科治疗的智齿冠周炎患者,通过发放电子问卷收集如下信息:人口学信息、焦虑量表(GAD-7)和抑郁量表(PHQ-9)。半年后对随访患者的复发情况进行统计,采用多因素logistic回归分析智齿冠周炎复发与患者发病时情绪状态的关系。结果 共收集568份有效问卷,其中7.0%患者存在焦虑状态(GAD-7≥10),13.7%存在抑郁状态(PHQ-9≥10),半年后随访智齿冠周炎的复发率为11.4%。分析智齿冠周炎6个月后复发情况发现,男性的风险低于女性(OR=0.416,P＜0.05),焦虑增加了智齿冠周炎的复发风险(OR=1.124,P＜0.05)。结论 口腔医师应关注患者焦虑抑郁情绪状态,有助于智齿冠周炎的预防和治疗。

Influence of anxiety and depressive symptoms on recurrence of wisdom tooth pericoronitis

Objective To explore the effect of anxiety and depressive symptoms on the recurrence of wisdom teeth pericoronitis after nonsurgical treatment.Methods Patients in the first episode of pericoronitis with nonsurgical therapy who were admitted into the center of dental medicine of China-Japan Friendship Hospital were recruited in the study. The following information was collected by electronic questionnaires: demographic information, mental health assessed by the Patient Health Questionnaire (PHQ-9) and the generalized anxiety disorder (GAD-7). The recurrence of wisdom tooth pericoronitis in follow-up patients was analyzed after half a year. The relationship between the recurrence of wisdom tooth pericoronitis and the emotional state of the patients at the onset of the disease was analyzed by multivariate logistic regression.Results A total of 568 valid questionnaires were collected, of which 7.0% showed anxiety symptom (GAD-7≥10) and 13.7% showed depressive symptom (PHQ-9≥10). The recurrence rate of pericoronitis in wisdom teeth was 11.4% at half a year follow-up. Men had a lower risk of recurrent pericoronitis than women (OR=0.416,P＜0.05). Anxiety symptom was a risk factor for recurrence (OR=1.124,P＜0.05).Conclusions More attention needs to be placed on the anxiety and depressive symptoms of pericoronitis patients, which can help in the prevention and treatment of pericoronitis of wisdom teeth.