University of Oulu

Kankaanpää, R, Auvinen, J, Rantavuori, K, Jokelainen, J, Karppinen, J, Lahti, S. Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study. Community Dent Oral Epidemiol. 2019; 47: 193– 200. https://doi.org/10.1111/cdoe.12443

Pressure pain sensitivity is associated with dental fear in adults in middle age : findings from the Northern Finland 1966 birth cohort study

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Author: Kankaanpää, Rami1,2,3; Auvinen, Juha4,5,6; Rantavuori, Kari;
Organizations: 1Department of Community Dentistry, University of Turku, Turku, Finland
2Oral and Maxillofacial Deceases, Tampere University Hospital, Tampere, Finland
3Oral Health Services, City of Tampere, Tampere, Finland
4Center for Life Course Health Research, University of Oulu, Oulu, Finland
5Unit of Primary Care, Oulu University Hospital, Oulu, Finland
6Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland
7Finnish Institute of Occupational Health, Oulu, Finland
8Turku Clinical Research Centre, Turku University Hospital, Turku, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe20201210100194
Language: English
Published: John Wiley & Sons, 2019
Publish Date: 2020-12-10
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 (PPTo) 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 kPa; P < 0.05), and women with high dental fear had 7% (42.9 kPa; 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 kPa; 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 kPa; 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 sensitivity in dental fear.

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Series: Community dentistry and oral epidemiology
ISSN: 0301-5661
ISSN-E: 1600-0528
ISSN-L: 0301-5661
Volume: 47
Issue: 3
Pages: 193 - 200
DOI: 10.1111/cdoe.12443
OADOI: https://oadoi.org/10.1111/cdoe.12443
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Subjects:
Funding: NFBC1966 received financial support from the Academy of Finland, University Hospital Oulu, University of Oulu, Finland, Northern Finland Health Care Foundation, Duodecim Foundation, Ministry of Education and Culture 86/626/2014, ERDF European Regional Development Fund ‐ Well‐being and health: Research in the Northern Finland Birth Cohort 1966 (grant no. 539/2010 A31592, 01.01.2011‐31.12.2013).
Copyright information: © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Kankaanpää, R, Auvinen, J, Rantavuori, K, Jokelainen, J, Karppinen, J, Lahti, S. Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study. Community Dent Oral Epidemiol. 2019; 47: 193– 200, which has been published in final form at https://doi.org/10.1111/cdoe.12443. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.