employee
Izhevsk, Izhevsk, Russian Federation
employee
Chelyabinsk, Chelyabinsk, Russian Federation
employee
First St. Petersburg State Medical University named after. acad. I. P. Pavlova (Department of Orthopedic Dentistry and Materials Science with a Course in Adult Orthodontics, Professor of the Department)
employee
Saint Petersburg, St. Petersburg, Russian Federation
employee
Saint Petersburg, St. Petersburg, Russian Federation
student
Ufa, Ufa, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Introduction. The relevance of the study is due to the peculiarities of receiving patients with diabetes mellitus with psychological deviation of behavior, which makes it difficult for a doctor to carry out effective dental treatment. In patients with diabetes mellitus, anxiety and fear of dental intervention manifest themselves more often than in patients who have maintained physical health. Objective: to assess the severity of dental phobia in patients with type 2 diabetes mellitus accompanied by diffuse (generalized) periodontitis, depending on age, duration of the disease and gender. Materials and methods. The article presents indicators of dental anxiety in patients with diabetes mellitus in municipal and private dental clinics in Izhevsk. Between 2021–2023 127 patients (62 women and 65 men) aged from 48 to 77 years were examined, of which 2 groups were formed. The first is from 64 patients with a verified diagnosis of non-insulin-dependent diabetes mellitus type 2 (31 women and 33 men) aged 58.69 ± 0.90 years and the duration of the disease from 1 to 22 years, the second is from 63 patients who remained healthy (31 women and 32 men) aged 58.47 ± 0.96 years. All subjects were assessed for their attitude towards dental treatment using the Korach scale (1969). Results. A dental appointment is accompanied by psycho-emotional stress from mild excitement and quickly passing anxiety in 37.60% of respondents with diabetes at the age of 52.42 ± 1.12 with a disease duration of 5.25 ± 0.46 years to severe anxiety in 54.10% patients with diabetes at the age of 61.74 ± 0.83 years with a disease duration of 7.77 ± 0.85 years and dental phobia – in 8.30% of cases at the age of 67.40 ± 2.66 years and a disease duration of 15.60 ± 2.38 years old. Conclusions. In patients with diabetes mellitus, with increasing age and duration of the disease, manifestations of dental anxiety increase, necessitating the use of psychocorrection methods in the regulation of dental stress in the treatment of such patients.
dental anxiety, dental phobia, diabetes mellitus, generalized periodontitis, Korach scale
1. Budina D.O., Obzherina V.O., Chicherina E.N., Nikitina E.A. Svyaz' zabolevaniy slizistoy obolochki polosti rta i saharnogo diabeta 2 tipa. Profilaktika patologiy SOPR. E-Scio. 2021;6:128-137. [D.O. Budina, V.O. Obzherina, E.N. Chicherina, E.A. Nikitina. The relationship between diseases of the oral mucosa and type 2 diabetes mellitus. Prevention of pathologies of the oral mucosa. E-Scio. 2021;6:128-137. (In Russ.)]. https://elibrary.ru/item.asp?id=46363159
2. Zhurbenko V.A. Osobennosti psihoemocional'nogo sostoyaniya pacienta na stomatologicheskom prieme. Tendencii razvitiya nauki i obrazovaniya. 2022;91(4):70-71. [V.A. Zhurbenko. Features of the psycho-emotional state of a patient at a dental appointment. Trends in the development of science and education. 2022;91(4):70-71. (In Russ.)]. DOIhttps://doi.org/10.18411/trnio-11-2022-184
3. Kamchatnov P.R., Chugunov A.V., Evzel'man M.A. Porazhenie perifericheskoy nervnoy sistemy pri saharnom diabete. Nervno-myshechnye bolezni. 2016;6(2):20-26. [P.R. Kamchatnov, A.V. Chugunov, M.A. Evzelman. Damage to the peripheral nervous system in diabetes mellitus. Neuromuscular diseases. 2016;6(2):20-26. (In Russ.)]. DOIhttps://doi.org/10.17650/2222-8721-2016-6-2-20-26
4. Kocenko Yu.I., Statinova E.A. Affektivnyy profil' pacientov s diabeticheskoy encefalopatiey. Universitetskaya klinika. 2019;4(33):24-32. [Yu.I. Kotsenko, E.A. Statinova. Affective profile of patients with diabetic encephalopathy. University Clinic. 2019;4(33):24-32. (In Russ.)]. DOIhttps://doi.org/10.26435/UC.V0I4(33).337
5. Naumova V.N., Maslak E.E. Saharnyy diabet i stomatologicheskoe zdorov'e: problemy diagnostiki i lecheniya pacientov stomatologicheskih klinik. Prakticheskaya medicina. 2013;4(72):10-14. [V.N. Naumova, E.E. Maslak. Diabetes mellitus and dental health: problems of diagnosis and treatment of patients in dental clinics. Practical Medicine. 2013;4(72):10-14. (In Russ.)]. https://www.elibrary.ru/item.asp?id=20377831
6. Petrov I.A., Chernavskiy A.F., Badalyan A.A., Ognev M.Yu. Mediko-psihologicheskie osobennosti vedeniya pacientov s razlichnymi formami saharnogo diabeta v ambulatornyh usloviyah MAU «SP № 12». Problemy stomatologii. 2017;1(13):114-120. [I.A. Petrov, A.F. Chernavsky, A.A. Badalyan, M.Yu. Ognev. Medical and psychological features of managing patients with various forms of diabetes mellitus in an outpatient setting at MAU “SP No. 12”. Actual Problems in dentistry. 2017;1(13):114-120. (In Russ.)]. https://www.elibrary.ru/item.asp?id=29256734
7. Petrov I.A., Chernavskiy A.F., Badalyan A.A. i dr. Psihologicheskie problemy podgotovki pacienta i medicinskogo personala k obshirnomu hirurgicheskomu stomatologicheskomu vmeshatel'stvu v ambulatornoy praktike. Problemy stomatologii. 2017;13(3):63-69. [I.A. Petrov, A.F. Chernavsky, A.A. Badalyan et al. Psychological problems of preparing patients and medical personnel for extensive surgical dental intervention in outpatient practice. Actual Problems in Dentistry. 2017;13(3):63-69. (In Russ.)]. DOI:https://doi.org/10.18481/2077-7566-2017-13-3-63-69
8. Sal'nikov V.A. Analiz rasprostranennosti depressii sredi bol'nyh saharnym diabetom 2 tipa. Central'nyy nauchnyy vestnik. 2017;2(3):41. [V.A. Salnikov. Analysis of the prevalence of depression among patients with type 2 diabetes. Central Scientific Bulletin. 2017;2(3):41. (In Russ.)]. https://elibrary.ru/item.asp?id=28785018
9. Starostina E.G., Moshnyaga E.N., Volodina M.N., Malahova T.S. Epidemiologiya naibolee chastyh psihicheskih rasstroystv u bol'nyh saharnym diabetom. Al'manah klinicheskoy mediciny. 2014;32:17-23. [E.G. Starostina, E.N. Moshnyaga, M.N. Volodina, T.S. Malakhova. Epidemiology of the most common mental disorders in patients with diabetes // Almanac of Clinical Medicine. 2014;32:17-23. (In Russ.)]. https://elibrary.ru/item.asp?id=22480346
10. Surkova E.V. Saharnyy diabet i central'naya nervnaya sistema. Terapevticheskiy arhiv. 2016;88(10):82-86. [E.V. Surkova. Diabetes mellitus and the central nervous system. Therapeutic archive. 2016;88(10):82-86. (In Russ.)]. DOI:https://doi.org/10.17116/terarkh201688682-86
11. Trezubov V.N., Chikunov S.O., Bulycheva E.A., Isaeva E.R., Alpat'eva Yu.V., Plaksina A.L. Analiz dinamiki psiho-emocional'nogo sostoyaniya pacientov s patologiey zhevatel'no-rechevogo apparata. Vestnik Sankt-Peterburgskogo universiteta. Medicina. 2013;3:149-158. [V.N. Trezubov, S.O. Chikunov, E.A. Bulycheva, E.R. Isaeva, Yu.V. Alpatieva, A.L. Plaksina. Analysis of the dynamics of the psycho-emotional state of patients with pathology of the chewing-speech apparatus. Bulletin of St. Petersburg University. Medicine. 2013;3:149-158. (In Russ.)]. https://www.elibrary.ru/item.asp?id=20308742
12. Chikunov S.O., Bulycheva E.A., Firsova L.D., Bulycheva D.S. Psihologicheskoe soprovozhdenie pacientov pri povtornom protezirovanii zubov posle predyduschego neudachnogo lecheniya. Uchebnoe posobie. Moskva : GEOTAR-Media. 2022:64. [S.O. Chikunov, E.A. Bulycheva, L.D. Firsova, D.S. Bulycheva. Psychological support for patients during repeated dental prosthetics after previous unsuccessful treatment. A training manual. Moscow : GEOTAR-Media. 2022:64. (In Russ.)]. DOIhttps://doi.org/10.33029/9704-7160-9-PSP-2022-1-64
13. Shevkunova N.A., Popova N.M. Psihologicheskiy status pacientov s saharnym diabetom 2 tipa nuzhdayuschihsya v ortopedicheskom stomatologicheskom lechenii. Uspehi sovremennoy nauki. 2016;12(5):120-123. [N.A. Shevkunova, N.M. Popova. Psychological status of patients with type 2 diabetes mellitus in need of orthopedic dental treatment. Advances of modern science. 2016;12(5):120-123. (In Russ.)]. https://www.elibrary.ru/item.asp?id=27712409
14. Shevkunova N.A., Redinov I.S. Vliyanie defektov zubnogo ryada na sostoyanie salivacii i mestnogo immuniteta polosti rta u bol'nyh saharnym diabetom 2 tipa. Rossiyskiy stomatologicheskiy zhurnal. 2016;5:282-284. [N.A. Shevkunova, I.S. Redinov. The influence of dental defects on the state of salivation and local immunity of the oral cavity in patients with type 2 diabetes mellitus. Russian Dental Journal. 2016;5:282-284. (In Russ.)]. DOIhttps://doi.org/10.18821/1728-28022016;20(5)282-284
15. Shevkunova N.A., Ickov A.G. Vliyanie lichnostnyh osobennostey vracha stomatologa na postroenie vzaimootnosheniy vrach-bol'noy pri ortopedicheskom lechenii bol'nyh saharnym diabetom. Stomatologiya dlya vseh. 2019;1(86):32-36. [N.A. Shevkunova, A.G. Itskov. The influence of the personal characteristics of a dentist on the construction of doctor-patient relationships during orthopedic treatment of patients with diabetes. Dentistry for everyone. 2019;1(86):32-36. (In Russ.)]. https://www.elibrary.ru/item.asp?id=37258130
16. Shevkunova N.A., Butyugin I.A., Bulycheva E.A., Valeev E.R. Vzaimosvyaz' vyrazhennosti stomatofobii i tipa otnosheniya pacientov k bolezni pri saharnom diabete, soprovozhdayuschemsya razlitym (generalizovannym) parodontitom. Institut stomatologii. 2024;2:15-17. [N.A. Shevkunova, I.A. Butyugin, E.A. Bulycheva, E.R. Valeev. The relationship between the severity of dental phobia and the type of attitude of patients towards the disease in diabetes mellitus accompanied by diffuse (generalized) periodontitis. Institute of Dentistry. 2024;2:15-17. (In Russ.)]. https://elibrary.ru/item.asp?id=68366237
17. Maia A.C., Braga Ade A., Brouwers A., Nardi A.E., Oliveira e Silva A.C. Prevalence of psychiatric disorders in patients with diabetes types 1 and 2 // Compr Psychiatry. – 2012;53(8):1169-1173. DOI:https://doi.org/10.1016/j.comppsych.2012.03.011
18. Polak D., Sanui T., Nishimura F., Shapira L. Diabetes as a risk factor for periodontal disease-plausible mechanisms // Periodontol. 2000. – 2020;83(1):46-58. DOI:https://doi.org/10.1111/prd.12298
19. Schmitt A., Reimer A., Kulzer B., Haak T., Gahr A., Hermanns N. Negative association between depression and diabetes control only when accompanied by diabetes-specific distress // J Behav Med. – 2015;38(3):556-564. DOI:https://doi.org/10.1007/s10865-014-9604-3
20. Song N., Lu P., Shang Yu., Zhang P., Wang J., Chang G., Shi S. Prevalence and determinants of symptoms of mild depression and anxiety in adults with type 2 diabetes mellitus in China: a cross-sectional study // BMJ Open. – 2016;6(8):e012540. DOI:https://doi.org/10.1136/bmjopen-2016-012540
21. Soplevenko A.A., Ametov A.S. Glycemic control and psychoemotional alteration in patients with different clinical characteristics of diabetes mellitus // Ter Arkh. – 2012;84(12):76-81. Russian. https://pubmed.ncbi.nlm.nih.gov/23479995/
22. Stanković Z., Jašović-Gašić M., Zamaklar M. Psycho-social and clinical variables associated with depression in patients with type 2 diabetes // Psychiatr Danub. – 2011;23(1):34-44. https://pubmed.ncbi.nlm.nih.gov/21448095/
