Patterns and predictors of tooth extraction-related anxiety at sequential perioperative stages

作者：Zewei Zhang, Yu Zhang, Huan Liu, Feng He, Guowei Li, Yuan Li, Shuyin Zhang, Jiacheng Mo, Hongzhi Zhou, Chen Li, Xue Yang · 发表于：BMC Oral Health · 年份：2025 · DOI：10.1186/s12903-025-06734-4 · 被引用次数：3 · 研究领域：Dental Anxiety and Anesthesia Techniques、Music Therapy and Health、Dental Research and COVID-19

OBJECTIVE: To determine the characteristics of anxiety at five different points during tooth extraction, explore the relationship between anxiety and pain, and identify predictors of overall anxiety. METHODS: A cross-sectional study was conducted among 302 patients undergoing tooth extraction. Anxiety levels were evaluated using a modified dental anxiety scale (MDAS) at five time points: pre-extraction night (T1), hospital waiting period (T2), local anesthesia administration (T3), extraction procedure (T4), and post-extraction (T5). Repeated-measures ANOVA, one-way ANOVA and Pearson correlation analysis were employed to evaluate temporal variations in anxiety levels and their associations with baseline characteristics and pain perception at each assessment point; Chi-square tests and binary logistic regression modeling were used to identify significant predictors of overall anxiety levels. RESULTS: The cohort (mean age 31.3 ± 11.4 years; 60.3% female) demonstrated distinct anxiety patterns throughout the extraction process. Anxiety levels peaked during T3 and T4, followed by a significant post-operative reduction (T5; p < 0.05). Pain (69.5%) and bleeding (67.9%) emerged as the most frequently reported anxiety-inducing factors. Analysis of the correlation between baseline characteristics and anxiety at each time point revealed that younger patients (16-30 years) had smaller anxiety increases during procedures vs. older groups (p = 0.01). Married individuals showed earlier anxi...