コロナウイルス（COVID-19）の恐怖感が口腔内の健康状態に及ぼす影響

Effects of Coronavirus (COVID-19) Fear on Oral Health Status.

抄録

目的:

COVID-19への恐怖心が口腔内の健康状態に及ぼす影響を調査する。

PURPOSE: To investigate the effects of COVID-19 fear on oral health status.

材料と方法:

合計1227名の参加者が本研究に登録された。オンラインアンケートのリンクを回覧し、回答を得た。アンケートは、合計24のクローズドエンドの質問で構成され、3つのセクションに分かれていました。第1部では人口統計学的情報、第2部ではCOVID-19の恐怖、第3部ではCOVID-19のパンデミック時の口腔衛生習慣、歯の苦情、歯科医院に行く傾向に焦点を当てました。

MATERIALS AND METHODS: A total of 1227 participants were enrolled in the study. The online survey link was circulated and responses were received. The questionnaire comprised a total of 24 closed-ended questions, which were divided into three sections. The first section focused on demographic information, the second section on the fear of COVID-19, and the third section focused on oral hygiene habits, dental complaints, and tendency to go to the dentist during the COVID-19 pandemic.

結果:

コロナウイルスパンデミック時に他の集団と比較して恐怖スコアが高かった参加者は、ブラッシングをより定期的に行うようになり、オーラルケア製品をより定期的に使用するようになった（p = 0.001）、甘い食べ物の消費量が増加した（p = 0.001）、肉類の消費量が増加した（p = 0.017）、野菜の消費量が増加した（p = 0.019）、歯の知覚過敏が増加した、歯痛が増加した、虫歯による顔の腫れや凹みが増加した（p = 0.001）、修復物の失敗が増えた、補綴物の問題が増えた（p＝0.007）、歯周組織の出血や痛みが増えた、口腔内の悪臭が増えた、ブラキシズムが増えた（p＝0.001）、歯の問題を抱えているが歯科医院に行くのをためらっている、歯科医院はCOVID-19汚染のリスクがあると思っている（p＝0.001）。

RESULTS: Participants who had a higher fear score compared to other respective populations during the corona virus pandemic started brushing more regularly, started to use oral care products more regularly (p = 0.001), increased sugary food consumption (p = 0.001), increased meat consumption (p = 0.017), increased vegetable consumption (p = 0.019), had increased tooth hypersensitivity, had increased toothache, had increased swelling/abscess on face due to tooth decay (p = 0.001), had increased restoration failures, had increased problems with prostheses (p = 0.007), had increased bleeding and pain in the periodontal tissue, had increased oral malodor, had increased bruxism (p = 0.001), had a dental problem but hesitated to visit a dentist, and thought that dental clinics are at risk of COVID-19 contamination (p = 0.001).

結論:

COVID-19に対する恐怖心は，口腔衛生習慣に気を配るようになった人，食物摂取の頻度や割合に変化があった人，口腔や歯の健康に関する訴えが増えた人，歯のトラブルがあるが歯科医院に行くのをためらっている人で高かった．

CONCLUSION: Fear of COVID-19 was higher in participants who started to pay more attention to their oral hygiene habits, had a change in food consumption frequency and rate, had an increase in oral and dental health complaints, and had dental problems but hesitated to visit a dentist.