SEVERITY OF DENTAL PHOBIA IN PATIENTS WITH DIABETES MELLITUS ACCOMPANIED BY GENERALIZED PERIODONTITIS

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.