PRELIMINARY PSYCHODIAGNOSTIC ASSESSMENTS FOR PREDICTING THE CAUSES OF ADAPTATION IMPAIRMENT TO REMOVABLE DENTAL PROSTHESES
DOI:
https://doi.org/10.35220/2523-420X/2025.3.19Keywords:
removable plate dental prostheses, adaptation, burning mouth syndrome, psychodiagnostic testsAbstract
Objective. This study aimed to evaluate the psycho- emotional status of patients with burning mouth syndrome (BMS) and its relationship with adaptation to removable plate dental prostheses. Particular attention was paid to identifying changes in depression levels, trait and state anxiety, as well as alexithymia at different time points – during ordinary life, the COVID-19 pandemic, and the period of war. Materials and Methods. A total of 150 patients were examined and divided into two groups: Group I included 103 patients with impaired adaptation to removable plate prostheses due to local and systemic factors, while Group II consisted of 47 patients with impaired adaptation primarily related to psychological factors. Each group was further subdivided according to specific time periods: ordinary life, COVID- 19 pandemic, and war. Depression was assessed using the Beck Depression Inventory; trait and state anxiety were measured with the Spielberger–Hanin scale; alexithymia was evaluated using the Toronto Alexithymia Scale. Statistical analysis was conducted using one- way analysis of variance (ANOVA) to compare mean values between groups, followed by Tukey’s HSD post- hoc test to determine statistically significant differences.Data significance was confirmed at p<0.001. Results. A gradual increase in depression levels was observed from ordinary life to the COVID-19 pandemic and further to the war period. A similar trend was noted for trait and state anxiety. Alexithymia levels also increased over time, from ordinary life to the period of war. The statistically significant differences indicate a continuous cumulative stress impact on the patients’ psycho-emotional state.Conclusions. The findings demonstrate that the psycho-emotional status of patients with BMS significantly varies depending on exogenous stress factors. Elevated levels of depression, anxiety, and alexithymia during the pandemic and war underscore the importance of considering psycho-emotional parameters in clinical prosthodontic practice.This approach allows for the assessment of adaptation to removable plate prostheses and psycho-emotional state correction, thereby enhancing treatment effectiveness and improving adaptation prognosis to removable plate dentures.
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