Factors for determining dental anxiety in preschool children with severe dental caries
Factors for determining dental anxiety in preschool children with severe dental caries
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DOI：
10.1590/1807-3107bor-2017.vol31.0013
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发表时间：
2017-01-01
影响因子：
2.5
通讯作者：
BÖNECKER, Marcelo
中科院分区：
文献类型：
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作者：
ABANTO, Jenny;VIDIGAL, Evelyn Alvarez;BÖNECKER, Marcelo
本研究的目的是评估与严重龋齿的学龄前儿童的牙科焦虑症的临床和社会经济指标。在牙科筛查过程中，共选择了100名3至5岁的儿童。选择标准是至少有一颗牙齿有龋齿，乳牙有明显的牙髓受累、溃疡、瘘管和脓肿（PUFA）指数>= 1。在进行临床检查或任何治疗程序之前，我们使用面部图像量表（FIS）评估儿童的牙科焦虑症。父母填写了一份关于社会经济状况的问卷，其中包括家庭结构、兄弟姐妹人数、父母教育水平和家庭收入。牙医不知道FIS和社会经济数据进行了临床检查。Poisson回归分析将临床和社会经济条件与结果联系起来。大多数儿童（53%）经历了广泛的龋齿（dmf-t >= 6），所有儿童都有严重的龋齿病变，41%的儿童PUFA指数>= 1，59%的儿童PUFA指数>= 2。多变量调整模型显示，与年龄较小的儿童相比，4-5岁儿童的牙科焦虑水平较低（3岁）（RR = 0.35; 95% CI：0.17-0.72和RR = 0.18; 95% CI：有三个或三个以上兄弟姐妹的儿童与更高水平的牙科焦虑相关（RR = 2.27; 95%CI：1.06-4.87）。年龄越大，牙科焦虑症越低;学龄前儿童中，兄弟姐妹越多，牙科焦虑症越高;而龋齿的严重程度或范围与牙科焦虑症无关。
The aim of this study was to assess the clinical and socioeconomic indicators associated with dental anxiety in preschool children with severe dental caries. A total of 100 children between 3 and 5 years of age were selected during a dental screening procedure. The selection criteria were having at least one tooth with dental caries and a visible pulpal involvement, ulceration, fistula, and abscess (PUFA) index of >= 1 in primary teeth. Before the clinical examination or any treatment procedure was performed, we evaluated the children's dental anxiety using the Facial Image Scale (FIS). Parents completed a questionnaire on socioeconomic conditions, which included the family structure, number of siblings, parental level of education, and family income. A dentist blinded to FIS and socioeconomic data performed the clinical examination. Poisson regressions associate clinical and socioeconomic conditions with the outcome. Most of the children (53%) experienced extensive dental caries (dmf-t >= 6), and all children had severe caries lesions, with a PUFA index of >= 1 in 41% and that of >= 2 in 59%. The multivariate adjusted model showed that older children (4-5-year old) experienced lower dental anxiety levels compared with younger children (3-year old) (RR = 0.35; 95% CI: 0.17-0.72 and RR = 0.18; 95% CI: 0.04-0.76, respectively), and children with three or more siblings were associated with higher levels of dental anxiety (RR = 2.27; 95% CI: 1.06-4.87). Older age is associated with low dental anxiety, and more number of siblings is associated with high dental anxiety in preschool children, whereas the severity or extent of dental caries is not associated with dental anxiety.