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儿童的牙科焦虑及其与龋齿和牙龈状况的关系。

Dental anxiety in children and its relationship to dental caries and gingival condition.

作者信息

Taani D Q, El-Qaderi S S, Abu Alhaija E S J

机构信息

Department of Preventive Dentistry/Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Int J Dent Hyg. 2005 May;3(2):83-7. doi: 10.1111/j.1601-5037.2005.00127.x.

DOI:10.1111/j.1601-5037.2005.00127.x
PMID:16451387
Abstract

The aim of this study was to determine the levels of dental anxiety, dental caries and gingivitis among 12-15-year-old schoolchildren, in Irbid Governorate/northern Jordan, and to evaluate the correlation between these variables. Two schools were selected by a simple random method from each of the five geographic areas in Irbid Governorate. All children (1021), from the 10 selected schools, who participated in this study completed a questionnaire modified from Kleinknecht's Dental Fear Survey (DFS questionnaire). Children underwent oral examination for dental caries and gingival condition, using Decayed, Missing and Filled Teeth (DMFT) Index and Löe and Silness Gingival Index (GI), respectively. Results of this survey showed that the prevalence of low to moderate 'general dental fear' among the study population was 43% while that of 'high dental fear' was 10%. The self-reported 'general fear of dental treatment' was higher among girls than boys. Fear of specific stimuli (pain) was the most common source of dental fear. The sight and sensation of the anaesthetic needle and the sight, sound and sensation of the drill were rated the most fear-eliciting stimuli. The mean DMFT (2.89) and GI (1.80) of boys was not significantly different from the DMFT (3.37) and GI (1.53) of girls (P > 0.05). Spearman's correlation test demonstrated no association between 'general dental fear' and dental caries (r = 0.06) or gingivitis (r = 0.007).

摘要

本研究旨在确定约旦北部伊尔比德省12至15岁学童的牙科焦虑、龋齿和牙龈炎水平,并评估这些变量之间的相关性。通过简单随机方法从伊尔比德省五个地理区域中的每个区域选取两所学校。来自10所选定学校的所有1021名参与本研究的儿童完成了一份根据克莱因克内希特牙科恐惧调查问卷(DFS问卷)修改的问卷。儿童分别接受了龋齿和牙龈状况的口腔检查,使用龋齿、缺失和填充牙指数(DMFT指数)以及洛和西勒尼斯牙龈指数(GI)。本次调查结果显示,研究人群中低至中度“一般牙科恐惧”的患病率为43%,而“高度牙科恐惧”的患病率为10%。自我报告的“对牙科治疗的一般恐惧”在女孩中高于男孩。对特定刺激(疼痛)的恐惧是牙科恐惧最常见的来源。麻醉针的视觉和感觉以及钻头的视觉、声音和感觉被评为最引发恐惧的刺激。男孩的平均DMFT(2.89)和GI(1.80)与女孩的DMFT(3.37)和GI(1.53)无显著差异(P>0.05)。斯皮尔曼相关性检验表明,“一般牙科恐惧”与龋齿(r = 0.06)或牙龈炎(r = 0.007)之间无关联。

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