Wang N J, Aspelund G O
Institute of Clinical Dentistry, Dept Paediatric Dentistry and Behavioural Science, University of Oslo, Oslo, Norway.
Eur Arch Paediatr Dent. 2009 Jan;10(1):11-4. doi: 10.1007/BF03262660.
This was to assess factors associated with children's non-compliance with regular dental appointments. The study used demographics, oral health behaviour, oral health and use of dental services for children with a recent history of broken appointments and compared them with children who kept recall appointments.
Children (n=576) recalled for routine examination in the public dental services were studied. Information regarding failed dental appointments during the previous 2 years was collected from each child's record. At examination, past history, clinical and radiographic information was recorded.
The data were analysed using multiple logistic regression analysis.
During the previous 2 years 15% of the children had broken at least one appointment. No significant differences were found between children with and without failed appointments regarding demographic variables (age, gender, immigrant status and medical condition) or dental health behaviours. Compared with other children, those with a history of broken appointments had more enamel disturbances, higher caries experience and higher caries activity (more new caries at the examination), and more time was needed to complete their dental treatment. They were given shorter recall intervals to the next dental examination.
The results suggest that children who break appointments are caries risk patients and need special attention.
本研究旨在评估与儿童未按时赴约看牙相关的因素。该研究利用人口统计学、口腔健康行为、口腔健康状况以及近期有看牙预约爽约史的儿童的牙科服务使用情况，并将他们与按时赴约的儿童进行比较。
对在公共牙科服务机构接受定期检查召回的儿童（n = 576）进行研究。从每个孩子的记录中收集过去两年内牙科预约未赴约的信息。在检查时，记录既往史、临床和影像学信息。
采用多元逻辑回归分析对数据进行分析。
在过去两年中，15%的儿童至少有一次预约未赴约。在人口统计学变量（年龄、性别、移民身份和健康状况）或口腔健康行为方面，有预约未赴约的儿童与无此情况的儿童之间未发现显著差异。与其他儿童相比，有预约未赴约史的儿童有更多的牙釉质问题、更高的龋齿经历和更高的龋齿活动度（检查时发现更多新发龋齿），并且完成牙科治疗需要更多时间。他们下次牙科检查的召回间隔时间更短。
结果表明，预约未赴约的儿童是龋齿高危患者，需要特别关注。
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