Caprioglio A, Mariani L, Tettamanti L
University of Insubria, Faculty of Medicine and Surgery, School of Dentistry, Italy.
Eur J Paediatr Dent. 2009 Sep;10(3):121-4.
The aim of this work is to study fears and anxieties of school age Italian children regarding dental experience. In particular, to assess the prevalence of this phenomenon and understand its possible correlation with five different variables: sex, age, social context, previous dental experiences, and self-consciousness of fear.
725 Italian children were divided according to five variables, and their anxiety studied through the self-filling of the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS).
The obtained results are descriptive and they are expressed as percentage values. For the study of the five variables considered, we have carried out a statistical regression analysis, by using the S-PLUS 6.0 Professional software.
26% of the total sample are anxious about the dental experience (total score CFSS-DS >39). The objects of greater anxiety are: fear of being admitted to hospital, injections, and the use of drilling instruments. Every variable considered in the selection of the sample was significant (p <0.05) in explaining and influencing the phenomenon "anxiety". In particular, the subjects aged 8, attending the third class of primary school were more anxious (they were also the most conscious of their emotional difficulties), and so little girls and subjects living in areas of low level of urbanisation and those who had never lived previous dental experiences.
The percentage of children who may exhibit more or less serious behaviours to dental treatments, including the borderline subjects, is above 50%. So it is easy to realise how this problem still exists in clinical dental reality, and it is fundamental for the dentist to understand and identify these frequent difficulties.
本研究旨在探讨意大利学龄儿童对看牙经历的恐惧和焦虑。具体而言,评估这一现象的发生率,并了解其与五个不同变量之间的可能关联:性别、年龄、社会背景、既往看牙经历以及对恐惧的自我认知。
725名意大利儿童根据五个变量进行分组,并通过自行填写儿童恐惧调查表 - 牙科分量表(CFSS - DS)来研究他们的焦虑情况。
所得结果为描述性数据,以百分比表示。对于所考虑的五个变量,我们使用S - PLUS 6.0专业软件进行了统计回归分析。
总样本中有26%对看牙经历感到焦虑(CFSS - DS总分>39)。焦虑程度较高的方面包括:害怕住院、打针以及使用牙钻器械。在样本选择中考虑的每个变量在解释和影响“焦虑”这一现象时均具有显著性(p <0.05)。特别是8岁、就读小学三年级的儿童更焦虑(他们对自己的情绪困扰也最为在意),还有小女孩、生活在城市化水平较低地区的儿童以及那些从未有过看牙经历的儿童。
可能表现出或多或少严重看牙行为问题的儿童比例,包括临界状态的儿童,超过50%。由此不难认识到,在临床牙科实际中这个问题依然存在,对牙医来说,理解和识别这些常见困难至关重要。