CHU Clermont-Ferrand, Service d'Odontologie, Hôtel-Dieu, F-63000 Clermont-Ferrand, France.
Int J Paediatr Dent. 2010 Sep 1;20(5):366-73. doi: 10.1111/j.1365-263X.2010.01054.x. Epub 2010 Jun 2.
While dental anxiety is often correlated with prior negative dental experience, prevention of dental anxiety should in theory include early exposure to the dental setting.
We set out to evaluate factors affecting dental fear in French children.
Dental fear was evaluated using a visual analogue scale (DF-VAS) in a group of 1303 French children (681 boys and 622 girls) aged 5-11 years (mean: 8.12 years, SD: 1.42 years). Indicators of caries and oral hygiene were evaluated on dental examination. Indicators of well-being related to oral health, dental experience, and oral health education were collected via a structured interview.
Dental fear was scored low in 75.7% (DF-VAS 0-3), moderate in 16.7% (DF-VAS 4-6), and high in 7.6% (DF-VAS 7-10). DF-VAS decreased statistically with experience of a prior dental visit. Children who had at least one decayed tooth presented a higher level of dental fear than those with no decay, while children with fillings were significantly less anxious than those without previous dental care.
This study shows that for children aged 5-12 years, prior experience of the dental setting can act as a positive component of dental fear.
尽管牙科焦虑通常与先前的负面牙科经历相关，但预防牙科焦虑理论上应包括早期接触牙科环境。
我们旨在评估影响法国儿童牙科恐惧的因素。
我们对 1303 名 5-11 岁（平均年龄：8.12 岁，标准差：1.42 岁）的法国儿童使用视觉模拟量表（DF-VAS）评估了牙科恐惧。在牙科检查中评估了龋齿和口腔卫生的指标。通过结构化访谈收集了与口腔健康相关的幸福感指标、牙科经历和口腔健康教育。
75.7%（DF-VAS 0-3）的儿童牙科恐惧评分较低，16.7%（DF-VAS 4-6）的儿童牙科恐惧评分中等，7.6%（DF-VAS 7-10）的儿童牙科恐惧评分较高。DF-VAS 随先前牙科就诊经历而呈统计学下降。有至少一颗龋齿的儿童比无龋齿的儿童表现出更高水平的牙科恐惧，而有填充物的儿童比没有先前牙科护理的儿童明显焦虑程度更低。
本研究表明，对于 5-12 岁的儿童而言，牙科环境的先前体验可以成为牙科恐惧的积极组成部分。
