Department of Paediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, People's Republic of China.
Int J Paediatr Dent. 2011 May;21(3):200-9. doi: 10.1111/j.1365-263X.2011.01111.x. Epub 2011 Feb 1.
This study determined the prevalence of children's dental behaviour management problems (BMP) in our clinic, investigated the influence of non-dental and dental background variables on BMP, and analysed the predictive power of these variables.
The study group included 209 children aged 2-8 years who received dental treatment. Interviews were conducted with accompanying guardians. Children's dental behaviour was rated by a modified Venham's clinical anxiety scale and a cooperative behaviour rating scale. Regression models were used to analyse behavioural and interview data and to calculate the power of background variables to predict children's dental behaviour.
During the first treatment, 29.7% of children displayed BMP. Four variables were found to predict BMP in 87.9% of cases. The risk factors for BMP were younger age, negative guardian expectations of the child's behaviour during treatment, anxiety or shyness around strangers, and presence of toothache. Children aged 2.5-3.5 years who attended kindergarten showed better dental behaviour than those who did not.
This study is the first to report BMP prevalence in mainland China. Our results indicate that a simple pre-treatment interview could provide data allowing the dentist to identify children with special dental behavioural needs.
本研究旨在确定我们诊所儿童牙科行为管理问题（BMP）的患病率，调查非牙科和牙科背景变量对 BMP 的影响，并分析这些变量的预测能力。
研究组包括 209 名 2-8 岁接受牙科治疗的儿童。对陪同的监护人进行了访谈。通过改良的 Venham 临床焦虑量表和合作行为评分量表对儿童的牙科行为进行了评分。回归模型用于分析行为和访谈数据，并计算背景变量预测儿童牙科行为的能力。
在第一次治疗中，29.7%的儿童表现出 BMP。有四个变量可以预测 87.9%病例中的 BMP。BMP 的危险因素是年龄较小、监护人对儿童治疗期间行为的负面期望、对陌生人的焦虑或害羞，以及牙痛。上幼儿园的 2.5-3.5 岁儿童的牙科行为优于未上幼儿园的儿童。
本研究首次报告了中国大陆 BMP 的患病率。我们的结果表明，简单的治疗前访谈可以提供数据，使牙医能够识别出具有特殊牙科行为需求的儿童。
