Department of Orthodontics, University of Heidelberg, Germany.
Int J Paediatr Dent. 2012 Jan;22(1):60-7. doi: 10.1111/j.1365-263X.2011.01158.x. Epub 2011 Jul 18.
BACKGROUND. About 11% of children and adolescents suffer from dental fear. These young people run an increasing risk of undergoing more invasive treatments. AIM. We researched the management of dental anxiety in young patients by general and paediatric dentists as well as by trained and untrained dentists. DESIGN. Eight hundred dentists in Germany were interviewed via e-mail regarding their experience, treatment techniques, information material and complications during the treatment of fearful children. We also examined how difficult dentists judge the treatment of anxious children and how often they participate in continuing education courses. RESULTS. Paediatric dentists applied a greater spectrum of management techniques than general dentists. They used more often psychotherapeutic interventions and anxiety assessment questionnaires. Dentists who frequently attend in continuing education courses judged the treatment to be less difficult and also used psychotherapeutic interventions more often. CONCLUSIONS. German paediatric dentists and dentists who take continuing education courses utilise a broader range of techniques to manage dental anxiety. They may be eminently suited to treat children with severe forms of anxiety. Therefore, dentists who treat young patients should participate in education programmes so as to reduce both the anxiety of their patients and their own anxiety.
约 11%的儿童和青少年患有牙科恐惧。这些年轻人接受更具侵入性治疗的风险越来越大。
我们研究了普通和儿科牙医以及经过培训和未经培训的牙医对年轻患者牙科焦虑症的管理。
通过电子邮件对德国的 800 名牙医进行了调查，询问他们在治疗恐惧儿童时的经验、治疗技术、信息材料和并发症。我们还研究了牙医认为治疗焦虑儿童的难度有多大，以及他们参加继续教育课程的频率。
儿科牙医比普通牙医使用了更多的管理技术。他们更常使用心理治疗干预和焦虑评估问卷。经常参加继续教育课程的牙医认为治疗难度较小，也更常使用心理治疗干预。
德国儿科牙医和参加继续教育课程的牙医使用了更广泛的技术来管理牙科焦虑症。他们可能非常适合治疗严重焦虑症的儿童。因此，治疗年轻患者的牙医应参加教育计划，以减少患者和自身的焦虑。
