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巴西累西腓5至12岁儿童的牙科焦虑与牙痛

Dental anxiety and dental pain in 5- to 12-year-old children in Recife, Brazil.

作者信息

Colares V, Franca C, Ferreira A, Amorim Filho H A, Oliveira M C A

机构信息

Department of Paediatric Dentistry, University of Pernambuco, R. Jacobina, 45/2102, Recife, PE, 52011180, Brazil.

出版信息

Eur Arch Paediatr Dent. 2013 Feb;14(1):15-9. doi: 10.1007/s40368-012-0001-8. Epub 2013 Jan 30.

Abstract

BACKGROUND

Dental anxiety is a common problem, related to dental pain, which contributes to irregular dental attendance and avoidance of dental care, resulting in poorer oral health during childhood.

AIM

To evaluate anxiety, pain and/or discomfort related to dental treatment in 5- to 12-year-old children examined during a public holiday.

METHODS

This cross-sectional survey study was carried out with parental permission in 970 children of both sexes. Socio-economic status, dental anxiety and dental pain experience data were obtained through a questionnaire answered by parents or guardians. Dental anxiety was measured using the dental anxiety questionnaire (DAQ). The statistical analyses were performed using Pearson's Chi-square test. The intra-examiner agreement was high (κ = 0.80) and the inter-examiner was κ = 0.79.

RESULTS

The prevalence of dental anxiety was 39.4 % and that of a history of dental pain was 44.9 %. Dental anxiety among children was associated with the child never having had a dental appointment.

STATISTICS

The anxiety correlated positively with a history of dental pain (p < 0.001), the mother's low level of schooling (p = 0.037), parents' dental anxiety (p < 0.001), and negatively with visits to the dentist (p < 0.001).

CONCLUSION

A high percentage of children presented with dental anxiety and a history of dental pain.

摘要

背景

牙科焦虑是一个常见问题,与牙痛有关,这会导致不定期看牙和逃避牙科护理,从而使儿童期口腔健康状况较差。

目的

评估在公共假日接受检查的5至12岁儿童与牙科治疗相关的焦虑、疼痛和/或不适。

方法

在获得家长许可后,对970名男女儿童进行了这项横断面调查研究。通过家长或监护人填写的问卷获取社会经济状况、牙科焦虑和牙痛经历数据。使用牙科焦虑问卷(DAQ)测量牙科焦虑。采用Pearson卡方检验进行统计分析。检查者内一致性较高(κ = 0.80),检查者间一致性为κ = 0.79。

结果

牙科焦虑患病率为39.4%,有牙痛病史的患病率为44.9%。儿童的牙科焦虑与从未预约过看牙有关。

统计学分析

焦虑与牙痛病史呈正相关(p < 0.001),与母亲受教育程度低呈正相关(p = 0.037),与父母的牙科焦虑呈正相关(p < 0.001),与看牙医的次数呈负相关(p < 0.001)。

结论

很大比例的儿童存在牙科焦虑和牙痛病史。

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