Dogan Muharrem Cem, Serin Buse Ayse, Uzel Aslıhan, Seydaoglu Gulsah
Department of Paediatric Dentistry, University of Cukurova, Adana, Turkey.
Oral Health Prev Dent. 2013;11(2):141-6. doi: 10.3290/j.ohpd.a29364.
To investigate the level of dental fear and anxiety of children who have cleft lip and palate (CLP).
The study was performed at Cukurova University, Faculty of Dentistry. A total of 32 7- to 12-yearold children, 17 of them with CLP (8 girls and 9 boys) and 15 of them without CLP (7 girls and 8 boys) participated in the study. The children were evaluated by using the Facial Image Scale (FIS) and Dental Subscale of Children's Fear Survey Schedule (CFSS-DS) methods. The anxiety state of the children was assessed twice using FIS: first in the dental hospital waiting room (FIS-WR) and after, while sitting in the dental chair (FIS-DC). CFSS-DS was administered to all participants in order to assess the dental anxiety while they were sitting in the dental chair.
According to the FIS results, there was no difference between CLP and control group in the waiting room (P = 0.682). However, the CLP group showed lower scores than the control group while they were sitting in the dental chair (P = 0.030). The FIS scores of the CLP group were significantly higher in the waiting room than while sitting in the dental chair (P = 0.007). In the control group, there was no significant difference between FIS-WR and FIS-DC values (P = 0.664). The total CFSS-DS scores of children with CLP were lower than those of the control group, but these differences were not statistically significant (P > 0.05).
Children with CLP showed more anxiety in the FIS-WR than in the FIS-DC, but they showed lower scores than the control group in the FIS-DC. The positive previous experience of meetings with dentists of the CLP children could explain these results. Positive previous experiences with dentists and a short time in the waiting room could be key elements in the care of CLP children.
调查唇腭裂（CLP）患儿的牙科恐惧和焦虑水平。
本研究在库库洛瓦大学牙科学院进行。共有32名7至12岁儿童参与研究，其中17名患有唇腭裂（8名女孩和9名男孩），15名无唇腭裂（7名女孩和8名男孩）。采用面部图像量表（FIS）和儿童恐惧调查量表牙科分量表（CFSS-DS）方法对儿童进行评估。使用FIS对儿童的焦虑状态进行两次评估：第一次在牙科医院候诊室（FIS-WR），第二次在坐在牙科椅上时（FIS-DC）。对所有参与者进行CFSS-DS评估，以评估他们坐在牙科椅上时的牙科焦虑情况。
根据FIS结果，唇腭裂组和对照组在候诊室的得分无差异（P = 0.682）。然而，唇腭裂组在坐在牙科椅上时的得分低于对照组（P = 0.030）。唇腭裂组在候诊室的FIS得分显著高于坐在牙科椅上时（P = 0.007）。在对照组中，FIS-WR和FIS-DC值之间无显著差异（P = 0.664）。唇腭裂患儿的CFSS-DS总分低于对照组，但这些差异无统计学意义（P > 0.05）。
唇腭裂患儿在FIS-WR中的焦虑程度高于FIS-DC，但在FIS-DC中的得分低于对照组。唇腭裂患儿之前与牙医会面的积极经历可以解释这些结果。之前与牙医的积极经历以及在候诊室的短时间等待可能是唇腭裂患儿护理中的关键因素。
