Olak Jana, Saag Mare, Honkala Sisko, Nõmmela Rita, Runnel Riina, Honkala Eino, Karjalainen Sára
Department of Stomatology, Raekoja plats 6, University of Tartu, Tartu, Estonia.
Stomatologija. 2013;15(1):26-31.
The aim was to (1) assess the proportion of children with dental fear, to (2) compare results obtained by a single fear question to those obtained by using a set of 11 fear questions, to (3) study associations between children's dental fear and their dental health, and to (4) compare children's dental fears to those of their parents.
A cross-sectional sample of 344 8-10-year-old schoolchildren from South Estonian primary schools participated. Children's fears were measured with the modified Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS). The scale includes 11 fear items amongst which five represent less invasive (noninvasive items), another five invasive aspects of dental treatment (invasive items), and one question represents general dental fear of the child. In addition, two questions were included to assess parental dental fear. The dental health of children was examined using the International Caries Detection and Assessment System (ICDAS) criteria.
The proportion of children with general dental fear was 6.1%. The mean score of noninvasive fears was higher among the youngest than among the oldest age group (p<0.02). Children whose dmft/DMFT-scores were >0 had higher fear scores than those whose dmft/DMFT-scores were =0 (p<0.01). A total of 16.8% and 15.7% of mothers and fathers afraid of dentistry in general. There were strong correlations between children's dental fears and maternal (p<0.01), and paternal (p<0.01) dental fear.
Children's fears were strongly associated with untreated caries and experience of dental treatment, and with parental fears.
（1）评估有牙科恐惧的儿童比例；（2）比较单个恐惧问题与使用11个恐惧问题组所获得的结果；（3）研究儿童牙科恐惧与其口腔健康之间的关联；（4）比较儿童与父母的牙科恐惧情况。
选取了爱沙尼亚南部小学344名8至10岁学童作为横断面样本。使用儿童恐惧调查量表（CFSS-DS）的改良牙科分量表来测量儿童的恐惧。该量表包括11个恐惧项目，其中5个代表侵入性较小的方面（非侵入性项目），另外5个代表牙科治疗的侵入性方面（侵入性项目），还有一个问题代表儿童对牙科的总体恐惧。此外，还纳入了两个问题来评估父母的牙科恐惧。使用国际龋病检测与评估系统（ICDAS）标准检查儿童的口腔健康。
有牙科总体恐惧的儿童比例为6.1%。最年幼年龄组的非侵入性恐惧平均得分高于最年长年龄组（p<0.02）。dmft/DMFT得分>0的儿童恐惧得分高于dmft/DMFT得分=0的儿童（p<0.01）。总体上，分别有16.8%的母亲和15.7%的父亲害怕看牙。儿童的牙科恐惧与母亲（p<0.01）和父亲（p<0.01）的牙科恐惧之间存在强相关性。
儿童的恐惧与未经治疗的龋齿、牙科治疗经历以及父母的恐惧密切相关。
