Çukurova University, Faculty of Dentistry, Department of Pediatric Dentistry.
Eur J Paediatr Dent. 2013 Dec;14(4):284-8.
Dental interventions are potentially overwhelming for children with hemophilia; the study was designed to assess the levels of dental anxiety related to the first dental intervention for these children.
Fifty-six boys with severe haemophilia A and B and 56 healthy peers between the ages of 7-12 in need of primary dental extraction were chosen for this study. Facial Analog Scale and Visual Analog Scale were applied to all participants.
No significant differences among the groups were detected by means of the dental anxiety scores (FIS) and pain scores (VAS). The FIS scores of children who had experienced dental pain before the treatment were significantly higher regardless of the group they were part of (p=0.001).
Children with haemophilia are not at an increased risk of dental anxiety using special precautions and with the help of adequate treatment regimens. Pain is a predictor for dental fear and anxiety on dental chair both for children with haemophilia and healthy ones.
牙科干预对于患有血友病的儿童来说可能具有压倒性影响；本研究旨在评估这些儿童首次牙科干预相关的牙科焦虑水平。
本研究选择了 56 名患有严重血友病 A 和 B 的男孩和 56 名年龄在 7-12 岁之间需要进行初级牙齿拔除的健康同龄儿童。对所有参与者均应用面部模拟量表和视觉模拟量表。
无论组间差异如何，通过牙科焦虑评分（FIS）和疼痛评分（VAS）均未发现组间存在显著差异。治疗前经历过牙痛的儿童的 FIS 评分显著更高，无论他们属于哪个组（p=0.001）。
对于患有血友病的儿童，在采取特殊预防措施和适当的治疗方案的情况下，他们并不会增加牙科焦虑的风险。疼痛是血友病儿童和健康儿童在牙椅上产生牙科恐惧和焦虑的预测因素。
