Hollis Amy, Willcoxson Fiona, Smith Adam, Balmer Richard
Department of Paediatric Dentistry, Leeds Dental Institute, Leeds, UK.
Int J Paediatr Dent. 2015 May;25(3):183-90. doi: 10.1111/ipd.12111. Epub 2014 Jun 11.
There is evidence that children with cardiac conditions have high levels of untreated dental disease. One possible explanation is that they are more dentally anxious as a result of increased exposure to medical interventions. Therefore, the primary aim of this study was to compare the level of dental anxiety between paediatric cardiology patients and healthy children.
The study group comprised 54 children (mean age 12.2 years) who attended the outpatient paediatric cardiology clinic in tertiary care. The control group (n = 53, mean age 12.38 years) was recruited from consultant-led new-patient orthodontic clinics. Child dental anxiety was measured using the Modified Child Dental Anxiety Scale (faces version). The parents completed the Modified Dental Anxiety Scale along with a questionnaire regarding their child's medical and dental histories.
The mean level of dental anxiety was significantly higher in the study group (P < 0.05). Analysis of covariance indicated that overnight hospital admission history may have influenced the strength of this relationship.
Paediatric cardiology patients had significantly increased levels of dental anxiety. It is likely that aspects of their medical history, notably overnight hospital admissions, are contributory factors.
有证据表明患有心脏疾病的儿童存在大量未治疗的牙齿疾病。一种可能的解释是，由于更多地接受医疗干预，他们对牙科治疗更加焦虑。因此，本研究的主要目的是比较儿科心脏病患者和健康儿童之间的牙科焦虑水平。
研究组包括54名儿童（平均年龄12.2岁），他们在三级医疗中心的儿科心脏病门诊就诊。对照组（n = 53，平均年龄12.38岁）从由顾问主导的新患者正畸诊所招募。使用改良儿童牙科焦虑量表（面部版）测量儿童牙科焦虑。父母完成改良牙科焦虑量表以及一份关于其孩子医疗和牙科病史的问卷。
研究组的平均牙科焦虑水平显著更高（P < 0.05）。协方差分析表明，过夜住院史可能影响了这种关系的强度。
儿科心脏病患者的牙科焦虑水平显著升高。他们病史中的一些方面，尤其是过夜住院，很可能是促成因素。
