Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland.
Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil.
Int J Paediatr Dent. 2018 Jan;28(1):23-32. doi: 10.1111/ipd.12306. Epub 2017 May 17.
To assess whether parents feel guilty for their children's oral problems, associating this feeling with socio-economic, demographic, and psychological factors.
We included 1313 parent-and-child pairs in this study. The children were 2-4 years old. Parents answered questionnaires on socio-economic and demographic data, and on psychological variables. Sixteen trained dentists (κ > 0.8) examined the children for oral hygiene (the presence and absence of plaque), early childhood caries (ECC; no caries, low and high severity), malocclusion (the presence and absence), and traumatic dental injuries (TDI; the presence and absence). We analysed the data with a hierarchical regression.
Twenty-four percentage of parents reported feeling guilty for the oral problems in their children; 26.3% of the children presented with caries, 39.8% malocclusion, 22.9% TDI. Of the parents who felt guilty, 54% thought that their children had problems in their teeth, and most of them (82%) thought that the problem could have been avoided. The feeling of guilt in parents was significantly associated with ECC and the psychological variables: the thought that the child had problems in his/her teeth and the thought that the problem could have been avoided.
Parents feel more guilty with increased caries severity in their children, and the likelihood of feeling guilty increases when parents believe that their child has an oral problem or that this problem could have been avoided.
评估父母是否因孩子的口腔问题而感到内疚，并将这种感觉与社会经济、人口统计学和心理因素联系起来。
我们纳入了 1313 对父母和孩子进行了这项研究。儿童年龄为 2-4 岁。父母回答了关于社会经济和人口统计学数据以及心理变量的问卷。16 名经过培训的牙医（κ＞0.8）检查了儿童的口腔卫生（有无菌斑）、幼儿龋（无龋、低龋和高龋严重程度）、错颌畸形（有无）和牙外伤（有无）。我们用分层回归分析了数据。
24%的父母报告对孩子的口腔问题感到内疚；26.3%的孩子有龋齿，39.8%有错颌畸形，22.9%有牙外伤。在感到内疚的父母中，54%认为孩子的牙齿有问题，其中大多数（82%）认为这个问题本来可以避免。父母的内疚感与 ECC 和心理变量显著相关：认为孩子的牙齿有问题，以及认为这个问题本来可以避免。
父母对孩子的龋齿严重程度增加感到更内疚，当父母认为孩子有口腔问题或认为这个问题本来可以避免时，他们感到内疚的可能性就会增加。
