Department of Pediatric Dentistry, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey.
Department of Medical Biochemistry, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.
Clin Oral Investig. 2018 Jul;22(6):2373-2380. doi: 10.1007/s00784-018-2340-2. Epub 2018 Jan 21.
Dental anxiety level has been previously associated with oral health status. Since general anesthesia (GA) allows dental treatments to be performed in anxious children with a high number of caries, we aimed to evaluate the dental anxiety levels of these children before and after dental treatments performed under GA.
Thirty-eight children with high anxiety aged between 35 and 72 months who required multiple dental treatments to be performed under GA were included in the study. Frankl's Behavior Rating Scale, sitting patterns, Facial Image Scale, and Children's Fear Survey Schedule-Dental Subscale (completed by the children's parents) were recorded before and after the dental treatments performed under GA. Pre-treatment and post-treatment biochemical parameters, including cortisol, alpha-amylase, and chromogranin A levels, in saliva and serum samples were also evaluated.
The psychometric scales showed a statistically significant reduction in the post-treatment dental anxiety levels of the children compared with the pre-treatment anxiety levels. Additionally, the biochemical parameters measured in the serum and whole saliva samples showed a decrease after treatments performed under GA.
Our study results suggest that performing dental treatments under GA can reduce the dental anxiety levels of children with a high number of caries.
先前有研究表明，牙科焦虑水平与口腔健康状况有关。由于全身麻醉（GA）可使患有大量龋齿的焦虑儿童接受牙科治疗，因此我们旨在评估这些儿童在 GA 下进行牙科治疗前后的牙科焦虑水平。
本研究纳入了 38 名年龄在 35 至 72 个月之间、高度焦虑且需要多次 GA 下牙科治疗的儿童。在 GA 下进行牙科治疗前后，记录了 Frankl 行为评分量表、坐姿、面部图像量表以及儿童恐惧调查量表-牙科分量表（由儿童家长完成）。还评估了 GA 下治疗前后唾液和血清样本中皮质醇、α-淀粉酶和嗜铬粒蛋白 A 等生化参数的水平。
心理计量学量表显示，与治疗前相比，儿童治疗后的牙科焦虑水平有统计学显著降低。此外，GA 下治疗后，血清和全唾液样本中的生化参数均下降。
我们的研究结果表明，GA 下进行牙科治疗可以降低患有大量龋齿儿童的牙科焦虑水平。
