Alshoraim Mohammad A, El-Housseiny Azza A, Farsi Najat M, Felemban Osama M, Alamoudi Najlaa M, Alandejani Amani A
Ministry of Health, Jeddah, Saudi Arabia.
Paediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, P.O. Box: 80200, Jeddah, 21589, Saudi Arabia.
BMC Oral Health. 2018 Mar 7;18(1):33. doi: 10.1186/s12903-018-0496-4.
Dental fear (DF) is a challenging problem in dentistry. It is multifactorial in origin and many contributing factors have been identified. The aim of the study was to assess dental fear among 12-15 years old Arabic speaking children in Jeddah, Saudi Arabia and its relation to demographic variables, previous dental experience, and child behaviour.
In this cross-sectional study, a total of 1522 boys and girls from middle schools in Jeddah, Saudi Arabia participated in this study during the period of 2014 to 2016. The Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) was used to assess DF. A parental questionnaire was used to record the children's previous dental experience. Children were examined for caries and the children's behaviour was assessed during dental examination using Frankl Behaviour Rating Scale. The associations between different variables and the CFSS-DS scores were analysed using t-tests, ANOVA, and multiple linear regression analysis.
The response rate of the questionnaires was 78.6%. The mean CFSS-DS score was 25.99 ± 9.3 out of a maximum of 75. Bivariate analysis showed that younger children, girls, and public-school students were significantly more fearful than older children, boys, and private school children, respectively (P < 0.001). Children who showed poor behaviour during dental examination were significantly more fearful than those with good behaviour (P < 0.001). Regression analysis showed that children who had significantly higher scores of dental fear were the children who did not visit the dentist in the past year due to dental fear; who never visited the dentist or those who only visited the dentist on pain; who were reported by parents as crying, screaming, or resistant during their previous dental visit; and those who were described to be in pain during previous dental treatment. Dental caries showed no significant association with DF.
This study confirms that DF is low among 12-15 years old Arabic speaking children in Jeddah, Saudi Arabia. DF is associated with age, gender, school type, irregular patterns of dental visits, painful experiences during previous dental visits and negative behaviours during dental examinations.
牙科恐惧（DF）是牙科领域一个具有挑战性的问题。其成因是多因素的，并且已经确定了许多促成因素。本研究的目的是评估沙特阿拉伯吉达市12至15岁讲阿拉伯语儿童的牙科恐惧情况及其与人口统计学变量、既往牙科经历和儿童行为的关系。
在这项横断面研究中，2014年至2016年期间，沙特阿拉伯吉达市中学的1522名男孩和女孩参与了本研究。使用儿童恐惧调查量表 - 牙科分量表（CFSS - DS）来评估牙科恐惧。使用家长问卷记录儿童既往的牙科经历。检查儿童的龋齿情况，并在牙科检查期间使用弗兰克尔行为评定量表评估儿童的行为。使用t检验、方差分析和多元线性回归分析来分析不同变量与CFSS - DS评分之间的关联。
问卷的回复率为78.6%。CFSS - DS的平均得分为25.99±9.3（满分75分）。双变量分析表明，年龄较小的儿童、女孩和公立学校学生分别比年龄较大的儿童、男孩和私立学校儿童更恐惧（P < 0.001）。在牙科检查中表现出不良行为的儿童比表现良好的儿童更恐惧（P < 0.001）。回归分析表明，牙科恐惧得分显著较高的儿童是那些因牙科恐惧在过去一年未看牙医的儿童；从未看过牙医或仅在疼痛时才看牙医的儿童；家长报告其在既往牙科就诊时哭闹、尖叫或抗拒的儿童；以及那些在既往牙科治疗期间被描述为疼痛的儿童。龋齿与牙科恐惧无显著关联。
本研究证实，沙特阿拉伯吉达市12至15岁讲阿拉伯语的儿童中牙科恐惧程度较低。牙科恐惧与年龄、性别、学校类型、不规律的看牙模式、既往牙科就诊时的痛苦经历以及牙科检查期间的负面行为有关。
