Post Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
Int J Paediatr Dent. 2018 May;28(3):319-325. doi: 10.1111/ipd.12359. Epub 2018 Mar 12.
Oral health perception has multidimensional nature and can be influenced not only by clinical conditions but also by psychosocial characteristics.
Dental fear could modify the association between dental caries and dental pain and the perception of negative impact.
A cross-sectional study was conducted with (n = 1,196) children aged 8-12 years attending public and private schools in Pelotas/Brazil. Children were interviewed and examined. Oral health perception was assessed using a global oral health impact item. Crude and adjusted multivariable regression models were built and effect modification of dental fear in the association between clinical indicators and perception of impact was tested.
Compared with children without fear and caries, children with fear and dental caries presented a 1.45 higher prevalence of negative impact (95% CI: 1.18-1.79) while those without fear and with dental caries had a 1.31 higher prevalence (95% CI: 1.11-1.54) after adjustments. Also, the prevalence of negative perception was higher for children with fear and dental pain (PR: 2.95; 95% CI: 1.59-2.39) and for children without fear and with pain (PR: 1.53; 95% CI: 1.29-1.80), compared to children without fear and pain.
The presence of fear increased the effect of pain and caries on children's oral health perception.
口腔健康感知具有多维性质，不仅受到临床状况的影响，还受到社会心理特征的影响。
牙齿恐惧可能会改变龋齿和牙痛与负面影响感知之间的关联。
这是一项横断面研究，纳入了 8-12 岁在巴西佩洛塔斯的公立和私立学校就读的 1196 名儿童。对儿童进行访谈和检查。使用一个整体口腔健康影响项目评估口腔健康感知。构建了未经调整和调整后的多变量回归模型，并检验了牙齿恐惧对临床指标与感知影响之间关联的效应修饰作用。
与无恐惧和无龋齿的儿童相比，恐惧和龋齿并存的儿童负面影响的患病率高 1.45 倍（95%CI：1.18-1.79），而无恐惧和有龋齿的儿童的患病率高 1.31 倍（95%CI：1.11-1.54）。此外，恐惧和牙痛并存的儿童负面感知的患病率更高（PR：2.95；95%CI：1.59-2.39），而无恐惧和有疼痛的儿童的患病率更高（PR：1.53；95%CI：1.29-1.80）。
恐惧的存在增加了疼痛和龋齿对儿童口腔健康感知的影响。
