Katsouda Maria, Tollili Christina, Coolidge Trilby, Simos Gregoris, Kotsanos Nikolaos, Arapostathis Konstantinos N
Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Paediatric Dentist works in a private practice, Thessaloniki, Greece.
Int J Paediatr Dent. 2018 Nov 7. doi: 10.1111/ipd.12445.
The aims were to determine the prevalence of gagging in children in the dental setting, detect any association between gagging and dental fear in that setting, and determine if the association varied by type of setting.
A total of 734 children (4-12 years old), seeking dental care either at a University paediatric dental clinic (UC) or at a private paediatric practice (PP), filled out the Greek version of the Gagging Assessment Scale (GAS, subjective assessment) and the Greek version of the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). The shorter form of the Gagging Problem Assessment-dentist part for children (GPA-de-c/SF, dentist's objective measurement) was used to assess their gag reflex.
A total of 209 children (28.47%) gagged according to the GPA-de-c/SF. There was no significant difference in gagging between UC and PP children. Children rated as gaggers on the GPA-de-c/SF reported significantly higher GAS and CFSS-DS scores (U = 33 629.000; P < 0.001, U = 31 955.500, P < 0.001, respectively). Also, there was a significant association between GAS and CFSS-DS (rho = 0.307, P < 0.001).
In the dental setting, there were significant relationships between dental fear, the dentist's objective measurement of gagging severity, and the child's subjective gagging assessment.
旨在确定牙科环境中儿童出现恶心 gagging 的患病率，检测该环境下恶心 gagging 与牙科恐惧之间的关联，并确定这种关联是否因环境类型而异。
共有 734 名 4 至 12 岁的儿童，他们在大学儿科牙科诊所（UC）或私人儿科诊所（PP）寻求牙科护理，填写了希腊语版的恶心 gagging 评估量表（GAS，主观评估）和希腊语版的儿童恐惧调查量表 - 牙科子量表（CFSS - DS）。使用儿童恶心 gagging 问题评估 - 牙医部分的简短形式（GPA - de - c/SF，牙医的客观测量）来评估他们的恶心 gagging 反射。
根据 GPA - de - c/SF，共有 209 名儿童（28.47%）出现恶心 gagging。UC 和 PP 的儿童在恶心 gagging 方面没有显著差异。在 GPA - de - c/SF 上被评为恶心 gagging 的儿童报告的 GAS 和 CFSS - DS 得分显著更高（U = 33629.000；P < 0.001，U = 31955.500，P < 0.001，分别）。此外，GAS 和 CFSS - DS 之间存在显著关联（rho = 0.307，P < 0.001）。
在牙科环境中，牙科恐惧、牙医对恶心 gagging 严重程度的客观测量与儿童的主观恶心 gagging 评估之间存在显著关系。
