Felemban Osama M, Alshoraim Mohammad A, El-Housseiny Azza A, Farsi Najat M
Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, Phone: +966 505529982, e-mail:
King Fahad General Hospital, Ministry of Health, Jeddah, Kingdom of Saudi Arabia.
J Contemp Dent Pract. 2019 May 1;20(5):610-615.
Dental fear (DF) in children is a multifactorial problem that may affect the child's dental treatment and behavior at the dental office. This study aimed to evaluate the familial characteristics affecting DF among Arabic-speaking 12- to 15-year-old children in Jeddah, Saudi Arabia.
A cross-sectional study assessing 16 middle schools in Jeddah, Saudi Arabia, was performed through multistage stratified random sampling. DF among children was measured using the children fear survey schedule-dental subscale (CFSS-DS) questionnaire. A parental questionnaire was used to collect information regarding familial socioeconomic status, parental DF, and DF among siblings and friends. The data were analyzed using the test, one-way analysis of variance (ANOVA), and multiple linear regression analysis.
A total of 1,522 children were included. Socioeconomic variables were not associated with DF among children. Parental DF, parental dental experiences, siblings' DF, and friends' DF were significantly associated with DF in children. In the regression analysis, mothers' anxiety at the last dental visit, siblings' DF, and friends' DF were significant predictors of DF among children.
DF in children is associated with mothers' anxiety during their last dental visit and DF in siblings or friends.
Obtaining comprehensive dental, family, and social history from patients is as essential as asking about medical history for pediatric dentists to plan the most appropriate and effective behavioral management techniques for their pediatric patients. Understanding the etiology of DF assists clinicians to provide better oral health services for their fearful patients.
儿童牙科恐惧（DF）是一个多因素问题，可能会影响儿童在牙科诊所的治疗和行为。本研究旨在评估影响沙特阿拉伯吉达市讲阿拉伯语的12至15岁儿童DF的家庭特征。
通过多阶段分层随机抽样，对沙特阿拉伯吉达市的16所中学进行了一项横断面研究。使用儿童恐惧调查量表 - 牙科分量表（CFSS - DS）问卷测量儿童的DF。使用一份家长问卷收集有关家庭社会经济状况、父母的DF以及兄弟姐妹和朋友的DF的信息。数据采用t检验、单因素方差分析（ANOVA）和多元线性回归分析。
共纳入1522名儿童。社会经济变量与儿童的DF无关。父母的DF、父母的牙科经历、兄弟姐妹的DF和朋友的DF与儿童的DF显著相关。在回归分析中，母亲在上次牙科就诊时的焦虑、兄弟姐妹的DF和朋友的DF是儿童DF的显著预测因素。
儿童的DF与母亲在上次牙科就诊时的焦虑以及兄弟姐妹或朋友的DF有关。
对于儿科牙医来说，获取患者全面的牙科、家庭和社会病史与询问病史一样重要，以便为儿科患者规划最合适和有效的行为管理技术。了解DF的病因有助于临床医生为恐惧的患者提供更好的口腔健康服务。
