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影响本科诊所接受牙科治疗儿童焦虑水平的因素。

Factors influencing anxiety levels in children undergoing dental treatment in an undergraduate clinic.

作者信息

Kothari Shreya, Gurunathan Deepa

机构信息

Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2019 Jun;8(6):2036-2041. doi: 10.4103/jfmpc.jfmpc_229_19.

Abstract

INTRODUCTION

Dental anxiety is a kind of fear exerted due to threatening stimuli. Assessing a child's dental anxiety level is very important to perform a particular treatment. The aim of this study is to examine the various factors that determine the anxiety levels in children and evaluate their anxiety levels.

MATERIALS AND METHODS

A total of 50 children participated in the survey conducted. Each participant had fulfilled the inclusion and exclusion criteria to answer the questionnaire. It included questions regarding their habits, fears, and dental visit experience. Evaluation of their anxiety levels was done using the facial image scale (FIS) and the modified dental anxiety scale and was correlated with various factors using the Statistical Package for Social Science Software.

RESULTS

Female children are more anxious than male children toward dental treatment. About 38% were anxious and 16% refused while undergoing radiographic examination and showed significant anxiety levels ( = 0.012). About 16% of the population were highly uncooperative and were necessary to implement behavioral shaping techniques on them. It influences the FIS anxiety score before initiation of the treatment ( = 0.003). About 48% of children had maintained a good rapport with the dentist and showed strong significance with the child's anxiety ( = 0.025).

CONCLUSION

Gender and behavior of the child while diagnosis and radiographic examination, implementation of behavioral shaping techniques, and rapport developed between child and dentist are all influencing factors of dental anxiety. The number of visits to the dental clinic, socioeconomic status, kind of amount of consumption of sugars, and type of treatment being done do not contribute to a child's anxiety level.

摘要

引言

牙科焦虑是由威胁性刺激引发的一种恐惧。评估儿童的牙科焦虑水平对于进行特定治疗非常重要。本研究的目的是检查决定儿童焦虑水平的各种因素,并评估他们的焦虑水平。

材料与方法

共有50名儿童参与了所进行的调查。每位参与者都符合纳入和排除标准以回答问卷。问卷包括有关他们的习惯、恐惧和看牙经历的问题。使用面部图像量表(FIS)和改良的牙科焦虑量表对他们的焦虑水平进行评估,并使用社会科学统计软件包将其与各种因素相关联。

结果

女童在牙科治疗方面比男童更焦虑。约38%的儿童在接受影像学检查时感到焦虑,16%的儿童拒绝检查,且显示出显著的焦虑水平(P = 0.012)。约16%的人群非常不合作,需要对他们实施行为塑造技术。这会影响治疗开始前的FIS焦虑评分(P = 0.003)。约48%的儿童与牙医保持了良好的关系,且与儿童的焦虑有很强的相关性(P = 0.025)。

结论

儿童在诊断和影像学检查时的性别和行为、行为塑造技术的实施以及儿童与牙医之间建立的关系都是牙科焦虑的影响因素。去牙科诊所就诊的次数、社会经济地位、糖的摄入量和治疗类型对儿童的焦虑水平没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0623/6618196/06ca43c61b2d/JFMPC-8-2036-g001.jpg

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