Kim Ka Young, An So-Youn
Department of Pediatric Dentistry, College of Dentistry, Wonkwang University, Daejeon, Korea.
J Dent Anesth Pain Med. 2019 Oct;19(5):271-276. doi: 10.17245/jdapm.2019.19.5.271. Epub 2019 Oct 30.
The Child Oral Health Impact Profile (COHIP) is a measure of oral health-related quality of life (OHRQoL) in children and adolescents. This study examined the impact of dental fear on the OHRQoL by comparing the COHIP scores of children with and without dental fear.
The OHRQoL in children and adolescents was measured using the Korean version of the COHIP. In total, 102 students (49 boys and 53 girls) filled in a questionnaire designed to evaluate dental fear and the OHRQoL in 2012 and 2014.
In 2012, the group without dental fear showed higher COHIP scores than the group with dental fear; the difference between the two groups was statistically significant. In 2014, the same pattern was observed, but the difference was non-significant for all COHIP items other than those pertaining to social-emotional well-being. Comparison of COHIP scores according to changes in fear showed that the group with continuous dental fear showed significantly lower overall COHIP, negative COHIP, and low social-emotional wellbeing scores, than the group without continuous fear in 2012 and 2014.
We expected children with dental fear to have poor oral health, affecting their OHRQoL; however, dental fear did not affect the OHRQoL.
儿童口腔健康影响概况(COHIP)是衡量儿童和青少年口腔健康相关生活质量(OHRQoL)的指标。本研究通过比较有和没有牙科恐惧的儿童的COHIP评分,探讨牙科恐惧对OHRQoL的影响。
使用COHIP韩语版测量儿童和青少年的OHRQoL。2012年和2014年,共有102名学生(49名男孩和53名女孩)填写了一份旨在评估牙科恐惧和OHRQoL的问卷。
2012年,无牙科恐惧组的COHIP评分高于有牙科恐惧组;两组之间的差异具有统计学意义。2014年,观察到相同的模式,但除了与社会情感幸福感相关的项目外,所有COHIP项目的差异均无统计学意义。根据恐惧变化比较COHIP评分,结果显示,在2012年和2014年,持续有牙科恐惧的组的总体COHIP、负面COHIP和低社会情感幸福感评分显著低于无持续恐惧的组。
我们预期有牙科恐惧的儿童口腔健康较差,会影响他们的OHRQoL;然而,牙科恐惧并未影响OHRQoL。