Suresh Akhil, Karuna Y M, Natarajan Srikant, Maimoona T M, Shenoy Savitha, Nayak Anupama P, Rao Ashwin P, Shrikrishna Suprabha B
Former Under Graduate Student, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2020 Jan-Mar;38(1):41-47. doi: 10.4103/JISPPD.JISPPD_206_19.
Assessing dental anxiety as a predictor of the likely behavior of the child in the dental operatory is of paramount importance for a clinician to render quality care.
This study aims to correlate the dental anxiety of preschool children as shown during the doll placement test with that of their behavioral patterns during the first dental visit.
This cross-sectional study was conducted between the ages of 3-7 years.
During their first dental visit, the background variables were elicited from parent/guardian at the reception desk. Later at the play area, the child was given a set of dolls representing dentist, child, and mother to place them in a model dental office having a dental chair. The child was then taken for the initial oral examination, during which the behavior of the child was rated using Frankl's Behavior Rating Scale. The data collected were analyzed using Chi-square test and binary regression analysis.
The observed association between the doll placement pattern and the behavior of the patient during dental treatment was statistically significant (P < 0.001). The binary regression analysis showed that the child's unpleasant previous medical and parent's unpleasant dental experiences had higher odds favoring uncooperative behavior (46.63 and 41.93, respectively).
The child's behavior on the dental chair is associated with the doll placement pattern, which is also influenced by experiences of the child during his/her encounter with the medical doctor and previous dental experiences of their parents.
评估牙科焦虑作为儿童在牙科治疗室可能行为的预测指标，对于临床医生提供高质量护理至关重要。
本研究旨在将学龄前儿童在玩偶放置测试中表现出的牙科焦虑与其首次看牙时的行为模式相关联。
本横断面研究在3至7岁儿童中进行。
在儿童首次看牙时，在接待处向家长/监护人询问背景变量。随后在游戏区，给儿童一套代表牙医、儿童和母亲的玩偶，让他们将其放置在有牙科椅的模拟牙科诊所中。然后带儿童进行初次口腔检查，在此期间使用弗兰克尔行为评定量表对儿童的行为进行评分。收集的数据采用卡方检验和二元回归分析。
观察到的玩偶放置模式与患者在牙科治疗期间行为之间的关联具有统计学意义（P < 0.001）。二元回归分析表明，儿童既往不愉快的就医经历和家长不愉快的牙科经历更易导致不合作行为（分别为46.63和41.93）。
儿童在牙科椅上的行为与玩偶放置模式相关，这也受到儿童就医经历以及家长既往牙科经历的影响。
