焦虑和兄弟姐妹的存在是否是儿童忽视牙齿护理和口腔健康状况的风险因素？

Are anxiety and the presence of siblings risk factors for dental neglect and oral health status in children?

机构信息

Department of Pediatric Dentistry, Recep Tayyip Erdogan University, Faculty of Dentistry, Rize, Turkey.

出版信息

Arch Pediatr. 2021 Feb;28(2):123-128. doi: 10.1016/j.arcped.2020.12.005. Epub 2021 Jan 15.

DOI:10.1016/j.arcped.2020.12.005

PMID:33455845

Abstract

OBJECTIVE

Neglect has a negative effect on all aspects of a child's overall health. Dental neglect is the intentional failure of parents or caregivers to take precautions and ensure the necessary dental treatment, and is closely related to dental caries and anxiety. We aimed to determine whether the presence of siblings causes dental neglect, and whether there is a relationship between dental neglect and anxiety.

METHODS

The cross-sectional study included 100 children and their parents. The children's oral health status was evaluated using the DMFT/dmft and PUFA/pufa indices. In addition, the parents completed the Dental Neglect Scale and a questionnaire, while the Modified Child Dental Anxiety Scale was administered to the children to assess their dental anxiety.

RESULTS

Multivariate linear regression analysis showed that the number of children in the family was statistically significantly associated with DMFT/dmft (β=2.963; P<0.001), PUFA/pufa (β=1.271; P=0.005), and dental neglect scores (β=5.449; P<0.001). The PUFA/pufa scores were statistically higher among children who had visited a dentist before (β=1.181; P=0.043).

CONCLUSIONS

The high level of dental anxiety and neglect in children with more than one sibling indicates that families should be more aware of the importance of oral health.

摘要

目的

忽视对儿童身心健康的各个方面都有负面影响。牙科忽视是指父母或照顾者故意疏忽，未能采取预防措施并确保必要的牙科治疗，且与龋齿和焦虑密切相关。我们旨在确定是否存在兄弟姐妹会导致牙科忽视，以及牙科忽视与焦虑之间是否存在关系。

方法

本横断面研究纳入了 100 名儿童及其家长。使用 DMFT/dmft 和 PUFA/pufa 指数评估儿童的口腔健康状况。此外，家长填写牙科忽视量表和问卷，同时对儿童进行改良儿童牙科焦虑量表评估，以评估其牙科焦虑。

结果

多变量线性回归分析表明，家庭中儿童的数量与 DMFT/dmft（β=2.963；P<0.001）、PUFA/pufa（β=1.271；P=0.005）和牙科忽视评分（β=5.449；P<0.001）均具有统计学显著相关性。与之前看过牙医的儿童相比，PUFA/pufa 评分更高（β=1.181；P=0.043）。