Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
Medical Research Centre Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.
Int J Paediatr Dent. 2021 Nov;31(6):716-723. doi: 10.1111/ipd.12782. Epub 2021 May 7.
Dental fear is a prevalent phenomenon among children and adolescents globally.
To investigate dental fear among 18-year-olds with cleft lip and/or palate (CLP) at their final follow-up cleft clinic visit, and to evaluate the association between dental fear and OHRQoL.
This cross-sectional study included the cohort of children with CLP treated at the Oulu University Hospital Cleft Lip and Palate Center, in northern Finland since 1995. A total of 62 of 64 individuals participated in this study. The validated Finnish version of the Oral Health Impact Profile (OHIP-14) was used to assess OHRQoL. Dental fear was studied using the validated Modified Dental Anxiety Scale (MDAS) and cognitive vulnerability model (CVM).
Almost two fifths of the participants reported moderate dental fear. Participants with cleft including lip and participants reporting impact on OHRQoL reported higher mean MDAS scores. In an unadjusted model, adolescents with cleft including lip had risk for higher dental MDAS scores compared with the ones with cleft including only palate.
Dental fear is common among adolescents with CLP, specifically among those with clefts involving the lip. OHRQoL and dental fear seem to be associated.
在全球范围内，儿童和青少年普遍存在牙科恐惧现象。
调查在最后一次腭裂诊所随访时，唇腭裂（CLP） 18 岁青少年的牙科恐惧情况，并评估牙科恐惧与口腔健康相关生活质量（OHRQoL）之间的关系。
本横断面研究纳入了自 1995 年以来在芬兰北部奥卢大学医院唇腭裂中心接受治疗的唇腭裂儿童队列。共有 64 名儿童中的 62 名参与了这项研究。使用经过验证的芬兰版口腔健康影响量表（OHIP-14）评估 OHRQoL。使用经过验证的改良牙科焦虑量表（MDAS）和认知易感性模型（CVM）研究牙科恐惧。
近五分之二的参与者报告存在中度牙科恐惧。有唇裂的参与者和报告对 OHRQoL 有影响的参与者的 MDAS 评分更高。在未调整的模型中，与仅腭裂的参与者相比，唇腭裂的青少年更有可能出现较高的牙科 MDAS 评分。
唇腭裂青少年中普遍存在牙科恐惧，特别是唇裂患者。OHRQoL 和牙科恐惧似乎存在关联。
