Department of Pediatric and Preventive Dentistry, Hi-tech Dental College and Hospital, Health Park, Pandra, Rasulgarh, Bhubaneswar, India.
Department of Public Health Dentistry, Sarjug Dental College and Hospital, Darbhanga, Bihar, India.
J Med Life. 2021 Jan-Mar;14(1):45-49. doi: 10.25122/jml-2020-0084.
In children, dental fear is not only associated with fear of pain or invasive procedures, but it is also correlated with separation from parents or confronting unfamiliar people or environments. The Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) was developed to evaluate dental fear in children, and this scale is now used across the world for evaluating dental fear. The aim of this study was to evaluate dental fear in children between 7-11 years of age and to find out the association between caries and fear of dental treatment. A total of 300 subjects of both sexes were enrolled in the study. Prior to the oral examination, all patients' attendants were informed about the study, and the subjects were asked to fill in a questionnaire regarding the CFSS-DS scale. The data obtained through the questionnaires were analyzed using the Chi-Square test. Fear scores were highest for "injections" (3.91±0.17), "dentist drilling" (3.91±0.10) and "choking" (3.65±0.82). It was also observed that subjects who had already visited a dental clinic or those who were familiar with the dental environment at an early stage of life were less anxious than patients who were receiving dental treatment for the first time. In this study, we found that female subjects were more anxious in comparison to male patients. Once the child's fear is identified, the dentist can use various behavior modification techniques to eliminate fear, explain the steps, and use the instruments accordingly until fear has vanished.
在儿童中,牙科恐惧不仅与对疼痛或侵入性操作的恐惧有关,还与与父母分离或面对陌生的人或环境有关。儿童恐惧调查量表-牙科子量表 (CFSS-DS) 的开发是为了评估儿童的牙科恐惧,该量表现在在全球范围内用于评估牙科恐惧。本研究旨在评估 7-11 岁儿童的牙科恐惧,并找出龋齿与对牙科治疗的恐惧之间的关系。共有 300 名男女受试者参加了这项研究。在进行口腔检查之前,所有患者的家属都被告知了这项研究,并且要求患者填写一份关于 CFSS-DS 量表的问卷。通过问卷获得的数据使用卡方检验进行分析。“注射”(3.91±0.17)、“牙医钻孔”(3.91±0.10)和“窒息”(3.65±0.82)的恐惧得分最高。还观察到,已经去过牙科诊所的患者或在生命早期就熟悉牙科环境的患者比第一次接受牙科治疗的患者焦虑程度较低。在这项研究中,我们发现女性患者比男性患者更焦虑。一旦确定了孩子的恐惧,牙医可以使用各种行为矫正技术来消除恐惧,解释步骤,并相应地使用器械,直到恐惧消失。