Department of Paediatric Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.
Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, USA.
Eur Arch Paediatr Dent. 2021 Oct;22(5):937-946. doi: 10.1007/s40368-021-00654-x. Epub 2021 Aug 6.
The purposes were to evaluate if gagging can affect children's cooperation with treatment, investigate possible changes in gagging and study factors that can predict children's behaviour over dental treatment.
255 children aged 4-12 years, needing at least three consecutive dental appointments, completed the Children's Fear Survey Schedule-Dental Subscale before examination. The Gagging Problem Assessment was performed before the initial examination and after the third/final appointment. Frankl's Behaviour Rating Scale (FBRS) was used to rate children's behaviour. Multivariate Mixed Linear and Logistic Regression Models were used.
Children with definitely positive behaviour were significantly older, less fearful and less likely to gag before treatment. Girls and older children had lower odds of gagging over time, while fearful children had higher odds. There were no statistically significant associations between gagging over time, FBRS and the type of dental treatment at the third appointment. The percentage of children who gagged after the third appointment (27.05%) was significantly lower as compared to the percentage found at the initial appointment (32.54%; p = 0.004).
Among the variables studied, age, dental fear, initial GPA and type of treatment were good predictors of children's behaviour during dental treatment.
评估儿童在治疗过程中发生恶心反射是否会影响其合作性，调查恶心反射的可能变化，并研究可以预测儿童在牙科治疗过程中行为的因素。
255 名年龄在 4-12 岁之间的儿童，需要至少连续三次牙科就诊，在检查前完成儿童恐惧调查量表-牙科分量表。在初次检查前和第三次/最后一次就诊后进行恶心反射问题评估。使用 Frankl 行为评定量表（FBRS）对儿童的行为进行评分。采用多变量混合线性和逻辑回归模型进行分析。
行为表现明显积极的儿童年龄较大，恐惧程度较低，治疗前恶心反射发生的可能性较小。女孩和年龄较大的儿童随着时间的推移，恶心反射的可能性越低，而恐惧的儿童可能性越高。恶心反射的时间、FBRS 和第三次就诊时的牙科治疗类型之间没有统计学显著的关联。与初次就诊时（32.54%）相比，第三次就诊后发生恶心反射的儿童比例（27.05%）显著降低（p=0.004）。
在所研究的变量中，年龄、牙科恐惧、初始 GPA 和治疗类型是儿童在牙科治疗过程中行为的良好预测因素。
