Alsaadoon Alrouh M, Sulimany Ayman M, Hamdan Hebah M, Murshid Ebtissam Z
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
Children (Basel). 2022 Mar 1;9(3):328. doi: 10.3390/children9030328.
This randomized clinical trial aimed to evaluate the effectiveness of a specially designed dental storybook in reducing dental anxiety among children. Eighty-eight children (6−8 years old) were randomly divided into two groups: the intervention group (received the storybook) and the control group (did not receive the storybook). Three dental visits (screening, examination and cleaning, and treatment) were provided for each child. Anxiety was assessed following each visit using the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and the Venham clinical anxiety scale (VCAS). The behavior was assessed using the Frankl’s Behavior Rating Scale (FBRS). The intervention group showed significantly lower anxiety and more cooperative behavior during treatment than the control group (p < 0.0001). The intervention group showed a significant decrease in anxiety scores and more cooperative behavior across time according to the CFSS-DS (p = 0.001) and Frankl behavior scale OR = 3.22, 95% CI 1.18−8.76. Multivariate models found that using the storybook was a significant independent factor in reducing anxiety and improving behavior after controlling for sex, previous visits, family income, and mother’s education. In conclusion, the dental storybook can decrease children’s dental anxiety and improve their behavior during dental treatment.
这项随机临床试验旨在评估一本专门设计的牙科故事书在降低儿童牙科焦虑方面的有效性。88名6至8岁的儿童被随机分为两组：干预组（收到故事书）和对照组（未收到故事书）。为每个儿童安排了三次牙科就诊（筛查、检查和清洁以及治疗）。每次就诊后，使用儿童恐惧调查量表 - 牙科分量表（CFSS - DS）和维纳姆临床焦虑量表（VCAS）评估焦虑情况。使用弗兰克尔行为评定量表（FBRS）评估行为。干预组在治疗期间的焦虑明显低于对照组，行为更合作（p < 0.0001）。根据CFSS - DS（p = 0.001）和弗兰克尔行为量表，干预组的焦虑得分显著降低，行为更合作（OR = 3.22，95% CI 1.18 - 8.76）。多变量模型发现，在控制了性别、既往就诊情况、家庭收入和母亲教育程度后，使用故事书是降低焦虑和改善行为的一个重要独立因素。总之，牙科故事书可以降低儿童的牙科焦虑，并改善他们在牙科治疗期间的行为。
