Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Oral Health Centre of Expertise in Western Norway, Bergen, Norway.
Eur Arch Paediatr Dent. 2022 Jun;23(3):475-484. doi: 10.1007/s40368-022-00710-0. Epub 2022 May 10.
The primary purposes were to examine dental records of Norwegian adolescents' with and without self-reported history of restraint for information about oral health (DMFT), total scheduled time in the Public Dental Service (PDS) (dental appointments, cancelled and missed appointments), and reluctant behaviour and/or dental fear and anxiety (DFA). Another purpose was to explore their dental records for information recorded by the dentist concerning the use of restraint.
Data on patient-self-reported history of restraint and DFA were collected in a population-based cross-sectional survey of 17-year-olds in the PDS in Hordaland, Norway, 2019. Patients were divided into two groups: self-reported restraint group (N = 26) and self-reported non-restraint group (N = 200). Data on oral health and dental treatment, total scheduled time of the PDS, reluctant behaviour or DFA, and information on the use of restraint were extracted from the dental records written by non-specialist dentists using a pre-set protocol covering the period from 2002 to 2019.
A total of 206 dental records were analysed. Adolescents with self-reported history of restraint (n = 18) had higher DMFT and greater descriptions of reluctant behaviour and/or DFA, and total scheduled time compared with the self-reported non-restraint group (n = 188). The use of restraint was recorded in the dental records of one patient from the self-reported restraint group and in two patients from the self-reported non-restraint group.
The adolescents with self-reported history of restraint had higher DMFT, higher scheduled time attending the PDS, and had more descriptions of reluctant behaviour and/or signs of DFA compared with the self-reported non-restraint group. The patient records contained limited information concerning restraint, and there were significant discrepancies between patient-self-reported history of restraint and the recording of restraint by the dentist in the patients' records.
主要目的是检查挪威青少年的牙科记录，这些青少年有或没有自我报告的约束史，以获取有关口腔健康（DMFT）、在公共牙科服务（PDS）中总预约时间（牙科预约、取消和错过的预约）以及不情愿行为和/或牙科恐惧和焦虑（DFA）的信息。另一个目的是探索他们的牙科记录，以获取牙医记录的有关约束使用的信息。
2019 年，在挪威霍达兰的 PDS 中对 17 岁青少年进行了一项基于人群的横断面调查，收集了关于患者自我报告的约束和 DFA 史的数据。患者分为两组：自我报告约束组（n=26）和自我报告非约束组（n=200）。从非专家牙医撰写的牙科记录中提取有关口腔健康和牙科治疗、PDS 总预约时间、不情愿行为或 DFA 以及约束使用信息的数据，使用涵盖 2002 年至 2019 年期间的预设协议。
共分析了 206 份牙科记录。与自我报告的非约束组（n=188）相比，自我报告有约束史的青少年（n=18）的 DMFT 更高，不情愿行为和/或 DFA 以及总预约时间的描述更多。自我报告约束组的一名患者和自我报告非约束组的两名患者的牙科记录中记录了约束的使用。
与自我报告的非约束组相比，自我报告有约束史的青少年的 DMFT 更高，在 PDS 就诊的预约时间更长，并且对不情愿行为和/或 DFA 的描述更多。患者记录中有关约束的信息有限，并且患者自我报告的约束史与牙医在患者记录中记录的约束之间存在显著差异。
