Dr. Lamenha-Lins is a graduate student, Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;, Email:
Dr. Paiva is a professor, Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Dent Child (Chic). 2022 May 15;89(2):75-82.
To assess the levels of empathy and self-confidence of pre- and post-doctoral dental students during the dental care of children of different facial types, sex and skin color.
A cross-sectional survey was conducted with 170 Brazilian dental students. Photos of four mesofacial pediatric patients of different sex (male, female) and skin color (white, black) were digitally altered to dolichofacial and brachyfacial facial types. The 12 photos obtained (four originals and eight digitally altered) were projected during lectures and students reported their level of empathy (scores from zero to 10) and self-confidence (not confident/confident) using a structured questionnaire, based exclusively on children's appearance. Bivariate analysis and Poisson robust regression were performed ( <0.05).
Students' lower empathy was observed among brachyfacial children (preva- lence ratio [PR] = 0.940; 95 percent confidence interval [95 percent CI] = 0.904 to 0.978). Female (PR=1.202; 95 percent CI=1.162 to 1.243) and black children (PR=1.068; 95 percent CI=1.035 to 1.103) received students' higher empathy scores. Higher percentages of self-confidence were associated with mesofacial ( =0.049), female ( <0.001), and black ( =0.001) children. Students' lower self-confidence was associated with brachyfacial (PR=1.106; 95 percent CI=1.066 to 1.147), male (PR=1.202; 95 percent CI=1.165 to 1.239) and white (PR=1.056; 95 percent CI =1.025 to 1.088) pediatric patients.
Brachyfacial children were associated with dental students' lower levels of empathy and self-confidence while female and black children received higher levels of empathy and self-confidence. However, dental students felt less confident regarding the dental care of white children.
评估不同面型、性别和肤色儿童口腔保健中预、博士生的同理心和自信心水平。
对 170 名巴西牙科学生进行了横断面调查。对来自不同性别（男、女）和肤色（白、黑）的四名中面型儿科患者的照片进行了数字修改，改为长面型和短面型。获得了 12 张照片（四张原始照片和八张数字修改照片），并在讲座期间进行了投影，学生使用结构化问卷报告了他们的同理心水平（0 到 10 分的评分）和自信心（不自信/自信），完全基于儿童的外貌。进行了双变量分析和泊松稳健回归（ <0.05）。
在短面型儿童中观察到学生同理心较低（优势比[PR] = 0.940；95%置信区间[95%CI] = 0.904 至 0.978）。女性（PR=1.202；95%CI=1.162 至 1.243）和黑人儿童（PR=1.068；95%CI=1.035 至 1.103）获得了学生更高的同理心评分。较高的自信百分比与中面型（ =0.049）、女性（ <0.001）和黑人（ =0.001）儿童相关。与短面型（PR=1.106；95%CI=1.066 至 1.147）、男性（PR=1.202；95%CI=1.165 至 1.239）和白人（PR=1.056；95%CI=1.025 至 1.088）儿科患者相比，学生的自信心较低。
短面型儿童与牙科学生同理心水平较低和自信心较低相关，而女性和黑人儿童同理心水平较高，自信心较强。然而，牙科学生对白人儿童的口腔保健感到不那么自信。
