Mobin Talha, Khan Tooba Zahid, Mobin Anma, Tahir Muhammad R, Imran Qirat, Gardezi Syed Aun M, Waqar Rafey, Hanif Mahnoor, Mohamed Jiffry Mohamed Zakee, Ahmed-Khan Mohammad A
Dentistry, CMH (Combined Military Hospital ) Lahore Medical College and Institute of Dentistry, Lahore, PAK.
Dornsife School of Public Health, Drexel University, Philadelphia, USA.
Cureus. 2023 Feb 20;15(2):e35243. doi: 10.7759/cureus.35243. eCollection 2023 Feb.
Background One of the biggest hurdles in treating pediatric patients is managing dental fear and anxiety. Some factors that contribute to an increase in dental anxiety are fear of pain, the presence of unknown individuals, a change in the setting of an environment, and separation from parents. Aim The aim of this study was to evaluate dental fear and anxiety in pediatric patients, between the ages of 6 and 12 years, visiting private and public dental hospitals using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). Methods A total of 280 children, 140 in a private dental hospital setting and 140 in a public dental hospital setting, were enrolled in this study. The purpose of the study was explained to the accompanying guardian of the patient and written consent was taken. The CFSS-DS was explained verbally in Urdu and the questionnaire was given to guardians alongside the patients which they were asked to fill out following their dental treatment. Result The data obtained from the questionnaires were analyzed using the unpaired t-test. The highest dental fear mean scores and standard deviation in a private dental hospital were for "choking" (3.25 ± 1.21), "the noise of the dentist drilling" (3.24 ± 1.04), and "having somebody put instruments in your mouth" (3.19 ± 1.06), whereas, for a public dental hospital, the highest fear score was recorded in "choking" (3.17 ± 1.69), "injections" (3.07 ± 1.72), and "people in white uniforms" (1.90 ± 1.21). Conclusion The study showed a higher prevalence of dental fear and anxiety in a private dental setting when compared to a public dental setting. Factors responsible for an increase in dental fear need to be assessed for each patient and then treatment given accordingly.
背景
治疗儿科患者最大的障碍之一是应对牙科恐惧和焦虑。导致牙科焦虑增加的一些因素包括对疼痛的恐惧、陌生人员的在场、环境设置的变化以及与父母分离。
目的
本研究的目的是使用儿童恐惧调查量表 - 牙科分量表（CFSS - DS）评估6至12岁前往私立和公立牙科医院就诊的儿科患者的牙科恐惧和焦虑情况。
方法
本研究共纳入280名儿童，其中140名在私立牙科医院就诊，140名在公立牙科医院就诊。向患者的陪同监护人解释了研究目的并获得了书面同意。用乌尔都语向患者口头解释CFSS - DS，并在患者接受牙科治疗后将问卷交给监护人让他们填写。
结果
使用非配对t检验对问卷获得的数据进行分析。私立牙科医院中牙科恐惧平均得分和标准差最高的项目是“窒息”（3.25±1.21）、“牙医钻孔的声音”（3.24±1.04）和“有人将器械放入口中”（3.19±1.06），而在公立牙科医院，最高恐惧得分出现在“窒息”（3.17±1.69）、“注射”（3.07±1.72）和“穿白色制服的人”（仅1.90±1.21）。
结论
研究表明，与公立牙科环境相比，私立牙科环境中牙科恐惧和焦虑的患病率更高。需要针对每位患者评估导致牙科恐惧增加的因素，然后相应地进行治疗。
