Erzincan Binali Yıldırım University, Faculty of Dentistry, Department of Pediatric Dentistry, Erzincan, Turkey.
Istanbul University-Cerrahpasa, Faculty of Dentistry, Department of Pediatric Dentistry, Istanbul, Turkey.
Eur J Paediatr Dent. 2023 Dec 1;24(4):277 - 280. doi: 10.23804/ejpd.2023.1848. Epub 2023 Jun 1.
The aim of the present study is to evaluate the relationship between sequential visits in dental caries treatments and dental anxiety levels of paediatric patients through the use of anxiety scales and physiological measurements.
A total of 224 children aged 5-8 years who needed at least two bilateral restorative dental caries treatments of the mandibular first primary molar was included in the study. The treatment duration was approximately 20 minutes and time span between the two appointments was a maximum of two weeks. The Wong-Baker FACES Pain Rating Scale (WBFPS) and The Modified Dental Anxiety Scale (MDAS) were used for subjective measurements and the objective measurement of dental anxiety was performed by measuring the heart rate using a portable pulse oximeter. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 22 (IBM corp. Armonk, NY, USA).
Out of the 224 children, 117 were girls (mean age 6.4 ± 1.1 years) and 107 were boys (mean age 6.1 ± 1.2 years). The mean age of the patients was 6.26 ± 1.147 years, ranging from 5 to 8. There were no statistical significant differences between children’s age and genders with dental anxiety. However, there were statistical significant differences for the variables regarding the sequential visits. When comparing the MDAS scores statistically significant differences were observed between the first and second visits (p<0.001). Both preoperative and postoperative WBFPS scores were significantly higher at the first visit than at the second visit. Statistically significant differences were observed in the heart rate scores between the treatment sessions (p<0.001).
The results of this study show a significant reduction in dental anxiety after sequental dental visits in children aged 5-8 years, which highlights the importance of the sequental visits in paediatric dentistry.
本研究旨在通过使用焦虑量表和生理测量来评估儿童龋齿治疗中复诊次数与儿童焦虑水平之间的关系。
本研究共纳入 224 名年龄在 5-8 岁、需要至少两次双侧下颌第一乳磨牙修复性龋齿治疗的儿童。治疗时间约为 20 分钟，两次就诊之间的时间间隔最长为两周。采用 Wong-Baker FACES 疼痛评分量表（WBFPS）和改良牙科焦虑量表（MDAS）进行主观测量，使用便携式脉搏血氧仪测量心率来进行客观的牙科焦虑测量。采用 SPSS 22 版（IBM corp. Armonk, NY, USA）进行统计分析。
224 名儿童中，117 名为女孩（平均年龄 6.4 ± 1.1 岁），107 名为男孩（平均年龄 6.1 ± 1.2 岁）。患者平均年龄为 6.26 ± 1.147 岁，年龄为 5-8 岁。儿童的年龄和性别与牙科焦虑之间无统计学显著差异。然而，在关于复诊的变量方面存在统计学显著差异。当比较 MDAS 评分时，第一次和第二次就诊之间存在统计学显著差异（p<0.001）。第一次就诊时的术前和术后 WBFPS 评分均显著高于第二次就诊时的评分。治疗过程中心率评分存在统计学显著差异（p<0.001）。
本研究结果表明，5-8 岁儿童在多次牙科就诊后，焦虑程度显著降低，这突出了在儿童牙科中进行多次就诊的重要性。
