Department of Stomatology, Renmin hospital of Wuhan University, 430060 Wuhan, Hubei, China.
J Clin Pediatr Dent. 2024 Jan;48(1):184-190. doi: 10.22514/jocpd.2024.020. Epub 2024 Jan 3.
This study aims to examine the manifestations of dental anxiety (DA) and its influencing factors during dental visits among preschool children. The data of 166 preschool children who visited the Department of Dentistry of our hospital from April 2021 to April 2023 with oral problems were retrieved. Their DA performance was investigated using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). In addition, based on their general data and potential risk factor information, we performed logistic regression analysis to identify the factors influencing DA. Of the 166 questionnaires distributed, a total of 160 valid questionnaires were retrieved. The average CFSS-DS score was 35.57 ± 3.51 points. Sixty-six children had DA, resulting in an incidence rate of 41.25%. The top 5 items with the highest CFSS-DS scores were fear of needles, dentists, tooth extraction, drilling and oral anesthesia. When the 66 children with DA were classified into a DA group and a non-DA group, we observed significant differences in age distribution, dental experience, only child status, general anxiety symptoms, dental condition, family income and specific dental treatment procedures, particularly tooth extraction, between them ( < 0.05). Multivariate logistic regression analysis revealed that preschool children aged ≤4 years, those with prior dental experiences, single-child status, general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing specific dental procedures, such as tooth extractions, were independently associated with a higher risk of DA ( < 0.05). The incidence of DA in preschool children is high, and they exhibit substantial fear of needles, dentists, tooth extraction, drilling and oral anesthesia. Preschool children aged ≤4 years, with prior dental experiences, single-child status, the presence of general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing dental procedures, particularly tooth extraction, could be more predisposed to DA.
本研究旨在探讨学龄前儿童就诊时的牙科焦虑症（DA）表现及其影响因素。检索了 2021 年 4 月至 2023 年 4 月期间因口腔问题就诊于我院口腔科的 166 名学龄前儿童的资料。采用儿童恐惧调查量表牙科分量表（CFSS-DS）调查其 DA 表现。此外，根据其一般资料和潜在危险因素信息，进行 logistic 回归分析，以确定影响 DA 的因素。共发放问卷 166 份，回收有效问卷 160 份。CFSS-DS 评分平均为 35.57±3.51 分。有 66 名儿童存在 DA，发病率为 41.25%。CFSS-DS 评分最高的前 5 项依次为害怕针、牙医、拔牙、钻牙和口腔麻醉。将 66 例 DA 患儿分为 DA 组和非 DA 组，观察两组患儿在年龄分布、牙科就诊经历、是否为独生子女、一般焦虑症状、口腔健康状况、家庭收入、具体牙科治疗操作（如拔牙）方面的差异，差异有统计学意义（ < 0.05）。多因素 logistic 回归分析显示，年龄≤4 岁、有牙科就诊经历、独生子女、一般焦虑症状、口腔健康状况差、家庭收入<10 万元/年、进行具体牙科操作（如拔牙）是学龄前儿童 DA 的独立危险因素（ < 0.05）。学龄前儿童 DA 发生率较高，对针、牙医、拔牙、钻牙和口腔麻醉有明显恐惧。年龄≤4 岁、有牙科就诊经历、独生子女、有一般焦虑症状、口腔健康状况差、家庭收入<10 万元/年、进行牙科操作（如拔牙）的学龄前儿童更易发生 DA。
