Aldafaai Raya Rashid, Jafar Zainab, Al-Rubbaey Yamama
Department of Clinical Sciences, College of Dentistry, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq.
Department of Pedodontics and Preventive Dentistry, College of Dentistry, University of Baghdad, Iraq.
J Med Life. 2023 Oct;16(10):1540-1545. doi: 10.25122/jml-2023-0085.
Dental anxiety is a familiar problem among children, which may affect their oral health. This cross-sectional study aimed to evaluate dental anxiety during the first dental examination in relation to dental caries and salivary alkaline phosphatase, taking into account the nutritional status of children. Eighty-two children (45 boys and 37 girls), aged six to eight years old (average 6.96), were recruited from public clinics in Baghdad city. Participants were divided into the anxious and the non-anxious groups according to physiological measures (oxygen saturation and heart rate) before the first dental treatment. The weight and height of each child were measured to determine the nutritional status (normal weight, overweight, and obese). Dental caries (prevalence and severity) in children with different nutritional statuses were recorded using dmf, DMF, and the guidelines outlined by Manjie . Saliva was collected to analyze salivary alkaline phosphatase. No statistically significant differences were observed between anxious and non-anxious children in means of dmf and DMF indices (teeth and surfaces) in primary and permanent teeth (p>0.05) in the three nutritional status groups. However, non-anxious children exhibited a higher mean of d1 (initial enamel caries) compared to anxious children, with statistical significance (p<0.05) observed only in normal-weight children. Salivary alkaline phosphatase was not significantly different between the two groups. In conclusion, dental anxiety did not appear to significantly impact caries development in primary teeth or salivary alkaline phosphatase levels in children with varying nutritional statuses. Anxiety reduced the initial enamel caries in normal-weight children.
牙科焦虑症在儿童中是一个常见问题，可能会影响他们的口腔健康。这项横断面研究旨在评估首次牙科检查时的牙科焦虑症与龋齿及唾液碱性磷酸酶之间的关系，同时考虑儿童的营养状况。从巴格达市的公共诊所招募了82名6至8岁（平均6.96岁）的儿童（45名男孩和37名女孩）。根据首次牙科治疗前的生理指标（血氧饱和度和心率）将参与者分为焦虑组和非焦虑组。测量每个孩子的体重和身高以确定营养状况（正常体重、超重和肥胖）。使用dmf、DMF以及Manjie概述的指南记录不同营养状况儿童的龋齿情况（患病率和严重程度）。收集唾液以分析唾液碱性磷酸酶。在三个营养状况组中，焦虑组和非焦虑组儿童乳牙和恒牙的dmf和DMF指数（牙齿和牙面）均值之间未观察到统计学显著差异（p>0.05）。然而，与焦虑儿童相比，非焦虑儿童的d1（初始釉质龋）均值更高，仅在正常体重儿童中观察到统计学显著性（p<0.05）。两组之间唾液碱性磷酸酶无显著差异。总之，牙科焦虑症似乎并未对不同营养状况儿童的乳牙龋齿发展或唾液碱性磷酸酶水平产生显著影响。焦虑减少了正常体重儿童的初始釉质龋。
