Mehrabkhani Maryam, Khanmohammdi Razie, Nematollahi Hosein, Rajabi Nikoo, Gheidari Ali
Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Private Practice, Tehran, Iran.
Dent Res J (Isfahan). 2024 Aug 21;21:45. eCollection 2024.
The etiologies of childhood dental fear/dental behavior management problems have been extensively studied, especially the role of children's temperaments. This study aimed to evaluate the effect of temperament and its associated variables on the anxiety and cooperation level of preschool children in a dental clinic.
This cross-sectional study involved 103, 4-6-year-old patients (39 boys and 64 girls). The children's parents or guardians completed the Child Fear Survey Schedule (CFSS) Dental Subscale and the Malhotra temperament questionnaire before the treatment. Patients' anxiety and cooperation levels were then assessed through three distinct treatment stages of fluoride therapy, injection of local anesthesia, and drilling, by applying the Venham anxiety and clinical cooperation scales. The data were analyzed using analysis of variance, Mann-Whitney, Kruskal-Wallis, and Chi-square tests. The significance level of 0.05 was deemed relevant in the analysis.
A significant correlation was established between the mean of CFSS and the variety of temperament ( = 0.001). Anxiety and uncooperative behavior during injection and drilling were strongly related to lower sociability scores. Furthermore, higher anxiety during the drilling stage was related to higher impulsivity scores.
The evaluation of children's anxiety and cooperation in dental clinics heavily relies on temperament and certain related factors, such as sociability. These variables serve as crucial benchmarks in understanding and assessing the psychological state of children during dental procedures.
儿童牙科恐惧/牙科行为管理问题的病因已得到广泛研究，尤其是儿童气质的作用。本研究旨在评估气质及其相关变量对牙科诊所学龄前儿童焦虑和合作水平的影响。
这项横断面研究纳入了103名4至6岁的患者（39名男孩和64名女孩）。儿童的父母或监护人在治疗前完成了儿童恐惧调查问卷（CFSS）牙科分量表和马尔霍特拉气质问卷。然后，通过应用维纳姆焦虑量表和临床合作量表，在氟化物治疗、局部麻醉注射和钻孔这三个不同的治疗阶段评估患者的焦虑和合作水平。使用方差分析、曼-惠特尼检验、克鲁斯卡尔-沃利斯检验和卡方检验对数据进行分析。在分析中，显著性水平设定为0.05。
CFSS的平均值与多种气质之间建立了显著相关性（P = 0.001）。注射和钻孔过程中的焦虑和不合作行为与较低的社交能力得分密切相关。此外，钻孔阶段较高的焦虑与较高的冲动性得分有关。
在牙科诊所对儿童焦虑和合作情况的评估很大程度上依赖于气质和某些相关因素，如社交能力。这些变量是理解和评估儿童在牙科治疗过程中心理状态的关键指标。
