Chiu H H C, Lam P P Y, Yiu C K Y
Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, 2nd Floor, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Pokfulam, Hong Kong SAR.
Eur Arch Paediatr Dent. 2025 Apr;26(2):233-245. doi: 10.1007/s40368-024-00952-0. Epub 2024 Nov 4.
Glass ionomer fissure sealant (GIS) and fluoride varnish (NaFV) are two preventive interventions applicable to pre-school children. However, their application effects on young children's behaviour are understudied. The study compared the effects of GIS and NaFV applications on dental anxiety (DA), cooperativeness and pain level in pre-school children when applied to primary second molars in outreach settings.
Four hundred and thirteen children were recruited for the study, out of which 228 were allocated to NaFV group whilstand 185 allocated to the GIS group. One calibrated examiner screened and randomly allocated the children into either group. Another calibrated examiner recorded the children's DA level and cooperativeness with Frankl Behaviour Rating Scale (FBRS) and Venham Behaviour Rating Scale (VBRS) throughout the treatment period. Subjects self-reported their pain levels using Wong-Baker Faces Scale (WBFS).
Significant difference in postoperative anxiety was found using VBRS, with children in NaFV group having more positive scores post-treatment (p = 0.016). Only the type of preventive interventions significantly affected postoperative DA and patient cooperation (p = 0.032), whereas no other clinical findings and socio-demographic factors significantly influenced the children's behaviour postoperatively.
NaFV application is associated with less DA and more cooperative behaviour in pre-school children compared to GIS application although similar pain levels were recorded.
玻璃离子窝沟封闭剂（GIS）和氟化物漆（NaFV）是适用于学龄前儿童的两种预防干预措施。然而，它们对幼儿行为的应用效果研究不足。本研究比较了在社区环境中，将GIS和NaFV应用于乳牙第二磨牙时，对学龄前儿童牙科焦虑（DA）、合作性和疼痛程度的影响。
招募了413名儿童参与研究，其中228名被分配到NaFV组，185名被分配到GIS组。一名经过校准的检查人员对儿童进行筛查并随机分配到两组中的一组。另一名经过校准的检查人员在整个治疗期间使用弗兰克尔行为评定量表（FBRS）和维纳姆行为评定量表（VBRS）记录儿童的DA水平和合作性。受试者使用面部表情疼痛量表（WBFS）自我报告疼痛程度。
使用VBRS发现术后焦虑存在显著差异，NaFV组儿童治疗后得分更积极（p = 0.016）。只有预防干预类型对术后DA和患者合作有显著影响（p = 0.032），而没有其他临床发现和社会人口统计学因素对儿童术后行为有显著影响。
与应用GIS相比，应用NaFV与学龄前儿童较少的牙科焦虑和更合作的行为相关，尽管记录的疼痛程度相似。
