Dental fear and its related factors among patients managed in a paediatric dental clinic of a university hospital in Tanzania

K. Sohal, Matilda Mtaya-Mlangwa, Sakina Essajee
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Abstract

Objective: This study aimed to determine the prevalence of dental fear and its related factors among patients managed in a pediatric dental clinic of a university hospital in Tanzania. Material and Methods: This was a cross-sectional study carried out at the paediatric dental clinic of the Muhimbili University of Health and Allied Sciences(MUHAS) between November 2018 and April 2019. It included all paediatric dental patients aged between 6 and 12 years. A questionnaire used in this study captured information regarding patient's socio-demographic characteristics and the number of previous visits to the dental clinic. A fifteen-item Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) was used to assess the dental fear status in these pediatric patients. Results: A total of 223 paediatric dental patients aged between 6 years and 12 years were included in the study. The mean age of participants was 9.52 ± 1.74 years with a male to female ratio ofl: 1.04. The means CFSS-DS score was 31.1 ± 8.57. Fear scores were high for Injections (3.37 ± 1.13), a stranger's touch (2.81 ± 1.08) and choking (2.69 ± 0.99). The presence of dental fear was found to be significantly associated with the parents' education level (p=0.001) and previous dental visits (p < 0.001 ). Conclusion: The results of this study suggest that the prevalence of paediatric dental fear was low among the participants of this study. The education level of parents and previous dental visits were determinants of dental fear in children. Injections, being touched by strangers, and choking were the common fear-provoking factors.
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坦桑尼亚一所大学医院的儿科牙科诊所管理的病人中的牙科恐惧及其相关因素
目的:本研究旨在确定在坦桑尼亚一所大学医院的儿童牙科诊所管理的患者中牙科恐惧的患病率及其相关因素。材料和方法:这是一项横断面研究,于2018年11月至2019年4月在Muhimbili卫生与相关科学大学(MUHAS)的儿科牙科诊所进行。它包括所有年龄在6至12岁之间的儿科牙科患者。在这项研究中使用的问卷收集了有关患者的社会人口特征和以前访问牙科诊所的次数的信息。采用儿童牙科恐惧量表(CFSS-DS)对儿童的牙科恐惧状况进行评估。结果:共纳入223例6 ~ 12岁儿童牙科患者。参与者的平均年龄为9.52±1.74岁,男女比例为1.04。平均CFSS-DS评分为31.1±8.57。注射(3.37±1.13)、陌生人触摸(2.81±1.08)和窒息(2.69±0.99)的恐惧得分较高。牙科恐惧的存在与父母的受教育程度(p=0.001)和以前的牙科就诊(p < 0.001)显著相关。结论:本研究结果表明,儿童牙科恐惧的患病率在本研究的参与者中较低。父母的受教育程度和以前的牙科就诊是儿童牙科恐惧的决定因素。注射、被陌生人触摸和窒息是常见的令人恐惧的因素。
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