6 至 12 岁儿童的牙科恐惧与龋齿:系统回顾与元分析》(Dental Fear and Caries in 6 to 12-Year-Old Children: a Systematic Review and Meta-analysis)。

Narjes Amrollahi, Sayed Ali Shahshahan, Firoozeh Nilchian, Mohammad Javad Tarrahi
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引用次数: 0

摘要

目的通过系统综述和荟萃分析研究 6 至 12 岁儿童牙齿恐惧与龋齿之间的关系:根据医学主题词(MeSH)或非MeSH选择系统综述检索词。截至 2022 年 3 月,在 Scopus、Web of Science、PubMed、Embase、Cochrane 和 Proquest 数据库中对用英语发表的评估牙科恐惧(儿童恐惧调查表-牙科分量表)与龋齿(DMFT 或 dmft 指数)之间关系的研究进行了电子检索。在初步检索到的 5759 篇文章中,有 16 篇符合纳入研究的条件,其中 5 篇纳入了定量分析。研究质量根据纽卡斯尔-渥太华量表进行评估。采用 Begg 检验来评估发表偏倚:根据荟萃分析,结果显示低恐惧分值组和高恐惧分值组的 DMFT 平均分值差异无统计学意义,平均差异为 1.28(95% 置信区间-0.132 至 2.693)(P = 0.076)。低恐惧分值组和高恐惧分值组的平均 dmft 分数差异有统计学意义,平均差异为 0.227(95% 置信区间为 0.058 至 0.395)(P = 0.008)。高恐惧分值组的 dmft 平均值明显更高:结论:牙齿恐惧与乳牙龋齿有显著关系,但与恒牙龋齿无关。
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Dental Fear and Caries in 6- to 12-Year-Old Children: a Systematic Review and Meta-analysis.

Objective: To investigate the relationship between dental fear and dental caries in children aged 6 to 12 years in a systematic review and meta-analysis.

Methods: Systematic review search terms were selected according to medical subject headings (MeSH) or non-MeSH. An electronic search of studies published in English assessing the relationship between dental fear (children's fear survey schedule-dental subscale) and dental caries (DMFT or dmft index) was carried out of the Scopus, Web of Science, PubMed, Embase, Cochrane and Proquest databases up to March 2022. Of 5,759 articles retrieved initially, 16 were eligible for inclusion in the study, and 5 of these were included in the quantitative analysis. The quality of studies was evaluated based on the Newcastle-Ottawa scale. Begg tests were employed to assess the publication bias.

Results: According to the meta-analysis, the results revealed no statistically significant difference in mean of DMFT score in low and high fear score groups, with a mean difference of 1.28 (95% confidence interval -0.132 to 2.693) (P = 0.076). A statistically significant difference was found in the mean dmft score for the low and high fear score groups, with a mean difference of 0.227 (95% confidence interval 0.058 to 0.395) (P = 0.008). The mean dmft was significantly higher in the high fear score group.

Conclusion: Dental fear has a significant relationship with caries in primary teeth, but not in permanent teeth.

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