玻璃离聚体窝沟封闭剂与涂抹氟化物清漆对儿童行为的影响:随机对照试验。

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE European Archives of Paediatric Dentistry Pub Date : 2024-11-04 DOI:10.1007/s40368-024-00952-0
H H C Chiu, P P Y Lam, C K Y Yiu
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引用次数: 0

摘要

目的:玻璃离子膜窝沟封闭剂(GIS)和氟化物清漆(NaFV)是两种适用于学龄前儿童的预防性干预措施。然而,它们对幼儿行为的影响还未得到充分研究。本研究比较了在外联环境中为学龄前儿童的初级第二磨牙涂抹 GIS 和 NaFV 对其牙科焦虑(DA)、合作性和疼痛程度的影响:研究招募了 413 名儿童,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员对儿童进行筛选并随机分配到其中一组。另一名经过校准的检查员在整个治疗期间用弗兰克尔行为量表(FBRS)和文哈姆行为量表(VBRS)记录儿童的DA水平和合作性。受试者使用黄-贝克面相量表(WBFS)自我报告疼痛程度:结果:使用 VBRS 发现,术后焦虑程度存在显著差异,NaFV 组儿童在治疗后获得的阳性分数更高(p = 0.016)。只有预防性干预措施的类型对术后DA和患者合作有明显影响(p = 0.032),而其他临床结果和社会人口学因素均未对患儿术后行为产生明显影响:结论:与使用 GIS 相比,使用 NaFV 会减少学龄前儿童的痛觉反应,提高其合作行为,尽管记录到的疼痛程度相似。
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Glass ionomer fissure sealants versus fluoride varnish application on children's behaviour: a randomised controlled trial.

Purpose: 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.

Methods: 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).

Results: 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.

Conclusion: 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.

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来源期刊
European Archives of Paediatric Dentistry
European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.40
自引率
9.10%
发文量
81
期刊介绍: The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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