牙科焦虑与11、15岁儿童第一恒磨牙的状况

Milka Kapuran, S. Jankovic, Bojana Davidovic, Jelena Lečić
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引用次数: 1

摘要

对牙科手术的恐惧是口腔健康被忽视的主要原因之一。第一恒磨牙在功能上非常重要。牙齿焦虑可能会损害他们的健康以及其他牙齿的健康。本研究的目的是确定健康学龄儿童的牙齿焦虑水平和第一恒磨牙的状态。方法选取波斯尼亚和黑塞哥维那福卡市两所小学的105名11岁和15岁的学生为研究对象。采用牙科焦虑量表(DAS)和问卷调查法测定患者的牙科恐惧程度。使用Klein-Palmer DMFT(龋缺补牙)系统记录第一恒磨牙状态。健康第一恒磨牙(使用或不使用密封剂)的数量也被记录。结果超过三分之一(33.3%)的被调查者存在严重的牙齿焦虑(DAS = 13 ~ 20分)。不同年龄的被调查者对问题的回答差异无统计学意义,但女孩的恐惧程度高于男孩(p < 0.05)。在所有接受检查的第一恒磨牙中,不到50%的人是健康的,其中9.4%的人记录了封闭的裂缝。蛀牙占11%,拔牙占7%,补牙占35%。结论预防措施的应用有利于口腔保健。它们是无痛的,可以通过建立基于信任的牙医-病人关系来减少恐惧。
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Dental anxiety and the status of first permanent molars in 11 and 15 years old children
Summary Introduction Fear of dental procedures is one of the main reasons for oral health neglect. The first permanent molars are functionally very important. Dental anxiety may compromise their health as well as the health of all other teeth. The aim of the study was to determine dental anxiety level and the status of first permanent molars in healthy school aged children. Methods This study included 105 students, 11 and 15 years of age, from two elementary schools in Foca (Bosnia and Herzegovina). Dental Anxiety Scale (DAS), questionnaire was used to determine the level of dental fear in patients. The status of first permanent molars was recorded using Klein-Palmer DMFT (decayed, missing, filling teeth) system. The number of healthy first permanent molars (with or without sealant) was registered as well. Results More than one third of respondents involved in this study (33.3%), suffered from severe dental anxiety (DAS = 13–20 points). Statistically significant difference in answers to questions was not observed between respondents of different age but higher level of the fear was registered in girls compared to boys (p < 0.05). Less than 50% of all examined first permanent molars were healthy and sealed fissures were recorded in 9.4% of them. The percentage of decayed molars was about 11%, 7% extracted and 35% filled. Conclusion Application of prophylactic measures is beneficial for dental health preservation. They are pain free and can be used to minimize fear by establishing dentist-patient relationship based on confidence.
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