Caries risk and dental anxiety in recall patients in a specialised paedodontic university clinic

Ramiar Karim, Julian Schmoeckel, C. Splieth
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Abstract

To evaluate parental reports of the oral health status and anxiety levels of children who attended a paediatric dental service and their association with children’s caries experience. This questionnaire- and dental record-based study included a total of 70 healthy recall children aged between five and 10 years, who presented for a dental check-up to the specialised paedodontics department at the University of Greifswald, and for whom an application of fluoride varnish was indicated. The accompanying parent (n=70) was asked to evaluate their child’s dental anxiety (dichotomously with a single question – yes or no answer) and oral health status (good, satisfying, poor). Caries experience was categorised according to the dmft index based on World Health Organisation (WHO) criteria. An overall frequency of dental anxiety of 40% (n=28) was found in recall children according to parental report. Only 32.1% (n=9) of those were children with low to very low caries experience, whereas 67.9% (n=19) belonged to the moderate to high/very high caries experience group. Thus, dental anxiety in this study was significantly associated with caries experience based on dmft index (p=0.030, chi-square test). Parental assessment of the oral health status of the schoolchildren and their caries experience level also showed a statistically significant association (p=0.020; chi-square test). Conclusion: Dental anxiety in recall children attending a specialised paediatric university dental clinic is high, which is clearly associated with higher caries experience. The majority of children who attended for dental follow-up appointment had moderate to very high caries experience, which was also associated with higher parent-reported dental anxiety and a poorer oral health status report.
大学牙科专科门诊中召回患者的龋齿风险和牙科焦虑症
目的:评估家长对接受儿童牙科服务的儿童的口腔健康状况和焦虑程度的报告,以及这些报告与儿童龋齿经历之间的关系。这项以问卷和牙科记录为基础的研究共涉及 70 名健康儿童,他们的年龄在 5 到 10 岁之间,都曾到格赖夫斯瓦尔德大学的儿童牙科专业部门进行过牙科检查,并被要求涂抹氟化物清漆。陪同的家长(70 人)被要求对孩子的牙科焦虑(二分法,只需回答 "是 "或 "否")和口腔健康状况(好、满意、差)进行评估。根据世界卫生组织(WHO)的标准,龋齿情况按照 dmft 指数进行分类。根据家长的报告,召回儿童中牙科焦虑的总体频率为 40%(人数=28)。其中只有 32.1%(9 人)的儿童龋齿程度较低或很低,而 67.9%(19 人)的儿童龋齿程度为中高或很高。因此,根据 dmft 指数(P=0.030,卡方检验),本研究中的牙齿焦虑与龋病经历有显著相关性。家长对学龄儿童口腔健康状况的评估与他们的龋齿经历水平也有显著的统计学关联(p=0.020;卡方检验)。结论在大学儿童牙科专科门诊就诊的召回儿童中,牙科焦虑程度较高,这显然与龋齿发生率较高有关。大多数到牙科门诊复诊的儿童都有中度到非常严重的龋齿经历,这也与家长报告的较高牙齿焦虑和较差的口腔健康状况报告有关。
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