Abstract:

Objective To analyze the correlation between stage of oral disease and the transformation of children dental anxiety in first visit. Methods Children aged 45 to 74 months (13.7~6.2) years old with molar caries in the first visit were selected and divided into three groups: the acute stage group, the non-acute stage group, and the conventional examination group. The face version of the modified child dental anxiety scale (MCDAS_f) was used to evaluate the changes of anxiety before and after treatment. Results The data of correlation among 3 groups about dental anxiety showed a statistical difference (χ² = 9.132, P = 0.010). Compared with acute stage group and non-acute stage group, a statistical significance in dental anxiety can be found (P<0.012 5). There was no correlation between anxiety prognosis and gender (P>0.05). Conclusion The occurrence and transformation of dental anxiety in children varied with different stage of oral disease. Dental anxiety can be improved significantly by appropriate therapy and behavior management.

Key words: Dental anxiety in first visit, Early childhood caries, Acute stage, Non-acute stage, Scale

摘要：

目的 分析初次就诊患儿牙科焦虑程度转变与就诊时机的相关性。方法 选取月龄在45~74个月（3.7~6.2岁）,乳磨牙龋类疾病的初次就诊儿童,分为急性期组、非急性期组、常规检查组。利用改良儿童牙科焦虑面部表情量表（face version of the modified child dental anxiety scale,MCDAS_f）评估其就诊前、就诊后焦虑程度的改变。结果 3组患儿与初诊焦虑具有相关性,差异有统计学意义（χ² = 9.132,P = 0.010）。3组相关性差异两两比较,急性期组就诊患儿与非急性期组患儿差异有统计学意义（χ² = 8.478,P<0.012 5）。治疗前后患儿牙科焦虑程度转变情况与性别没有相关性（P>0.05）。结论 在不同就诊时机,儿童牙科焦虑产生与转变的敏感性有所不同,采取相应的治疗及行为管理措施可以有效管控牙科焦虑。

关键词: 初诊焦虑, 婴幼儿龋, 急性期, 非急性期, 量表