| Objective:1.To investigate the epidemiological characteristics of dental anxiety among children in the Department of Stomatology of Hospital of Shanxi Medical University and to explore the correlation between children’s dental anxiety and demographic characteristics,oral health status,family environment,medical experience and other factors.2.To evaluate the intervention effect of general anesthesia and protective stabilization device on dental anxiety in children,and to provide a scientific basis for the formulation of guidelines for prevention and treatment of dental anxiety.Methods:1.We selected 305 children aged 3-12 treated at the Department of Stomatology of Hospital of Shanxi Medical University from 2020.02 to 2021.02.After the informed consent of the patients and their parents,the investigators conducted questionnaires,physical examination and oral examination on the children while waiting for medical treatment,and obtained the data of the children’s dental anxiety,socio-demographic characteristics,family environment,medical experience,height and weight,and oral health status,etc.After diagnosis and treatment,the patient was assessed for pain,and the medical staff made diagnosis and treatment evaluation.The investigators were trained and passed the Kappa consistency test.After collecting and cleaning the survey data,the database was established,and the chi-square test or correlation analysis was used for comparison between groups.Logistic regression analysis was used to analyze the influencing factors.2.Children aged 3-5 years who were in line with the indications for general anesthesia surgery and suffered from dental anxiety were selected.Children whose parents intended general anesthesia were included in the general anesthesia group and received oral treatment under general anesthesia,while the other children received oral treatment under protective stabilization device.According to the basic characteristics of the children in the general anesthesia group,matching children were found among the children treated under protective stabilization device(matching requirements: age difference ≤ 3 months,anxiety score difference ≤3 points,and parents with the same educational level).Finally,32 children in the general anesthesia group and the protective stabilization device group were included.CFSS-DS anxiety score and treatment compliance were evaluated before intervention,2 hours after intervention,and 1 week after intervention,respectively.A database was established.Paired sample t test,and rank sum test were used to compare the differences between the two groups.Results:1.In this survey,a total of 320 children and patients were investigated,and 305 valid questionnaires and checklists were collected,with a data effective rate of 95.3%.The average score of the modified Chinese version of CFSS-DS scale for children was 27.21±8.67.The prevalence of dental anxiety among department of pediatric stomatology was 23.9%,and 12.8%of children oral outpatients were high anxiety.Univariate analysis showed that the prevalence rate of children in preschool age(3-5 years old)(46.1%)was higher than that of children in school age(6-12 years old)(25.2%)(P < 0.05).The prevalence rate of children whose mothers were educated at junior high school or below(41.7%)was higher than that of children whose mothers were educated at senior high school or university(25.7%),master degree or doctor degree(12.1%)(P < 0.05).The prevalence of adult dental anxiety among parents(48.9%)was significantly higher than that of children without parents(19.4%)(P < 0.05).CFSS-DS score had a low correlation with DMFT-deft and DMFS-deft(P < 0.01).The prevalence of children with adverse oral medical experience(such as crying during oral medical experience)was significantly higher(47.2%)than that of children without adverse oral medical experience(11.2%)(P < 0.01).Compared with normal children,the proportion of oral physicians who reported stress,anxiety or even wanting to terminate treatment was higher(67.1%)(P < 0.01).2.According to the Logistic regression analysis,for children aged 3-5 years in the stomatological clinic,the mother’s education,parents’ attitude towards Children’s Dental Fear,the degree of pain in diagnosis and treatment,and malocclusion are all influencing factors for Children’s Dental Fear,for children aged 6-12 years in the stomatological clinic,whether parents suffer from Dental Anxiety,parents’ attitude towards Children’s Dental Fear,diagnosis and treatment pain level,children’s bad oral diagnosis and treatment experience,and children’s DMFT-deft are all influencing factors for Children’s Dental Fear.3.The CFSS-DS score(27.88±7.06)in the GA group was significantly lower than the preoperative score(34.06±9.69)at 2h after surgery.The anxiety and out-of-control behavior of the children after GA intervention were significantly reduced in the follow-up visit(Z=-2.843,P=0.004 < 0.01).CFSS-DS score(36.63±9.15)at 2h after intervention was significantly higher than that before intervention(34.13±8.70)in the PSD group,and the clinical behavior of anxiety and loss of control did not decrease at the second visit(Z=-0.421,P=0.674 < 0.01).Conclusion:1.In the dental clinic for children,the prevalence of dental anxiety in children is higher(23.9%),children of pre-school age children the prevalence of dental anxiety is as high as 46.1%.The clinical diagnosis and treatment of stomatology department must first strengthen the prevention and control of preschoolers Children’s Dental Fear.Promote children’s dental comfortable dental treatment is imminent,and standardized and effective guide are needed for prevention and control of dental anxiety.2.Children’s Dental Fear is affected by many factors,including age,parents’ attitude towards stomatology department’s diagnosis and treatment,children’s treatment experience,mother’s education and oral health status.Among them,parents are dental anxiety patients,painful stomatology department’s treatment experience,poor oral health status is the risk factors of dental anxiety in children.3.The application of protective stabilization device in the management of dental anxiety patients can not relieve their anxiety in oral treatment;Oral treatment under general anesthesia can reduce the anxiety of children with dental anxiety.General anesthesia is an effective intervention method for dental anxiety. |
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