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Dental Health in Preschool and Schoolchildren in Relation to Dental Fear and Some Fear-Related Factors, and the Outcome of a Caries Prevention Program in Offspring of Fearful Mothers

机译:学龄前儿童和小学生的牙齿健康与牙科恐惧及一些恐惧相关因素的关系,以及恐惧母亲后代的龋病预防计划的结果

摘要

Dental caries and dental fear and anxiety (DFA) are common interrelated problems but so far little is known about these problems in Estonia. The aim was to study dental health in relation to DFA, some fear-related factors, and to study the effect of a caries prevention program in children of fearful mothers. Dental health and DFA were assessed in two Estonian [2-4-year-olds (n=472) and 8-10-year-olds (n=344)], and the effect of some medical conditions on DFA in one Finnish child group [3-year-olds (n=148)]. 120 mother-child-pairs participated in the xylitol-based prevention program. Dental health was examined using the WHO or the ICDAS criteria and expressed as dmft/DMFT-indices. The modified children’s fear survey schedule dental subscale (MCFSS-DS) was used to assess DFA of schoolchildren, one single question to assess parental DFA, and the Corah’s dental anxiety scale (DAS) to assess DFA of mothers in the prevention study.Dentine caries was diagnosed in 42% of the 2-4-year-old and in 93% of the 8-10-year-old Estonian children. DFA of 8-10-year-olds (17%) was associated with experience of dental treatment, and maternal and paternal DFA. Dental apprehension at 9 years of age was associated with frequent exposure to invasive medical care. The xylitol-based prevention was successful irrespective of poor dental hygiene habits and maternal severe DFA. In conclusion, experience of operative dental treatment and DFA of Estonian children were closely associated. Invasive medical care and parental DFA were also linked to children’s DFA. Habitual use of xylitol by mothers was effective in preventing caries even in children of severely fearful mothers.
机译:龋齿与牙齿恐惧和焦虑(DFA)是常见的相互关联的问题,但到目前为止,在爱沙尼亚,对这些问题的了解还很少。目的是研究与DFA相关的牙齿健康状况,以及一些与恐惧有关的因素,并研究预防龋齿计划对恐惧母亲的孩子的影响。对两名爱沙尼亚人(2-4岁(n = 472)和8-10岁(n = 344))的牙齿健康和DFA进行了评估,并对一名芬兰儿童的某些医疗状况对DFA的影响进行了评估组[3岁(n = 148)]。 120对母婴参加了基于木糖醇的预防计划。使用WHO或ICDAS标准检查牙齿健康状况,并以dmft / DMFT指数表示。在预防性研究中,使用修改后的儿童恐惧调查计划牙科子量表(MCFSS-DS)评估小学生的DFA,使用一个问题评估父母的DFA,并使用Corah的牙齿焦虑量表(DAS)评估母亲的DFA。 2-4岁的爱沙尼亚儿童中有42%被确诊,而8-10岁的爱沙尼亚儿童中有93%被确诊。 8-10岁(17%)的DFA与牙科治疗经验以及母婴DFA有关。 9岁时对牙齿的担心与经常接受有创医疗保健有关。不论不良的牙齿卫生习惯和母亲严重的DFA,基于木糖醇的预防都是成功的。总之,爱沙尼亚儿童的牙科手术治疗经验与DFA密切相关。侵入性医疗和父母DFA也与儿童的DFA有关。母亲惯用木糖醇即使在严重恐惧母亲的孩子中也能有效预防龋齿。

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    Olak Jana;

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  • 年度 2013
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