A survey of dental fear in children with dental pulp disease and its correlation with temperament type and social development level
10.3760/cma.j.cn431274-20231110-00545
- VernacularTitle:牙体牙髓病患儿牙科畏惧症调查及其与气质类型和社会性发展水平的相关性
- Author:
Chengwei PENG
1
;
Yi YOU
;
Yang YANG
;
Lin QI
Author Information
1. 湖南省儿童医院口腔科，长沙 410000
- Keywords:
Endodontic disease;
Children;
Dental phobia;
Temperament type;
Social development
- From:
Journal of Chinese Physician
2024;26(5):692-696
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence of dental fear in children with dental pulp disease and its relationship with temperament type and social development level.Methods:This study was a cross-sectional study, using convenience sampling method to select 327 children with dental and pulp diseases who visited the outpatient department of the Department of Stomatology of Hunan Children′s Hospital from March 2022 to March 2023 as the study subjects. We used the Chinese version of the Children′s Fear Survey Schedule-Dental Subscale (CFSS-DS) to evaluate the dental fear of children; The temperament types of the children were evaluated using the Chinese Preschool Children Temperament Scale (CPTS); The social development level of the children was evaluated using the Children′s Social Development Scale; Multiple logistic stepwise regression analysis was used to evaluate the influencing factors of dental fear in children with dental pulp disease.Results:A total of 106 out of 327 children with dental pulp disease developed dental fear, with an incidence rate of 32.42%(106/327). There was a statistically significant difference in the incidence of dental fear among children with different temperament types ( P<0.05). Children with troubled temperament had the highest incidence of dental fear (37/47, 78.72%), while those with mild temperament had the lowest incidence (16/124, 12.90%). There was a statistically significant difference in the incidence of dental fear among children with different levels of social development ( P<0.05). Children with low levels of social development had the highest incidence of dental fear (34/42, 80.95%). Girls, children with unpleasant dental experiences, weak oral health awareness, symptoms of toothache, parents with high school education or below, and families with an average monthly income of less than 3 000 yuan had a higher incidence of dental fear than boys; The incidence of dental fear in children with no unpleasant dental treatment experience, good oral health awareness, no symptoms of toothache, parents with a high school education or above, and a family average monthly income of ≥3 000 yuan was relatively low (all P<0.05). Multivariate logistic stepwise regression analysis showed that having unpleasant dental experiences ( OR=2.751, 95% CI: 1.774-4.268), weak oral health awareness ( OR=2.465, 95% CI: 1.627-3.734), parents with high or lower education levels ( OR=2.366, 95% CI: 1.583-3.535), negative temperament types ( OR=2.573, 95% CI: 1.685-3.929), moderate social development ( OR=0.397, 95% CI: 0.261-0.603), and high-level social development ( OR=0.416, 95% CI: 0.276-0.627) were the risk factors of dental fear in children with dental pulp disease (all P<0.05). Conclusions:The incidence of dental fear in children with dental pulp disease is higher, which is related to their temperament type and social development level.
