Ebeveynlerin Dental İhmal ve Anksiyete Düzeyleri Çocuklarının Dental İhmal ve Anksiyete Düzeylerini Etkiler mi?

Year 2024, Volume: 6 Issue: 1, 79 - 88, 30.04.2024

Sema Aydınoğlu , İpek Arslan , Başak Senian Bilgir , Mücella Yazar , Nazife Begüm Karan

https://doi.org/10.51122/neudentj.2024.91

Abstract

Amaç
Temel ağız sağlığının korunması ve sürdürülmesinde gerekli dental bakımın alınması için engel teşkil eden dental ihmal; psikolojik, sosyal ve ekonomik birçok sorunu beraberinde getirir. Dental anksiyete davranış yönlendirilmesinde, dental tedavilerin idamesinde zorluklara ve kötü ağız hijyenine sebep olabilmektedir. Bu çalışmada ebeveynlerin ve çocuklarının dental ihmal ve anksiyete düzeyleri arasındaki ilişkinin incelenmesi amaçlandı.
Gereç ve Yöntemler
Çalışmaya 110 ebeveyn 110 çocuk olmak üzere 220 kişi dahil edildi. Ebeveynler için Dental İhmal Ölçeği [Dental Neglect Scale (DNS)], Modifiye Edilmiş Dental Anksiyete Ölçeği [Modified Dental Anxiety Scale (MDAS)] ve Görsel Analog Ölçeği Visual Analogue Scale (VAS) kullanıldı. Çocuklar üzerinde ise Dental İhmal Ölçeği [Dental Neglect Scale (DNS)], Modifiye Çocuk Dental Anksiyete Ölçeği Yüz Versiyonu [Faces version of the Modified Child Dental Anxiety Scale (MCDASf)] ve Wong Baker Ağrı Değerlendirme Ölçeği [Wong–Baker Faces Pain Rating Scale (WBFS) uygulandı. Verilerin analizi Spearman Korelasyon testi ve Mann Whitney-U testi ile yapıldı.
Bulgular
Çalışmada ebeveynlerin ve çocukların ihmal değerleri arasında pozitif korelasyon olduğu bulundu (r=0,261; p=0,006). Ankete katılan çocukların DMFT ve anksiyete değerleri arasında pozitif bir korelasyon gözlendi (r=0,237; p= 0,013). Ayrıca çocuklarda son dental tedavide hissedilen ağrı düzeyi ile anksiyete arasında istatistiksel olarak ilişkili olduğu görüldü (r=0,316; p=0,001).
Sonuç
Kendi ağız sağlığını ihmal eden ebeveynlerin çocuklarının dental ihmal düzeyinin arttığı görüldü. Ebeveynlerin ağız sağlığının önemi ve dental ihmalin sonuçları konusunda bilgilendirilmesinin çocuklarının ağız sağlığı üzerinde pozitif etkileri olacağı düşünülmektedir.

Keywords

anksiyete, ağız sağlığı, çocuk diş hekimliği

Do Parents' Dental Neglect and Anxiety Affect Their Children's Dental Neglect and Anxiety?

Abstract

Aim: Dental neglect is an obstacle to obtaining the necessary dental care in protecting and maintaining basic oral health. Dental anxiety can cause difficulties in behavior management, maintenance of dental treatments, and poor oral hygiene. In this study, it was aimed to examine the relationship between dental neglect and anxiety levels of both parents and their children.
Material and Methods: 220 people including 110 parents and 110 children were included in the study. The Dental Neglect Scale (DNS), Modified Dental Anxiety Scale (MDAS), and Visual Analogue Scale (VAS) were used for parents. In addition, the Dental Neglect Scale (DNS), the Faces version of the Modified Child Dental Anxiety Scale (MCDASf), and the Wong Baker Faces Pain Rating Scale (WBFS) were applied to children. The statistical analysis was performed using Spearman Correlation test and Mann Whitney-U test.
Results: In the study, a positive correlation was found between parent’s and children's neglect scores (r=0.261; p=0.006). Likewise, a positive correlation was observed between the DMFT and anxiety scores of the children (r=0.237; p= 0.013). In addition, it was observed that there was a statistical correlation between the level of pain felt at the last dental treatment and anxiety in children (r=0.316; p=0.001).
Conclusion: It was observed that the dental neglect of the children of parents who neglected their own oral health increased. It is thought that informing parents about the importance of oral health and the consequences of dental neglect will have positive effects on their children's oral health.

Keywords

Anxiety, Oral Health, Pediatric Dentistry

References

• 1- American Academy of Pediatric Dentistry. Definition of dental neglect. 2022. Available from https://www.aapd.org/globalassets/media/policies_guidelines/d_dentalneglect.pdf.
• 2- Rosenblatt A, Zarzar P. Breast‐feeding and early childhood caries: an assessment among Brazilian infants. International Journal of Paediatric Dentistry. 2004;14:439-45.
• 3- Sanger RG, Bross DC. Clinical management of child abuse and neglect: a guide for the dental profession. Chicago. Quintessence publishing;1984.
• 4- Schwartz S, Woolridge E, Stege D. Oral manifestations and legal aspects of child abuse. J Am Dent Assoc.1977;95:586-91.
• 5- Okada M, Kawamura M, Miura K. Influence of oral health attitude of mothers on the gingival health of their school age children. ASDC J Dent Child. 2001;68:379-83.
• 6- Szatko F, Wierzbicka M, Dybizbanska E, Struzycka I, Iwanicka-Frankowska E. Oral health of polish three-year-olds and mothers' oral health-related knowledge. Community Dent Health. 2004;1:175-80.
• 7- Mutluay AT, Mutluay M. Koruyucu ağız diş sağlığı programlarında annenin eğitimi ve ağız sağlığının iyileştirilmesi ile erken çocukluk çağı çürüklerinin önlenmesi. Turkiye Klinikleri J Dental Sci. 2019;25:175-81.
• 8- Thomson WM, Spencer AJ. Gaughwin A. Testing a child dental neglect scale in South Australia. Community Dent Oral Epidemiol. 1996;24:351-6.
• 9- Gustafsson A, Broberg A, Bodin L, Berggren U, Arnrup K. Dental behaviour management problems: the role of child personal characteristics. Int J Paediatr Dent. 2010;20:242-53.
• 10- Merdad L, El-Housseiny AA. Do children’s previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)?. BMC Oral Health, 2017;17:1-9.
• 11- Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12:47-52.
• 12- Oba AA, Dülgergil, ÇT, Sönmez IŞ. Prevalence of dental anxiety in 7-to 11-year-old children and its relationship to dental caries. Med Princ Pract. 2009;18:453-7.
• 13- Shim YS, Kim AH, Jeon, EY, An SY. Dental fear and anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med. 2015;1:53-61.
• 14- Shinde SD, Hegde RJ. Evaluation of the influence of parental anxiety on children's behavior and understanding children's dental anxiety after sequential dental visits. Indian J Dent Res. 2017;28:22.
• 15- Versloot J, Veerkamp JS, Hoogstraten J, Martens LC. Children's coping with pain during dental care. Community Dent Oral Epidemiol. 2004;32:456-61.
• 16- Aydinoglu S, Arslan I. Are anxiety and the presence of siblings risk factors for dental neglect and oral health status in children?. Arch Pediatr. 2021;28:123-8.
• 17- Skaret E, Astrom, AN, Haugejorden O, Klock KS, Trovik TA. Assessment of the reliability and validity of the Dental Neglect Scale in Norwegian adults. Community Dent Health. 2007;24:247-52.
• 18- Armfield JM. How do we measure dental fear and what are we measuring anyway?. Oral Health Prev Dent. 2010;8: 107–15
• 19- Howard KE, Freeman R. Reliability and validity of a faces version of the Modified Child Dental Anxiety Scale. Int J Paediatr Dent. 2007;17:281-8.
• 20- Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Wu CL. Management of postoperative pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council. J Pain. 2016;17:131-57.
• 21- Cohen LL, Lemanek K, Blount RL, Dahlquist LM, Lim CS, Palermo TM, Weiss KE. Evidence-based assessment of pediatric pain. J Pediatr Psychol. 2008;33:939-55.
• 22- Petersen PE, Baez RJ, World Health Organization. Oral Health Surveys-Basic Methods. 5 th ed. Geneva. World Health Organization;1997. 11-20 p.
• 23- Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc.1964;68:7-13.
• 24- Köroğlu DA, Durkan R. Diş hekimliği uygulamalarında karşılaşılan dental anksiyete sendromunun etiyolojisinin ve tedavi yöntemlerinin değerlendirilmesi. Atatürk univ diş hekim fak derg. 2010;3:205-12.
• 25- Crawford AN, Lennon MA. Dental attendance patterns among mothers and their children in an area of social deprivation. Community Dent Health. 1992;9:289-94.
• 26- Jamieson LM, Murray Thomson W. The dental neglect and dental indifference scales compared. Community Dent Oral Epidemiol.2002;30:168-75.
• 27- McGrath C, Sham ASK, Ho DKL, Wong JHL. The impact of dental neglect on oral health: a population based study in Hong Kong. Int Dent J. 2007;57:3-8.
• 28- Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literatüre review. Int J Paediatr Dent. 2004;14;241-5.
• 29- Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, Choi R. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018;18:1-8.
• 30- Khandurı N, Sınghal N, Mıtra M. The prevalence of dental anxiety and fear among 4–13-year-old Nepalese children. Journal of Indian Society of Pedodontics and Preventive Dentistry, 2019, 37.4: 345-9.
• 31- Baciu, G, Sîrghe, A. Evaluation of dental anxiety in a 4-12 years old children sample. Romanian Journal of Oral Rehabilitation, 2021, 13.2.
• 32-Abanto J, Vidigal EA, Carvalho TS, et al. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res. 2017;31:1-7.
• 33- Yahyaoğlu Ö, Baygın Ö, Yahyaoğlu G, Tüzüner T. 6-12 yaş grubu çocuklarda diş hekiminin dış görünüşünün dental durum ile ilişkisinin değerlendirilmesi. Atatürk univ diş hekim fak derg. 2017; 28: 292-304.
• 34- Ay ZY, Erdek Y, Öztürk M, Kılınç G, Bozkurt Y, Yılmaz R. Süleyman Demirel Üniversitesi Diş hekimliği Fakültesine başvuran hastalarda dental korku düzeyinin incelenmesi. Cumhuriyet Dent J. 2005;8:12-8.
• 35- Doganer YC, Aydogan U, Yesil HU, Rohrer JE, Williams MD, Agerter DC. Does the trait anxiety affect the dental fear. Braz Oral Res. 2017; 31.
• 36- Locker, D., Shapiro, D., & Liddell, A. Negative dental experiences and their relationship to dental anxiety. Community dental health. 1996;13:86-92.
• 37- Baygın Ö, Tüzüner T, Işık B, Arslan İ, Tanrıver M. Preoperatif anksiyetenin süt dişi çekimi yapılan çocuklarda ağrı düzeyi ile korelasyonunun değerlendirilmesi. J Istanb Univ Fac Dent. 2012;46:32-42.
• 38- Suprabha BS, Rao A, Choudhary S, Shenoy R. Child dental fear and behavior: the role of environmental factors in a hospital cohort. J Indian Soc Pedod Prev Dent. 2011;29:95-101.
• 39- Alwin NP, Murray J J, Britton PG. An assessment of dental anxiety in children. Br Dent J. 1991; 171:201-7.
• 40- Astramskaitė I, Poškevičius L, Juodžbalys G. Factors determining tooth extraction anxiety and fear in adult dental patients: a systematic review. Int J Oral Maxillofac Surg. 2016;45:1630-43.
• 41- Ofori MA, Adu-Ababio F, Nyako EA, Ndanu TA. Prevalence of dental fear and anxiety amongst patients in selected dental clinics in Ghana. Health Educ J. 2009;68:130-9.
• 42- Folayan MO, Idehen, EE, Ufomata D. The effect of sociodemographic factors on dental anxiety in children seen in a suburban Nigerian hospital. Int J Paediatr Dent. 2003;13:20-6.