İnceleme Makalesi
BibTex RIS Kaynak Göster

4-12 Yaş Arası Çocuklarda Önceki Dental Tedavilerin Dental Anksiyete Üzerindeki Etkisi

Yıl 2024, Cilt: 3 Sayı: 2, 374 - 381, 30.08.2024
https://doi.org/10.58711/turkishjdentres.vi.1457306

Öz

Amaç: Başarılı bir dental tedavi için hastanın kooperasyonu önemli bir faktördür. Dental tedavilere karşı
oluşan kaygıda önceki tedavi deneyimlerinin yanı sıra ailenin sosyo-ekonomik faktörleri, çocuğun yaşı, cinsiyeti, ağız hijyeni durumu gibi çeşitli faktörler de etkili olabilmektedir. Bu çalışmanın amacı önceki dental tedavi deneyimlerinin dental kaygıdaki rolünü değerlendirmektir. Gereç ve Yöntem: Araştırmaya diş tedavisi için başvuran 4-12 yaş arası çocuklar ve aileleri dahil edilmiştir. Aileler, çocuklarının diş tedavisi sırasında sosyodemografik verileri ve önceki diş tedavilerine ilişkin bilgileri içeren anket formunu doldurmuştur. İşlem öncesi çocuklara Yüz Görüntü Skalasında 5 resim o andaki duygularına en yakın olan resmi seçmeleri istenmiştir. İşlem sırasındaki iş birliğinin derecesi Frankl Davranış Ölçeği ile belirlenmiştir. Hastaların dental kaygılarının çeşitli faktörlerle etkileşimi analiz edilmiştir. Sürekli varyasyon değişkenleri arasında normal dağılım gösteren değişkenlerin çoklu karşılaştırmaları için ANOVA post-hoc analizi ve Tukeys testi kullanılmıştır. Normal dağılım göstermeyenlerde Kruskal Wallis post-hoc analizi ve Man
Whitney U testi kullanılmıştır.
Bulgular: Diş tedavilerine karşı oluşan kaygının kızlarda ve genç yaş gruplarında istatistiksel olarak anlamlı olmasa da daha yüksek olduğu belirlenmiştir. Frankl skalasına göre, rutin diş kontrolüne gelen ve daha önce diş tedavisi gören çocuklarda önceki tedavinin olumlu ya da olumsuz geçmesinden bağımsız olarak daha yüksek skorlar görülmüştür. Yüz Görüntü Skalasında ise daha önce dental tedavi görmeyen çocukların daha olumlu yüzler seçtiği, olumsuz dental tedavi deneyimi olan çocukların ise daha olumsuz yüzler seçtiği görülmüştür.
Sonuç: Daha önceki dental tedavi deneyimleri ve rutin kontroller; hem çocuğun kinik ortamına ve doktora aşinalık hissetmesini hem de invaziv dental işlemlere olan ihtiyacı azaltacağından dental anksiyetenin azaltılmasında önemli bir etkiye sahiptir. Bu nedenle dental kaygının olumsuz etkilerini ortadan kaldırmak için çocukları erken yaşta düzenli diş kontrollerine getirerek koruyucu dental tedaviler yapılmalı ve mümkün olduğunca invaziv diş tedavilerine olan ihtiyaç ortadan kaldırılmalıdır.

Kaynakça

  • 1. Klinberg G. Dental anxiety and behaviour management problems in paediatric dentistry--a review of background factors and diagnostics. Eur Arch Paediatr Dent 2008;9 Suppl 1:11-5.
  • 2. Riba H, Al-Zahrani S, Al-Buqmi N, Al-Jundi A. A Review of Behavior Evaluation Scales in Pediatric Dentistry and Suggested Modification to the Frankl Scale. EC Dental Sci 2017;16.6:269-75.
  • 3. Tüzüner T, Karamüftüoğlu N, Ulusu T. Çocuklarda diş hekimliği işlemlerine karşı duyulan kaygı düzeylerinin Facial Image Scale (FIS) ile değerlendirilmesi ve FIS ile Venham Picture Test (VPT)’in korelasyonun saptanması. GÜ Diş Hek Fak Derg. 2007;24(3):145-9.
  • 4. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry;2023:359-77.
  • 5. Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12(1):47-52.
  • 6. Wigen TI, Skaret E, Wang NJ. Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children. Int J Paediatr Dent. 2009;19(6):431-37.
  • 7. Buldur B, Armfield JM. Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF- 4C+): Dental anxiety and concomitant factors in pediatric dental patients. J Clin Pediatr Dent. 2018;42(4):279-86.
  • 8. Hmud R, Walsh L. Dental anxiety: causes, complications and management approaches. J Minim Interv Dent. 2009;2(1): 67–78.
  • 9. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12:47–52
  • 10. Frankl S, Shiere F, Fogels H. Should the parent remain with the child in the dental operatory? J Dent Child. 1962;29:150–63.
  • 11. Kilinç G, Akay A, Eden E, Sevinç N, Ellidokuz H. Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic. Braz Oral Res. 2016;30(1):1806-32.
  • 12. Abanto J, Vidigal EA, Carvalho TS, Sá SN, Bönecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res. 2017;16;(31):e13.
  • 13. Amorim CS, Menezes BS, Chaves JNT, Pereira EP, Coqueiro RDS, Fonseca-Gonçalves A, Maia LC, Pithon MM. The effect of socioeconomic aspects and dental history on pediatric patients’ dental anxiety. Braz Oral Res. 2022;8;36:e106.
  • 14. Bajrić E, Kobašlija S, Huseinbegović A, Zukanović A, Marković N, Selimović-Dragaš M, Arslanagić A, Hasić- Branković L, Zukić S. Predictors of Dental Fear and Anxiety in 9-12-year-old Children in Bosnia and Herzegovina. Acta Stomatol Croat. 2022;56(3):246-56.
  • 15. Tollili C, Katsouda M, Coolidge T, Kotsanos N, Karagiannis V, Arapostathis KN. Child dental fear and past dental experience: comparison of parents’ and children’s ratings. Eur Arch Paediatr Dent. 2020;21(5):597-608.
  • 16. Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: crosssectional study. BMC Oral Health. 2018;18(1):33.
  • 17. Majstorovic M, Veerkamp JS, Skrinjaric I. Reliability and validity of measures used in assessing dental anxiety in 5- to 15-year-old Croatian children. Eur J Paediatr Dent. 2003;4(4):197-202.
  • 18. Coric A, Banozic A, Klaric M, Vukojevic K, Puljak L. Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies. J Pain Res. 2014;7:515-21.
  • 19. Rãducanu AM, Feraru V, Herteliu C, Anghelescu R. Assessment of the prevalence of dental fear and its causes among children and adolescents attending a department of paediatric dentistry in Bucharest. OHDMBSC 2009;8(1):42-9.
  • 20. Lima DSM, Barreto KA, Rank RCIC, Vilela JER, Corrêa MSNP, Colares V. Does previous dental care experience make the child less anxious? An evaluation of anxiety and fear of pain. Eur Arch of Paediatr Dent. 2021;22(2):139–43.
  • 21. Dogan MC, Seydaoglu G, Uguz S, Inanc BY. The effect of age, gender and socio-economic factors on perceived dental anxiety determined by a modified scale in children. Oral Health Prev Dent. 2006;4(4):235-41.
  • 22. Uziel N, Meyerson J, Kuskasy M, Gilon E, Eli I. The Influence of Family Milieu on Dental Anxiety in Adolescents-A Cross-Sectional Study. J Clin Med. 2023;12(6):2174.
  • 23. Porritt J, Marshman Z, Rodd HD. Understanding children’s dental anxiety and psychological approaches to its reduction. Int J Paediatr Dent. 2012;22(6):397-405.
  • 24. Murad MH, Ingle NA, Assery MK. Evaluating factors associated with fear and anxiety to dental treatment-A systematic review. J Family Med Prim Care. 2020;30;9(9):4530-5.
  • 25. Klaassen MA, Veerkamp JS, Hoogstraten J. Changes in children’s dental fear: a longitudinal study. Eur Arch Paediatr Dent. 2008;9(1):29-35.
  • 26. Yahyaoglu O, Baygin O, Yahyaoglu G, Tuzuner T. Effect of Dentists’ Appearance Related with Dental Fear and Caries aStatus in 6-12 Years Old Children. J Clin Pediatr Dent. 2018;42(4):262-8.
  • 27. Alsadat FA, El-Housseiny AA, Alamoudi NM, Elderwi DA, Ainosa AM, Dardeer FM. Dental fear in primary school children and its relation to dental caries. Niger J Clin Pract. 2018;21(11):1454-60.
  • 28. Smith PA, Freeman R. Remembering and repeating childhood dental treatment experiences: parents, their children, and barriers to dental care. Int J Paediatr Dent. 2010;20(1):50-8.
  • 29. Lahti S, Luoto A. Significant relationship between parental and child dental fear. Evid Based Dent. 2010;11(3):77.
  • 30. Themessl-Huber M, Freeman R, Humphris G, Mac Gillivray S, Terzi N. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent. 2010;20(2):83-101.

The effect of Previous Dental Treatments on Dental Anxiety in Children Aged 4-12

Yıl 2024, Cilt: 3 Sayı: 2, 374 - 381, 30.08.2024
https://doi.org/10.58711/turkishjdentres.vi.1457306

Öz

Objective: The patient’s cooperation is crucial for the success of dental treatment. In addition to previous treatments, various factors such as socio-economic status, age, gender, and oral hygiene can influence dental anxiety. The aim of this study is to evaluate the impact of previous dental treatment experiences on dental anxiety.
Material and Method: Children aged 4-12 years who applied for dental treatment, along with their families, participated in the study. During their children’s dental treatment, families completed a survey form containing sociodemographic data and information about previous dental
treatments. Before the procedure, children were shown five pictures from the Facial Image Scale and asked to choose the picture that best represented their current emotion. The degree of cooperation during the procedure was assessed using the Frankl Behavior Scale. The interaction of patients’ dental
anxiety with various factors was analyzed. ANOVA post-hoc analysis and Tukey’s test were used for multiple comparisons of normally distributed variables among continuous variation variables. Kruskal-Wallis post-hoc analysis and the Mann-Whitney U test were used for variables that did not follow a
normal distribution.
Results: Dental anxiety was found to be higher in girls and younger age groups, although this difference was not statistically significant. According to the Frankl scale, children who attended routine dental check-ups and had previous dental treatment experiences had higher scores, regardless of whether
the previous treatment was favorable or unfavorable. Based on the Facial Image Scale, it was observed that children with no previous dental treatment selected more positive faces, whereas children with negative dental treatment experiences selected more negative faces.
Conclusion: Previous dental treatment experiences and routine check-ups significantly impact reducing dental anxiety by familiarizing the child with the clinical environment and the dentist, as well as by reducing the need for invasive dental procedures. Therefore, to eliminate the negative effects of dental
anxiety, preventive dental treatments should be emphasized by bringing children to regular dental check-ups at an early age, thus minimizing the need for invasive dental treatments.

Kaynakça

  • 1. Klinberg G. Dental anxiety and behaviour management problems in paediatric dentistry--a review of background factors and diagnostics. Eur Arch Paediatr Dent 2008;9 Suppl 1:11-5.
  • 2. Riba H, Al-Zahrani S, Al-Buqmi N, Al-Jundi A. A Review of Behavior Evaluation Scales in Pediatric Dentistry and Suggested Modification to the Frankl Scale. EC Dental Sci 2017;16.6:269-75.
  • 3. Tüzüner T, Karamüftüoğlu N, Ulusu T. Çocuklarda diş hekimliği işlemlerine karşı duyulan kaygı düzeylerinin Facial Image Scale (FIS) ile değerlendirilmesi ve FIS ile Venham Picture Test (VPT)’in korelasyonun saptanması. GÜ Diş Hek Fak Derg. 2007;24(3):145-9.
  • 4. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry;2023:359-77.
  • 5. Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12(1):47-52.
  • 6. Wigen TI, Skaret E, Wang NJ. Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children. Int J Paediatr Dent. 2009;19(6):431-37.
  • 7. Buldur B, Armfield JM. Development of the Turkish version of the Index of Dental Anxiety and Fear (IDAF- 4C+): Dental anxiety and concomitant factors in pediatric dental patients. J Clin Pediatr Dent. 2018;42(4):279-86.
  • 8. Hmud R, Walsh L. Dental anxiety: causes, complications and management approaches. J Minim Interv Dent. 2009;2(1): 67–78.
  • 9. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12:47–52
  • 10. Frankl S, Shiere F, Fogels H. Should the parent remain with the child in the dental operatory? J Dent Child. 1962;29:150–63.
  • 11. Kilinç G, Akay A, Eden E, Sevinç N, Ellidokuz H. Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic. Braz Oral Res. 2016;30(1):1806-32.
  • 12. Abanto J, Vidigal EA, Carvalho TS, Sá SN, Bönecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res. 2017;16;(31):e13.
  • 13. Amorim CS, Menezes BS, Chaves JNT, Pereira EP, Coqueiro RDS, Fonseca-Gonçalves A, Maia LC, Pithon MM. The effect of socioeconomic aspects and dental history on pediatric patients’ dental anxiety. Braz Oral Res. 2022;8;36:e106.
  • 14. Bajrić E, Kobašlija S, Huseinbegović A, Zukanović A, Marković N, Selimović-Dragaš M, Arslanagić A, Hasić- Branković L, Zukić S. Predictors of Dental Fear and Anxiety in 9-12-year-old Children in Bosnia and Herzegovina. Acta Stomatol Croat. 2022;56(3):246-56.
  • 15. Tollili C, Katsouda M, Coolidge T, Kotsanos N, Karagiannis V, Arapostathis KN. Child dental fear and past dental experience: comparison of parents’ and children’s ratings. Eur Arch Paediatr Dent. 2020;21(5):597-608.
  • 16. Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: crosssectional study. BMC Oral Health. 2018;18(1):33.
  • 17. Majstorovic M, Veerkamp JS, Skrinjaric I. Reliability and validity of measures used in assessing dental anxiety in 5- to 15-year-old Croatian children. Eur J Paediatr Dent. 2003;4(4):197-202.
  • 18. Coric A, Banozic A, Klaric M, Vukojevic K, Puljak L. Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies. J Pain Res. 2014;7:515-21.
  • 19. Rãducanu AM, Feraru V, Herteliu C, Anghelescu R. Assessment of the prevalence of dental fear and its causes among children and adolescents attending a department of paediatric dentistry in Bucharest. OHDMBSC 2009;8(1):42-9.
  • 20. Lima DSM, Barreto KA, Rank RCIC, Vilela JER, Corrêa MSNP, Colares V. Does previous dental care experience make the child less anxious? An evaluation of anxiety and fear of pain. Eur Arch of Paediatr Dent. 2021;22(2):139–43.
  • 21. Dogan MC, Seydaoglu G, Uguz S, Inanc BY. The effect of age, gender and socio-economic factors on perceived dental anxiety determined by a modified scale in children. Oral Health Prev Dent. 2006;4(4):235-41.
  • 22. Uziel N, Meyerson J, Kuskasy M, Gilon E, Eli I. The Influence of Family Milieu on Dental Anxiety in Adolescents-A Cross-Sectional Study. J Clin Med. 2023;12(6):2174.
  • 23. Porritt J, Marshman Z, Rodd HD. Understanding children’s dental anxiety and psychological approaches to its reduction. Int J Paediatr Dent. 2012;22(6):397-405.
  • 24. Murad MH, Ingle NA, Assery MK. Evaluating factors associated with fear and anxiety to dental treatment-A systematic review. J Family Med Prim Care. 2020;30;9(9):4530-5.
  • 25. Klaassen MA, Veerkamp JS, Hoogstraten J. Changes in children’s dental fear: a longitudinal study. Eur Arch Paediatr Dent. 2008;9(1):29-35.
  • 26. Yahyaoglu O, Baygin O, Yahyaoglu G, Tuzuner T. Effect of Dentists’ Appearance Related with Dental Fear and Caries aStatus in 6-12 Years Old Children. J Clin Pediatr Dent. 2018;42(4):262-8.
  • 27. Alsadat FA, El-Housseiny AA, Alamoudi NM, Elderwi DA, Ainosa AM, Dardeer FM. Dental fear in primary school children and its relation to dental caries. Niger J Clin Pract. 2018;21(11):1454-60.
  • 28. Smith PA, Freeman R. Remembering and repeating childhood dental treatment experiences: parents, their children, and barriers to dental care. Int J Paediatr Dent. 2010;20(1):50-8.
  • 29. Lahti S, Luoto A. Significant relationship between parental and child dental fear. Evid Based Dent. 2010;11(3):77.
  • 30. Themessl-Huber M, Freeman R, Humphris G, Mac Gillivray S, Terzi N. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent. 2010;20(2):83-101.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Diş Hekimliği
Bölüm Araştırma Makaleleri
Yazarlar

Mihriban Gökcek Taraç 0000-0003-3960-8518

Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 22 Mart 2024
Kabul Tarihi 16 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 3 Sayı: 2

Kaynak Göster

Vancouver Gökcek Taraç M. The effect of Previous Dental Treatments on Dental Anxiety in Children Aged 4-12. J Turkish Dent Res. 2024;3(2):374-81.

Türk Diş Hekimliği Araştırma Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Dergimize Diş Hekimliği alanından yayın kabulü yapılmaktadır. Diğer alanlardan gönderilen yayınlar değerlendirmeye alınmamaktadır.