Ağız Sağlığı Eğitim Programına Katılan İlköğretim Okulu Öğrencilerinde Diş Kaygısı Paterni

Year 2023, Volume: 13 Issue: 2, 331 - 334, 22.03.2023

Çiğdem Elbek Çubukçu , Zeynep Ceren Çelik

https://doi.org/10.16899/jcm.1255067

Abstract

Amaç: Dental anksiyete çoğunlukla çocukluk çağında gelişen yaygın bir sorundur. İlkokul öğrencilerinin sınıf ortamında ağız diş sağlığı eğitimi alırken algıladıkları diş kaygısı düzeyi Yüz İmaj Ölçeği (FIS) ile belirlenmiştir.
Yöntem: Üçüncü sınıf 163 ilkokul öğrencisine ağız sağlığı eğitimi dersi verilirken interaktif bir şekilde FIS uygulandı. Cinsiyet, beyaz diş hekimi önlüğü ve geçmiş diş tedavisi deneyimleri, 9 yaşındaki öğrencilerde çalışmanın dental anksiyete paternini değerlendiren önceden belirlenmiş değişkenleriydi.
Bulgular: Çocuklarda genel dental anksiyete düzeyi %46.01 olup, cinsiyetler arasında anlamlı fark gözlenmemiştir (p=0.4593). Beyaz diş hekimi önlüğü giyen öğretim elemanları tarafından eğitim gören öğrencilerin 1&2 FIS puanı alma olasılıkları daha yüksektir (p=0.0156). Bununla birlikte, geçmişte diş tedavisi öyküsü bulunan öğrenciler anlamlı olarak daha fazla 4&5 FIS puanı ifade etmişlerdir (p<0.001).
Sonuç: Cinsiyeti ne olursa olsun beyaz diş hekimi önlüğü 9 yaşındaki öğrencilerde olumlu bir algı yaratmış, ancak geçmiş diş hekimliği deneyiminin ve özellikle lokal anestezi altında diş çekimi öyküsünün varlığı çalışmada olumsuz algıya neden olmuştur.

Keywords

dental anksiyete, diş hekimi önlüğü, geçmiş diş tedavisi deneyimi, ağız-diş sağlığı eğitimi, FIS

Patterns of Dental Anxiety in Primary Schoolers Attending Oral Health Education Program

Abstract

Background/Aims: Dental anxiety is a common problem which develops mostly in childhood. The level of dental anxiety perceived by the primary schoolers were determined with Facial Image Scale (FIS) while receiving oral dental health education in their classroom environment.
Methods: FIS were applied to 163 third-grade primary schoolers while they were having oral health education course in an interactive way. Gender, white dental attire, and past dental experience(s) were pre-determined variables evaluating the pattern of dental anxiety in the third-grade primary schoolers in this study.
Results: The overall anxiety level in children was 46.01%, with no significant difference observed between genders (p=0.4593). Students who were educated by instructors wearing white dental attire were more likely to have a 1&2 FIS score (OR: 3.9 (1.3-11.7); p=0.0156). However, students who had past dental experience expressed significantly more 4&5 FIS scores (OR: 4.38 (2.17-8.85); p < 0.001).
Conclusions: Regardless of gender white dental attire created a positive perception in 9-year-old students, but the presence of past dental experience and a history of tooth extraction especially under local anesthesia caused negative perception in the study.

Keywords

dental anxiety, dental attire, past dental experience, oral health education program, children, FIS

References

• 1. Locker D, Thomson WM, Poulton R. Onset of and patterns of change in dental anxiety in adolescence and early adulthood: a birth cohort study. Community Dental Health. 2001;18(2):99-104.
• 2. Taani, DQ, El-Qaderi SS, Abu Alhaija ES, Dental anxiety in children and its relationship to dental caries and gingival condition. Int J Dent Hyg. 2005;3(2): 83.
• 3. Dogan, MC. 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):235-241.
• 4. Rantavuori K. Dental fear and oral health and family characteristics of Finnish children. Acta Odontol Scand. 2004; 62(4):207-213.
• 5. Peretz B, Efrat J, Dental anxiety among young adolescent patients in Israel. Int J Paediatr Dent. 2000;10(2):126-132.
• 6. Rantavuori K. Dental fear of Finnish children in the light of different measures of dental fear. Acta Odontol Scand. 2005; 63(4):239-244.
• 7. Nicolas, E. Factors affecting dental fear in French children aged 5-12 years. Int J Paediatr Dent. 2010; 20(5):366-373.
• 8. Yahyaoğlu Ö, Yahyaoğlu ÖBG, Tüzüner T. 6-12 Yaş Grubu Çocuklarda Diş Hekiminin Dış Görünüşünün Dental Durum İle İlişkisinin Değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg. 2018;28 (3):292 – 304.
• 9. Chakradhar K, Dolar D, Kulkarni S, Srikanth Reddy B, Padma Reddy M, Srilatha A. Correlation of dental anxiety with oral health status and treatment needs among 12-year old indian school going children. Acta Biomed. 2020;91(4):e2020095.
• 10. Yildirim TT. Evaluating the Relationship of Dental Fear with Dental Health Status and Awareness. J Clin Diagn Res. 2016;10(7):105-109.
• 11. Al-Namankany A, de Souza M, Ashley P. Evidence-based dentistry: analysis of dental anxiety scales for children. Br Dent J. 2012;212(5):219-222.
• 12. Porritt J, Buchanan H, Hall M, Gilchrist F, Marshman Z. Assessing children's dental anxiety: a systematic review of current measures. Community Dent Oral Epidemiol. 2013;41(2):130-142.
• 13. Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12(1):47-52.
• 14. Crego A, Carrillo-Díaz M, Armfield JM, Romero M. From public mental health to community oral health: the impact of dental anxiety and fear on dental status. Front Public Health. 2014; 2(16): 1-4.
• 15. Rajeswari SR, Chandrasekhar R, Vinay C, et al. Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children. Int J Clin Pediatr Dent 2019;12(5):419–422.
• 16. 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):1454-1460.
• 17. Gaber AE, Khalil AM, Talaat DM. The Impact of Gender on Chıld Dental Anxıety in a Sample of Egyptian Children (A Cross-Sectional Study). Alexandria Dental Journal. 2018; 43: 1-5
• 18. Economou GC. Dental Anxiety and Personality: Investigating the Relationship Between Dental Anxiety and Self- Consciousness. J Dent Educ. 2003; 67:970-80
• 19. Raj S, Agarwal M, Aradhya K, Konde S, Nagakishore V. Evaluation of Dental Fear in Children during Dental Visit using Children’s Fear Survey Schedule-Dental Subscale. J Clinic Pediatr Dent. 2013; 6:12-5.
• 20. Sujatha P, Nara A, Avanti A, Shetty P, Anandakrishna L, Patil K. Child Dental Patient's Anxiety and Preference for Dentist's Attire: A Cross-sectional Study. Int J Clin Pediatr Dent. 2021;14(Suppl 2):S107-S110.
• 21. de Amorim CS, Coqueiro RDS, de Menezes BS, Aguiar Sales Lima SO, Maia LC, Pithon MM. Perception Regarding Pediatric Dentist's Appearance and Factors Influencing the Child's Responses. J Clin Pediatr Dent. 2021;45(2):90-97.
• 22. Nirmala SV, Veluru S, Nuvvula S, Chilamakuri S. Preferences of Dentist's Attire by Anxious and Nonanxious Indian Children. J Dent Child (Chic). 2015;82(2):97-101.
• 23. Kamavaram Ellore VP, Mohammed M, Taranath M, Ramagoni NK, Kumar V, Gunjalli G. Children and Parent's Attitude and Preferences of Dentist's Attire in Pediatric Dental Practice. Int J Clin Pediatr Dent. 2015;8(2):102-107.
• 24. Viswanath D, Kumar RM, Prabhuji M. Dental Anxiety, Fear And Phobia In Children. Int J Dent Res Develop (IJDRD). 2014; 4: 2250-2386.
• 25. Nicolas E, Bessadet M, Collado V, Carrasco P, Rogerleroi V, Hennequin M. Factors affecting dental fear in French children aged 5-12 years. Int J Paediatr Dent. 2010;20(5):366-373.
• 26. McLenon J, Rogers MAM. The fear of needles: A systematic review and meta-analysis. J Adv Nurs. 2019;75(1):30-42