Amaç: Dental anksiyete; dental tedavi gören hastalarda çok sık karşılaşılan bir durumdur. Anksiyeteye bağlı olarak tedaviden kaçınma, hastanın oral sağlığını etkileyen ciddi problemlere yol açmaktadır. Bu nedenle, dental anksiyetenin erken dönemlerde belirlenmesi, tedavi işlemlerinde hastanın korkusunu yenmesini sağlayarak, tedavi işlemlerinin başarı şansını arttırmaktadır. Çalışmanın amacı çocuklarda dental korku sıklığını, dental korku ile diş çürüğü arasındaki ilişkiyi belirlemek ve dental tedavi sırasında çocuğun endişesini azaltmaya yardımcı diş hekimi imajını bulmak ve bu imajın değiştirilerek sağlanılan dental hizmeti geliştirmektir. Gereç ve Yöntem: Çalışmada, 6-12 yaşları arasındaki toplam 810 hastaya “Çocuk Korku Değerlendirme Skalası- Dental Alt Ölçeği (CFSS-DS)” ve “Çocukların Gözüyle Diş Hekimi ve Diş Kliniği Nasıl Olmalı” anketleri uygulandı. Anketler uygulandıktan sonra hastaların ağız-diş muayenesi gerçekleştirilerek DMFT/dmft indeksleri belirlendi. Bulgular: Çocuk Korku Değerlendirme Skalası- Dental Alt Ölçeği sonuçlarına göre hastalar 3 alt gruba (düşük derece anksiyeteli- orta derece anksiyeteli- yüksek derece anksiye- teli) ayrıldı. Hastaların yaş ve cinsiyete göre anksiyete skorları açısından istatistiksel olarak anlamlı bir fark tespit edildi (p=0.046, p=0.001). Buna göre 6-8 yaş grubunda ve kızlarda anksiyete skorunun fazla olduğu saptandı. Anksiyete ve diş çürüğü arasındaki ilişki değerlendirildiğinde istatistiksel açıdan anlamlı bir fark tespit edildi (DMFT p=0.030, dmft p=0.015). Buna göre DMFT/dmft değerleri yüksek derece anksiyeteli hastalarda daha fazla bulundu. Diş hekimine gitme yönünden hastaların koruyucu ekipman, maske ve eldiven rengi tercihleri karşılaştırıldığında istatistiksel açıdan anlamlı fark bulunmadı (p=0.061, p=0.070, p=0.071) ve hastaların klinik ve önlük tercihleri karşılaştırıldığında istatistiksel açıdan anlamlı fark bulundu (p=0.017, p=0.001). Buna göre diş hekimine gidenlerin gitmeyenlere göre daha çok düz, sade kliniği ve beyaz önlüğü tercih ettikleri saptandı. Sonuç: Çocukların hekimin dış görünüşü ile ilgili güçlü bakış açısı ve tercihlere sahip olduğu saptandı. Buna göre anksiyete ile diş çürüğü sıklığı arasında ilişki olabileceği ve hekimin dış görünümünde yapılabilecek küçük değişiklikler ile çocukların anksiyete seviyelerinde azalmaların sağlanabileceği sonucuna varıldı. Anahtar Kelimeler: CFSS-DS, dental anksiyete, dental korku, diş çürüğü, hekimin dış görünümü EVALUATION OF THE EFFECT OF DENTISTS' APPEARANCE RELATED WITH DENTAL STATUS IN 6-12 YEARS OLD CHILDREN ABSTRACT Aim: Dental anxiety is a common situation encountered for patients receiving dental treatment. Avoidance of dental care due to dental anxiety leads to problems with several adverse consequences to the patients oral health. Therefore, early identification of dental anxiety increases the success of treatment by eliminating the fear of the patient. The aim of this study was to determine the frequency of dental fear and the relationship between dental fear and dental caries, find the ideal dentist appearance that can reduce anxiety of the child and improve dental treatment by altering the dentist appearance. Materials and Methods: “Children’s Fear Survey Schedule- Dental Subscale” and “How should be a dentist according to the child?” questionnaires were applied to 810 patients between 6-12 years of age in this study. Patients were examined after the questionnaires and DMFT/dmft indexes were determined. Results: The patients were divided into three subgroups according to CFSS-DS (low anxiety, medium anxiety, severe anxiety). Statistically significant difference was detected between the anxiety scores according to age and gender of the patients (p=0.046, p=0.001). Accordingly, anxiety score among 6-8 year olds and girls was found to be higher. When the relationship between anxiety and dental caries was evaluated, statistically significant difference was detected. (DMFT p=0.030, dmft p=0.015). DMFT/dmft scores were found to be higher in patients with high levels of dental anxiety. No significant differences were found among the colors of equipment, mask and gloves (p=0.061, p=0.070, p=0.071), but there were found the choices of the colors of clinic environment and uniform with regard to dental visits (p=0.017, p=0.001). According to the above findings, patients who visited the dental clinics more frequently have been commonly preferenced smooth, simple clinics and white uniforms rather than the less ones. Conclusion: Additionally, it was detected that children had a high perception and strong preference towards the apperance of the dentist and dental clinic. It can be concluded that anxiety and dental caries are related and little alterations in the dentists’ appearance can reduce the dental anxiety in children. Keywords: CFSS-DS, dental anxiety, dental fear, dental caries, dentists’ appearance
Dental anxiety is a very common condition in patients who receive dental treatment. The avoidance of treatment depending on anxiety leads to serious problems affecting the patient's oral health. Therefore, detection of dental anxiety in early stages increases the chances of success of treatment, allowing the patient to overcome the fear in the treatment processes. The aim of the study is to determine the relationship between the frequency of dental fear in children, dental fear and tooth fractures and to find the image of the dentist that helps reduce the child's anxiety during dental treatment and to develop the dental service provided by changing this image. In the study, a total of 810 patients aged 6-12 were surveyed with the "Child Fear Assessment Scale-Dental Under Scale (CFSS-DS)" and "How to Be a Dentist and Dentist Clinic with the Eye of Children". After the survey, the patient’s oral and dental examination was carried out and the DMFT/dmft index was determined. Results: Child Fear Assessment Scale- Dental Low Scale results divide patients into 3 subgroups (low-degree anxiety- medium-degree anxiety- high-degree anxiety- thread). A statistically significant difference was detected in terms of anxiety scores according to the age and gender of patients (p=0.046, p=0.001). In the age group of 6-8 years and in the girls, anxiety score was higher. When the relationship between anxiety and dental dysfunction was assessed, a statistically significant difference was found (DMFT p=0.030, dmft p=0.015). According to this, the DMFT/dmft values were more found in patients with high degree of anxiety. There was no statistically significant difference when compared the patient’s protective equipment, mask and gloves color preferences (p=0.061, p=0.070, p=0.071) and statistically significant difference when compared the patient’s clinical and preventive preferences (p=0.017, p=0.001). According to this, it was found that those who went to the dentist preferred a flat, simple clinic and white clothes compared to those who did not go. The result: It was found that children have a strong perspective and preferences about the doctor's appearance. According to this, there could be a relationship between anxiety and the frequency of tooth fractures and small changes in the physician's appearance and reductions in the children's anxiety levels could be achieved. Keywords: Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety, Dental anxiety is a common situation encountered for patients receiving dental treatment. Avoidance of dental care due to dental anxiety leads to problems with several adverse consequences to the patient's oral health. Therefore, early identification of dental anxiety increases the success of treatment by eliminating the fear of the patient. The aim of this study was to determine the frequency of dental fear and the relationship between dental fear and dental caries, find the ideal dentist appearance that can reduce the child’s anxiety and improve dental treatment by altering the dentist appearance. Materials and Methods: "Children's Fear Survey Schedule- Dental Subscale" and "How should a dentist be according to the child?" Questionnaires were applied to 810 patients between 6-12 years of age in this study. Patients were examined after the questionnaires and DMFT/dmft indexes were determined. Results: The patients were divided into three subgroups according to CFSS-DS (low anxiety, medium anxiety, level anxiety). Statistically significant difference was detected between the anxiety scores according to age and gender of the patients (p=0.046, p=0.001). Accordingly, anxiety score among 6-8 years old and girls was found to be higher. When the relationship between anxiety and dental caries was evaluated, statistically significant difference was detected. (DMFT p=0.030, dmft p=0.015) DMFT/dmft scores were found to be higher in patients with high levels of dental anxiety. No significant differences were found among the colors of equipment, mask and gloves (p=0.061, p=0.070, p=0.071), but there were found the choices of the colors of clinic environment and uniform with regard to dental visits (p=0.017, p=0.001). According to the above findings, patients who visited the dental clinics more frequently have been commonly preferred smooth, simple clinics and white uniforms rather than the less. Conclusion: Additionally, it was detected that children had a high perception and strong preference towards the apperance of the dentist and dental clinic. It can be concluded that anxiety and dental caries are related and little alterations in the dentists' appearance can reduce the dental anxiety in children. Keywords: CFSS-DS, dental anxiety, dental fear, dental caries, dentists' appearance
Dergi Türü : Ulusal
Benzer Makaleler | Yazar | # |
---|
Makale | Yazar | # |
---|