儿童牙科畏惧症临床治疗研究进展

Research progress of the clinical treatment for child dental fear

儿童牙科畏惧症(CDF)主要是因儿童恐惧疼痛、恐惧未知、恐惧机体可能受到伤害等因素导致的焦虑症状。CDF会对患儿就诊乃至身心健康产生长期不利影响。因此,有效缓解CDF是保证患儿口腔治疗疗效,促进其健康成长的必要条件。治疗CDF的方法主要分为行为诱导、音乐疗法、笑气镇静、全身麻醉以及束缚等,但口腔医生较难对CDF进行客观评估并选择个性化治疗方案。文章就CDF病因、有效评价方法及分级、不同治疗方法的优缺点和适用条件做一综述,以期为儿童口腔医生理清治疗思路,正确评估、诊断、干预和治疗CDF提供依据。

 Child dental fear （CDF） is an anxiety symptom,mainly caused by fear of pain,being unknown,and body hurt,etc.CDF may cause long-term adverse effects on physical and psychological health of children.Therefore,relieving CDF is the necessary way to ensure the effect of oral treatment and promote the healthy growth of children.The dental fear treatment methods were categorized into behavioral interventions,music therapy,bondage,general anesthesia and laughing gas.Dentists have difficulty in carrying on objective appraisal on CDF of disease and selecting individualized treatment.This paper gives a detailed introduction of the cause,evaluation method,classification and treatment methods of CDF,so as to help medical staff of oral health care to clear treatment thoughts in order to provide evidence for correct diagnosis,intervention and treatment of dental fear.