错颌畸形患儿的牙科焦虑现状及对其口腔健康相关生活质量的影响

Current status of dental vnxiety in malocclusion children and Its influence on oral health-related quality of life

目的 探讨儿童错颌畸形患者牙科焦虑现状及对口腔健康相关生活质量的影响.方法 本研究选择2021年1月~2023年1月104例儿童错颌畸形患者为研究对象,采用改良牙科焦虑问卷表(MDAS)进行牙科焦虑评估,比较牙科焦虑患儿与非牙科焦虑患儿性别、年龄等一般资料.评估并比较儿童青少年口腔健康生活质量(COHRQOL),并分析牙科焦虑患儿焦虑与口腔健康生活质量的关系.结果 104例错颌畸形患儿检出牙科焦虑44例,牙科焦虑与非牙科焦虑患儿在年龄、主观不良就诊体验、正畸疼痛等方面的差异具有统计学意义(P<0.05),两组性别、居住地、畸形分类差异无统计学意义(P>0.05);牙科焦虑患儿COHRQOL量表口腔健康、学校环境、社会情感健康、自我形象评分以及总分均显著低于非牙科焦虑患儿(P<0.05),功能健康差异无统计学意义(P>0.05);牙科焦虑患儿MDAS评分与COHRQOL量表学校环境、社会情感健康、自我形象评分及总分呈负相关(P<0.05).结论 儿童错颌畸形患者牙科焦虑检出率较高,可能与年龄、主观不良就诊体验等有关,牙科焦虑会降低口腔健康相关生活质量.

Objective To investigate the current status of dental anxiety in pediatric patients with malocclu-sion and its impact on oral health-related quality of life.Methods In this study,104 pediatric patients with maloc-clusion from January 2021 to January 2023 were selected for the study.Dental anxiety was assessed using the Modified Dental Anxiety Questionnaire(MDAS).General information such as gender and age were compared between chil-dren with dental anxiety disorder and non-dental anxiety disorder.Children and adolescents'oral health quality of life(COHRQOL)was assessed and compared.The relationship between anxiety and oral health quality of life in children with dental anxiety disorder was analyzed.Results Dental anxiety disorder was detected in 44 of 104 children with malocclusion.The differences in age,subjective adverse visit experience,and orthodontic pain between children with and without dental anxiety disorder were statistically significant(P<0.05).The differences in gender,residence,and orthodontic classification were not statistically significant between the two groups(P>0.05).The COHRQOL scale oral health,school environment,social-emotional health,self-image scores,and total scores were significantly lower in children with dental anxiety than in children with non-dental anxiety(P<0.05).The difference in functional health was not statistically significant(P>0.05).MDAS scores were negatively correlated with COHRQOL scale school environ-ment,social-emotional health,self-image scores,and total scores in children with dental anxiety disorders(P<0.05).Conclusion The higher detection rate of dental anxiety in children with malocclusion may be related to age and sub-jective adverse visit experience,and dental anxiety can reduce oral health-related quality of life.