West China Journal of Stomatology Vol.29 No.5 Oct.2011 http // NYLS 3~7 DBMP DFA/DBMP
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1 [ ] (1., ;., ) [ ] ~7 NYLS 3~ % % / / / [ ] [ ] R 788 [ ] A [doi] /j.issn Analysis on dental uncooperative behaviors of the first-visit children in clinic Yang Chan 1, Zou Hongmei 1, Zou Jing. 1. State Key Laboratory of Oral Diseases, Sichuan University, Chengdu , China;. Dept. of Paediatric Dentistry, West China School of Stomatology, Sichuan University, Chengdu , China [Abstract] Objective To investigate the relationship between the uncooperative behaviors of first-visit-dental children and correlative factors that include children s temperament, severe of dental caries and so on in order to help dentists to make personal dentistry therapy plan for each child to prevent and deal with children s uncooperative behaviors. Methods From the pediatric dentistry clinic, 195 first-visit-dental children aged 3-7 years from Dec. 007 to Dec. 008 were randomly selected to accept dental examination and accepted corresponding treatment according to personal therapy plans. Children s clinic behavior was valued during treatment. The parents were asked to complete NYLS temperament parents scale questionnaires for 3-7 years old children. Results Among the 195 children, there were % had dental fear and anxiety and % had dental behavior management problem. As the children s age increased, the incidence of decreased. There were no statistical relationship between genders and children s /. The children s severity of dental caries was related to their dental behavior, the more serious the caries, the more incident the / of children. There were no statistically significant differences for the / of temperament type children. But the score of sensory threshold was higher in children, while physiological rhythmicity was lower in, the differences were significant. Conclusion In order to reduce the incidence of /, we should pay more attention to children with serious caries, and provide them individual behavior management for different ages and temperament. [Key words] child dental behavior management dental fear and anxiety dental caries temperament [1-3] dental fear and anxiety dental behavior management problem [1] [ ] [ ] [ ] 1986 [ ] Tel
2 Kappa NYLS 3~7 1.1 [7] [8] 195 3~ ~7 5 4 Tab 1 Ages and genders of children aged 3-7 years / 3~ 4~ 5~ 6~ 7~ ~7 Venham % %.1 DB- MP [4] C1 C C3 Tab and of different genders and ages children C4 4 1 Kappa 0.93 C C / C3 C ~ ~ ~ Venham [5] 6~ 0~ relaxed 1 uneasy 7~ tense 3 reluctant 4 anxious 5 out of contact 1 [6] 3~5 [5] 1.3 SPSS 13.0 t / / 0 / 1 掊 =0. P=0.655 DB- 3 MP 掊 =0.40 P= 掊 =1.77 P=
3 掊 =6.558 P= 掊 =5.11 Tab 5 and of different temperaments P=0.04 掊 =4.831 P=0.08 children / 3 n Tab 3 and of different caries degree D children I n S E D I S E 0 / 1. Tab 6 and of different temperaments dimension children % % % 1.0% 4.30± ± ± ± ± ± ± ±0.59 掊 =7.566 P= ± ± ± ± ± ± ± ±0.81 掊 = P= Tab 4 D I S E / C1~C C3~C / 1 3~ 0 0 4~ ~ ~ ~ D I S E 5 6 掊 =.996 P=0.39 掊 =0.958 P=0.811 F=4.51 P=0.00 t=-.148 P= [9] % 33.85% [10] 4~ % 9% [11] t=.181 P= ± ± ± ± ±0.78 Temperament profiles of different genders 4.98± ± ±0.70 and ages children 4.71± ± ± ± ± ± ± ± ± ± ± ± / 1
4 [10] Arnrup [14] / Gustafsson [15] 7.5~19 [10] [1] % C1 C 59 C3 C4 88 DAF [13] 3~7 [ ] 195 [1] J 覿 levik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars [J]. Int J Paediatr Dent, 00, [] Klingberg G, Sillén R, Norén JG. Machine learning methods applied on dental fear and behavior management problems in chil- dren[j]. Acta Odontol Scand, 1999, [3] Blomqvist M, Holmberg K, Fernell E, et al. Oral health, dental anxiety, and behavior management problems in children with attention deficit hyperactivity disorder[j]. Eur J Oral Sci, 006, [4]. [M]., Shi Sizhen. Pediatric dentistry[m]. Beijing People s Medical Publishing House, [5],,,. [J]., 007, Xia Bin, Wang Chunli, Han Ye, et al. Establishment and evalua- tion of a scale method for rating children s behavior in dental 508
5 [ ] [1],. [J]., 001, Zhou Shuxia, Gu Xiaoming. Basic principles of the treatment in 3.4 modern maxillofacial injury[j]. Chin J Stomatol, 001, [],,, [J]. 1, 006, Li Yisong, Tian Weidong, Li Shengwei, et al. Retrospective analysis of patients with facial injuries[j]. Chin J Stomatol, 006, [3] Olate S, Lima SM Jr, Sawazaki R, et al. Surgical approaches and fixation patterns in zygomatic complex fractures[j]. J Craniofac Surg, 010, [4] Maliska MC, Lima Júnior SM, Gil JN. Analysis of 185 maxillofacial fractures in the state of Santa Catarina, Brazil[J]. Braz Oral Res, 009, [5] Shintaku WH, Venturin JS, Azevedo B, et al. Applications of conebeam computed tomography in fractures of the maxillofacial com- 4 plex[j]. Dent Traumatol, 009, [6] Al-Khateeb T, Abdullah FM. Craniomaxillofacial injuries in the United Arab Emirates A retrospective study[j]. J Oral Maxillofac Surg, 007, [7] Paolini S, Santoro A, Missori P, et al. Surgical exposure of lateral orbital lesions using a coronal scalp flap and lateral orbitozygomatic approach Clinical experience[j]. Acta Neurochir Wien, 006, !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 504 clinic in China[J]. Chin J Stomatol, 007, [11] Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour [6] management problems in children and adolescents A review. [J]., 1997, Wu Younong. Overview of dental fear[j]. Chin J Conserv Dent, of prevalence and concomitant psychological factors[j]. Int J Paediatr Dent, 007, , [1],,. 40 [J]. [7]. NYLS 3 7 [J]., 000, , 1995, Zhang Jinsong. The reliability of parent temperament questionnaire in 3-7 years old children[j]. Chin Mental Health J, 1995, [13] Qian Hong, Huang Qun, Luo Minghe. Children s dental fear picture test for 40 patients[j]. Chin J Behavioral Medical Science, 000, Oliveira MM, Colares V. The relationship between dental anxiety [8]. [M]. and dental pain in children aged 18 to 59 months A study in, Wang Xiangdong. Rating scales for mental health[m]. Beijing Deptartment of Chinese Mental Health Journal, [14] Recife, Pernambuco State, Brazil[J]. Cad Saude Publica, 009, Arnrup K, Broberg AG, Berggren U, et al. Treatment outcome [9] Koch G, Poulsen S. Pediatric dentistry A clinical approach[m]. Copenhagen, Denmrk Munksgaard, in subgroups of uncooperative child dental patients An exploratory study[j]. Int J Paediatr Dent, 003, [10],,,. [J]. [15] Gustafsson A, Broberg A, Bodin L, et al. Dental behaviour management, 007, Su Jimei, Ruan Wenhua, Ye Xiaowei, et al. Children s temperament characteristics and dental fear[j]. West China J Stomatol, 007, problems The role of child personal characteristics[j]. Int J Paediatr Dent, 010,
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