小児の歯科恐怖に関する研究 : 切削音と歯科恐怖との関係  [in Japanese] Factor Analysis of Children's Dental Fear : Relationship Between the Noise of the Dental Drill and Dental Fear  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 住吉 智子 SUMIYOSHI Tomoko
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻口腔健康科学講座 小児口腔科学分野 Division of Pediatric Dentistry, Department of Oral Health Science, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences
    • 佐野 富子 SANO Tomiko
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻口腔健康科学講座 小児口腔科学分野 Division of Pediatric Dentistry, Department of Oral Health Science, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences
    • 田邊 義浩 TANABE Yoshihiro
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻口腔健康科学講座 小児口腔科学分野 Division of Pediatric Dentistry, Department of Oral Health Science, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences
    • 野田 忠 NODA Tadashi
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻口腔健康科学講座 小児口腔科学分野 Division of Pediatric Dentistry, Department of Oral Health Science, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences

Abstract

本研究の目的は,歯科治療の音である切削音と小児の歯科恐怖の関係を明らかにすることである。方法は,新潟大学医歯学総合病院小児歯科診療室に定期診査のために受診した4-15歳の男児52名,女児52名,計104名(平均年齢8歳5か月)の小児患者に対し,切削音の印象をFaces Pain Rating Scaleを用いて評価し,その後CFSS-DSの質問紙に回答した。結果をもとに検討し,以下の結論を得た。<BR>1.低年齢群,高年齢群の平均値を比較するとコントロール音は2群ともほぼ同様の値であったことに対し,雷雨の音,切削音は2群ともに高い値であり,切削音は小児にとって不快な音であることが示唆された。<BR>2.因子分析の結果,低年齢群では切削音は雷雨の音と関連を認めた。一方高年齢群では,切削音はCFSSDSの歯科受診に関する恐怖と関連を認めた。<BR>3.低年齢群では切削音を自然界の不快な音と同様に「音」の恐怖と捉えており,歯科経験を重ね高年齢となると,切削音を歯科に関係する恐怖として認識するようになると推察された。<BR>4.従来の報告と同様,女児は男児よりも音刺激により概念的歯科恐怖を持つ傾向が示唆された。

The aim of the present study was to assess the relationship in children between dental fear and the noise of the dental drill. The subjects consisted of 104 patients (52 males and 52 females) at the Pediatric Dental Clinic of Niigata University Medical and Dental Hospital. They ranged from 4 to 15years of age (The mean age being 8.5). The patients were allocated into two groups based on their age: The low-age group (from 4 to 8 years of age) and the high-age group (from 9 to 15 years of age). The patients themselves evaluated their impressions of 3 sounds: The control sound (familiar music), thunderstorms and the noise of the dental drill, by using the Face Pain Rating Scale (FS). The CFSS-DS questionnaires were then used to assess their dental fear.<BR>The results were as follows:<BR>1. In both the low-age and the high-age groups the mean scores of FS with respect to the sound of thunderstorms and the noise of the dental drill were higher than those of the control sound. It was suggested that the noise of the dental drill was squeakier than control music from the child point of view.<BR>2. The results from factor analysis with varimax rotation indicated that the noise of the dental drill in the low-age group was related to the sound of thunderstorms. On the other hand, in the high-age group, the noise showed a positive relationship to the CFSS-DS score as the amount of dental fear.<BR>3. In the low-age group, dental experience tended to raise the score of the impression of pain when hearing the noise of the dental drill. The CFSS-DS score, however, showed a negative relation to the age of the patients. These findings suggest that in the low-age group, older patients have a lower fear toward the dentist and dental treatment, although they have feelings of pain with respect to the noise of the dental drill.<BR>4. The present investigation shows that female patients in childhood have higher sensitivity to the noise of the dental drill.

Journal

  • The Japanese Journal of Pediatric Dentistry

    The Japanese Journal of Pediatric Dentistry 42(5), 680-688, 2004-12-25

    The Japanese Society of Pediatric Dentistry

References:  38

Cited by:  4

Codes

  • NII Article ID (NAID)
    10014207244
  • NII NACSIS-CAT ID (NCID)
    AN00116228
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    05831199
  • Data Source
    CJP  CJPref  J-STAGE 
Page Top