摘要

【摘要】
目的 探讨儿童错颌畸形患者牙科焦虑症影响因素。

方法 纳入2019年7月-2023年7月共120例儿童错颌畸形患者，调查患儿牙科焦虑症发生情况，并根据调查

结果设牙科焦虑症组与正常组。比较两组患儿主要照顾者、性格特点、特质焦虑等临床资料，Logistic 回归分析调查牙科焦虑症的影响因素。

结果 120例患儿42例具有牙科焦虑症，牙科焦虑症发生率35.00%，两组主要照顾者、性格、居住地、父母最高学历、特质焦虑、心理弹性差异均具有统计学意义（P＜0.05），两组年龄、性别差异无统计学意义（P>0.05）；多因素分析显示，主要照顾者为祖父母、性格内向、特质焦虑高水平、心理弹性低水平是儿童错颌畸形患儿牙科焦虑症的影响因素。

结论 儿童错颌畸形患者中牙科焦虑症具有较高的发生率，并且牙科焦虑症与主要照顾者、性格、居住地等社会、心理因素有关。

关键词：【关键词】牙科焦虑症;儿童；错颌畸形；正畸矫治; 社会、心理因素

ABSTRACT

[Abstract]
Objective To explore the social and psychological influencing factors of dental anxiety in children undergoing orthodontic treatment.

Methods A total of 120 pediatric patients with malocclusion of teeth from July 2019 to July 2023were included. The occurrence of dental anxiety in pediatric patients were investigated. They were divided into the dental anxiety group and normal group based on the investigation results. The clinical data such as the main caregivers, personality traits, and trait anxiety between two groups of pediatric patients were compared. Multivariate unconditional logistic regression analysis of social and psychological factors influencing dental fear in children.

Results 42 out of 120 pediatric patients had dental anxiety, with an incidence rate of 35.00%. There were statistically significant differences between the two groups in terms of primary caregivers, personality, place of residence, highest educational level of parents, trait anxiety, and psychological resilience (P<0.05)，There was no significant difference in age and gender between the two groups (P>0.05). Multivariate analysis shows that the main caregivers are grandparents, introverted personality, high levels of trait anxiety, and low levels of psychological resilience are the influencing factors of dental anxiety in children undergoing orthodontic treatment.

Conclusion   dental anxiety has a higher incidence among pediatric orthodontic patients, and it is related to social and psychological factors such as the primary caregiver, personality, and place of residence.

Key words: [Key words] Dental Phobia; Children; Malocclusion deformity；Orthodontic Treatment; Social and Psychological Factors