scholarly journals Association Between Dental Fear and Anxiety and Behavior Amongst Children During Their Dental Visit

2019 ◽  
Vol 12 (2) ◽  
pp. 907-913
Author(s):  
Arshia Ummat ◽  
Sreejeeta Dey ◽  
P. Anupama Nayak ◽  
Nitin Joseph ◽  
Ashwin Rao ◽  
...  
Keyword(s):  
Rating Scale ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Dental Fear ◽  
Dental Visit ◽  
Behaviour Management ◽  
Management Problems ◽  
Child Patient ◽  
Behaviour Rating ◽  
Fear And Anxiety

Dental fear and anxiety (DFA) serves as significant problem in child patient management as it leads to greater prevalence and increased severity of the disease associated with delayed dental visits. Therefore, it is necessary to effectively predict children dental behaviour and identify children at risk of Behaviour Management problems. Study of factors influencing DFA and its association with behaviour in children during first dental visit. The study included 209 children (5-14 years). DFA levels were assessed using 3 standardised questionnaires i.e. Facial Image Scale (FIS), Dental Anxiety Scale (DAS), Children’s Fear Survey Schedule – Dental Subscale (CFSS-DS). The behaviour of the child was then assessed using Frankl’s Behaviour Rating Scale (FBRS). The data were analysed, and a correlation was established between DFA and behaviour using statistical analysis. Presence of DFA according to FIS is 13.4%, according to DAS is 15.2% and according to CFSS-DS is 17.7%. Maximum participants showed positive behaviour (81.8%) according to FBRS. Factors causing maximum Dental anxiety according to DAS was anticipation of treatment (26.30%) and factor which caused maximum dental fear according to CFSS-DS was injections (45.4%). There is association between DFA and behaviour in children during first dental visit. This study will help assess the factors which lead to dental fear and anxiety in children and also find a correlation between dental fear and anxiety and behaviour management problems which can help the Paedodontist to predict various behaviour management problems and to avoid the factors which lead to them before the initiation of the dental treatment. This can lead to a decrease in the fear and anxiety levels of children which will further lead to better treatment and in turn better case management.

scholarly journals Awareness on Smoking and Alcohol Use and Its Association With Increased Levels of Dental Fear and Anxiety - A Survey Among Dental College Students

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 614-622
Author(s):  
Harini P ◽  
Keerthi Sasanka L ◽  
Jothi Priya A
Keyword(s):  
Oral Health ◽  
Alcohol Use ◽  
Ordinal Data ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Dental Fear ◽  
Lifestyle Modifications ◽  
Dental Practitioners ◽  
Fear And Anxiety

Lifestyle modifications, work pressure, stress may lead to adverse habits like smoking, drinking and tobacco chewing. These habits may lead to poor oral health. Not only poor oral health may also lead to dental fear and dental anxiety. Self-administered questionnaires were designed based on knowledge, attitude and practice. The questionnaire was distributed through an online platform. The study population included people belonging to the age group of 18-24 age groups. The participants were explained about the purpose of the study in detail. The questions were carefully studied and the participants marked the corresponding answers. The data were collected and statistically analysed using SPSS software. Results were collected as an ordinal data and reported that smoking and alcohol causes increased dental fear which leads to poor oral health and some anxiety management techniques should be employed by dental practitioners to make the procedures in a simple way. For a satisfactory dental treatment and good oral health status, the state of mind of the patient is very important and it is influenced by many factors, including smoking and alcohol use. The aim of the study is to evaluate whether students are aware that the increased level of dental fear and anxiety is associated with smoking and alcohol use.

Management of pain and anxiety

2018 ◽  
Author(s):  
M.T. Hosey ◽  
G.J. Roberts
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Strong Relationship ◽  
Older Children ◽  
Behaviour Management ◽  
General Anxiety ◽  
Anxiety Control ◽  
Operative Care ◽  
Fear And Anxiety ◽  
Good Behaviour

Pain and anxiety are natural physiological and psychological responses. Pain is a direct response to an adverse stimulus that has occurred; anxiety is the unpleasant feeling, the worry that something unpleasant might occur. Pain and anxiety are often intertwined, especially in the dental setting. The best way to manage child dental anxiety is to avoid its occurrence in the first place through prevention of dental disease, good behaviour management, pain-free operative care, and treatment planning that is tailored to the needs and developmental stage of each individual child. These issues are detailed in the previous chapters. This chapter specifically focuses on pharmacological pain and anxiety control and explores the roles of conscious sedation and general anaesthesia (GA) as adjuncts to behaviour management. A child’s perception of pain is subjective and varies widely, particularly with age. Infants up to about 2 years of age are believed to be unable to distinguish between pressure and pain. Older children begin to have some understanding of ‘hurt’ and begin to distinguish it from pressure or ‘a heavy push’. It is not always possible to identify which children are amenable to explanation and will respond by being cooperative when challenged with local anaesthesia (LA) and dental treatment in the form of drilling or extractions. Children over 10 years of age are much more likely to be able to think abstractly and participate more actively in the decision to use LA, sedation, or GA. As children enter their teenage years they are rapidly becoming more and more like adults and are able to determine more directly, sometimes emphatically, whether or not a particular method of pain control will be used. The response is further determined by the child’s coping ability influenced by family values, level of general anxiety and intelligence. There is a strong relationship between the perception of pain experienced and the degree of anxiety perceived by the patient. Painful procedures cause fear and anxiety; fear and anxiety intensify pain. This circle of cause and effect is central to the management of all patients. Good behaviour management reduces anxiety, which in turn reduces the perceived intensity of pain, which further reduces the experience of anxiety.

scholarly journals Epidemiological Survey of Dental Fear and Anxiety in Children Living in Transylvania

2014 ◽  
Vol 60 (4) ◽  
pp. 151-156
Author(s):  
Réka Gyergyay ◽  
Melinda Székely ◽  
Krisztina Mártha
Keyword(s):  
Dental Treatment ◽  
Pearson Correlation ◽  
Dental Anxiety ◽  
Epidemiological Survey ◽  
Dental Fear ◽  
T Test ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Fear And Anxiety ◽  
One Way Anova

Abstract Aims The objectives of the present survey were: 1) a systematic epidemiological investigation of dental fear and anxiety among children living in the central part of Romania and 2) to identify the most fearful aspects of dental care perceived by these children. Methods In this cross-sectional study 406 schoolchildren, 170 males and 263 females, aged 11-18 yearsfrom two cities, Tirgu Mureş and Sfintu Gheorghe were assessed. The subjects’ dental fear was evaluated with the Romanian versions of Corah’s Dental Anxiety Scale (MDAS) and Kleinknecht’s Dental Fear Survey (DFS), the anxiety level with Spielberger`s State and Trait Anxiety Inventory (STAI-S, STAI-T) and their opinion about dentists with Getz’s Dental Beliefs Scale (DBS). Questionnaires were completed anonymously at school. The study was approved by theResearch Ethics Committeeof the University of Medicine and Pharmacy Tirgu Mureş. For statistical analysis t-test, one-way ANOVA and Pearson’s correlation test were used by SPSS/PC statistics v. 17.0. Results The mean (±SD) scores of the surveyed subjects (mean age 15.69±2.06 years) were high: MDAS 10.65 (±4.5), DFS 38.68 (±15.1), DBS 36.93 (±11.9), STAI-S 37.90 (±10.9) and STAI-T 41.04 (±9.9), respectively. There was a strong positive Pearson-correlation between MDAS and DFS scores (r=0.73; p≤0.01) and a somewhat lower correlation between these scales and the general anxiety scores. Except for DBS, statistically significantly higher scores were found in females for every questionnaire (t-test, p≤0.05). The 11-year-old group presented the lowest scores in every case, while the peak was around 14 years. Age was a statistically significant factor only in case of DBS, STAI-S and STAI-T (one-way ANOVA, p<0.05). Drilling and injection were considered the most fearful moments of a dental treatment. Subjects claimed dental practitioners working under time pressure and communication deficiencies. Conclusions Having their special features, our findings were consistent with the local and international data. The subjects claim lack of time and communication deficiencies with the dentists. Identifying the reasons of dental fear and anxiety, might lead to solutions of avoidance or control.

scholarly journals Prevalência de ansiedade relacionada ao tratamento odontológico em adolescentes: revisão integrativa da literatura

2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Trícia Murielly Andrade de Souza Mayer ◽  
Patrícia Diletieri Assis ◽  
Michele Gomes do Nascimento ◽  
Kamila Azoubel Barreto ◽  
Carolina Maria Maciel Pessoa da Silva ◽  
...  
Keyword(s):  
Dental Caries ◽  
Young People ◽  
Dental Anxiety ◽  
Dental Pain ◽  
Dental Fear ◽  
World Health ◽  
Clinical Effects ◽  
Behaviour Management ◽  
Management Problems ◽  
The Relationship

Introdução: A ansiedade odontológica interfere nos cuidados com a saúde bucal, causa resistência em ir ao consultório odontológico e dificulta o trabalho do cirurgião-dentista. Objetivo: determinar a prevalência de ansiedade relacionada ao tratamento odontológico em adolescentes, por meio de uma revisão da literatura. Material e método: Revisão da literatura, realizada através da busca ativa de informações na “Biblioteca Virtual em Saúde” (bvsalud.org) nas bases de dados MEDLINE e LILACS, totalizando a produção bibliográfica de um período de 25 anos. Foram adotados os seguintes descritores: "ansiedade ao tratamento odontológico" e "prevalência", de forma integrada. Foram incluídos estudos originais que avaliaram prevalência de ansiedade ao tratamento odontológico, conduzidos com indivíduos entre 10 e 19 anos de idade, com amostra representativa da população estudada. A busca foi limitada a publicações nos idiomas inglês, português ou espanhol; e do tipo artigo científico. A metodologia seguiu as recomendações PRISMA. Resultados: Foram identificados 7 artigos preenchendo os critérios de inclusão. A prevalência de ansiedade relacionada ao tratamento odontológico variou de 6,5 a 25,6% entre adolescentes, distribuídos entre Europa, Ásia e Oceania. Houve também diversidade de instrumentos utilizados para avaliação da ansiedade. Conclusão: A prevalência de ansiedade relacionada ao tratamento odontológico apresentou grande variabilidade entre as pesquisas analisadas, podendo chegar a ¼ dos adolescentes. Observou-se uma carência de estudos de prevalência consistentes nessa faixa etária.Descritores: Ansiedade ao Tratamento Odontológico; Prevalência; Adolescente.ReferênciasOliveira MLRS, Araújo SM, Bottan ER. Ansiedade ao tratamento odontológico: perfil de um grupo de adultos em situação não clínica. Arq Ciênc Saúde UNIPAR. 2016;19(3):165-70.Oliveira MMT, Colares V. The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil. Cad Saúde Pública. 2009;25(4):743-50.Skaret E, Raadal M, Berg E, Kvale G. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. Eur J Oral Sci. 1999;  107(6):422–28.Ferreira AMB, Colares V. Validação da Versão Brasileira Curta do Fear of Dental Pain Questionnaire - Short Form (S-FDPQ). Pesqui bras odontopediatria clin integr. 2011;11(2):275-79.Klingberg G. Dental fear and behaviour management problems in children. A study of measurement, prevalence, concomitant factors, and clinical effects. Swed Dent J Suppl. 1995;103:1-78.Soares FC, Lima RA, Barros MVG, Dahllöf G, Colares V. Development of dental anxiety in schoolchildren: A 2-year prospective study. Community Dent Oral Epidemiol. 2017;45(3):281-88.Caraciolo G, Colares V. Prevalência de medo e/ou ansiedade relacionados à visita ao dentista em crianças com 5 anos de idade na cidade do Recife. Rev odonto ciênc. 2004;19(46):348-53.Murthy AK, Pramila M, Ranganath S. Prevalence of clinical consequences of untreated dental caries and its relation to dental fear among 12–15-year-old schoolchildren in Bangalore city, India. Eur Arch Paediatr Dent. 2014;15(1):45-9.Assuncão CM, Losso EM, Andreatini R, Menezes JV. The relationship between dental anxiety in children, adolescents and their parents at dental environment. J Indian Soc Pedod Prev Dent. 2013;31(3):175-79.World Health Organization. Young People´s Health - a Challenge for Society. Report of a WHO Study Group on Young People and Health for All. Technical Report Series 731. Geneva: WHO; 1986.Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391-406.Beena JP. Dental subscale of children’s fear survey schedule and dental caries prevalence. Eur J Dent. 2013;7(2):181-85.Barreto KA, Lima DSM, Soares FC, Colares V. Ansiedade relacionada ao tratamento odontológico em pacientes infantis: uma revisão da literatura. Odontol Clín-Cient. 2016;15(1):7-11.Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009; 6(7):e1000097Locker D, Thomson WM, Poulton R. Onset of and patterns of change in dental anxiety in adolescence and early adulthood: a birth cohort study. Community Dent Health. 2001;18(2):99-104.Armfield JM, Spencer AJ, Stewart JF. Dental fear in Australia: who’s afraid of the dentist? Aust Dent J. 2006;51(1):78-85.Taani DQ. Dental attendance and anxiety among public and private school children in Jordan. Int Dent J. 2002;52(1):25-9.Stenebrand A, Boman UW, Hakeberg M. Dental anxiety and temperament in 15-year olds. Acta Odontol Scand. 2013;71:15-21.Bedi R, Sutcliffe P, Donnanz PT, Mcconnachie J. The prevalence of dental anxiety in a group of 13‐and 14‐year‐old Scottish children. Int J Paediatr Dent.1992; 2(1):17-24.Organização das Nações Unidas. PNUD - Programa das Nações Unidas para o Desenvolvimento. Relatório de Desenvolvimento Humano 2015, 2015 [citado 2017 Maio 09] Disponível em: http://www.br.undp.org/ content/ brazil/pt/home/idh0/rankings/idh-global.html.

scholarly journals The Influence of Parenting Style towards Cooperative Levels in Children Aged 3-5 Years during Dental Treatment

2017 ◽  
Vol 2 (3) ◽  
pp. 164
Author(s):  
A.S. Hajrah Yusuf ◽  
Nurhaedah Galib
Keyword(s):  
Parenting Style ◽  
Rating Scale ◽  
Dental Treatment ◽  
Authoritative Parenting ◽  
Cross Sectional ◽  
Behaviour Management ◽  
Independent Variables ◽  
Behaviour Rating ◽  
Authoritative Parenting Style ◽  
Children’S Behaviour

AbstractObjective: Children’s behaviour management problems is considered to be the most frequent problems in paediatric dentistry. One of factors that affect response behaviour of children towards dental treatment is parenting style. The purpose of this study was to evaluate the influence of parenting style towards cooperative levels in children aged 3-5 years during dental treatment.Material and Methods: The study was an observational analitical research with cross sectional research design. To obtain data in the field conducted by distributing Parenting Style and Dimention Questionare (PSDQ) and Frankl Behaviour Rating Scale to 130 respondents who currently make use of dental treatment in Hasanuddin University Dental Collage and Hospital.Results: Results showed that there are simultaneous effects of independent variables on the dependent variable with a sig < α (0,05), while the partial variables that most influence on patient cooperative variable is authoritarian with B Exponen of 8,370.Conclusion: There is a significant influence of parenting style towards cooperative levels in children aged 3-5 years during dental treatment. Parents with authoritative parenting style would made children cooperative eight times highest compared with other parenting style.

scholarly journals Fear and dental anxiety in children: a study of the contributing factors.

2021 ◽  
Vol 4 (1) ◽  
pp. 38-47
Author(s):  
Maria Pasca ◽  
Andreea Pazitor ◽  
Daniela Esian ◽  
Oana Elena Stoica ◽  
Alexandra Mihaela Stoica ◽  
...  
Keyword(s):  
Dental Health ◽  
Dental Anxiety ◽  
The State ◽  
Dental Fear ◽  
Contributing Factors ◽  
Dental Office ◽  
Child Patient ◽  
Fear And Anxiety ◽  
Dental Appointment ◽  
Children’S Oral Health

Abstract Introduction: Dental fear and anxiety are an important issue affecting children’s oral health and clinical management, and also an insufficiently studied subject in dentistry. Aim of the study: The aim of this study was to better understand the child patient - dentist versus dentist - child patient relationship and study the dental fear and anxiety of children in order to improve the dental office practice. Material and methods: In this study a personalized questionnaire was created and applied on a number of 333 children, in 4 schools from Mures county, Romania, on girls and boys between the ages of 8 and 13. The questionnaires used emoticons alongside words in order to better determine the state of anxiety created by the dental appointment and everything that it entails. All data and results obtained were analyzed using Excel and Graph Pad Prism 5.0 software. Results: Out of 333 patients, 133 subjects (40%) were 8-10-year-old, 143 subjects (42.9%) 11 - 13 years and 57 subjects (17.1%) were over 14 years. 175 girls (52.6%) and 158 boys (47.4%) demonstrated their courage and desire in participating in our study. It was determined that fear of dental appointments was caused in children over 14 years of age. The state of relaxation is generally enjoyed by urban children (45%) and those aged 11-13 years (37.1%); the percentage of boys in this category is an interesting aspect (40.5%). Conclusion: Dental anxiety is multifactorial and is far more complex than can be explained by a single contributing factor. The direct involvement of the child from the perspective of maintaining dental health, leads to the elimination of the state of fear and anxiety. Regular visits to the dental office, on the initiative of the child patient itself can reduce the anguish.

scholarly journals Fear and Anxiety among patients treated by scaling in Periodontally healthy subjects

2017 ◽  
Vol 8 (1) ◽  
pp. 77-81
Author(s):  
Swati Setty ◽  
Pooja Kannur ◽  
Srinath L Thakur
Keyword(s):  
Health Care Services ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Age Groups ◽  
Treatment Decision ◽  
Dental Fear ◽  
Significant Difference ◽  
The Mean ◽  
Fear And Anxiety ◽  
Anxiety And Fear

Background: Anxiety and fear experience represent significant problems in dental practice and are the factors that discourage the demand for treatment. They affect the use of health care services, treatment decision-making, and responses to periodontal treatment.Aims and Objectives: The aim of this study was to evaluate fear and anxiety in patients undergoing scaling and root planing.Materials and Methods: Total of 80 patients were selected and grouped into 20-35 yrs and 40-55 yrs and each age group had 20 males and 20 females, so  40 were males and 40 were females. They were given a structured questionnaire dealing with dental fear and dental anxiety to fill. Statistical analysis was done by Tukey’s multiple post hoc, Two-way ANOVA and Chi –square test.Results: The mean dental anxiety score (DAS) for males was 6.67±3.24 and for females it was 6.57±2.30. The mean DAS score for 20-35yrs was 6.025±2.37 and for 40-55yrs it was 7.22±3.02. But statistically significant difference was not found in the DAS scores in both sex and age groups. The mean dental fear survey (DFS) for males was 28.9±9.4 and for females was 30.5±6.56. The mean DFS score for 20-35yrs was 28.42±8.06 and for 40-55yrs it was 30.97±7.89. But this in the DFS scores was also not found statistically significant in both sex and age groups. When DAS and DFS scores were compared, there was a statistically significant correlation.Conclusion: An understanding of the presence of the anxiety and fear can help dentists to understand what patients feel about dental treatment procedures and aid dentist efforts to improve patients care. They should treat patients and seek to avoid fear and anxiety and discomfort in their patients caused by the treatment.Asian Journal of Medical Sciences Vol.8(1) 2017 77-81

scholarly journals Video modelling technique used to manage the behaviour of uncooperative children in a dental set up

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Niharika Kotian ◽  
Erulappan Muthu Ganapathi Subramanian ◽  
Vignesh Ravindran
Keyword(s):  
Rating Scale ◽  
Pediatric Dentistry ◽  
Effective Technique ◽  
Rating Score ◽  
Behaviour Management ◽  
Behaviour Modelling ◽  
Study Results ◽  
Significant Difference ◽  
Behaviour Rating ◽  
Set Up

Objective: To investigate if video modelling is an effective technique in behaviour modelling of a child in a dental set up. Material and Methods: Fifty children aged 4-6 years indicated for pulpectomy were enrolled in this study.  They were selected based on their behaviour using Frankl behaviour rating scale.  Children with Frankl behaviour rating 1 and 2 were selected for this study. The video of a child who was cooperative while undergoing pulpectomy was shown to these children. The behaviour was assessed using Frankl behaviour rating scale after the video was shown to the children included in the study. Results: There was a statistically significant difference in the behaviour rating score of the children before after the video of the cooperative child was shown to them. Conclusion: It was observed that video modelling is an effective technique in managing the behaviour of an uncooperative child in a dental set up. Keywords Video modelling; Behaviour management; Fear; Anxiety; Pediatric dentistry.

scholarly journals Dental Fear and Anxiety of Kindergarten Children in Hong Kong: A Cross-Sectional Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2827
Author(s):  
Madeline Jun Yu Yon ◽  
Kitty Jieyi Chen ◽  
Sherry Shiqian Gao ◽  
Duangporn Duangthip ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Rating Scale ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Oral Examination ◽  
Kindergarten Children ◽  
Caries Experience ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fear Level ◽  
Fear And Anxiety

Objectives: The objectives of this cross-sectional study were to investigate the fear level of kindergarten children in the general population during dental outreach in a familiar kindergarten setting, and to explore the factors associated with the dental fear of kindergarten children. Method: Consecutive sampling method was used to select kindergarten children aged 3 to 5 to participate in a questionnaire survey and an outreach service. A behavioural observation type of instrument for dental fear and anxiety assessment—Frankl Behaviour Rating Scale (FBRS)—was chosen to investigate the fear level of the children. Bivariate analyses between various factors and children’s dental fear and anxiety were carried out using Chi-square test. Results: A total of 498 children participated in this study. Almost half (46%) of the children have had caries experience, and the mean dmft score was 2.1 ± 3.4. The prevalence of dental caries was 32%, 43%, and 64% in the 3-, 4- and 5-year-olds, respectively. Only 4% of the children scored negatively for dental fear and anxiety (95% CI 2.3%–5.7%). Children at three years of age displayed more dental fear and anxiety than children of older ages, but the difference in dental fear and anxiety among the genders and caries status was not statistically significant. Most of the children (92%) brushed daily, but only 20% of them used toothpaste. Most (85%) of them had never visited the dentist, and over 70% of them were mainly taken care by their parents. High levels of positive and cooperative behaviour and low levels of fear were found in this population. No statistical significance was found between the child’s dental fear and any factors except age. Conclusion: Children generally displayed low fear or anxiety levels in a dental outreach consisting of a non-invasive oral examination and preventive treatment in a familiar kindergarten setting. Conducting regular outreach dental services to kindergartens by providing oral examination and simple remineralisation therapies could be a promising strategy to not only control childhood caries, but also manage and reduce dental fear and encourage long term dental attendance in line with the medical model.

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