scholarly journals Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies

2014 ◽  
pp. 515 ◽  
Author(s):  
Livia Puljak ◽  
Anka Coric ◽  
Adriana Banozic ◽  
Miro Klaric ◽  
Katarina Vukojevic
Keyword(s):  
Coping Strategies ◽  
Dental Anxiety ◽  
Dental Fear ◽  
Pain Coping ◽  
Older Children ◽  
Fear And Anxiety

scholarly journals Dental anxiety and fear among a young population with hearing impairment

2016 ◽  
Vol 89 (1) ◽  
pp. 143-149 ◽  
Author(s):  
Raluca Diana Suhani ◽  
Mihai Flaviu Suhani ◽  
Mindra Eugenia Badea
Keyword(s):  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Care Provision ◽  
Cross Sectional ◽  
Negative Experience ◽  
Major Barrier ◽  
Fear And Anxiety ◽  
Dental Professionals ◽  
Program Version

Background and aim. Dental fear and anxiety is a major barrier for dental care provision. Identifying anxious patients can help dental professionals manage them appropriately. The study aimed at assessing dental fear and anxiety among a deaf population in Cluj-Napoca, Romania and their associated and contributing factors.Method. In this cross sectional study 165 deaf participants were invited to complete a questionnaire comprising three sections. The first section contained questions about social and economical status, the second comprised a Romanian version of the Modified Dental Anxiety Scale (MDAS) while part three was the Dental Fear Survey (DFS). Data was introduced and analyzed with the Statistical Package for Social Sciences (SPSS) program, version 20.0 (SPSS Inc., Chicago, Illinois, USA).Results. Thirty four point nine percent (34.9%) of respondents were found to be insignificantly anxious, 59.7% were moderately or extremely anxious with 5.3% being identified with dental phobia based on the MDAS scores. Mean total score for dental anxiety on the MDAS scale was 13.7. Patients suffering from a prior negative experience were found to be more anxious (p<0.05).Conclusions. Dental fear and anxiety is widespread in the deaf communities. Higher percentages were observed among women and people with a previous traumatic dental experience.

scholarly journals The relationship between dental fear, anxiety and sociodemography in Jakarta, Indonesia

2020 ◽  
Vol 53 (4) ◽  
pp. 175
Author(s):  
Lisa Prihastari ◽  
Rima Ardhani Iswara ◽  
Ghina Al Afiani ◽  
Fajar Ramadhan ◽  
Mega Octaviani ◽  
...  
Keyword(s):  
Dental Anxiety ◽  
Educational Status ◽  
Sociodemographic Factors ◽  
Dental Fear ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Visits ◽  
Fear And Anxiety ◽  
The Relationship ◽  
Chi Square Tests

Background: The anxiety associated with dental visits is one of the obstacles preventing dentists from improving oral health and is also a significant predictor of dental visit evasion, which is frequently observed in Indonesia. Purpose: To identify the level of dental fear and anxiety in the population of Jakarta, Indonesia and establish the relationship with sociodemographic factors. Methods: A cross-sectional method was used with a sample size of 1811 respondents aged 17–65 years old who were asked to complete the validated Indonesian versions of modified dental anxiety scale (MDAS) and dental fear scale (DFS) questionnaires. The data obtained was then analysed using nonparametric and chi-square tests. Results: The prevalence of subjects with moderate to high dental anxiety and fear was 16.3% (295 respondents) and 36.1% (654 respondents), respectively. The primary sources of dental fear and anxiety were dental drilling and anaesthesia before tooth extraction. The results of the nonparametric and chi-square tests show that both are significantly related to gender, age, educational status, income level, insurance and history of dental visits (p = < 0.05). Conclusion: Several sociodemographic factors are associated with dental fears and anxiety among the participants in Jakarta, Indonesia.

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 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 Using process drama to explore the causes of dental anxiety in primary-school children

2021 ◽  
Author(s):  
J. F. Tahmassebi ◽  
M. Malik ◽  
N. Berg ◽  
S. Pavitt ◽  
K. Gray-Burrows ◽  
...  
Keyword(s):  
Primary School ◽  
School Children ◽  
Primary Schools ◽  
Dental Anxiety ◽  
Role Playing ◽  
Dental Fear ◽  
Primary School Children ◽  
Process Drama ◽  
Key Concepts ◽  
Fear And Anxiety

Abstract Background Drama and role play can be unlisted as methods to allow children to view problems from a range of different perspectives that may differ from their own experience. Application of drama technique to assess the cause of dental fear and anxiety in a school setting is novel. Aim The aim of this study was to engage primary school children in the core investigation via participatory arts methodologies, namely, process drama to gain understanding of the causes of dental anxiety. Design Sixty-three children, aged 7–10 years from three primary schools participated in this study. A 90-min drama workshop was carried in each school. The children were encouraged to identify the causes of dental anxiety using key concepts from process drama. The sessions were audio-recorded and transcribed. Results Four key concepts emerged: (1) fear of the unknown; (2) unpleasant sensory experience; (3) society’s perception and portrayal of the dentist; and (4) learnt negative associations with the dentist. Within each four key concepts, two sub-themes were identified. Conclusions Role-playing and use of drama are a novel application and can reveal a considerable amount of information from the child’s perspective on the cause of dental fear and anxiety.

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 Correlation between child and parental dental anxiety in a sample of Chilean schoolchildren.

2019 ◽  
Vol 6 (1) ◽  
pp. 07-09
Author(s):  
Cristian Mercado ◽  
Alexis Sáez
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Dental Anxiety ◽  
Child Anxiety ◽  
Dental Fear ◽  
Anxiety Level ◽  
Caries Experience ◽  
Anxiety Levels ◽  
The Individual ◽  
Fear And Anxiety

Anxiety is understood as a response to situations in which the source of threat for the individual is uncertain, ambiguous or objectively absent. Three factors seem to unleash the anxiety process: novelty, insecurity and expectation. People with dental fear often have poor oral health, being fear and anxiety the reasons for not visiting the dentist regularly. This circumstance hinders dental care and might even lead to preventing dental care for some individuals. The aim of this article is to correlate fear and anxiety in a sample of Chilean 7-to-10-year-old children and their parents/guardians. FIS and CFSS-DS correlation was not significant (r=0.1785; p=0.1065). No correlation was found between child anxiety level and caries experience: dmft/FIS (r=-0.0312; p= 0.7796), DMFT/FIS (r=-0.1632; p=0.1404). Likewise, no correlation was found between parental and child anxiety levels measured by FIS (r=0.0527; p=0.6074) nor CFSS-DS (r=-0.0498; p=0.6549). A significant correlation was found between parents’ schooling level and REALD-30 (r=0.3870; p=0.003), but none between the latter and M-DAS (r=0.0254; p=0.8198). Low correlation between these methods seems to be justified by the multidimensional character of anxiety, which presents physiological, cognitive and motor reactions that are manifested differently in each individual.

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.

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