scholarly journals Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years

2019 ◽  
Vol 7 (3) ◽  
pp. 68 ◽  
Author(s):  
Andreas Dahlander ◽  
Fernanda Soares ◽  
Margaret Grindefjord ◽  
Göran Dahllöf

The aim was to investigate changes in dental fear and anxiety (DFA) and verify factors associated with DFA in children. A longitudinal cohort study that included 160 children aged 7 years was carried out. A questionnaire was completed by parents at two time points and evaluated the immigrant background, maternal education, whether the child had ever had toothache, and whether the parents had dental fear. The oral clinical examination evaluated decayed, extracted, and filled primary teeth (deft). The children’s fear survey schedule dental subscale (CFSS-DS) was used to assess the dental fear of the children. Multilevel mixed-effects logistic regressions analyses were used. The CFSS-DS found that 7% of the children had dental fear at age 7 and mean CFSS-DS was 22.9. At 9 years of age, 8% reported dental fear and the mean increased to 25.4. Parental dental fear, experience of toothache, and report of painful dental treatment and caries development between 7 and 9 years of age were factors that were significantly related to development of DFA. There was a change in DFA between 7 and 9 years of age. Dental fear and anxiety is a dynamic process in growing individuals and is significantly related to painful symptoms and experiences of dental care as well as parental dental fear.

2017 ◽  
Vol 8 (1) ◽  
pp. 77-81
Author(s):  
Swati Setty ◽  
Pooja Kannur ◽  
Srinath L Thakur

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


2010 ◽  
Vol 57 (3) ◽  
pp. 91-95 ◽  
Author(s):  
Mohammad Abdulwahab ◽  
Fatima Al-Sayegh ◽  
Sean G. Boynes ◽  
Hawra Abdulwahab ◽  
Jayme Zovko ◽  
...  

Abstract The objective of this study was to examine the public health relevance of the prevalence of dental fear in Kuwait and the resultant barrier that it creates regarding access to dental care. The study analysis demonstrated a high prevalence of dental fear and anxiety in the Kuwaiti population and a perceived need for anesthesia services by dental care providers. The telephone survey of the general population showed nearly 35% of respondents reported being somewhat nervous, very nervous, or terrified about going to the dentist. In addition, about 36% of the population postponed their dental treatment because of fear. Respondents showed a preference to receive sedation and anesthesia services as a means of anxiety relief, and they were willing to go to the dentist more often when such services were available. People with high fear and anxiety preferred to receive some type of medication to relieve their anxiety. In conclusion, the significance and importance of the need for anesthesia services to enhance the public health of dental patients in Kuwait has been demonstrated, and improvements are needed in anesthesia and sedation training of Kuwaiti dental care providers.


Folia Medica ◽  
2021 ◽  
Vol 63 (2) ◽  
pp. 177-182
Author(s):  
Maria P. Shindova ◽  
Ani B. Belcheva

Dental fear and anxiety are psychological reactions that interfere significantly with daily life. They are problems suffered by many patients worldwide that remain a significant challenge to providing adequate dental care. The multifactorial etiology of children’s dental fear and anxiety identifies the influence of many different risk factors in its development. The aim of this review article is to analyse the scientific literature regarding the different factors associated with dental fear and anxiety in children. Our review of the literature presents a critical analysis of the contributing factors in dental environment that have been investigated in the literature and provides an insight into the possible explanations on the influence of these factors in pediatric patients. Being familiar with these factors would facilitate behaviour management in anxious children. The findings of the literature review give grounds to undertake studies investigating the influence of contributing factors in all pediatric age subgroups.


2018 ◽  
Vol 29 (2) ◽  
pp. 177-184 ◽  
Author(s):  
Ghadah S. Aldossari ◽  
Alanoud A. Aldosari ◽  
Amirah A. Alasmari ◽  
Rwan M. Aldakheel ◽  
Reem R. Al-Natsha ◽  
...  

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 614-622
Author(s):  
Harini P ◽  
Keerthi Sasanka L ◽  
Jothi Priya A

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.


2021 ◽  
Vol 14 (1) ◽  
pp. 45-49
Author(s):  
Sujata Rath ◽  
◽  
◽  
◽  
Debasmita Das ◽  
...  

In children, dental fear is not only associated with fear of pain or invasive procedures, but it is also correlated with separation from parents or confronting unfamiliar people or environments. The Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) was developed to evaluate dental fear in children, and this scale is now used across the world for evaluating dental fear. The aim of this study was to evaluate dental fear in children between 7–11 years of age and to find out the association between caries and fear of dental treatment. A total of 300 subjects of both sexes were enrolled in the study. Prior to the oral examination, all patients’ attendants were informed about the study, and the subjects were asked to fill in a questionnaire regarding the CFSS-DS scale. The data obtained through the questionnaires were analyzed using the Chi-Square test. Fear scores were highest for “injections” (3.91±0.17), “dentist drilling” (3.91±0.10) and “choking” (3.65±0.82). It was also observed that subjects who had already visited a dental clinic or those who were familiar with the dental environment at an early stage of life were less anxious than patients who were receiving dental treatment for the first time. In this study, we found that female subjects were more anxious in comparison to male patients. Once the child’s fear is identified, the dentist can use various behavior modification techniques to eliminate fear, explain the steps, and use the instruments accordingly until fear has vanished.


2021 ◽  
Vol 12 (4) ◽  
pp. 2469-2484
Author(s):  
Pragyna Priyadarshini ◽  
Deepa Gurunathan

Gagging is a normal protective defence mechanism of our body that prevents entry of foreign bodies into the airway, which can create undue havoc during dental treatment especially in children. The present study aims to assess the prevalence of gagging and any of its existing association with dental fear and anxiety in children prior to dental treatment. A cross-sectional pilot study design was conducted in South Indian children (age group: 3-10 years) having no history of underlying psychological and systemic ailment. Different assessment scales of gagging (Gagging Assessment Scale [GAS], Shorter Objective Form of Gagging Problem Assessment [GPA-SF]/OGPA), dental fear (Children’s Fear Survey Schedule Dental Subscale [CFSS-DS]) and anxiety (Modified Dental Anxiety Scale- Faces [MDASF]) were administered to evaluate their response prior to the treatment. Younger children specifically females demonstrated severity of gagging reflex, which was directly correlated to their higher perception of dental fear and anxiety. However, no conclusive evidence of an association between gagging, dental fear and anxiety was ascertained. Prior knowledge of the gagging problem in children can help clinicians to effectively modify the treatment modalities for successful outcomes, while GAS could be a reliable tool for assessing its severity in children prior to dental treatment.


2014 ◽  
Vol 60 (4) ◽  
pp. 151-156
Author(s):  
Réka Gyergyay ◽  
Melinda Székely ◽  
Krisztina Mártha

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.


2020 ◽  
Vol 14 (04) ◽  
pp. 621-625
Author(s):  
Maria Sarapultseva ◽  
Maria Yarushina ◽  
Igor Kritsky ◽  
Roman Ibragimov ◽  
Alexey Sarapultsev

Abstract Objective Children’s dental fear may lead to an avoidance of seeking dental care or disruptive behavior during treatment. The study was aimed to evaluate the prevalence and scores of dental fear and anxiety (DFA) among Russian children of different ages with an experience of dental treatment. Materials and Methods The cross-sectional study included 371 children aged 2 to 17 years. Study participants were divided into three groups according to their age: 112 “preschool children” aged 2 to 5 years, 137 “school children” aged 6 to 11 years, and 122 “adolescents” aged 12 to 18 years. The questionnaires were distributed at reception areas of the dental clinic to parents of children aged 2 to 5 years and to the older children themselves. Statistical Analysis Data analysis was performed using SPSS version 15.0. The parametric tests were used (one-way ANOVA, Student’s t-test, and Pearson’s correlation) because of the expected sample of more than 100 observations. The chi-square test was used for categorical variables. Results The data have shown that 93.8% of the Russian child population visiting dental offices suffer mostly from moderate (11.85) levels of DFA. DFA was more often revealed in girls and among the youngest children aged 2 to 5 years. Conclusions According to the obtained results, children were more afraid of “tooth drilling” and an “injection of local anesthetic” than other factors mentioned in the questionnaires. Fear of dental treatment is common among Russian children, and the factors associated with it differ with the gender and age of the child.


2011 ◽  
Vol 14 (12) ◽  
pp. 2134-2138 ◽  
Author(s):  
Catherine S Birken ◽  
Jonathon Maguire ◽  
Magda Mekky ◽  
Cedric Manlhiot ◽  
Carolyn E Beck ◽  
...  

AbstractObjectiveTo identify child and parental factors associated with screen time in 3-year-old children.DesignObservational study.SettingParticipants were recruited from a large primary-care paediatric group practice in Toronto, Canada.SubjectsHealthy 3-year-old children were included. A questionnaire was completed by their parents on screen time. Descriptive statistics and linear regression models were used to assess associations between child screen time and selected factors. Multivariable models included factors from the univariate analysis with P < 0·1. Estimated effects and 95 % CI are reported.ResultsA total of 157 children were enrolled (91 % recruitment). The mean screen time per weekday was 104 min (similar for weekend day). In all, 10 % of children had a television (TV) in their bedroom; 59 % consumed at least one meal while watching TV; and 81 % of parents had household rules about screen time. Controlling for maternal education and age, eating lunch and dinner in front of the screen and mother being employed were associated with an increase in child weekday screen time of 96 (95 % CI 30, 192), 42 (95 % CI 12, 90) and 36 (95 % CI 6, 72) min/d, respectively. Eating lunch in front of the screen and an increase of 1 h of parental screen time were associated with an increase of 78 (95 % CI 36, 132) and 12 (95 % CI 6, 18) min/d in child weekend screen time. Family rules decreased child weekend screen time by 30 (95 % CI 6, 54) min/d.ConclusionsInterventions that include these important parental factors should be evaluated for their effectiveness in reducing screen time.


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