Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors

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.

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

Biomedical & Pharmacology Journal ◽

10.13005/bpj/1716 ◽

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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Particularities of tinnitus in children and adolescents

ORL ro ◽

10.26416/orl.33.4.2016.165 ◽

2016 ◽

Vol 4 (1) ◽

pp. 40-42

Author(s):

Alexandra Boloș ◽

Sebastian Cozma ◽

Andreea Silvana Szalontay

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Children And Adolescents ◽

Psychological Factors ◽

Ambient Noise ◽

Psychological Consequences ◽

Therapeutic Approaches

Tinnitus is a common otologic symptom and probably the most troublesome. Tinnitus causes a number of physical and psychological consequences, that interfere with the quality of life of the patient. Many authors believe that the presence of tinnitus in children is a matter of lesser importance than in adults because it is met less frequently and would be a fleeting symptom, inoffensive for them (Graham, 1981). In addition, the prevalence of tinnitus during adolescence and even in young adults is increasing, possibly as a consequence of the increased ambient noise (Bulbul SF, Shargorodsky J). Various therapeutic approaches have generated different results, which led us to consider the role of psychological factors, hence the need to underline the particularities of this symptom in childhood.

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