scholarly journals Clinical and Individual Variables in Children’s Dental Fear: A School-Based Investigation

2017 ◽  
Vol 28 (3) ◽  
pp. 398-404 ◽  
Author(s):  
Ethieli Rodrigues da Silveira ◽  
Marília Leão Goettems ◽  
Flávio Fernando Demarco ◽  
Marina Sousa Azevedo

Abstract This cross-sectional study evaluated the prevalence of dental fear and associated factors in schoolchildren aged 8 to 12 years old, in Pelotas, southern Brazil. Schoolchildren enrolled in 20 public and private schools were selected using a multi-stage sample design. Sociodemographic characteristics, children’s dental visit and oral hygiene habits were assessed by questionnaires. The Dental Anxiety Question was used to measure dental fear prevalence. Children’s clinical examination evaluated presence of dental caries (DMFT/dmft index) and gingival bleeding. Data were analyzed using Poisson regression with robust variance (prevalence ratio; 95% confidence interval). One thousand two hundred and two children were included. Dental fear prevalence was 24.6%. After the adjustment, girls [PR=1.71 (CI 95%: 1.31-2.22)], children from poorer families [PR=1.96 (CI 95%: 1.36-2.83)], those who had decayed teeth (D/d index>0)[PR=1.32 (CI 95%: 1.01-1.72), and who had never been at the dentist [PR=1.85 (CI 95%: 1.42-2.41) remained significantly associated with dental fear. The prevalence of dental fear indicates that it is a common problem among schoolchildren. Early dental care and dental caries prevention are important factors to prevent dental fear.

2020 ◽  
Vol 25 (10) ◽  
pp. 3913-3919
Author(s):  
Kamila Azoubel Barreto ◽  
Viviane Colares

Abstract Dentists should be alert not only to clinical variables, but also to socioeconomic, psychological and cultural factors, which have all been associated with the experience of dental caries. The aim of this study of was to assess social status and dental experience among Brazilian children. A cross-sectional study was conducted involving 1367 male and female children aged six and seven years enrolled at public and private schools in the city of Recife (Brazil) in 2013. The children at tending public schools were socioeconomically less privileged than those attending private schools. Data were collected through interviews and intraoral examinations. Caries experience was high (53.3%) in the overall sample, but less privileged children had larger percentages of decayed teeth and teeth that required extraction (p < 0.001). Children from less privileged social class had a greater chance of having a low (OR = 1.77 [95%CI 1.33 - 2.35]), moderate (OR = 4.41 [95%CI: 3.18 - 6,14]) and high (OR = 9.55 [95%CI 6.01 - 15.16]) caries experience. They also had a greater chance of never visiting a dentist (OR= 2.90 [95% CI 2.25 - 3.74]) and had dental anxiety (OR = 1.70 [95%CI 1.34-2, 16]). Socioeconomic status influences the dental caries experience, the visits to the dentist and the dental anxiety of the children analyzed.


Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 99
Author(s):  
Juan José Villalobos-Rodelo ◽  
Martha Mendoza-Rodríguez ◽  
Rosalina Islas-Zarazúa ◽  
Sonia Márquez-Rodríguez ◽  
Mariana Mora-Acosta ◽  
...  

Objective: To describe the experience and prevalence of dental caries in schoolchildren aged 6–12 years belonging to agricultural manual worker households. Material and Methods: A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered “children of agricultural worker migrant parents” (n = 157) and the other “children of agricultural worker non-migrant parents” (n = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata. Results: For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition (p > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group (p < 0.05). No relationship (p > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association (p < 0.05) with caries. Only the plaque component of SOHI was associated (p < 0.05) with caries in permanent dentition. Conclusions: Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.


2016 ◽  
Vol 89 (1) ◽  
pp. 143-149 ◽  
Author(s):  
Raluca Diana Suhani ◽  
Mihai Flaviu Suhani ◽  
Mindra Eugenia Badea

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.


2011 ◽  
Vol 16 (10) ◽  
pp. 4161-4168 ◽  
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
Edson Augusto Melanda ◽  
Juliana da Silva Antunes ◽  
Ana Lígia Rozato Foschini

OBJECTIVE: This cross-sectional study sought to conduct a spatially analysis of the distribution of dental caries and the nutritional status (NS) of 5-year-old preschool children of public schools in the city of Araraquara, São Paulo, Brazil. METHODS: The sample was selected in a stratified probabilistic manner. A dental examination was conducted to investigate the dmft index. The anthropometric indicators of the weight/height (W/H), height/age (H/A), weight/age (W/A) and body mass index (BMI) were calculated to estimate the NS. A descriptive statistical analysis was conducted and a thematic map was created. At the end of the study 491 children had full address codification. A GPS device was used to ascertain the geographic reference points. A pluri-directional semi-variogram was elaborated. RESULTS: It was revealed that both variables presented a pure nugget effect showing the absence of a spatial correlation, in other words the dmft and nutritional status are not regionalized variables, and their values do not reveal direct spatial dependence. CONCLUSIONS: Dental caries and nutritional status are health conditions that do not reveal spatial dependence. Ultimately, the combination of these indicators with others can produce spatial dependence effects.


2011 ◽  
Vol 48 (6) ◽  
pp. 736-740 ◽  
Author(s):  
W.E.J.C. Vogels ◽  
I.H.A. Aartman ◽  
J.S.J. Veerkamp

Objective To assess the level of dental fear in children with a cleft lip and/or palate, to compare this level with that of a normative group testing the hypothesis that children with a cleft lip and/or palate have a higher level of dental anxiety than children from the general population, and to assess the relation between dental fear and coping. Design Cross-sectional study. Setting VU Medical Centre University Amsterdam. Patients A total of 110 children (4 to 12 years old, 50 girls) with a cleft lip and/or palate. Interventions Dental fear in the study group was compared with a normative group of Dutch children. Main Outcome Measures Dental fear was investigated using the parental version of the dental subscale of the Children's Fear Survey Schedule for children aged 4 and 5 years old (n = 36). Also the Inventory of Stressful Situations was completed. Children aged 6 to 12 years old also completed the Dental Cope Questionnaire. Results Young children with a cleft lip and/or palate experience more dental fear compared with children in a normative control group (Children's Fear Survey Schedule dental subscale scores: 30.3 ± 14.6 compared with 24.6 ± 8.6, p < .01). A weak correlation was found between the child's dental anxiety (Children's Fear Survey Schedule dental subscale) and his or her coping behavior (Dental Coping Questionnaire) ( r = .196 p < .05). A clear correlation exists between the total Inventory of Stressful Situations and total Children's Fear Survey Schedule scores of the youngest age group ( r = .507 p < .01). Conclusions Findings support the hypothesis that dental anxiety is related to a higher level of exposure to medical interventions at a young age.


2017 ◽  
Vol 41 (5) ◽  
pp. 343-350 ◽  
Author(s):  
Mabel Miluska Suca Salas ◽  
Fabiana Vargas-Ferreira ◽  
Thiago Machado Ardenghi ◽  
Karen Glazer Peres ◽  
Marie-Charlotte DNJM Huysmans ◽  
...  

Objective: This study estimated the prevalence, distribution and associated factors of tooth erosion in Brazilian schoolchildren. Study design: A cross-sectional study was carried out in a representative sample of children aged 8-12-years-old from public and private schools. Six calibrated examiners assessed tooth erosion (O'Sullivan index) and other oral conditions (dental trauma, enamel defects, plaque, dental caries and dental crowding). Socio-demographic and behavioral data were collected using questionnaires. Interviews were conducted in children and in parents. Data were analyzed using Poisson regression model considering the cluster sample (Prevalence Ratio-PR; 95% Confidence Interval-CI). Results: A total of 1,210 children participated and were examined. Tooth erosion was observed in 25.1% of the children. Lesions were mostly observed in enamel and less than a half of the buccal surface was affected. The type of school and age were significant associated with higher prevalence of tooth erosion and dental crowding was associated with less probability of tooth erosion significantly. Acidic food or drinks were not associated with dental erosion. Conclusion: The prevalence of tooth erosion in the studied population was high. Erosive lesions were not severe, confined in enamel. Tooth erosion was associated with age, type of school, socioeconomic level and dental crowding.


Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 382
Author(s):  
Suman Panda ◽  
Mir Faeq Ali Quadri ◽  
Imtinan H. Hadi ◽  
Rafaa M. Jably ◽  
Aisha M. Hamzi ◽  
...  

Despite free health care services in Saudi Arabia, the prevalence of caries in children is substantially greater in comparison to other high-income countries. Dental fear in children may be an important issue that needs attention. Therefore, the aim was to investigate the role of dental fear in predicting untreated dental caries in schoolchildren. This analytical cross-sectional study included children aged 8–10 years residing in Saudi Arabia. Dental status via oral examinations was surveyed with the WHO standardized chart and the Children Fear Survey Schedule—Dental Subscale was used to score dental fear. Descriptive, binary, and multivariable logistic regression analyses were performed to report the findings at 5% statistical significance. Overall, there were 798 schoolchildren with an average fear score of 36. Nearly 70.4% reported fear of someone examining their mouth. About 76.9% had at least one carious tooth in their oral cavity. Children with dental fear were 1.8 times (OR = 1.80; 95%CI = 1.26, 2.56) more likely to have at least one untreated carious tooth in their oral cavity than those who did not express fear during oral examinations and dental procedures. Thus, the current study concludes that fear of dentists and dental treatment procedures successfully predicts untreated carious teeth in schoolchildren.


2020 ◽  
Vol 31 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Barbara Ndagire ◽  
Annet Kutesa ◽  
Ronald Ssenyonga ◽  
Harriet Mayanja Kiiza ◽  
Damalie Nakanjako ◽  
...  

Abstract Dental caries is one of the most prevalent diseases in developing countries. However, there is limited data on the prevalence and factors associated with dental caries in Ugandan adolescents. The purpose of the present study was to describe the prevalence, severity of dental caries and to determine the factors associated with the disease among school adolescents in Uganda. A cross sectional study was conducted at two secondary schools from Kampala (n=197) and Mukono (n=209) districts, Uganda. At both schools, random sampling was used to select the participating classes and the 406 adolescents (11-19 years) eligible to participate in the research. Dental caries was examined using the Decayed, Missing and Filled Teeth (DMFT) index, and a questionnaire was used to collect other relevant data in form of an oral interview. The data were analyzed using STATA version 12. The data was declared as survey data and all analyses were done with svy command. The prevalence of caries was determined as a percentage of individuals with DMFT score ≥1. Modified Poisson regression models were utilized to assess the association between prevalence, severity of dental caries and independent variables. The overall prevalence of dental caries was 66.0% and mean DMFT score of 2.18±2.67. Dental caries prevalence and severity were significantly (p<0.05) associated with tooth cleaning device, age and history of previous dental visit. There was a high prevalence and severity of dental caries among adolescents, which emphasizes the urgent need to develop and design appropriate interventions to reduce the disease burden.


2018 ◽  
Vol 2 (5) ◽  
pp. 121-125
Author(s):  
Yojana B Patil ◽  
Sachin V Shinde ◽  
Afshan Qureshi

INTRODUCTION: Smoking as a public health problem, harms one’s general and oral well-being leading to increased morbidity and mortality.AIM: To find out the association between dental caries and smokers (current and past) with non-smokers among people of Kolhapur District, Maharashtra, India.MATERIALS AND METHODS: The present cross-sectional study was conducted among 1366 (449 smokers, 440 past smokers and 447 non-smokers), and the patients were divided among three age groups (35-44, 45-60 and >60 years). Data was recorded using a pre-tested, pre-validated questionnaire recording the demographic details and modified DMFT index. The data was analyzed using t- test, calculation of Odd’s Ratio (OR) and logistic regression was applied to find out association, if any using a licensed SPSS version 22.0.RESULTS: It was revealed that the highest mean DMFT was seen among smokers (3.66±5.78) followed by past smokers(3.01±2.66) and non-smokers (3.01±2.66). Also, the maximum DMFT was seen among 35-44 years (3.82±2.4), which was found out to be significant as compared to past -smokers and non-smokers. Odd’s ratio analysis revealed that as compared to non-smokers, current smokers and past smokers were 1.6 and 1.1 respectively. The multiple regression analysis revealed that significant difference was seen between smoking(.01) and age (0.02) with respect to DMFT.CONCLUSION: Efforts are required by clinicians to educate people about the ill-effects of tobacco and provide tobacco cessation counselling to reduce the burden of morbidity and mortality caused by tobacco.


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