Dental Fear in Children with a Cleft Lip and/or Cleft Palate

2011 ◽  
Vol 48 (6) ◽  
pp. 736-740 ◽  
Author(s):  
W.E.J.C. Vogels ◽  
I.H.A. Aartman ◽  
J.S.J. Veerkamp
Keyword(s):  
Cleft Lip ◽  
Dental Anxiety ◽  
Group Testing ◽  
Coping Behavior ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Control Group ◽  
Clear Correlation ◽  
Cross Sectional ◽  
Fear Survey Schedule

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.

scholarly journals Development of cleft children’s permanent canines

2019 ◽  
Vol 67 ◽  
Author(s):  
Manoel Itaguacy Leite NOVAIS JUNIOR ◽  
Manuella Santos Carneiro ALMEIDA ◽  
Camila Helena Machado da COSTA ◽  
Tassia Cristina de Almeida Pinto SARMENTO ◽  
Luis Ferreira de SOUSA FILHO ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Tooth Development ◽  
Cross Sectional Study ◽  
Control Group ◽  
Case Group ◽  
Age Difference ◽  
Cross Sectional ◽  
Panoramic Radiographs ◽  
Significant Difference

ABSTRACT Objective: Evaluating the development of the permanent cuspids in children from Paraíba with cleft lip and palate applying the Nolla and the Demirjian methods. Methods: A cross-sectional study using an inductive approach and applying a comparative statistical procedure and direct documentation research technique. The universe of the study consisted of children assisted at the orthodontic practice of the Brazilian Association of Dentistry - Paraíba Section. The sample comprised 72 pairs of panoramic radiographs of children with and without cleft lip and palate from the same gender and, age difference of up to 30 days, ranging from 5 to 13 years of age. The study has evaluated the development of 576 cuspids. The images were evaluated by three duly calibrated examiners concomitantly, and the calcification stages were determined by a consensus. The stages of the cuspids calcification were evaluated in the panoramic radiographs according to Nolla and Demirjian classifications. Results: The average of the calcification stage of teeth was correspondingly higher in the control group than in the case group, showing a development delay of the cuspid teeth in the cleft lip and palate patients. The lower cuspids were significantly more developed than the upper cuspids (p <0.001). There were no significant differences between the sides. There was early tooth development in females but without significant difference. Conclusion: It was possible to note that patients with cleft lip and palate presented a delay in the development of the permanent cuspids when compared to non-cleft lip and palate patients, thus, reinforcing the importance of the individualization of the orthodontic planning.

scholarly journals Dental Fear Assessment for Children in Saudi Arabia Using the Children’s Fear Survey Schedule-Dental Subscale: A Cross-Sectional Study

2021 ◽  
Vol 01 (01) ◽  
pp. 01-06
Author(s):  
Sarah Mubaraki ◽  
Alhanouf Alshehri ◽  
Ibtihaj Almutairi ◽  
Lama Alshumaymiri ◽  
Manar Alqahtani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fear Survey Schedule ◽  
Fear Assessment

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.

3D Assessment of Nasolabial Appearance in Patients With Complete Unilateral Cleft Lip and Palate

2017 ◽  
Vol 55 (2) ◽  
pp. 220-225 ◽  
Author(s):  
Ieva Bagante ◽  
Inta Zepa ◽  
Ilze Akota
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
3 Dimensional ◽  
Significant Difference ◽  
Group A ◽  
Left And Right ◽  
The Difference

Objective: Rhinoplasty in patients with complete unilateral cleft lip and palate (UCLP) is challenging, and the surgical outcome of the nose is complicated to evaluate. The aim of this study was to assess the nasolabial appearance of patients with UCLP compared with a control group. Design: Cross-sectional study. Setting: Riga Cleft Lip and Palate Centre, Latvia. Participants: All consecutive 35 patients born between 1994 and 2004 with nonsyndromic complete UCLP were included. Of 35 patients, 29 came for checkup; the mean age was 14.7 years (range 10-18). In the control group, 35 noncleft participants at 10 years of age were included. Interventions: Nasolabial appearance was evaluated from 3-dimensional images using a 3-dimensional stereo-photogrammetric camera setup (3dMDface System), the results being analysed statistically. Results: In UCLP group, a statistically significant difference between cleft and noncleft side was found only in alar wing length ( P < .05). The difference of nasolabial anthropometric distances in the control group between the left and right side was not significant. The difference between the UCLP group and the control group was significant in all anthropometric distances except the lateral lip length to cupid’s bow. Conclusions: The nasolabial appearance with acceptable symmetry after cleft lip and reconstructive surgery of the nose was achieved. Symmetry of the nasolabial appearance in patients with UCLP differed from those in the control group. The 3D photographs with a proposed set of anthropometric landmarks for evaluation of nasolabial appearance seems to be a convenient, accurate, and noninvasive way to follow and evaluate patients after surgery.

scholarly journals Moderate and high dental fear by sex and age using the Children’s Fear Survey Schedule-Dental Subscale

2021 ◽  
Vol 62 ◽  
Author(s):  
Natália Andrade ◽  
◽  
Isla Laureano ◽  
Lunna Farias ◽  
Liege Fernandes ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Dental Fear ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference ◽  
Minimum Score ◽  
Kolmogorov Smirnov ◽  
Fear Survey Schedule ◽  
The Relationship ◽  
Descriptive Statistical Analysis

Objective: To assess the relationship between the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) questionnaire’s items and sex and age in children with moderate and high dental fear levels. Methods: Cross-sectional study carried out in a municipality in the Northeastern region of Brazil with 185 children aged 8-10 years of both sexes, who had a minimum score of 32 on the CFSS-DS questionnaire, corresponding to dental fear. Descriptive statistical analysis and the Kolmogorov-Smirnov, Mann-Whitney U, and Kruskal-Wallis tests were performed. The significance level adopted was 5%. Results: Most children were female (59.5%) and 9 years old (37.3%). The average of the total CFSS-DS score was 40.44 ± 6.81 (with a minimum of 32 and a maximum of 75). According to the CFSS-DS, 53.5% of children had high dental fear. Items “Injections,” “Having a stranger touch you,” “The dentist drilling,” “Having somebody put instruments in your mouth,” “Choking,” and “Having to go to the hospital” had the highest median values. A significant difference was observed between ages for the item “Having a stranger touch you” (p=0.001). Conclusion: The item “Having a stranger touch you” in the CFSS-DS questionnaire showed a statistically significant difference with age, while no differences were found regarding sex.

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
Keyword(s):  
Dental Caries ◽  
Dental Anxiety ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Cross Sectional ◽  
Public And Private ◽  
Multi Stage ◽  
Dmft Index ◽  
Individual Variables

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.

scholarly journals Parent Reports of the Psychosocial Functioning of Children with Cleft Lip and/or Palate

2007 ◽  
Vol 44 (3) ◽  
pp. 304-311 ◽  
Author(s):  
Orlagh Hunt ◽  
Donald Burden ◽  
Peter Hepper ◽  
Mike Stevenson ◽  
Chris Johnston
Keyword(s):  
Behavioral Problems ◽  
Psychosocial Functioning ◽  
Child Behavior Checklist ◽  
Cleft Lip ◽  
Previous History ◽  
Psychosocial Problems ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional

Objectives: (1) to determine the opinion of parents regarding the psychosocial functioning of their child with cleft lip and/or palate (CLP); (2) to identify predictors of psychosocial functioning; and (3) to determine the level of agreement between children with CLP and their parents. Participants: One hundred twenty-nine parents of children with CLP and 96 parents of children without CLP participated in this cross-sectional study. Outcome measures: Parental opinion of the child's self-esteem, anxiety, happiness, and problems caused by facial appearance were assessed using visual analogue scales. Parents completed the Child Behavior Checklist and were interviewed. Results: Children with CLP were more anxious (p < 0.05), less happy with their appearance (p < 0.001), and in general (p < 0.05) had lower self-esteem (p < 0.05) and greater behavioral problems (p < 0.001) compared with non-CLP children. Parents reported that their child with CLP was teased more often (p < 0.001) and was less satisfied with his/her speech (p < 0.01) compared with reports of parents in the control group. A number of factors affected parents’ ratings of their child's psychosocial functioning (presence of CLP, appearance happiness, previous history of CLP, and visibility of scar). Children who had been teased were more anxious (p ≤ 0.01), less happy with their appearance (p < 0.001) and had greater behavioral problems (p < 0.001). Conclusions: Parents of children with CLP reported various psychosocial problems among their children. Parents considered children who had been teased to have greater psychosocial problems.

Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate

2018 ◽  
Vol 55 (8) ◽  
pp. 1103-1114
Author(s):  
Staffan Morén ◽  
Per Åke Lindestad ◽  
Mats Holmström ◽  
Maria Mani
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Voice Quality ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Velopharyngeal Insufficiency ◽  
Control Group ◽  
Cross Sectional ◽  
Mean Values ◽  
The Mean

Objectives: The aim of the current study was to assess voice quality among adults treated for unilateral cleft lip and palate (UCLP), after one- or two-stage palate closure, and compare it to a noncleft control group. Study Design: Cross-sectional study of patients with UCLP with long-term follow-up and noncleft controls. Participants: Patients with UCLP born between 1960 and 1987, treated at Uppsala University Hospital, Sweden, were examined (n = 73) at a mean of 35 years after primary surgery. Forty-seven (64%) patients had been treated with 1-stage palate closure and 26 with 2-stage closure (36%). The noncleft control group consisted of 63 age-matched volunteers. Main Outcome Measures: Ratings of perceptual voice characteristics from blinded voice recordings with Swedish Voice Evaluation Approach method. Acoustic voice analysis including pitch and spectral measures. Results: Among the patients, the mean values for the 12 evaluated variables on a visual analog scale (0 = no abnormality, 100 = maximal abnormality) ranged between 0.1 and 17, and the mean for all was 6 mm. Voice variables were similar between patients and controls, except the total mean of all the perceptual voice variables, as well as “vocal fry”; both slightly lower among patients ( P = .018 and P = .009). There was no difference in any variable between patients treated with 1-stage and 2-stage palate closure. No clear relationship was found between velopharyngeal insufficiency and dysphonia. Conclusions: The voice characteristics among adults treated for UCLP in childhood are not different from those of individuals without cleft.

scholarly journals Dental anxiety among migraine patients

2021 ◽  
Vol 14 (4) ◽  
pp. 498-503
Author(s):  
Yagoub Dhafer Alyami ◽  
◽  
Jana Khalid Farran ◽  
Jumanah Ateeq Alsubhi ◽  
Jehan Ahmed Omar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Dental Anxiety ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Control Group ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Validated Questionnaire ◽  
Dental Procedures ◽  
Patient Responses

In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from “not anxious” (scoring 1) to “extremely anxious” (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.

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