scholarly journals Assessment of dental anxiety in children and mothers during first dental visit

2021 ◽  
Vol 11 (1) ◽  
pp. 38-48
Author(s):  
Priyanka Gupta ◽  
Sadanand Kulkarni ◽  
Arunkumar Sajjanar ◽  
Niharika Gahlod ◽  
Manveen Lamba ◽  
...  
Keyword(s):  
Dental Anxiety ◽  
Dental Visit

scholarly journals How Can We Reduce Dental Fear in Children? The Importance of the First Dental Visit

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1167
Author(s):  
María Carrillo-Díaz ◽  
Blanca Carmen Migueláñez-Medrán ◽  
Carolina Nieto-Moraleda ◽  
Martín Romero-Maroto ◽  
María José González-Olmo
Keyword(s):  
Dental Anxiety ◽  
Well Being ◽  
Dental Fear ◽  
Dental Visit ◽  
Dental Visits ◽  
Paediatric Dentist ◽  
Systemic Health ◽  
Transversal Study ◽  
Anxiety And Fear

Dental fear is a common problem amongst children. It can affect children’s psychological well-being, quality of life, and oral and systemic health. The aim of this study was to identify whether the patients’ age at which visits to the paediatric dentist begin as well as the periodicity of these visits are factors that can prevent dental fear. This observational transversal study was conducted on 575 school children (average age 6.85 ± 0.78) and their mother/father/guardian. Parents completed a survey on the characteristics of dental visits and the child completed the index of dental anxiety and fear (IDAF-4C) to assess dental fear. The correlation between dental fear and age at first visit (r = −0.36 p < 0.01) and dental fear and frequency of visit (r = −0.65 p < 0.01) were statistically significant. The regression analysis performed showed that both variables predicted 44.4% of the dental fear in the child. In conclusion, the age of initiation to the paediatric dentist (before 2 years) and the periodic revisions (every 6 months or every year) could protect the child from dental fear.

scholarly journals Psychometric Testing of the Modified Dental Anxiety Scale among Iranian Adolescents during COVID-19 Pandemic

2021 ◽  
Vol 11 (4) ◽  
pp. 1269-1279
Author(s):  
Chung-Ying Lin ◽  
Maryam Tofangchiha ◽  
Janneke F. M. Scheerman ◽  
Santosh Kumar Tadakamadla ◽  
Vijay Kumar Chattu ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Rasch Analysis ◽  
Dental Anxiety ◽  
Intraclass Correlation ◽  
Psychometric Testing ◽  
Anxiety Scale ◽  
Test Theory ◽  
Test Reliability ◽  
Dental Visit ◽  
Fit Indices

(1) Background: The present study aimed to examine the psychometric properties of the Persian adaptation of the Modified Dental Anxiety Scale (MDAS) in Iranian adolescents. (2) Methods: Adolescents with a mean age of 15.10 (n = 3197; 47.1% males) were recruited from Qazvin city of Iran using a stratified cluster random sampling technique. All children completed the five-item Persian MDAS and information related to background characteristics. Psychometric testing was conducted using classical test theory (CTT) and Rasch models. For CTT, an item-total correlation of >0.4 was considered satisfactory while for Rasch analysis, infit and outfit mean squares (Mnsq) ranging from 0.5–1.5 were considered satisfactory. Confirmatory Factor Analysis (CFA) was conducted to confirm the unidimensional structure of MDAS using various fit indices. Differential item functioning (DIF) was evaluated based on gender and time since last dental visit. Moreover, latent class analysis (LCA) was used to classify the participants into different levels of dental fear based on their pattern of responses. Both item level reliability using Cronbachs alpha (α) and test-reliability using intraclass correlation coefficients were evaluated. (3) Results: Item-total correlations ranged from 0.69–0.78, infit MnSq ranged from 0.80 to 1.11 and the range of outfit MnSq was 0.84–1.10. The data confirmed a one-factor structure of MDAS with satisfactory fit indices. DIF analysis indicated that the scale was interpreted similarly across the genders and time since dental visit groups. LCA analysis identified three levels, low, moderate and high levels of dental anxiety. The groups with moderate and high levels of dental anxiety had more females (44.6% and 36.7%) than the group with low level of dental anxiety (18.8%; p < 0.001). α of the total scale was 0.89 and item test-retest reliability ranged from 0.72–0.86. (4) Conclusions: The Persian MDAS was unidimensional with satisfactory psychometric properties evaluated using both CTT and Rasch analysis among Iranian adolescents. The scale was stable across the genders and individuals with different dental visiting patterns. The Persian MDAS also demonstrated excellent reliability.

scholarly journals Translation and validation of modified dental anxiety scale based on adult Taiwan population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Shih-Yun Wu ◽  
Li-Ling Chen ◽  
Kun-Tsung Lee ◽  
...  
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Dental Treatment ◽  
Dental Anxiety ◽  
Temporal Stability ◽  
Anxiety Scale ◽  
Dental Visit ◽  
Dental Patients ◽  
The Difference

Abstract Background Dental anxiety is associated with negative experiences of dental treatment and dental-visiting behavior. The Modified Dental Anxiety Scale (MDAS) is widely used for assessing dental anxiety. The study aims to establish the psychometric properties of a Chinese version of the MDAS based on the Taiwan sample (i.e., T-MDAS). Methods The T-MDAS and dental-visiting behavior and experience were assessed for 402 adult subjects recruited from community and clinical sites. The following psychometric properties were assessed: (a) internal consistency, (b) temporal stability, (c) criterion-related validity (i.e., the association with the score of Index of Dental Anxiety and Fear, IDAF-4C), (d) discrimination validity (i.e., the difference in scores between the subjects with and without a habit of a regular dental visit, and (e) the construct validity from a confirmatory factor analysis (CFA). Results. The T-MDAS showed good internal consistency (Cronbach’s α = 0.88) and temporal stability (ρ = 0.69, p < 0.001). The score was significantly correlated with the score of the IDAF-4C (ρ = 0.76, p < 0.001) and differed between subjects who regularly visited a dentist or not, supporting good criterion-related validity and discrimination validity. Results from CFA supports good construct validity. Furthermore, higher dental anxiety was related to the lack of a regular dental visit, feeling pain during treatment, and feeling insufficient skills and empathy of dentists. A higher proportion of high-dental anxiety subjects in female subjects (8.5%), compared to male subjects (5.0%), was noted. Conclusions The T-MDAS is a valid tool for assessing adult dental anxiety. The score is highly associated with dental-visiting behavior and experience of dental patients.

scholarly journals Influence of Er:YAG Laser on Objective and Subjective Parameters of Stress during Sealant Application in Children

Folia Medica ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 275-282 ◽  
Author(s):  
Maria P. Shindova ◽  
Ani B. Belcheva ◽  
Nonka G. Mateva
Keyword(s):  
Er:Yag Laser ◽  
Dental Anxiety ◽  
Equal Treatment ◽  
Tooth Surface ◽  
Dental Visit ◽  
Subjective Stress ◽  
Fissure Sealant ◽  
Application Technique ◽  
Occlusal Surfaces ◽  
Stress Parameters

Abstract Background: Acceptance of lasers as alternatives and accessory tools to traditional methods in dental medicine has created an explosion of interest. Er:YAG laser is recommended for enamel conditioning. There is no study evaluating the anxiety in children during fissure sealing procedures when using Er:YAG laser compared to the routine application technique. Aim: To evaluate the objective and subjective stress parameters in children during a preventive procedure when using Er:YAG laser for additional enamel conditioning before pit and fissure sealant application compared to the routine clinical application technique. Materials and methods: The study included sixty-four 6-12-year-old children, divided into two equal treatment groups. A standardized fissure sealant application was performed, as in the intervention group before acid etching, the occlusal surfaces of teeth were conditioned with Er:YAG laser (2940 nm). During the procedure, objective and subjective stress parameters were recorded. Results: Significantly lower degree of dental anxiety was found at the end of the dental visit of the study group (p<0.001). During the professional cleaning of the tooth surface, the mean heart rate was low (95.55±14.29 bpm) within the physiological normal range. The objective and subjective stress parameters show no significant differences between the two subgroups during sealing procedure (p>0.05). Conclusions: Application of Er:YAG laser during sealant application does not provoke anxiety and is well accepted by children in dental environment. Preventive procedures at the beginning of a dental visit decrease the initial levels of dental anxiety and contribute to an effective treatment process.

Relationship between children's first dental visit and their dental anxiety in the Veneto Region of Italy

2002 ◽  
Vol 60 (5) ◽  
pp. 297-300 ◽  
Author(s):  
Kari Rantavuori ◽  
Nicoletta Zerman ◽  
Roberto Ferro ◽  
Satu Lahti
Keyword(s):  
Dental Anxiety ◽  
Dental Visit ◽  
Veneto Region

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.

scholarly journals The Prevalence of Dental Anxiety Associated with Pain among Chinese Adult Patients in Guangzhou

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jiali Yu ◽  
Rui Jiang ◽  
Er-Min Nie ◽  
Chun-Yuan Zhang ◽  
Xiang Li
Keyword(s):  
Dental Anxiety ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Adult Patients ◽  
Dental Visit ◽  
Chi Square ◽  
Cross Sectional ◽  
Dental Patients ◽  
Chinese Adult ◽  
Dental Procedures

Background. Anxious people appear to exaggerate the severity of aversive experiences such as anxiety and pain. Anxiety towards dental procedures is a common difficulty that may be experienced by dental patients all over the world. The goal of the study is to find out the prevalence of dental anxiety and its associated factors in Chinese adult patients. Methods. A cross-sectional study was conducted on 183 dental adult patients whose age ranged from 18 to 70 years. Demographic details, first and most recent dental visits with experience, the MDAS, and the Visual Analogue Scale for Anxiety (VAS-A) were obtained. Data were analyzed by frequency analysis, chi-square test, and Spearman correlation test. Results. Most of the respondents were female (68.9%) and 30–45 years age group. The mean total score for dental anxiety on the MDAS was 13.63 (3.1). 80.3% of participants suffered from moderate or high dental anxiety. Age must show a strong association with dental anxiety among the participants ( p = 0.011 ). The first dental visit experience, the frequency of the dental visit, most recent dental experience, length of time since the most recent dental visit, and postponement of the dental visit are strongly associated with the MDAS score ( p = 0.001 ). Conclusions. The MDAS score exhibits that Chinese adult patients have significant dental anxiety and phobia. Identifying patients with dental anxiety as soon as possible is essential to providing better dental care.

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