scholarly journals Prevalência de ansiedade relacionada ao tratamento odontológico em adolescentes: revisão integrativa da literatura

2019 ◽  
Vol 8 (3) ◽  
Author(s):  
Trícia Murielly Andrade de Souza Mayer ◽  
Patrícia Diletieri Assis ◽  
Michele Gomes do Nascimento ◽  
Kamila Azoubel Barreto ◽  
Carolina Maria Maciel Pessoa da Silva ◽  
...  

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.

2018 ◽  
Vol 42 (4) ◽  
pp. 262-268 ◽  
Author(s):  
Ozge Yahyaoglu ◽  
Ozgul Baygin ◽  
Gorkem Yahyaoglu ◽  
Tamer Tuzuner

Objective: The aims of this study were to determine the prevalence of dental fear, the relationship between dental fear and dental caries and the dentist appearance most likely to reduce anxiety among children. In this way, dental treatment could be made more effective by changing the dentist's appearance. Study Design: The “Children's Fear Survey Schedule–Dental Subscale” and a questionnaire ‘designed to examine the children's preferences for their dentist's appearance’, were administered to 810 patients between 6–12 years of age. Patients were examined after completing the questionnaires, and their DMFT/dmft indexes were determined. Patients were divided into three subgroups according to their CFSS-DS scores. Results: Among patients, anxiety scores differed significantly by age and gender (p=0.046, p=0.001). Specifically, higher anxiety scores were identified among 6- to 8-year-olds and in female patients relative to their respective counterparts. A statistically significant association between anxiety and dental caries was detected. (DMFT p=0.030/dmft p=0.015), and DMFT/dmft scores were found to be higher among patients with high levels of dental anxiety than among patients with low levels of dental anxiety. Additionally, children were highly perceptive of and exhibited strong preferences for the appearance of their dentist. Conclusion: Anxiety and dental caries were associated; small alterations in a dentist's appearance may reduce dental anxiety among children.


2019 ◽  
Vol 12 (2) ◽  
pp. 907-913
Author(s):  
Arshia Ummat ◽  
Sreejeeta Dey ◽  
P. Anupama Nayak ◽  
Nitin Joseph ◽  
Ashwin Rao ◽  
...  

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.


2019 ◽  
Vol 6 (10) ◽  
pp. 284-287
Author(s):  
Can Özükoç

Objective: Molar incisor hypomineralization (MIH), a quite common condition in pediatric dentistry, whose treatment might seem complicated, manifests itself with severe dental anxiety and fear that can cause behavioral problems. Although dental fear is seen in almost all cases, it is believed that dental fear will increase as the severity of MIH increases. This study evaluates the relationship between MIH severity and dental fear. Material and Methods: Children Fear Survey Schedule-Dental Subscale (CFSS-DS) was used to measure dental fear in 58 (51.79%) children whose teeth suffered from mild, moderate or severe MIH and 54 (48.21%) children with healthy teeth. Scores between 1 (not afraid at all) and 5 (very afraid) were given according to the responses. Each question was evaluated separately in order to obtain the total score. Results: Children with severe MIH who participated in the study were proved to be more afraid of the dentists, drill sounds, injections, placement of instruments in the mouth, choking and going to the hospital; and there was a statistically significant difference (p<0.05). Conclusion: Although it was observed that the severity of MIH and dental fear are correlated and dental fear increases with the increase in the MIH severity, further studies in this subject are necessary.


2020 ◽  
Author(s):  
Yeungyeung Liu ◽  
Caimei Zhang ◽  
Jingyi Wu ◽  
Huimin Yu ◽  
Duoling Xu ◽  
...  

Abstract Background: The present study used the new classification of periodontitis and validated questionnaires to assess the relationship among dental fear, SRP pain and periodontal status for clinical evaluation.Methods: An amount of 120 periodontitis patients were retrospective analyzed and staged according to the new classification of periodontitis. Scaling and root planning (SRP) was performed and Visual analogue scales (VAS) applied immediately after SRP treatment. Application of questionnaires including Corah’s Dental Anxiety Scales (DAS), Dental Fear Survey (DFS), and the short-form Dental Anxiety Inventory (S-DAI) were adopted at the time of first attendance and consequent visit after 6 months to assess dental fear level. The scores of each dental fear scale and combination scales were recorded. Patients were divided into two categories according to DAS value (low dental fear group: DAS<13; high dental fear group: DAS≥13). The statistical analysis was performed by t-test, chi-square, pearson and spearman correlative analysis to evaluated the relationship and differences among dental fear, SRP pain and periodontal status.Results: Compared to pre-SRP treatment, dental fear level of DFS and combination scales were significantly decreased in post-treatment in all periodontitis stage. There were no statistical significance on dental fear level of S-DAI and DFS between patients pre and post-treatment in periodontitis stage I and II, while statistical significance were shown in stage III and IV. Correlation were statistical significance among dental fear level assessed by DAS, DFS and S-DAI, VAS and periodontitis stages. Significant differences of patient amount were shown between two categories according to DAS.Conclusions: SRP can reduce dental fear level in all periodontitis stages, especially stage III and IV. Correlations exist among periodontal status, dental fear and SRP pain. High dental fear relates to poor periodontal status.


2003 ◽  
Vol 14 (3) ◽  
pp. 157-161 ◽  
Author(s):  
André Gasparetto ◽  
Carlos Alberto Conrado ◽  
Sandra Mara Maciel ◽  
Ernesto Yiokihiro Miyamoto ◽  
Mariliane Chicarelli ◽  
...  

This study evaluated the correlation between the presence of black extrinsic tooth stains and caries in Brazilian schoolchildren. The target population consisted of 263 children aged 6-12 years. Clinical examinations were performed by four dentists calibrated for the World Health Organization criteria for caries diagnosis. The c² test was used to compare the prevalence of caries between groups of children with and without black tooth stains. Spearman's correlation test was used to analyze the relationship between the presence of black stains and caries severity. Black stains were observed in 14.8% of the children. The number of children with caries-free permanent dentition was not statistically different between groups. The mean DMF-T was 1.46 ± 1.39 for children with black stains and 2.42 ± 2.09 for children without black stains. A negative correlation was observed between the presence (r = -0.16; p<0.05) and severity (r = -0.15; p<0.01) of black stains and DMF-T.


2020 ◽  
Vol 53 (4) ◽  
pp. 175
Author(s):  
Lisa Prihastari ◽  
Rima Ardhani Iswara ◽  
Ghina Al Afiani ◽  
Fajar Ramadhan ◽  
Mega Octaviani ◽  
...  

Background: The anxiety associated with dental visits is one of the obstacles preventing dentists from improving oral health and is also a significant predictor of dental visit evasion, which is frequently observed in Indonesia. Purpose: To identify the level of dental fear and anxiety in the population of Jakarta, Indonesia and establish the relationship with sociodemographic factors. Methods: A cross-sectional method was used with a sample size of 1811 respondents aged 17–65 years old who were asked to complete the validated Indonesian versions of modified dental anxiety scale (MDAS) and dental fear scale (DFS) questionnaires. The data obtained was then analysed using nonparametric and chi-square tests. Results: The prevalence of subjects with moderate to high dental anxiety and fear was 16.3% (295 respondents) and 36.1% (654 respondents), respectively. The primary sources of dental fear and anxiety were dental drilling and anaesthesia before tooth extraction. The results of the nonparametric and chi-square tests show that both are significantly related to gender, age, educational status, income level, insurance and history of dental visits (p = < 0.05). Conclusion: Several sociodemographic factors are associated with dental fears and anxiety among the participants in Jakarta, Indonesia.


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