Anxiety/fear of dental treatment during pregnancy: use of the Modified Dental Anxiety Scale (MDAS)

Author(s):  
Carolina R. DOURADO ◽  
Rafiza F. MARTINS ◽  
Juliana A. AZEVEDO ◽  
Soraia F. SOUZA ◽  
Erika B. THOMAZ
2019 ◽  
Vol 70 (2) ◽  
pp. 689-692
Author(s):  
Gheorghe Raftu ◽  
Elena-Claudia Sin ◽  
Aureliana Caraiane ◽  
Steliana Gabriela Bustiuc ◽  
Raluca Briceag

The study aims at identifying and highlighting dental anxiety in a group of young adults, analyzing patients� concerns about the main dental treatment procedures, and establishing statistical relationships between anxiety and gender, the background, level of education, socio-economic status and knowledge of habits of care and hygiene of oral cavity characteristic of the studied group. The study group consists of 150 female (50%) and male (50%) patients , aged between 20 and 40 years. The inclusion criteria in the batch were those related to the age range of 20 to 40 years.Two respondents (Corah�s Dental Anxiety Scale, Revised (DAS-R)) were given two questionnaires ( Corah�s Dental Anxiety Scale, DAS-R), and the second questionnaire contained 7 questions about the habits dental care). Most patients� concerns about the main procedures of dental treatment / other concerns are: dental extraction, material expenses, possibility of treatments and shame she felt oppressed health of the oral cavity. Regardless of the level of dental anxiety, the oral cavity hygiene habits are not properly performed by patients, with an increased tendency for them to be disregarded by patients with severe dental anxiety.


2005 ◽  
Vol 33 (2) ◽  
pp. 252-259 ◽  
Author(s):  
D İlgüy ◽  
M İlgüy ◽  
S Dinçer ◽  
G Bayirli

We aimed to determine dental anxiety among Turkish patients and assess the sensitivity, specificity, positive/negative predictive values and reliability of the Modified Dental Anxiety Scale (MDAS) and Corah's Dental Anxiety Scale (DAS). Patients referred to our clinic for dental treatment who had a history of dental anxiety were included in the study. 294 randomly selected patients (mean age 38.8 years) completed a questionnaire combining Corah's DAS and MDAS. They were retested 15 days later. The prevalence of dental anxiety was found to be 9.9% (29/294) for Corah's DAS at the cut-off point ≥ 15 and 8.8% (26/294) for the MDAS at the cut-off point ≥ 19. Both dental anxiety scales gave acceptable sensitivity, specificity, positive and negative predictive values at these cut-off points.


2018 ◽  
Vol 66 (3) ◽  
pp. 212-218
Author(s):  
Cícera Alane de OLIVERA ◽  
Tamara GAMA ◽  
Evalena Lima CABRAL ◽  
Camila Helena Machado da Costa FIGUEIREDO ◽  
Gymenna Maria Tenório GUÊNES ◽  
...  

ABSTRACT Objective: To determine the profile of children from 6 to 12 years of age, in relation to anxiety towards dental treatment and evaluate the main factors that trigger anxiety in this population. Methods: The sample was composed of 200 children with an average age of 8.5 years who attended the Clinic of the School of Dentistry of the Federal University of Campina Grande and the Basic Healthcare Units of the municipality of Patos, Paraíba, Brazil between June 2015 and May 2016. Anxiety was assessed using the Dental Anxiety Scale and the Venham Picture Test. The Chi-Square test and Fisher’s exact test were used to explore the level of significance of the associations between the variables Results: Anxiety was observed in the majority of children (Dental Anxiety Scale - 89% and Venham Picture Test - 70.5%) and the predominant levels were low to moderate. The child´s age group was significantly associated with anxiety (p=0.014) by the Venham Picture Test, while gender did not present this correlation. Anxiety was influenced by all the factors studied: making the appointment, waiting room, rotary instrument and periodontal scaling. Conclusion: The majority of children presented anxiety and the trigger factors: making the appointment, waiting room, rotary instrument and periodontal scaling contributed considerably to its development.


1998 ◽  
Vol 83 (3_suppl) ◽  
pp. 1179-1186 ◽  
Author(s):  
G. M. Humphris ◽  
H-M. Wong ◽  
G. T. R. Lee

An 8-question Modified Child Dental Anxiety Scale was developed to assess children's concerns about specific dental procedures. These dental situations include examination, scale and polish, injection, filling, extraction, and relative and general anaesthesia. A question about how the child felt generally when visiting the dentist was also included. Children ( n = 314) from two schools in Liverpool, ages 8 to 15 years, completed a questionnaire including the modified scale, Corah's Dental Anxiety Scale, the Dental Fear Survey Schedule for Children, and background questions (age, sex and previous dental experience). The internal consistency was favourable (α = .84) and test-retest reliability acceptable. This initial study suggests that the scale may be useful in trials to assess the benefits of interventions to assist children receive dental treatment.


2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Alexander Zinke ◽  
Christin Bohl ◽  
Hendrik Berth

Abstract Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.


e-GIGI ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Uswatun Khasanah ◽  
Paulina Gunawan ◽  
Herdy Munayang

Abstract: One of the most chronic dental diseases suffered by children is caries. Child anxiety during dental care often becomes a hindrance for dentists in order to give the best or optimum care or treatment. Therefore, it is important for the dentists to have a good relationship with patients, especially children. Childern who have a positive interaction with their dentists could overcome their anxiety, so they will not be afraid to go to the dentist. This study was aimed to analyze the relationship between child anxiety during dental care and DMF-T index among children aged 10–12 years old at SDN 27 Manado (elementary school). Subjects were children aged 10–12 years old who had experienced tooth treatment. This was an analytical descriptive study with a cross-sectional design. Data were obtained by using Dental Anxiety Scale (DAS) questionnaire and DMF-T examination. The data were analyzed with the Pearson simple correlation test. The results showed that of 40 subjects, 7 children (17.5%) were not anxious for dental care, 24 children (60%) were slightly anxious, 7 children (17.5%) were anxious, and 2 children (5.0%) were very anxious. The DMF-T score 3-5 was the most common, each of 6 children (15%), meanwhile the most rare was the DMF-T scores of 10 and 15, each of 1 child (2.5%). The Pearson test of the correlation between anxiety during dental treatment and DMF-T index showed a P of 0.472. Conclusion: There was no significant correlation between child anxiety for dental care and DMF-T index.Keywords: feeling of anxiety, dental care, DMF-T index Abstrak: Salah satu penyakit kronis yang paling sering diderita anak ialah karies. Kecemasan anak saat menjalani perawatan gigi sering menjadi penghalang bagi dokter gigi untuk memberikan perawatan yang optimal. Oleh karena itu, penting bagi dokter gigi menjalin hubungan yang baik dengan pasien khususnya pasien anak. Anak yang memiliki interaksi positif terhadap dokter gigi dapat mengatasi rasa cemasnya, sehingga mereka tidak akan takut ke dokter gigi dan memiliki kesehatan gigi dan mulut yang baik. Penelitian ini bertujuan untuk menganalisis hubungan kecemasan terhadap perawatan gigi dengan indeks DMF-T pada anak usia 10–12 tahun di SDN 27 Manado. Subyek penelitian yaitu anak berusia 10-12 tahun yang sudah pernah menerima perawatan gigi sebelumnya. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Pengumpulan data menggunakan pengisian kuesioner Dental Anxiety Scale (DAS) dan pemeriksaan DMF-T. Analisis data menggunakan uji korelasi sederhana Pearson. Hasil penelitian menunjukkan dari 40 responden, 7 anak (17,5%) tidak cemas terhadap perawatan gigi, 24 anak (60%) cemas ringan terhadap perawatan gigi, 7 anak (17,5%) cemas sedang terhadap perawatan gigi, 2 anak (5,0%) cemas berat terhadap perawatan gigi. Skor DMF-T 3-5 merupakan jumlah terbanyak masing-masing 6 anak (15%), paling sedikit pada skor DMF-T 10 dan 15 masing-masing sebanyak 1 anak (2,5%). Uji Pearson terhadap hubungan antara perasaan cemas anak terhadap perawatan gigi dengan indeks DMF-T mendapatkan nilai P=0,472. Simpulan: Tidak terdapat korelasi antara perasaan cemas anak terhadap perawatan gigi dengan indeks DMF-T.Kata kunci: perasaan cemas, perawatan gigi, indeks DMF-T


2015 ◽  
Vol 18 (3) ◽  
pp. 205-210
Author(s):  
Hendry Rusdy ◽  
Beverly

Anxiety is a subjective response in a harmless situation or an emotional problem which is caused by human themselves. Anxiety is a major contributor to the reluctance of people to get dental treatment. Dental anxiety was assessed by using Modified Dental Anxiety Scale (MDAS) that was remodified to match during tooth extraction and is widely spread in the internet. A total of 1298 responses were collected two months later. 11-20 years old age group is reported to be moderately anxious with a percentage of 43.51%, while 21-40 years old group and 41-65 years old group were found to be not anxious or slightly anxious with a percentage of 47.04% and 62.65% respectively. A total of 45.42% female were found to be moderately anxious while 52.75% of male were not anxious or slightly anxious. 52.63% of people from Indonesia East Time Zone were reported to be moderately anxious, meanwhile people from Indonesia West Time Zone and Indonesia Central Time Zone were not anxious or slightly anxious with a percentage of 46.05 and 52.41% respectively. The prevalence of dental phobia among people was 4.63%. In conclusion, dental anxiety were found higher in younger ages group, female and people from Indonesia East Time Zone. Kecemasan adalah respons subjektif seseorang bukan pada keadaan berbahaya  atau masalah emosional yang penyebabnya adalah diri sendiri. Kecemasan adalah salah satu faktor besar dalam diri manusia yang mempengaruhi seseorang enggan mendapatkan pelayanan kesehatan gigi. Kecemasan dental diperoleh dengan menggunakan Modified Dental Anxiety Scale yangdimodifikasi sesuai dengan keadaan pencabutan gigi dan disebarkan melalui internet. Sejumlah 1298 responden diperoleh dua bulan kemudian. Kelompok usia 11-20 tahun dilaporkan cemas sedang dengan persentase 43,51%, sedangkan kelompok usia 21-40 tahun dan 41-65 tahun dilaporkan tidak cemas atau cemas ringan dengan persentasemasing-masing 47,04% dan 62,65%. Sejumlah 45,42% wanita dilaporkan cemas sedang sedangkan 52,75% laki-laki tidak cemas atau cemas ringan. Sejumlah 52,63% warga negara Indonesia bagian timur dilaporkan cemas sedang, sedangkan warga negara Indonesia bagian barat dan tengah dilaporkan tidak cemas atau sedikit cemas dengan persentase 46,05dan 52,41% masing-masing. Prevalensi fobia atau cemas parah pada masyarakat adalah 4,63%. Sebagai kesimpulan, kecemasan dental ditemukan lebih tinggi pada kelompok usia yang lebih muda, perempuan dan warga negara Indonesia bagian timur.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Shih-Yun Wu ◽  
Li-Ling Chen ◽  
Kun-Tsung Lee ◽  
...  

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.


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