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

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.

1997 ◽  
Vol 81 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Josephine F. Wilson ◽  
Stephen A. Sinisko

Since traumatic dental experiences have been identified as a leading cause of dental anxiety, dental anxiety should be increased when subjects are asked to recall these experiences and describe them in writing. 74 undergraduates completed dental history questionnaires, viewed slides of dental procedures, or received no manipulation prior to completing the Dental Anxiety Scale and the Dental Fear Survey. The Questionnaire group reported significantly higher dental anxiety and fear than did the Slide and Control groups. Recalling personal experiences elicits greater emotional arousal than does viewing procedures or merely completing surveys.


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.


2021 ◽  
Vol 9 (12) ◽  
pp. 149
Author(s):  
Stefano Salgarello ◽  
Maria Luisa Garo ◽  
Corrado Paganelli ◽  
Antonio Vita ◽  
Matteo Salvadori ◽  
...  

Dental anxiety (DA) is defined as unreasonable apprehension toward dental procedures. About 4–20% of the worldwide adult population presents DA, with peaks of 30% in the younger population. Managing patients with dental anxiety and fear with a reliable and valid instrument is necessary to understand the multidimensional dimensions of dental fear. This work aimed to validate the Index of Dental Anxiety and Fear (IDAF-4C+) into Italian. Two hundred and eighty dental students attending an Italian university were enrolled. The IDAF-4C+ was translated by experts and a native English translator, blinded to the original version. The Modified Dental Anxiety Scale (MDAS) was used to assess the validity of IDAF-4C+. Spearman correlation coefficients and Exploratory Factorial Analysis (EFA) were used. Reliability was evaluated by Cronbach’s alpha. The reliability of the Italian version of IDAF-4C+ was good (Cronbach’s alpha = 0.88). Correlation between IDAF-4C+ and MDAS ranged between 0.42 to 0.68. From EFA, one factor explained 58.76% of the common variance. Women showed a higher level of dental fear. The Italian IDAF-4C+ is a valid and reliable tool to assess DA in any clinical context. This instrument allows for a proper understanding and management of DA, and therefore a better patient oral health-related quality of life and compliance with the dentist’s instructions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Li-Ling Chen ◽  
Long-Ting Wu ◽  
Shue-Fen Yang ◽  
...  

Abstract Background Dental fear is associated with the experience of prior dental treatment and avoidance of dental visits. It remains unclear if individuals show an intention of avoidance (IA) towards treatments that they have not received (i.e., non-experienced dental treatment). The study aims to investigated (a) if individuals showed an increased fear and IA to non-experienced, compared to experienced dental treatment, and (b) if fear and IA to non-experienced treatment is associated with dental anxiety. Methods Fear/IA of 12 common conditions of dental treatment of 402 adults were investigated. If subjects have experienced the condition, fear and IA were assessed based on subjects’ prior experience (i.e., ExpFear/ExpIA). If they have not experienced the condition, fear and IA were assessed based on their anticipation (i.e., NExpFear/NExpIA). Trait dental anxiety was assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Results (A) NExpFear and NExpIA were significantly higher than ExpFear and ExpIA, respectively. (B) The IDAF-4C+ scores are positively correlated with NExpFear/NExpIA and negatively correlated with the magnification of fear (i.e., the discrepancy in the fear/IA of non-experienced vs. experienced conditions). (C) The condition ‘extraction of a wisdom tooth’ and ‘root canal treatment’ showed the highest ratings on NExpFear. Conclusions Individuals may develop a high degree of fear and IA of the treatment they have not received. Trait dental anxiety plays a key role in the fear of non-experienced treatment.


2018 ◽  
Vol 17 ◽  
pp. e18220
Author(s):  
Luiz Alexandre Moura Penteado ◽  
Roberto Carlos Mourão Pinho ◽  
Natanael Barbosa dos Santos ◽  
Bruna de Carvalho Farias Vajgel ◽  
Renata Cimões

Aim: The aim of the study was to investigate levels of Dental Fear (DF) and Dental Anxiety (DA) among individuals awaiting appointments at the clinics of two courses in dentistry and determine the impact on oral health status and quality of life. Methods: An observational study was conducted with a sample of adult dental patients. Levels of DF and DA and the perception of quality of life were determined using questionnaires and periodontal data. Results: Among the 287 subjects, 71.4% were female, 7.3% were classified as very anxious and 16% were classified as anxious. Gender was significantly associated with DA (p = 0.001); 20% of the female volunteers and 6.1% of the males were classified as anxious. The frequency of moderate and extreme fear was 42.9% and was not significantly correlated with gender (p = 0.071). The prevalence of a negative impact from oral health status on quality of life (measured using the OHIP-14 scale) was 38.3% and income was significantly associated with this outcome (p = 0.000). Conclusion: Levels of DA and DF were substantial among the individuals analyzed. Women with a lower education were susceptible to anxiety. DA and DF were  associated with periodontal status or impact on quality of life.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016043 ◽  
Author(s):  
Stefano Cianetti ◽  
Luigi Paglia ◽  
Roberto Gatto ◽  
Alessandro Montedori ◽  
Eleonora Lupatelli

IntroductionSeveral techniques have been proposed to manage dental fear/dental anxiety (DFA) in children and adolescents undergoing dental procedures. To our knowledge, no widely available compendium of therapies to manage DFA exists. We propose a study protocol to assess the evidence regarding pharmacological and non-pharmacological interventions to relieve dental anxiety in children and adolescents.Methods and analysisIn our systematic review, we will include randomised trials, controlled clinical rials and systematic reviews (SRs) of trials that investigated the effects of pharmacological and non-pharmacological interventions to decrease dental anxiety in children and adolescents. We will search the Cochrane Database of Systematic Reviews, the Cochrane Database of Abstracts of Reviews of Effects=, the Cochrane Central Register of Controlled Trials, PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Literature and the Web of Science for relevant studies. Pairs of review authors will independently review titles, abstracts and full texts identified by the specific literature search and extract data using a standardised data extraction form. For each study, information will be extracted on the study report (eg, author, year of publication), the study design (eg, the methodology and, for SRs, the types and number of studies included), the population characteristics, the intervention(s), the outcome measures and the results. The quality of SRs will be assessed using the A Measurement Tool to Assess Reviews instrument, while the quality of the retrieved trials will be evaluated using the Cochrane Handbook for Systematic Reviews of Interventions criteria.Ethics and disseminationApproval from an ethics committee is not required, as no participants will be included. Results will be disseminated through a peer-reviewed publications and conference presentations.


2020 ◽  
Author(s):  
Chia-Shu Lin ◽  
Chen-Yi Lee ◽  
Li-Ling Chen ◽  
Tze-Fang Wang

Abstract Background. Dental fear is associated with the experience of prior dental treatment and avoidance of dental visits. It remains unclear if individuals show an intention of avoidance (IA) towards treatments that they have not received (i.e., non-experienced dental treatment). Methods. We investigated fear/IA of 12 common conditions of dental treatment of 402 adults. If subjects have experienced the condition, fear and IA were assessed based on subjects’ prior experience (i.e., ExpFear/ExpIA). If they have not experienced the condition, fear and IA were assessed based on their anticipation (i.e., NExpFear/NExpIA). Trait dental anxiety was assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Results. We found that (A) NExpFear and NExpIA were significantly higher than ExpFear and ExpIA, respectively. (B) The IDAF-4C+ scores are positively correlated with NExpFear/NExpIA and negatively correlated with the magnification of fear (i.e., the discrepancy in the fear/IA of non-experienced vs. experienced conditions). (C) The condition ‘extraction of a wisdom tooth’ and ‘root canal treatment’ showed the highest ratings on NExpFear. Conclusions. Individuals may develop a high degree of fear and IA of the treatment they have not received. Trait dental anxiety plays a key role in the magnification of the fear of non-experienced treatment.


2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Vane Swetah C.S. ◽  
Dr. R. Pradeep Kumar

TOPIC: Dental anxiety and fear levels among outpatients in a private dental college in Chennai. AIM : The aim is to evaluate dental anxiety and fear levels among patients visiting a private dental-college. MATERIALS REQUIRED: The five points modified Corah‟s Dental Anxiety Scale (MDAS) and Dental Fear Scale (DFS) were used. Descriptive analysis was done as well as Fisher‟s Exact Test and the Independent-t test to compare the anxiety and fear scores between groups. RESULTS: Two hundred completed questionnaires were included in the study. Results showed that participants were anxious mostly about tooth drilling and local anesthetic injection. The overall response to Modified Dental Anxiety Scale (MDAS) showed that 53.5% were anxious which is statistically significant. The response to Dental Fear Scale (DFS) showed that moderate fear levels were 75%. The mean MDAS and DFS scores for males were comparatively higher than females. The age group 22-39 showed highest anxiety and fear levels.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12062
Author(s):  
Alvaro García Pérez ◽  
Álvaro Edgar González-Aragón Pineda ◽  
Hilda Gonzalez Olivares

Objective To determinate the association among socioeconomic status subject’s mother’s level of educational attainment, dental visits, and malocclusion in mixed dentition with on the OHRQoL of eight-to-ten-year-old children. Methods A cross-sectional study conducted, in 2019, on Mexican children from households of different socioeconomic status (SES). The prevalence of malocclusion was evaluated using the Dental Aesthetic Index (DAI), while the SES of the participants’ households was evaluated using the three categories (corresponding to a high, middle, or low-income household) stipulated by the Consejo Nacional de Población (CONAPO or National Population Council). Oral Health-related Quality of Life (OHRQoL) was evaluated using the Child Perceptions Questionnaire (CPQ8-10). Poisson regression models were performed for the analysis of the data obtained. Results A total of 79.4% of the subjects presented some type of malocclusion in mixed dentition, which was, by severity, as follows: definite (31.3%); severe (25.6%); and, very severe (22.5%). The Poisson regression model revealed a greater negative impact on the following four CPQ8-10domains for children with severe/very severe malocclusion [RR]: oral symptoms [2.78]; functional limitations [2.72]; emotional well-being [2.59]; and, social well-being [3.99]. A greater impact on the four CPQ8-10domains was found for children from a low-income household than for children from a high-income (p < 0.001) household. Furthermore, poor oral hygiene, lack of dental visits, and the mother’s level of educational attainment (<9 years) were found to have a negative impact on OHRQoL. Conclusion The findings of the present study demonstrated that the severity of malocclusion was associated with a greater negative impact on the OHRQoL of children, while those children who face greater health inequalities are likely to report a greater negative impact on their OHRQoL.


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