Understanding the Relationship between Dental Fear, Behavior Management Problems, and Caregiver-Child Interactions during Young Child Dental Appointments

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.

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Clinical Evaluation of the Variables associated with Treatment Acceptability and Their Relation to Compliance

Behavioral Disorders ◽

10.1177/019874299201800108 ◽

1992 ◽

Vol 18 (1) ◽

pp. 67-76 ◽

Cited By ~ 36

Author(s):

Thomas M. Reimers ◽

David P. Wacker ◽

Linda J. Cooper ◽

Agnes O. Deraad

Keyword(s):

Behavior Problem ◽

Behavior Management ◽

Positive Reinforcement ◽

Treatment Acceptability ◽

Clinic Visit ◽

Future Research ◽

Parental Ratings ◽

Problem Severity ◽

The Relationship

The authors examined the acceptability ratings of positive reinforcement procedures recommended to parents seen in a pediatric behavior management outpatient clinic. Parental ratings of acceptability were obtained in the clinic and 1, 3, and 6 months following their initial clinic visit. Acceptability variables were examined by group (parents who rated the acceptability of treatments as high vs. low) and by severity (parents who rated their children's behavior problem as severe vs. mild). The relationship between these variables and reported compliance was also examined. Results show that the acceptability variables were useful in differentiating between parents who rated treatments to be more acceptable and parents who rated treatments to be less acceptable. Differences were also observed as a function of behavior problem severity. Significant correlations occurred between acceptability variables and compliance at each of the follow-up points. Results are discussed in relation to the clinical significance of these findings and the impetus they might serve for future research.

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Evaluation of the relationship among dental fear, scaling and root planing and periodontal status using periodontitis stages: A retrospective study

Journal of Dental Sciences ◽

10.1016/j.jds.2021.04.002 ◽

2021 ◽

Author(s):

Yeungyeung Liu ◽

Caimei Zhang ◽

Jingyi Wu ◽

Huimin Yu ◽

Chengjie Xie

Keyword(s):

Retrospective Study ◽

Dental Fear ◽

Scaling And Root Planing ◽

Periodontal Status ◽

Root Planing ◽

The Relationship

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Evaluation of the relationship between MIH severity and dental fear among the children

Medical Science and Discovery ◽

10.36472/msd.v6i10.318 ◽

2019 ◽

Vol 6 (10) ◽

pp. 284-287

Author(s):

Can Özükoç

Keyword(s):

Behavioral Problems ◽

Dental Anxiety ◽

Pediatric Dentistry ◽

Dental Fear ◽

Common Condition ◽

Molar Incisor Hypomineralization ◽

Significant Difference ◽

Fear Survey Schedule ◽

Almost All ◽

The Relationship

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.

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Relationship between Tobacco Smoking And Dental Fear Among Adolescents of 15-18 Year Age in Pakistan

10.53350/pjmhs211561210 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1210-1212

Author(s):

G. Amin ◽

M.. S. Nawaz ◽

A. M. Ikram ◽

G. M. Shaikh ◽

J. I. Afridi ◽

...

Keyword(s):

Oral Health ◽

Survey Design ◽

Dental Fear ◽

Male Students ◽

Adolescent Male ◽

Chi Square ◽

Health Maintenance ◽

Study Results ◽

The Relationship ◽

Smoke Tobacco

Aim: To assess the relationship between dental fear and smoking among adolescents of 15-18 year of age in Pakistan Method: This study was a prospective crossectional survey design which was conducted in Lahore. After taking permission from the school’s head, data was collected from the male students of grade 9th, 10th, 11th and 12th using questionnaire and later on one of their parents was approached to fill the questionnaire. For this purpose, only one school was targeted. Sample size was of 200 participants whereas parents of all the student participants participated in the study. Results: The results of chi-square revealed that dental fear was quite high among male students, occasional use of tobacco, and use of mouthwash minimum thrice a day. It was also found that students of those parents whose occupational level was low reported higher dental fear. Conclusion: It was found that adolescent male students were found to have more dental fear who smoke tobacco as compared to those who do not smoke. It is important to ask about smoking habits as well as dental fear when examining oral health maintenance of adolescents. Keywords: Smoking, Tobacco, Adolescents, Dental fear

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