Psycho-social correlates of dental anxiety and its association with caries experience in 12-16-year-old school going children in Southern India

Objectives To confirm clinical observations and to investigate the characteristics (demography, dental anxiety status, dental health status, treatment experiences and dental health behaviours) of children attending for dental general anaesthesia (DGA). Design A case series design was used in which each consecutive parent and child, referred for DGA, were invited to take part. Method Identical protocols for the selection of the sample, administration of the questionnaire and clinical examination were used to ensure comparability. To account for seasonal variation the data were collected during and between the months of January and May in both 1993 and 1997. Two hundred children and their parents were selected in 1993 and 200 in 1997. The parent completed a questionnaire. It enquired of the parent and child demography, parental dental anxiety status, and the child's treatment experiences. Children were asked to complete the Children's Fear Survey Schedule (CFSS) to assess their dental anxiety. The child's caries experience was assessed using the guidelines to standardise the collection of epidemiological data throughout the UK. Results Children studied in 1997 compared with 1993 were younger, had more decayed but fewer filled teeth, were more dentally anxious, more likely to present in pain and came from families who were in receipt of Government benefits. A linear regression analysis showed that the children with previous experience of DGA had higher levels of dental caries, fewer filled teeth, were older and attended in 1997. An individual regression for 1993 showed that an additional predictor was child attendance pattern. Conclusions These findings confirmed the clinical observations and suggested that children who attend in pain and present for repeated DGA represent a group of children with special dental healthcare needs. There is a need for an integrated dental healthcare service to identify such children and provide appropriate dental care facilities for them.

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Comparing caries experience between Azadirachta indica chewing stick users and toothbrush users among the 35-44-year-old rural population of Southern India

Journal of International Society of Preventive and Community Dentistry ◽

10.4103/jispcd.jispcd_428_18 ◽

2019 ◽

Vol 9 (4) ◽

pp. 417

Author(s):

AnkineeduB Dasari ◽

Srinivas Pachava ◽

ViswaC Chandu ◽

SureshC Yaddanapalli ◽

HusseinM Assaf

Keyword(s):

Azadirachta Indica ◽

Rural Population ◽

Southern India ◽

Caries Experience

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Association of Maternal and Child Dental Anxiety With Dental Caries Experience and Dental Attendance Pattern of the Child

Journal of Orofacial Sciences ◽

10.4103/jofs.jofs_7_18 ◽

2018 ◽

Vol 10 (2) ◽

pp. 75 ◽

Cited By ~ 1

Author(s):

SuprabhaB Shrikrishna ◽

Shruti Balasubramanian ◽

Ramya Shenoy ◽

Arathi Rao

Keyword(s):

Dental Caries ◽

Dental Anxiety ◽

Caries Experience ◽

Dental Attendance ◽

Attendance Pattern

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Association between mental health, caries experience and gingival health of adolescents in sub-urban Nigeria

BMC Oral Health ◽

10.1186/s12903-021-01589-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Maha El Tantawi ◽

Morenike Oluwatoyin Folayan ◽

Olakunle Oginni ◽

Abiola Adetokunbo Adeniyi ◽

Boladale Mapayi ◽

...

Keyword(s):

Mental Health ◽

Oral Health ◽

Mental Health Problems ◽

Dental Anxiety ◽

Health Indicators ◽

Health Problems ◽

Risk Indicators ◽

Caries Experience ◽

Gingival Health ◽

Refined Carbohydrates

Abstract Background This study assessed the association of mental health problems and risk indicators of mental health problems with caries experience and moderate/severe gingivitis in adolescents. Methods A cross-sectional household survey was conducted in Osun State, Nigeria. Data collected from 10 to 19-years-old adolescents between December 2018 and January 2019 were sociodemographic variables (age, sex, socioeconomic status); oral health indicators (tooth brushing, use of fluoridated toothpaste, consumption of refined carbohydrates in-between-meals, dental services utilization, dental anxiety and plaque); mental health indicators (smoking habits, intake of alcohol and use of psychoactive drugs) and mental health problems (low and high). Gingival health (healthy gingiva/mild gingivitis versus moderate/severe gingivitis) and caries experience (present or absent) were also assessed. A series of five logistic regression models were constructed to determine the association between presence of caries experience and presence of moderate/severe gingivitis) with blocks of independent variables. The blocks were: model 1—sociodemographic factors; model 2—oral health indicators; model 3—mental health indicators and model 4—mental health problems. Model 5 included all factors from models 1 to 4. Results There were 1234 adolescents with a mean (SD) age of 14.6 (2.7) years. Also, 21.1% of participants had high risk of mental health problems, 3.7% had caries experience, and 8.1% had moderate/severe gingivitis. Model 5 had the best fit for the two dependent variables. The use of psychoactive substances (AOR 2.67; 95% CI 1.14, 6.26) was associated with significantly higher odds of caries experience. The frequent consumption of refined carbohydrates in-between-meals (AOR: 0.41; 95% CI 0.25, 0.66) and severe dental anxiety (AOR0.48; 95% CI 0.23, 0.99) were associated with significantly lower odds of moderate/severe gingivitis. Plaque was associated with significant higher odds of moderate/severe gingivitis (AOR 13.50; 95% CI 8.66, 21.04). High risk of mental health problems was not significantly associated with caries experience (AOR 1.84; 95% CI 0.97, 3.49) or moderate/severe gingivitis (AOR 0.80; 95% CI 0.45, 1.44). Conclusion The association between mental problems and risk indicators with oral diseases in Nigerian adolescents indicates a need for integrated mental and oral health care to improve the wellbeing of adolescents.

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Influence of Maternal Dental Anxiety on the Child’s Dental Caries Experience

Caries Research ◽

10.1159/000334645 ◽

2012 ◽

Vol 46 (1) ◽

pp. 3-8 ◽

Cited By ~ 15

Author(s):

M.L. Goettems ◽

T.M. Ardenghi ◽

A.R. Romano ◽

F.F. Demarco ◽

D.D. Torriani

Keyword(s):

Dental Caries ◽

Dental Anxiety ◽

Caries Experience

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Impact of maternal and child dental anxiety on oral health-related quality of life of 5–6-year-old preschool children

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01565-z ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Rashidah Esa ◽

Marhazlinda Jamaludin ◽

Zamros Yuzadi Mohd Yusof

Keyword(s):

Preschool Children ◽

Oral Health ◽

Dental Caries ◽

Maternal Education ◽

Dental Anxiety ◽

Caries Experience ◽

Related Quality ◽

Health Related ◽

Urban Rural ◽

The Relationship

Abstract Background There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother’s perception of her child’s oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child’s dental caries experience and the COHRQoL was also assessed. Methods A cross-sectional study was conducted involving 1150, 5–6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL. Results Overall, complete data on 842 mother–child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child’s dental caries experience and COHRQoL (p < 0.001). Conclusions Maternal dental anxiety and child’s dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5–6-year-old preschool children.

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Associations between a history of sexual abuse and dental anxiety, caries experience and oral hygiene status among adolescents in sub-urban South West Nigeria

BMC Oral Health ◽

10.1186/s12903-021-01562-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Morenike Oluwatoyin Folayan ◽

Maha El Tantawi ◽

Nourhan M. Aly ◽

Abiola Adetokunbo Adeniyi ◽

Elizabeth Oziegbe ◽

...

Keyword(s):

Socioeconomic Status ◽

Sexual Abuse ◽

Oral Health ◽

Oral Hygiene ◽

Dental Anxiety ◽

Caries Experience ◽

Poor Oral Hygiene ◽

Daily Consumption ◽

History Of ◽

Refined Carbohydrates

Abstract Introduction Sexual and oral health are important areas of focus for adolescent wellbeing. We assessed for the prevalence of sexual abuse among adolescents, oral health factors associated with this history, and investigated whether sexual abuse was a risk indicator for dental anxiety, caries experience and poor oral hygiene. Methods This was a cross-sectional study conducted between December 2018 and January 2019 among adolescents 10–19 years old in Ile-Ife, Nigeria. Survey data collected included respondents’ age, sex, and socioeconomic status, oral health risk factors (dental anxiety, frequency of tooth brushing intake of refined carbohydrates in-between-meals, flossing, dental visits, smoking, alcohol intake, use of psychoactive substances), caries experience, oral hygiene status, history of sexual abuse, and sexual risk behaviors (age of sexual debut, history of transactional sex, last sexual act with or without condom, multiple sex partners). Regression models were constructed to determine the association between outcome variables (dental anxiety, presence of caries experience and poor oral hygiene) and explanatory variables (oral health risk factors and history of sexual abuse). Results The prevalence of sexual abuse in our cohort was 5.9%: 4.3% among males and 7.9% among females. A history of sexual abuse was associated with alcohol consumption (p = 0.009), cigarette smoking (p = 0.001), and a history of transactional sex (p = 0.01). High/severe dental anxiety was significantly associated with increased odds of a history of sexual abuse (AOR = 1.81; 95% CI 1.10, 2.98), but not with caries experience (AOR = 0.66; 95% CI 0.15, 2.97) nor poor oral hygiene (AOR = 1.68; 95% CI 0.95, 2.96). Dental anxiety was associated with increased odds of alcohol intake (AOR = 1.74; 95% CI 1.19, 2.56), twice daily tooth brushing (AOR = 1.48; 95% CI 1.01, 2.17) and daily consumption of refined carbohydrates in-between-meals (AOR = 2.01; 95% CI 1.60, 2.54). Caries experience was associated with increased odds of using psychoactive substances (AOR = 4.83; 95% CI 1.49, 15.62) and having low socioeconomic status (AOR = 0.40; 95% CI 0.18, 0.92). Poor oral hygiene was associated with increased odds of having middle socioeconomic status (AOR = 1.43; 95% CI 1.05, 1.93) and daily consumption of refined carbohydrates in-between-meals (AOR = 1.38; 95% CI 1.08, 1.78). Conclusion Adolescents who are highly dentally anxious need to be screened for a history of sexual abuse to facilitate access to professional care and support.

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