Prevalence Of Dental Anxiety Among University Students And Affect On Dental Attendance

Author(s):  
Dominique Reid ◽  
Kemisha Kerr ◽  
Xavier Carty ◽  
Jeffrey D’Ornellas ◽  
Brittney Gervais ◽  
...  

Objective: To investigate the prevalence of dental anxiety in an adult Caribbean population and explore its relationship to socio-demographic factors and dental attendance. Methods: An anonymous self-administered questionnaire was distributed to students attending The University of The West Indies, in Trinidad. The questionnaire included demographic items, self-rated oral health and dental attendance and the Modified Dental Anxiety Scale (MDAS). This self-reported instrument has five questions about anxiety to dental treatment rated on a 5- point scale (1=not anxious to 5=extremely anxious). Results: 197 university students participated in the study. 51.3% were male. 76% were 18-24 years-old. Overall, 62.4% of participants reported a low level of dental anxiety (MDAS 5-14), 22.3% moderate dental anxiety (MDAS 15-18) and 15.2% severe dental anxiety (MDAS 19+). Over a quarter of participants reported that they would be extremely anxious if they were to have a tooth drilled or about to have a local anaesthetic injection (27.4% and 26.9% respectively). Higher mean anxiety scores were reported by female participants those who had difficulty finding dental care or had avoided going to the dentist due to fear of treatment (t-test p<0.05) and those with lower self-rated oral health (ANOVA p<0.05), Conclusions: Among this sample of university students, the majority of participants reported low levels of dental anxiety. Higher dental anxiety levels were associated with gender, difficulty finding dental care, avoiding dental visits due to fear and lower self-rated oral health.

2015 ◽  
Vol 72 (7) ◽  
pp. 602-607 ◽  
Author(s):  
Maja Lalic ◽  
Ema Aleksic ◽  
Jasmina Milic ◽  
Adam Malesevic ◽  
Bojan Jovicic

Background/Aim. Dental anxiety leads to avoidance of dental treatment and could lead to impaired oral health. The aim of this study was to determine the reliability of the Serbian version of Children?s Fear Survey Schedule Dental Subscale (CFSS-DS) and the relations between dental anxiety and oral health status in a sample of Serbian schoolchildren. Methods. The CFSS-DS scale was translated into Serbian and administered to 231 (12-year old) patients of the Pediatric Dental Department, Public Health Center Cukarica, Belgrade. The number of healthy, decayed, missing and filled teeth (DMFT score) in children was determined by a clinical exam. Results. The average CFSS-DS score was 26.47 ? 10.33. The girls reported higher anxiety than the boys (p < 0.05). Most common fears were drilling, choking, going to the hospital and anesthesia. Lower CFSS-DS scores were recorded in children with all healthy teeth (p < 0.05). Children with higher CFSS-DS scores mostly visit the dentist due to pain or parental insistence, and those with lower anxiety scores more often visited dentist due to regular check-ups or non-invasive treatments (p < 0.01). A high value of the Cronbach's coefficient of internal consistency (? = 0.88) was found in the entire scale. Conclusion. The Serbian version of CFSS-DS questionnaire is reliable and valid psychometric instrument for evaluation of dental fear in Serbian children. Dental anxiety negatively affects dental attendance and oral health of the examined schoolchildren.


2021 ◽  
pp. 026010602110317
Author(s):  
Selby Nichols ◽  
Nequesha Dalrymple ◽  
Patrice Prout ◽  
Anisa Ramcharitar-Bourne

Background: Approximately one-third of adults in Trinidad and Tobago have high blood pressure (hypertension). Excessive consumption of sodium (Na+) is a known risk factor for hypertension. Aim: We investigated Na+ and potassium (K+) intakes and their correlates in a multi-ethnic Caribbean population. Method: Volunteers completed a self-administered questionnaire comprising socio-demographic items, physical activity (PA) and a semiquantitative food frequency questionnaire. Foods eaten were classified by level of processing using the NOVA classification system and analysed for Na+ and K+ levels using appropriate dietary analysis software. The study was approved by the University of the West Indies at Saint Augustine Ethics Committee. Results: 11,783 adults participated in the study. Approximately 83.2% of total calories, 79% of Na+ and 40% of K+ was derived from the consumption of highly processed foods. Median daily Na+ and K+ intakes were 2759 mg and 2853 mg, respectively. Na+ intakes showed significant nonlinear increases with age ( p < 0.001) and body mass index (BMI) ( p < 0.001), and non-linear decreases with educational attainment ( p < 0.001). K+ intakes showed significant nonlinear decreases with age ( p < 0.001) and BMI ( p < 0.001), and linear increases with educational attainment ( p < 0.001). Males had higher intakes of Na+ and K+ than females. Na+: K+ was lower among persons participating in moderate to high intensity PA ≥ 150 minutes/week compared to those participating in such activities < 150 minutes/week. Conclusion: Socio-demographic factors were significantly correlated with Na+ and K+ intakes among participants and must be considered in strategies aimed at achieving healthy intakes of these nutrients.


2018 ◽  
Vol 9 ◽  
pp. 144
Author(s):  
Margaretha Sovaria ◽  
Eka S Shofiyah ◽  
Mochamad F Rizal ◽  
Sarworini B Budiardjo

Objective: Mothers have very important roles in their children’s development. Their instinctive love develops strong emotional connections with their children, especially when their children have sensory impairments (SI). Feelings experienced by mothers, such as anxiety toward dental treatment, can affect their children’s emotions. Salivary alpha amylase (sAA) has been proposed as a biomarker of stress due to its sensitivity to changes in the body, such as dental anxiety. This study aimed to analyze the relationship between sAA levels in mothers and children with SI before dental treatment.Methods: Measurement of sAA from sixty pairs of children with SI and their mothers was taken together in the waiting room before the children’s dental treatment. Spearman’s analysis was used to find the correlation between their sAA levels.Results: In this study, sAA levels in mothers accompanying their children with SI correlated significantly with their children’s sAA levels (r=0.533; p<0.002).Conclusions: The correlation between dental anxiety in mothers and children with SI before dental treatment was found to be significant.Practical Implications: Anxiety toward dental care is a phenomenon that frequently arises in children. Mothers, the main influencers of their children’s development, are thought to be one cause of high anxiety in children. Children with special needs are at a higher risk for developing dental problems. Therefore, an understanding of these children’s levels of anxiety can be used by pediatric dentists to improve dental care.


Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Muhammad Zahid Iqbal

Objective: The objective of the study was to evaluate the awareness of university students about oral health and hygiene in a university in Malaysia. Methods: A cross-sectional study was conducted among the students of four different faculties (pharmacy, medical, biotechnology and business) in a university in Malaysia with the help of pre-validated research questionnaire.  The Statistical Package for Social Science (SPSS) Version 24.0 was used to analyze and present the data. Results: The final response gathered was 324 from four faculties. The pharmacy faculty students had better knowledge as compared to the other faculties. The female students had better knowledge of oral health hygiene as compared to males. Final year students reported more appropriate knowledge as compared to pre-final year students. Conclusion: Overall appropriate knowledge was observed among the four studied faculties of the university. The present study concluded that pharmacy students had more appropriate knowledge of oral health and hygiene than the other faculty students.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Muhanad Alhareky

Objective. To report the prevalence of dental phobia and associated factors among pregnant women. Materials and Methods. This cross-sectional study included pregnant women visiting hospitals in Dhahran, Khobar, and Dammam in Saudi Arabia. The Modified Dental Anxiety Scale (MDAS) was used to assess dental anxiety and phobia. The score of MDAS ranges from 5 to 25, and a cutoff value of 19 was used to identify participants with dental phobia. Results. The study analyzed data of 825 participants with mean age of 29.08 ± 5.18 years. The prevalence of dental phobia was 16.1%. About 46.9% of the sample believed that dental treatment should be avoided during pregnancy, and the importance of regular dental checkup was recognized by 16.4% of the participants. Dental phobia was associated with the perception of the health of teeth (P 0.004) and gums (P 0.016). Multiple logistic regression showed that being under the age of 30 years (OR 0.63, P 0.019) and updating knowledge about oral health (OR 0.49, P 0.006) were significantly associated with reduced likelihood of dental phobia. However, having bad dental experience (OR 2.13, P 0.001) and being in first trimester of pregnancy (OR 1.57, P 0.033) were significantly associated with increased odds of dental phobia. Conclusions. A considerable proportion of pregnant women reported dental phobia. The bad dental experience was associated with increased dental phobia. However, reduced likelihood of dental phobia was associated with updating oral health knowledge. Healthcare professionals may consider these factors to reduce dental phobia and improve oral health of pregnant women.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S14-S19 ◽  
Author(s):  
Melissa Faccini ◽  
Fernanda Ferruzzi ◽  
Aline Akemi Mori ◽  
Gabriela Cristina Santin ◽  
Renata Cristina Oliveira ◽  
...  

Abstract Objective This survey aimed to assess the effects of coronavirus disease 2019 (COVID-19) on elective and urgency/emergency dental care and dentists concerned. Materials and Methods A web-based survey was performed using Google forms questionnaire sent to dentists in Brazil. Questions included: personal information, type of dental care provided during quarantine, if emergencies increased, the dental office biosafety routine, among others. The levels of concern about the impact of quarantine on dental care and patient oral health conditions and the economic impact on dental practices were evaluated using a 0- to 10-point scale. Statistical analysis included descriptive, percentages, one-way ANOVA, Tukey, and chi-square tests. Results During quarantine, 64.6% of the dentists attended only urgency/emergency treatments, while 26.1% maintained routine appointments, and 9.3% closed the dental offices. A higher percentage of dentists from the least affected states continued routine dental treatment; dentists were younger and presented a significantly lower level of concern about dental treatments and oral health conditions of their patients. An increase in urgency/emergency procedures was reported by 44.1% of the dentists, mostly due to the unavailability of routine/elective dental care and increased patient anxiety and stress. The main causes of urgency/emergency appointments were toothache, dental trauma, and broken restorations, besides the breakage of orthodontic appliances and temporomandibular disorders. Dentists reported a high level of concern about the economic impact caused by quarantine. Conclusions The pandemic/quarantine has negatively affected the clinical routine. Personal protection/hygiene care must be adopted and reinforced by dental professionals/staff to make dental procedures safer.


2019 ◽  
Vol 185 (7-8) ◽  
pp. e1187-e1192
Author(s):  
Dave Edwards ◽  
Richard Ramsey ◽  
John Breeze ◽  
Mark Dermont

Abstract Introduction: Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states that serving UK AF personnel requiring sedation to tolerate routine dental treatment are to have their Joint Medical Employment Standard (JMES) reviewed to restrict their deployability and employability. This article explores current sedation delivery, dentist opinion, and adherence to policy. Materials and Methods: The total number and type of intravenous (IV) sedation appointments over a 6-month period was assessed using surgical logbooks. Questionnaires were sent to all dentists in primary care responsible for treating military patients to ascertain their attitudes toward the requirement for sedation in support of recruitment and deployability. Ten-year retrospective data analyses were used to identify current trends in sedation use in the UK AF. Results: Responses were received from 117/137 (85%) dentists. All of the responding Civilian Dental Practitioners felt that there was a requirement for IV sedation in contrast to the Royal Navy (RN), where over a quarter (28%) disagreed. The majority, 48 (81%), of Army dentists felt that military patients unable to tolerate routine treatment under local anesthesia alone should not deploy on operations, compared with 7 (63%) of their civilian counterparts. Overall, 72 (62%) respondents felt that patients unable to tolerate routine treatment without sedation should not be recruited. Conclusions: Civilian Dental Practitioners in the sample indicated that they were less likely to recommend a patient for JMES review, less likely to prevent patients from deploying and less likely to believe that individuals requiring sedation for routine treatment should not be recruited into the UK AF. These attitudes are contrary to current Defence direction and could increase the risk of UK AF personnel experiencing morbidity on deployment requiring aeromedical evacuation. Over the longer term, civilianization of Defence dentistry is likely to reduce collective operational experience and Defence must ensure that clinicians understand the management of anxious patients in the military context and their responsibilities in relation to JMES. Furthermore, policy limiting the recruitment of personnel with significant dental anxiety is not being robustly adhered to. Based on the number of dental procedures undertaken under IV sedation in the UK AF, consistent application of this policy would not affect recruitment at an organizational level, but would limit the risk of deploying these personnel. Further work is required to understand dental anxiety within the UK Armed Forces so that the operational morbidity risks can be quantified and provision appropriately planned.


2001 ◽  
Vol os8 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Yvonne-Marie Dailey ◽  
Alex N Crawford ◽  
Gerry Humphris ◽  
Michael A Lennon

Aim To explore factors affecting patients’ dental attendance behaviour following referral from a dental anxiety clinic to a general dental practitioner. Design A four-year follow up of patients who completed a course of treatment for dental anxiety by conducting semi-structured interviews, face-to-face or by telephone, with confirmation of dental attendance from the dental records. Subjects Forty-one patients who had completed a course of treatment for dental anxiety, in a specially designed community clinic. Mean time since last dental visit before treatment was 7.8 years (range 0.5–29). Results Twenty-three patients were successfully followed up and 11 (47%) were receiving regular asymptomatic dental care. The dental anxiety scores of those who subsequently became asymptomatic attenders were significantly lower at follow-up than the patients who became symptomatic attenders (P=0.01). Effective dentist-patient communication was a common theme of the interviews. Conclusions At four-year follow-up, dental anxiety was substantially lower in those who subsequently became asymptomatic attenders than those who became symptomatic attenders. A positive dentist-patient relationship had developed with the asymptomatic attenders.


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