Association of Dental Anxiety with Psychosocial Characteristics among Children Aged 7-13 Years

Cademartori, Mariana Gonzalez; Rosa, Denise Paiva da; Brancher, Letícia Coutinho; Costa, Vanessa Polina Pereira da; Goettems, Marília Leão

doi:10.1590/pboci.2020.028

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…It is recognized that socioeconomic status is considered an indirect influence on dental fear (5,8). The factors experienced by the child are considered direct influences (5), such as caries (6) and dental pain (5,11), as well as previous history of dental treatment (5,8,24). In this research, significant association between dental fear and monthly family income was found, but some other studies have found no association (4,11).…”

Section: Discussionmentioning

confidence: 63%

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

et al. 2020

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The aim of this study was to investigate the prevalence of dental fear and to evaluate its association with dental caries and molar incisor hypomineralization (MIH) in schoolchildren aged 8-10 years from a municipality in Northeastern Brazil. Data from 466 students enrolled in urban public schools in a cross-sectional study were collected. Parents/guardians answered a questionnaire addressing sociodemographic characteristics, dental fear was measured by means of the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) and clinical examinations were performed by three calibrated examiners for diagnosis of dental caries, using the International Caries Detection & Assessment System - ICDAS II and a previously validated index for MIH. Descriptive data analysis was performed, and associations between dental fear, dental caries and MIH were analyzed using robust Poisson regression for complex samples (p<0,05). The prevalence of dental fear was 21.6%, and the mean total CFSS-DS score was 29.97 (CI 95%=29.05-30.89). In the multivariate adjusted model, the prevalence of dental fear was associated to family income (PR=1.78; CI 95%=1.02-3.08; p= 0.041). Monthly family income was associated with dental fear in children, whereas dental caries and MIH were not associated with dental fear.

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Section: Discussionmentioning

confidence: 63%

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

et al. 2020

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“…Stenebrand et al [ 38 ] reported that previous pain during dental treatments can cause high dental anxiety among 15-year-old patients. Other studies [ 35 , 39 ] have also shown that younger children and children with negative dental experiences exhibited higher dental anxiety. In the current study, the primary causes of PTDA among the control group were dental anesthesia applications, restorative treatments, followed by drilling, and the dentist’s behavior, whereas among the treatment group, they were restorative treatments, followed by medical treatments, the dentist’s behavior, and dental anesthesia.…”

Section: Discussionmentioning

confidence: 83%

Management of Post-Traumatic Dental Care Anxiety in Pediatric Dental Practice—A Clinical Study

Hussein

Akşit-Bıçak²

2022

Children

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Background: It is important to avoid giving children traumatic dental experiences that induce post-traumatic dental care anxiety (PTDA) in clinical dental practices. The aim of this study was to evaluate whether non-pharmacological behavior management procedures can effectively reduce the use of pharmacological behavior management in children who have PTDA and are referred for regular dental treatments under general anesthesia (GA) and sedation. Methods: This clinical study consisted of two groups. The treatment group involved 20 healthy children aged 4–14 with PTDA and also those referred by other institutions for dental treatment with/without GA. The control group was sampled retrospectively from the patient records and involved 20 healthy uncooperative children aged 4–14 with PTDA who had been treated under GA. Results: The number of multiple appointments was significantly higher in the treatment group than in the control group. Only 25% of children in the treatment group underwent GA and the rest (75%) were managed with non-pharmacological management techniques. Nine (60%) children who were treated with minimally invasive techniques did not require GA. Conclusions: It is important to treat children as much as possible without causing PTDA by using appropriate behavior management techniques. This study emphasizes the usefulness of thoroughly employing non-pharmacological behavior management methods before directing a child with PTDA for dental treatment under pharmacological behavior management, which can prevent the over-utilization of sedation and GA.

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“…Several factors can influence dental fear, including sex, 10 age, 3,4,11,15 and sociodemographic, economic, and psychosocial characteristics. 20 Therefore, being aware of this condition can contribute to the establishment of a trusting relationship between professional and patient and encourage routine care, ensuring that patients maintain ideal oral health. 5 The sample of this study was composed of children aged 8 -10 years.…”

Section: Discussionmentioning

confidence: 99%

Moderate and high dental fear by sex and age using the Children’s Fear Survey Schedule-Dental Subscale

Andrade¹,

Laureano²,

Farias³

et al. 2021

j.rpemd

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Objective: To assess the relationship between the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS) questionnaire’s items and sex and age in children with moderate and high dental fear levels. Methods: Cross-sectional study carried out in a municipality in the Northeastern region of Brazil with 185 children aged 8-10 years of both sexes, who had a minimum score of 32 on the CFSS-DS questionnaire, corresponding to dental fear. Descriptive statistical analysis and the Kolmogorov-Smirnov, Mann-Whitney U, and Kruskal-Wallis tests were performed. The significance level adopted was 5%. Results: Most children were female (59.5%) and 9 years old (37.3%). The average of the total CFSS-DS score was 40.44 ± 6.81 (with a minimum of 32 and a maximum of 75). According to the CFSS-DS, 53.5% of children had high dental fear. Items “Injections,” “Having a stranger touch you,” “The dentist drilling,” “Having somebody put instruments in your mouth,” “Choking,” and “Having to go to the hospital” had the highest median values. A significant difference was observed between ages for the item “Having a stranger touch you” (p=0.001). Conclusion: The item “Having a stranger touch you” in the CFSS-DS questionnaire showed a statistically significant difference with age, while no differences were found regarding sex.

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Association of Dental Anxiety with Psychosocial Characteristics among Children Aged 7-13 Years

Cited by 4 publications

References 13 publications

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

Management of Post-Traumatic Dental Care Anxiety in Pediatric Dental Practice—A Clinical Study

Moderate and high dental fear by sex and age using the Children’s Fear Survey Schedule-Dental Subscale

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