Dental anxiety in 18-year-old Norwegians in 1996 and 2016

Strøm, Kjetil; Skaare, Anne B.; Willumsen, Tiril

doi:10.1080/00016357.2019.1637933

Cited by 25 publications

(43 citation statements)

References 33 publications

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“…Included studies were from 21 different countries: Bosnia and Herzegovina, 29,30 Brazil, 15,20,21,31‐45 Canada, 46 China, 24,46‐48 England, 49 Greece, 50 India, 51 Iran, 52,53 Italy, 19 Kuwait, 54 Nepal, 55 the Netherlands, 16,56,57 Norway, 14,58,59 Romania, 60 Saudi Arabia, 5 Scotland, 61 Serbian, 25 Singapore, 62,63 Spain, 64 Sweden, 10,65‐70 and the United States 71‐74 . One study 75 included after the 2020 search update appears to be from Saudi Arabia; we emailed the authors asking for confirmation but they did not reply.…”

Section: Resultsmentioning

confidence: 99%

“…In 17 studies, the sample was considered representative of the target population; 13 of these studies could be included in the meta‐analysis of DA prevalence by age group. Eight of these 13 studies were with schoolchildren, 20,24,33,36,40,45,73,75 two were with preschool children, 15,41 and three were with adolescents 14,59,68 …”

Section: Resultsmentioning

confidence: 99%

“…Data on DA prevalence by sex were available from 12 studies: nine found higher frequencies of DA in female, six in schoolchildren, 25,29,36,40,43,61 two in preschoolers, 15,51 and one in adolescents 59 . Only one study found a statistically significant difference between DA prevalence in male and female 59 . The results of the meta‐analyses of DA prevalence by sex are presented in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…The other used the vote counting approach and pointed out that among 14 studies, ten found more dental anxiety in female than in male (eight based on mean scores and two based on prevalence) 1 . In our review, we could only estimate pooled DA prevalence by sex in schoolchildren and preschoolers because only one study 59 reported DA prevalence in male and female adolescents. In both age groups evaluated, we found no important differences between female and male regarding the prevalence of DA.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses

Grisolia

Santos

Dhyppolito

et al. 2020

Int J Paed Dentistry

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Background Dental anxiety (DA) negatively impacts oral health–related quality of life, and patients with DA usually require more dental treatment time. Aim To describe the global prevalence of DA in children and adolescents and to examine the influence of individual factors (age, sex, and caries experience) and variables related to DA measurement on pooled prevalence. Design Systematic review with meta‐analyses of observational studies published between 1985 and 2020 (PROSPERO CRD42014013879). Results Searches yielded 1207 unique records; 224 full‐text articles were screened, and 50 studies were used in the qualitative and quantitative synthesis. No study was considered as having high methodological quality according to ‘The Joanna Briggs Institute assessment tool’. Overall pooled DA prevalence was 23.9% (95% CI 20.4, 27.3). Pooled prevalence in preschoolers, schoolchildren, and adolescents was as follows: 36.5% (95% CI 23.8, 49.2), 25.8% (95% CI 19.5, 32.1), and 13.3% (95% CI 9.5, 17.0), respectively. DA was significantly more prevalent in preschool children (one study) and schoolchildren (two studies) with caries experience and in female adolescents (one study). The scale used for DA assessment was shown to influence pooled prevalence in preschoolers and adolescents. Conclusion DA is a frequent problem in 3‐ to 18‐year‐olds worldwide, more prevalent in schoolchildren and preschool children than in adolescents.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses

Grisolia

Santos

Dhyppolito

et al. 2020

Int J Paed Dentistry

View full text Add to dashboard Cite

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“…To the best of our knowledge, no studies have determined the national prevalence of dental phobia. However, a recent study from northern Norway (Tromsø) revealed that 8 per cent of 18-year-olds suffer from dental phobia [19].…”

Section: The Tada Servicementioning

confidence: 99%

Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation

Bryne¹,

Scpd²,

Kb³

et al. 2021

Preprint

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Background: Torture, abuse and dental phobia are often precursors to developing a pathological relationship with dental care due to elevated anxiety and the risk for re-traumatisation. Consequently, this patient group tends to avoid dental services, leaving them with severe tooth decay that affects both their general and psychosocial health. Norwegian dental services have implemented a specific dental service targeting this patient group, aiming to both alleviate their dental anxiety and restore their oral health. The outcomes of this service have been positive, but for this model to be transferrable to other national contexts, it is necessary not just to understand whether the service works, but also how and why it works. Therefore, this study developed theories on how the structure of the service alleviates dental anxiety and restores patients’ oral health. Although developed specifically in a Norwegian context, these theories may be applicable to other national and international contexts. Methods: This realist evaluation comprised sequential, multiple methods encompassing a review of service and policy documentation (n=12), followed by realist interviews with service developers and deliverers (n=12). Guided by a retroductive approach consisting of coding, cataloguing and configuring through content analyses and context-mechanism-outcome (CMO) heuristics, the analyses generated four programme theories.Results: First, the state-subsidised dental service affects service access and service uptake. Second, this service can be adapted and tailored to regional resources to meet the needs of the heterogenous patient group. Third, regional service teams are cohesive because of a lack of national communication and cooperative practice. Fourth, the complexity of migration processes and poor dissemination practices leads to poor recruitment of torture survivors to the service. Conclusions: The service follows a hybrid bottom-up, top-down approach, allowing teams to practise discretion and tailor their approach to meet individual needs. With its bi-dimensional structure, the service reaches a patient population that would otherwise avoid dental services. Service uptake is beneficial as patients report experiencing improved quality of life. However, the service is struggling to reach torture survivors, which may be attributable to multiple contextual factors. More research is therefore required to understand the lack of service uptake among torture survivors.

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Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT

Gussgard

Carlstedt

Meirik

2022

Clinical & Exp Dental Res

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Objective: To evaluate whether the presence of a certified therapy dog specially trained for working in a dental setting may facilitate dental care of anxious pediatric patients. Methods: The Norwegian Regional Committee for Medical and Health Research Ethics approved a randomized cross-over trial with a study sample of n = 16 children aged between 6 and 12 years. The trial was registered on clinicaltrials.gov. Pediatric patients referred to specialist care at the Public Dental Service Competence Center of Northern Norway (TkNN) because of anxiety were invited to partake in the trial. Study participants met twice for an intraoral examination by a specialist pediatric dentist. Per random allocation, a therapy dog team was present in the clinic operatory during the clinical examination on the first or the second visit. The primary outcome was the assessment of patient compliance during the intraoral examination (yes/no). Secondary outcomes were measurements of child satisfaction and anxiety using the CFSS-DS scale (Dental subscale of Children's Fear Survey Schedule) completed by a parent/guardian. Supplementary outcomes were salivary cortisol level, heart rate variability, and skin conductance.Results: Ten boys and six girls (mean age 8.5) were recruited. All completed both clinical visits and demonstrated full compliance while undergoing a dental examination.All study participants and guardians reported great satisfaction. The salivary cortisol level reduction during the clinical examination on the first visit decreased by 30% in the presence of the therapy dog and 20% without, while the decrease during the clinical examination on the second visit was 29% in the presence of the therapy dog and 3% without. Within the limitations of the experimental setup, the electrophysiological measurements were unreliable in the current study population.Conclusion: Dog-assisted therapy in a dental care setting appears to have a positive effect on children with dental anxiety or children that avoid dental care.

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Dental anxiety in 18-year-old Norwegians in 1996 and 2016

Cited by 25 publications

References 33 publications

Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses

Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta‐analyses

Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation

Intraoral clinical examinations of pediatric patients with anticipatory anxiety and situational fear facilitated by therapy dog assistance: A pilot RCT

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