Oral health self‐perception, dental caries, and pain: the role of dental fear underlying this association

Goettems, Marília Leão; Shqair, Ayah Qassem; Bergmann, Veridiana Fischer; Cadermatori, Mariana Gonzalez; Corrêa, Marcos Britto; Demarco, Flávio Fernando

doi:10.1111/ipd.12359

Cited by 24 publications

(21 citation statements)

References 26 publications

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“…Sixteen publications reported a prevalence of more than 50% (Adeniyi and Odusanya 2017; Alzahrani 2019; Barreto et al 2017;Bashirian et al 2018;Dandi et al 2011;Van Dijk et al 2006;Hu et al 2018;Petersen 2011, 2009;Mishra et al 2018;Naidoo et al 2001;Oliveira et al 2018;Santos et al 2019;Shekhawat et al 2016;Shidara et al 2007;Soares et al 2015). Only ten studies reported a prevalence of less than 10% (Ananthakrishnan et al 2001;Booth et al 1992;Hardy et al 2018;Karibe et al 2015;Lemes et al 2015;Rupali et al 2010;Sarri et al 2012;Siegal et al 2004;Siqueira et al 2013;Sousa et al 2014) and 18 publications reported prevalence between 10 and 20% (Bastos et al 2008;Corrêa-Faria et al 2018;Dogar et al 2011;Du et al 2011;Evans et al 1995;Figueiredo et al 2011;Goettems et al 2018;Guskuma et al 2017;Kamran et al 2017;Kumar et al 2014;Lewis and Stout 2010;Maharani et al 2019;Misrohmasari et al 2018;Perera and Ekanayake 2008;Ratnayake and Ekanayake 2005;Tr...…”

Section: Prevalencementioning

confidence: 99%

Global and regional estimates of dental pain among children and adolescents—systematic review and meta-analysis

Pentapati

Yeturu

Siddiq

2020

Eur Arch Paediatr Dent

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Aim We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. Methods Studies conducted in children and adolescents up to18 years of age and where prevalence of dental is reported or calculated were included. Search was performed in four major databases from inception to June 1st, 2019. Prevalence estimate at the maximal recall for the dental pain for the individual study was used to calculate the overall pooled estimate. Results The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n = 97). More than half of the publications reported the lifetime prevalence of dental pain (n = 51) while few studies reported the current prevalence of dental pain (n = 3) and only one study evaluated the dental pain in the past one week. Heterogeneity was high among the included publications (Q = 49,063.12; P < 0.001; df = 96 and I 2 = 99.8; P < 0.001). Overall pooled prevalence of dental pain was 32.7 (CI = 29.6-35.9). No difference was seen with respect to the trends in prevalence of dental pain (Coefficient: 0.005; 95% CI − 0.001-0.011; P-value: 0.101). Conclusion Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. There was no difference in the pain prevalence between male and females. Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.

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Section: Prevalencementioning

confidence: 99%

Global and regional estimates of dental pain among children and adolescents—systematic review and meta-analysis

Pentapati

Yeturu

Siddiq

2020

Eur Arch Paediatr Dent

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“…Dental anxiety was found to accentuate the impact of dental pain on the individuals, which, in turn, was associated with poor OHRQoL, in both adults45 and children.46 Perhaps not coincidentally, considering the often coexistence of pain and poor oral health status, dental anxiety is positively associated with avoiding concrete dental work and dentist appointments, which in turn, positively predicts poor levels of oral health.47 However, direct, unmediated connections between the dental fear and oral-health-related quality of life were also found in both adults48,49 and children.50…”

Section: Introductionmentioning

confidence: 99%

<p>When the fear of dentist is relevant for more than one’s oral health. A structural equation model of dental fear, self-esteem, oral-health-related well-being, and general well-being</p>

Vigu¹,

Stanciu²

2019

PPA

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Purpose To develop and test a complex model that captures the individuals’ general well-being and the specific oral-health-related well-being. We were specifically interested, as a specific research question, if self-esteem, dental fear, and the oral health-related well-being are credible predictors for the general well-being. Patients and methods A one-time associative research design measured dental-specific anxiety, self-esteem, oral-health-related specific well-being, and general well-being in 281 participants, 3rd and 6th year dental students ( M Age =22.59 years, SD Age =3.13; 55% females), which completed a battery of relevant questionnaires: the Dental Fear Survey, the Rosenberg Self-Image Scale, the short form of Oral Health Impact Profile, and the Flourishing Scale. The data were subject to structural equation modeling in order to validate potential pathways of influence hypothesized based on previous evidence from the literature. Results We developed and tested a complex structural equations model, in which dental fear influences both the specific oral-health-related well-being and the persons’ self-esteem. In turn, self-esteem mediates the influence pathways between dental fear and oral-health-specific well-being, on the one hand, and the overall well-being, on the other hand. Conclusion Our research contributes directly to strengthening the theoretical basis for future interdisciplinary research, by providing, first, a tested and replicable model that surpasses the simple correlation or prediction, and second, empirical evidence for the significant mutual interdependence between psychological experiences, eg, self-esteem, and the two main aspects of well-being, ie, specific and general. From a practical, clinical viewpoint, our research provides further insights and justification for the importance of educating the patient, on all levels, from the individual clinical practice to community programs and public oral health policies, with respect to the importance of oral health.

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“…Recent worldwide data suggest that up to 30% of children report moderate levels of dental anxiety, which may have negative impacts for the individual, their family, dental health professionals and society as a whole [1,2,3]. Notably, children who are dentally anxious tend to have poorer oral health (higher caries experience and extractions) and are symptomatic or irregular users of dental services [1,2,3]. It therefore remains imperative that anxiety management is integral to routine dental care for all at-risk children, in the hope of reducing a lifelong fear of dentistry and poor oral health outcomes.…”

Section: Introductionmentioning

confidence: 99%

‘Message to Dentist’: Facilitating Communication with Dentally Anxious Children

et al. 2019

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Dental anxiety affects children worldwide and can have negative consequences on oral health. This study aimed to evaluate a novel communication aid ‘message to dentist’ (MTD), as part of a wider cognitive behavioural therapy approach to reduce dental anxiety in young patients. Dentally anxious children, aged 9–16 years, were invited to complete the MTD proforma, before and following their course of treatment. They scored how worried they were and their anticipated pain levels on a scale of 1–10 (10 being the worst outcome). They also wrote down their coping plans and post-treatment reflections. One hundred and five children, from a UK general dental practice and a hospital clinic, were included. They had a mean age of 11.6 years, and 65% were female. There was a significant reduction in self-report worry (from 4.9 to 2.1) and anticipated pain (from 5.1 to 2.0) scores (p < 0.05, paired t-test). Many children (30%) used listening to music/audiobook as a coping strategy. Thematic analysis revealed concerns around pain, uncertainty, errors and specific procedures. The MTD proforma proved an effective means of facilitating communication between anxious children and the dental team, allowing them to identify their worries and make personalised coping plans.

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Oral health self‐perception, dental caries, and pain: the role of dental fear underlying this association

Abstract: The presence of fear increased the effect of pain and caries on children's oral health perception.

Cited by 24 publications

References 26 publications

Global and regional estimates of dental pain among children and adolescents—systematic review and meta-analysis

Global and regional estimates of dental pain among children and adolescents—systematic review and meta-analysis

<p>When the fear of dentist is relevant for more than one’s oral health. A structural equation model of dental fear, self-esteem, oral-health-related well-being, and general well-being</p>

‘Message to Dentist’: Facilitating Communication with Dentally Anxious Children

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