Self‐assessed oral health, cognitive vulnerability and dental anxiety in children: testing a mediational model

Carrillo-Díaz, María; Crego, Antonio; Armfield, Jason M.; Romero, María Falcón

doi:10.1111/j.1600-0528.2011.00646.x

Cited by 20 publications

(33 citation statements)

References 44 publications

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“…To date, research has identified a set of cognitive variables that may play a key role as determinants of dental fear in children . Our results are consistent with these studies, as all the cognitive factors analyzed were moderately‐to‐strongly related to dental fear.…”

Section: Discussionsupporting

confidence: 90%

“…Previous research has found dental fear to be connected with oral health problems in adults and children. In particular, dentally fearful children show a higher incidence of untreated decay , have more teeth missing due to caries , and self‐assess their oral health in a more negative way . Moreover, dental fear represents a barrier for accessing dental services and treatments, which may lead to a worsening of one's oral status.…”

mentioning

confidence: 99%

“…Moreover, dental fear represents a barrier for accessing dental services and treatments, which may lead to a worsening of one's oral status. Indeed, those children with higher levels of dental fear appear to visit the dentist less frequently and miss appointments . Furthermore, dental fear in children and adolescents is a widespread problem, with an estimated prevalence of between 5.7% and 19.5% .…”

mentioning

confidence: 99%

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The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

Carrillo-Díaz

Crego²,

Armfield

et al. 2012

Comm Dent Oral Epid

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

Carrillo-Díaz

Crego²,

Armfield

et al. 2012

Comm Dent Oral Epid

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“…Studies on dental anxiety have indicated that etiology involves multiple factors. 8,9 The early identification of dental anxiety in a patient is important for dentists so that they can properly approach their patients. 8 For this reason, many methods have been developed to assess dental anxiety.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic

et al. 2016

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This study evaluated the dental anxiety levels of preschool children at a kindergarten and at a dental clinic. The anxiety levels of ninety 4-6-year-old (4.99 ± 0.81) preschool children were evaluated according to pulse rates, the facial image scale (FIS), the Venham picture test (VPT), and the Frankl behavior rating scale. The children's mothers were asked to complete the state-trait anxiety inventory (STAI) forms 1 and 2 (STAI 2 and STAI 2). The sample t-test, Mann-Whitney U test, and Pearson's correlation test were used. A statistically significant difference was observed between the children's pulse rates when measured at the dental clinic and those when measured at the kindergarten (p < 0.001). Although the results were not statistically significant, more negative facial expressions were observed in the children at the dental clinic than in those at the kindergarten when assessed using FIS and VPT (p = 0.090 and p = 0.108, respectively). There was a statistically significant correlation between the transient anxiety levels (STAI 1) of mothers and the VPT scores of their children evaluated at the dental clinic (r = 0.506, p < 0.001). The continuous anxiety level of the mothers of males was found to be significantly higher (p = 0.033) than that of the mothers of females (STAI 2). Although the children had been informed about dentistry and were introduced to a dentist at the kindergarten, their anxiety levels seemingly increased as they arrived at the dental clinic. The significant increase observed in the children's pulse rates was a physical indicator that their anxiety levels had increased. It can be concluded that the children felt more anxious at the dental clinic that at the kindergarten.

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“…According to this framework, dentally fearful people assess dental events as potentially dangerous, uncontrollable, unpredictable, and disgusting. Overall, research conducted using this model has supported the idea of a cognitive vulnerability schema operating in dental fear in both adults (45, 46) and children (29, 47), with cognitive vulnerability perceptions accounting for just under one-half of the variance in dental fear scores beyond that accounted for by demographic variables and aversive dental experiences (45). However, while negative thoughts about dental treatments are clearly a strong risk factor for both dental fear and poorer oral health, we still do not know the extent to which these cognitions are present in the population, and this remains a task for research in public mental health.…”

Section: Public Mental Health Meets Community Dentistrymentioning

confidence: 63%

From Public Mental Health to Community Oral Health: The Impact of Dental Anxiety and Fear on Dental Status

Crego

Carrillo-Díaz

Armfield

et al. 2014

Front. Public Health

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Dental fear is a widely experienced problem. Through a “vicious cycle dynamic,” fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyze the interplay between cognitive and psychosocial determinants of fear, such as the Cognitive Vulnerability Model, are promising. The onset of dental fear often occurs in childhood, so focusing on the child population could greatly contribute to understanding dental fear mechanisms and prevent this problem extending into adulthood. Not only can public mental health contribute to population health, but also community dentistry programs can help to prevent dental fear. Regular dental visits seem to act in a prophylactic way, with dental professionals playing an important role in the regulation of the patients’ anxiety-related responses. Both public mental health and community dentistry could therefore benefit from a multidisciplinary approach to dental fear and oral health.

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Self‐assessed oral health, cognitive vulnerability and dental anxiety in children: testing a mediational model

Cited by 20 publications

References 44 publications

The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

The moderating role of dental expectancies on the relationship between cognitive vulnerability and dental fear in children and adolescents

Evaluation of children’s dental anxiety levels at a kindergarten and at a dental clinic

From Public Mental Health to Community Oral Health: The Impact of Dental Anxiety and Fear on Dental Status

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