Evaluation of the Risk Factors of Dental Anxiety in Children
Yıl: 2022 Cilt: 9 Sayı: 2 Sayfa Aralığı: 99 - 104 Metin Dili: İngilizce DOI: 10.4274/jpr.galenos.2022.79990 İndeks Tarihi: 15-06-2022
Evaluation of the Risk Factors of Dental Anxiety in Children
Öz: Aim: Dental anxiety is described as state anxiety due to dental treatment procedures. The present study aimed to evaluate the etiological
factors of dental anxiety in children aged 7-8 and 11-12 years old.
Materials and Methods: A total of 370 children of both genders were enrolled in this study. The parents’ socio-economic status, education
levels and family income, oral hygiene habits, and the caries status of the children were recorded on a structured questionnaire. The dental
anxiety of both the children and their mothers was evaluated by the administration of a questionnaire based on Corah’s dental anxiety scale
(DAS). The children’s fear survey schedule-dental subscale (CFSS-DS) was also used to assess the dental anxiety levels of the children. Data
were analyzed using the SPSS (SPSS Inc., Chicago, IL, USA) 19.0 software program. Descriptive statistics were used for socio-demographic data.
Parametric and non-parametric tests were used to compare means/medians, whereas the chi-square test was used to compare proportions.
Student’s t-test and one-way ANOVA with Bonferroni correction were employed to compare the anxiety scale results. All significance levels
were set at 0.05.
Results: A negative correlation was found between the age groups and dental anxiety levels in the children (p=0.02). The difference between
gender and dental anxiety was statistically significant (p=0.01). Boys were found to be more anxious than girls. The differences between the
dental anxiety and the education levels of the mothers and the family income of the parents were not statistically significant (p>0.05). It was
detected that the maternal dental anxiety level strongly affected the anxiety level of the children in the group of 7-8 years (p=0.01), while no
significant difference was found in the group of 11-12 years (p>0.05). A positive correlation was found between the dental caries scores of the
children and their dental anxiety level (p=0.01).
Conclusion: Dental anxiety is multifactorial and is far more complex than can be explained by a single contributing factor.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Klingberg G, Broberg AG. Dentalfear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007; 17:391-406.
- 2. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent 2002; 12:47-52.
- 3. Chhabra N, Chhabra A, Walia G. Prevalence of dental anxiety and fear among five to ten year old children: a behaviour based crosssectional study. Minerva Stomatol 2012; 61:83-9.
- 4. Baier K, Milgrom P, Russell S, Mancl L, Yoshida T. Children’s fear and behavior in private pediatric dentistry practices. Pediatr Dent 2004; 26:316-21.
- 5. Peretz B, Moshonov J. Dental anxiety among patients undergoing endodontic treatment. J Endod 1998; 24:435-7.
- 6. Bernson JM, Elfstrom ML, Hakeberg M. Dental coping strategies, general anxiety, and depression among adult patients with dental anxiety but with different dental attendance patterns. Eur J Oral Sci 2013; 121:270-6.
- 7. Themessl-Huber M, Freeman R, Humphris G, MacGillvray S, Terzi N. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent 2010; 20:83-101.
- 8. Soares FC, Lima RA, de Barros MVG, Dahllöf G, Colares V. Development of dental anxiety in schoolchildren: A 2-year prospective study. Community Dent Oral Epidemiol 2017; 45:281-8.
- 9. Esa R, Jamaludin M, Yusof ZYM. Impact of maternal and child dental anxiety on oral health-related quality of life of 5-6-year- old preschool children. Health Qual Life Outcomes 2020; 18:319.
- 10. Busato P, Garbín RR, Santos CN, Paranhos LR, Rigo L. Influence of maternal anxiety on child anxiety during dental care: cross- sectional study. Sao Paulo Med J 2017; 135:116-22.
- 11. Shim YS, Kim AH, Jeon EY, An SY. Dental fear&anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med 2015; 15:53-61.
- 12. Kakkar M, Wahi A, Thakkar R, Vohra I, Shukla AK. Prevalence of dental anxiety in 10-14 years old children and its implications. J Dent Anesth Pain Med 2016; 16:199-202.
- 13. El-Housseiny AA, Merdad LA, Alamoudi NM, Farsi NM. Effect of child and parent characteristics on child dental fearratings: analysis of short and full versions of children’s fear survey schedule-dental subscale. Oral Heal Dent Manag 2015; 14:757.
- 14. Peretz B, Kaplan R, Stabholtz A. The influence of a patient- management course to dental hygiene students on the dental anxiety of their patients. J Dent Educ 1997; 61:368-73.
- 15. Rajwar AS, Goswami M. Prevalence of dental fear and its causes using three measurement scales among children in New Delhi. J Indian Soc Pedod Prev Dent 2017; 35:128-33.
- 16. Arapostathis KN, Coolidge T, Emmanouil D, Kotsanos N. Reliability and validity of the Greek version of the children’s fear survey schedule-dental subscale. Int J Paediatr Dent 2008; 18:374-9.
- 17. Abanto J, Vidigal EA, Carvalho TS, Sá SNC de, Bönecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res 2017; 31:13.
- 18. Boynes SG, Abdulwahab M, Kershner E, Mickens F, Riley A. Analysis of parental factors and parent-child communication with pediatric patients referred for nitrous oxide administration in a rural community health center setting. Oral Biol Dent 2014; 2:10.
- 19. Rachman S. The conditioning theory of fear-acquisition: a critical examination. Behav Res Ther 1977; 15:375-87.
- 20. Gao X, Hamzah SH, Yiu CKY, McGrath C, King NM. Dental fear and anxiety in children and adolescents: qualitative study using YouTube. J Med Internet Res 2013; 15:29.
- 21. Al-Madi EM, AlShiddi M, Al-Saleh S, AbdelLatif H. Developing a Dental Curriculum for the 21st Century in a New Dental School in Saudi Arabia. J Dent Educ 2018; 82:591-601.
- 22. Howard KE, Freeman R. Reliability and validity of a faces version of the modified child dental anxiety scale. Int J Paediatr Dent 2007; 17:281-8.
- 23. Haworth S, Dudding T, Waylen A, Thomas SJ, Timpson NJ. Ten years on: Is dental general anaesthesia in childhood a risk factor for caries and anxiety? Br Dent J 2017; 222:299-304.
- 24. Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res 1999; 78:790-6.
- 25. Corah NL. Development of a dental anxiety scale. J Dent Res 1969; 48:596.
- 26. Cuthbert MI, Melamed BG. A screening device: children at risk for dental fears and management problems. ASDC J Dent Child 1982; 49:432-6.
| APA | UZEL İ, AYDINEL B, AK A (2022). Evaluation of the Risk Factors of Dental Anxiety in Children. , 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| Chicago | UZEL İlhan,AYDINEL Bengi,AK Aslı Topaloğlu Evaluation of the Risk Factors of Dental Anxiety in Children. (2022): 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| MLA | UZEL İlhan,AYDINEL Bengi,AK Aslı Topaloğlu Evaluation of the Risk Factors of Dental Anxiety in Children. , 2022, ss.99 - 104. 10.4274/jpr.galenos.2022.79990 |
| AMA | UZEL İ,AYDINEL B,AK A Evaluation of the Risk Factors of Dental Anxiety in Children. . 2022; 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| Vancouver | UZEL İ,AYDINEL B,AK A Evaluation of the Risk Factors of Dental Anxiety in Children. . 2022; 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| IEEE | UZEL İ,AYDINEL B,AK A "Evaluation of the Risk Factors of Dental Anxiety in Children." , ss.99 - 104, 2022. 10.4274/jpr.galenos.2022.79990 |
| ISNAD | UZEL, İlhan vd. "Evaluation of the Risk Factors of Dental Anxiety in Children". (2022), 99-104. https://doi.org/10.4274/jpr.galenos.2022.79990 |
| APA | UZEL İ, AYDINEL B, AK A (2022). Evaluation of the Risk Factors of Dental Anxiety in Children. The Journal of Pediatric Research, 9(2), 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| Chicago | UZEL İlhan,AYDINEL Bengi,AK Aslı Topaloğlu Evaluation of the Risk Factors of Dental Anxiety in Children. The Journal of Pediatric Research 9, no.2 (2022): 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| MLA | UZEL İlhan,AYDINEL Bengi,AK Aslı Topaloğlu Evaluation of the Risk Factors of Dental Anxiety in Children. The Journal of Pediatric Research, vol.9, no.2, 2022, ss.99 - 104. 10.4274/jpr.galenos.2022.79990 |
| AMA | UZEL İ,AYDINEL B,AK A Evaluation of the Risk Factors of Dental Anxiety in Children. The Journal of Pediatric Research. 2022; 9(2): 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| Vancouver | UZEL İ,AYDINEL B,AK A Evaluation of the Risk Factors of Dental Anxiety in Children. The Journal of Pediatric Research. 2022; 9(2): 99 - 104. 10.4274/jpr.galenos.2022.79990 |
| IEEE | UZEL İ,AYDINEL B,AK A "Evaluation of the Risk Factors of Dental Anxiety in Children." The Journal of Pediatric Research, 9, ss.99 - 104, 2022. 10.4274/jpr.galenos.2022.79990 |
| ISNAD | UZEL, İlhan vd. "Evaluation of the Risk Factors of Dental Anxiety in Children". The Journal of Pediatric Research 9/2 (2022), 99-104. https://doi.org/10.4274/jpr.galenos.2022.79990 |
