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European Journal of Oral Sciences Feb 2010The aim of this study was to investigate the relationship between dental anxiety and dental decay experience among antenatal mothers attending Maternal and Child Health...
The aim of this study was to investigate the relationship between dental anxiety and dental decay experience among antenatal mothers attending Maternal and Child Health clinics in Malaysia. A cross-sectional study was conducted on a consecutive sample of 407 antenatal mothers in Seremban, Malaysia. The questionnaire consisted of participants' demographic profile and the Dental Fear Survey. The D(3cv)MFS was employed as the outcome measure and was assessed by a single examiner (intraclass correlation = 0.98). A structural equation model was designed to inspect the relationship between dental anxiety and dental decay experience. The mean Dental Fear Survey score for all participants was 35.1 [95% confidence interval (34.0, 36.3)]. The mean D(3cv)MFS score was 10.8 [95% confidence interval (9.5, 12.1)]. Participants from low socio-economic status groups had significantly higher D(3cv)MFS counts than those from high socio-economic status groups. The path model with dental anxiety and socio-economic status as predictors of D(3cv)MFS showed satisfactory fit. The correlation between dental anxiety and dental decay experience was 0.30 (standardized estimate), indicating a positive association. Socio-economic status was also statistically significantly associated with the D(3cv)MFS count (beta = 0.19). This study presented robust evidence for the significant relationship between dental anxiety and dental decay experience in antenatal mothers.
Topics: Adolescent; Adult; Chi-Square Distribution; Cross-Sectional Studies; DMF Index; Dental Anxiety; Dental Caries; Factor Analysis, Statistical; Female; Humans; Malaysia; Manifest Anxiety Scale; Models, Statistical; Multivariate Analysis; Pregnancy; Pregnancy Complications; Social Class; Surveys and Questionnaires; Young Adult
PubMed: 20156266
DOI: 10.1111/j.1600-0722.2009.00701.x -
Indian Journal of Dental Research :... 2019Anxiety is defined as an emotion produced by a set of feelings and physical changes. Many patients are afraid of some procedures involved in dental therapy. (Observational Study)
Observational Study
CONTEXT
Anxiety is defined as an emotion produced by a set of feelings and physical changes. Many patients are afraid of some procedures involved in dental therapy.
AIM
The objective of this study was to verify the anxiety of patients regarding the visits to dental clinics of a higher education institution, as well as to observe the moment of greatest anxiety.
SETTINGS AND DESIGN
It is a cross-sectional observational study including 94 patients from the dental clinics of an educational institution in a city of southern Brazil.
MATERIALS AND METHODS
The Corah Dental Anxiety Scale, composed of four questions, was used to evaluate the dental anxiety levels of all patients. The sample universe included registered patients under treatment in the clinics of the studied institution, from August to November of 2016. We included only healthy patients over 18-year old who were subjected to surgical and nonsurgical procedures.
STATISTICAL ANALYSIS
The data were analyzed through descriptive statistic to verify the frequency distribution of all variables. Pearson's Chi-square test, at 5% significance level and 95% confidence interval, was used to evaluate the association between the dependent variable (dental treatment anxiety) and the independent variables (demographics), aided by the SPSS software 20.0. Results: It was found that most of the participants were not anxious (69.1%) and the moment of greatest anxiety reported was before local anesthesia. In addition, statistics showed no correlation among gender, age group, and type of procedure performed. It was possible to conclude that the level of anxiety of the patients regarding the dental care performed in the clinics of the studied institution was low for both surgical and nonsurgical procedures.
CONCLUSION
This survey revealed that the moment of greatest anxiety for the patients was before the anesthetic procedure, and gender, age, and type of procedure did not influence the level of anxiety felt by the patient.
Topics: Adolescent; Brazil; Cross-Sectional Studies; Dental Anxiety; Dental Care; Dental Clinics; Humans
PubMed: 31169166
DOI: 10.4103/ijdr.IJDR_325_18 -
Journal of Applied Oral Science :... 2009This study was designed to investigate the subjective ratings of dental anxiety levels among university students enrolled at Jordan University of Science and Technology....
OBJECTIVE
This study was designed to investigate the subjective ratings of dental anxiety levels among university students enrolled at Jordan University of Science and Technology. In addition, the present study aimed to explore the sources of dental anxiety and the impact of gender on the perceived dental anxiety and the correlation between field of study and dental anxiety level.
MATERIAL AND METHODS
The Modified Corah Dental Anxiety Scale was used to measure dental anxiety among the study population. Six hundred subjects were recruited into the study from Jordanian undergraduate students from the faculties of Medicine, Engineering, and Dentistry.
RESULTS
Five hundred and thirty five complete questionnaires were returned, which accounts for a response rate of 89.2%. The totals of the mean anxiety scores were the following: Medical students, 13.58%; Engineering students, 13.27% and dental students, 11.22%. About 32% of the study population has scored 15 or more. Dental students had the lowest percentage of those who scored 15 or more. Surprisingly, the medical students were responsible for the highest percentage of those who scored 15 or above. Although women demonstrated statistically higher total dental anxiety scores than men (p= 0.03), the difference between both genders was small and could be clinically insignificant. The students were anxious mostly about tooth drilling and local anesthetic injection.
CONCLUSIONS
Lack of adequate dental health education may result in a high level of dental anxiety among non-dental university students in Jordan. Further studies are required to identify the correlates of dental anxiety among university students.
Topics: Dental Anxiety; Dental High-Speed Technique; Dental Scaling; Engineering; Female; Humans; Injections; Jordan; Male; Manifest Anxiety Scale; Sex Factors; Students; Students, Dental; Students, Medical; Surveys and Questionnaires; Universities; Young Adult
PubMed: 19466251
DOI: 10.1590/s1678-77572009000300013 -
Indian Journal of Dental Research :... 2019The objectives of this study were to assess the relationship between dental anxiety and cynical hostility in a sample of dental patients and to study the possible role...
OBJECTIVES
The objectives of this study were to assess the relationship between dental anxiety and cynical hostility in a sample of dental patients and to study the possible role of socioeconomic status (SES) in this relationship.
MATERIALS AND METHODS
A total of 288 dental patients completed a self-administered questionnaire consisting of the cynical distrust scale (CDS) and the modified dental anxiety scale (MDAS). Data on sociodemographic characteristics were also collected.
RESULTS
Dental anxiety as reflected by mean MDAS scores was significantly higher among the younger age group (P = 0.002), among females (P = 0.025), and the lower SES groups (P = 0.001). Cynical hostility was significantly higher among the older age group (P = 0.03), among males (P = 0.02), and among the lower SES groups, respectively, (P = 0.001). When the CDS scores for individuals with and without dental anxiety were compared within the context of the three socioeconomic strata, there was a statistically significant difference (P = 0.029) in scores between the two anxiety groups in the middle socioeconomic strata where the cynical distrust scores were lower among the anxiety group.
DISCUSSION
Mediation analysis revealed that SES played an important role in the association between dental anxiety and cynical hostility. It also showed that the mediating effect is not uniform across socioeconomic strata and may be different in different societies with their own unique population structures and classes.
Topics: Aged; Dental Anxiety; Female; Hostility; Humans; Male; Social Class; Surveys and Questionnaires
PubMed: 31169167
DOI: 10.4103/ijdr.IJDR_112_17 -
Acta Bio-medica : Atenei Parmensis Jun 2020Dental anxiety is primarily associated with learning negative behaviour which may be attributed to the aggressive condition process during childhood and adolescence and...
BACKGROUND AND AIM
Dental anxiety is primarily associated with learning negative behaviour which may be attributed to the aggressive condition process during childhood and adolescence and is considered to be the main reason for avoiding dental care. Hence the present study aimed to assess the correlation of Dental Anxiety with Oral Health Status and Treatment Needs.
METHODS
Cross sectional study was carried out among 12-year old school going children of Hyderabad City, India. Dental anxiety was assessed using the Modified Child Dental Anxiety Scale (MCDAS). Oral Health Status and Treatment Needs were assessed using Gingival Index and Dentition status and treatment needs based on Basic Oral Health Survey. Multi-group analysis was done using Analysis of Variance. p<0.05 was considered statistically significant.
RESULTS
In the present study, females had higher significant total mean MCDAS score as compared to males (22.8±5.4 vs.19.66±6.0) (p=0.00001*). Study participants with no history of previous dental visits (21.55±5.6) showed a statistically higher significant total MCDAS score compared to their counterpart (p=0.006*). On the other hand, Decayed component (r=0.1335*) and overall DMFT (r=0.1384*) had a significant positive correlation with MCDAS score.
CONCLUSION
The study concluded that there is a correlation between dental anxiety and dentition status and treatment needs among 12 year old children.
Topics: Child; Cross-Sectional Studies; Dental Anxiety; Female; Humans; Male; Oral Health; Schools
PubMed: 33525260
DOI: 10.23750/abm.v91i4.8682 -
BMC Oral Health Jun 2023Educating dentists in treatment methods for dental anxiety would increase the patients' access to treatments that are important to their oral health. However, to avoid... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Educating dentists in treatment methods for dental anxiety would increase the patients' access to treatments that are important to their oral health. However, to avoid adverse effects on comorbid symptoms, involvement by a psychologist has been considered necessary. The objective of the present paper was to evaluate whether a dentist could implement systematized treatments for dental anxiety without an increase in comorbid symptoms of anxiety, depression or PTSD.
METHODS
A two-arm parallel randomised controlled trial was set in a general dental practice. Eighty-two patients with self-reported dental anxiety either completed treatment with dentist-administered cognitive behavioural therapy (D-CBT, n = 36), or received dental treatment while sedated with midazolam combined with the systemized communication technique "The Four Habits Model" (Four Habits/midazolam, n = 41). Dental anxiety and comorbid symptoms were measured pre-treatment (n = 96), post-treatment (n = 77) and one-year after treatment (n = 52).
RESULTS
An Intention-To-Treat analysis indicated reduced dental anxiety scores by the Modified Dental Anxiety Scale (median MDAS: 5.0 (-1,16)). The median scores on the Hospital Index of Anxiety and Depression (HADS-A/D) and the PTSD checklist for DSM-IV (PCL) were reduced as follows: HADS-A: 1 (-11, 11)/HADS-D: 0 (-7, 10)/PCL: 1 (-17,37). No between-group differences were found.
CONCLUSIONS
The study findings support that a general dental practitioner may treat dental anxiety with Four Habits/Midazolam or D-CBT without causing adverse effects on symptoms of anxiety, depression or PTSD. Establishing a best practice for treatment of patients with dental anxiety in general dental practice should be a shared ambition for clinicians, researchers, and educators.
TRIAL REGISTRATION
The trial was approved by REC (Norwegian regional committee for medical and health research ethics) with ID number 2017/97 in March 2017, and it is registered in clinicaltrials.gov 26/09/2017 with identifier: NCT03293342.
Topics: Humans; Stress Disorders, Post-Traumatic; Depression; Midazolam; Dental Anxiety; Dentists; Professional Role; Anxiety; Treatment Outcome
PubMed: 37349747
DOI: 10.1186/s12903-023-03061-4 -
International Journal of Paediatric... Mar 2017Dental anxiety is common among children. Although there is a wealth of research investigating childhood dental anxiety, little consideration has been given to the...
BACKGROUND
Dental anxiety is common among children. Although there is a wealth of research investigating childhood dental anxiety, little consideration has been given to the child's perspective.
AIM
This qualitative study sought to explore with children their own experiences of dental anxiety using a cognitive behavioural therapy assessment model.
DESIGN
Face-to-face, semi-structured interviews were conducted with dentally anxious children aged 11-16 years. The Five Areas model was used to inform the topic guide and analysis. Data were analysed using a framework approach.
RESULTS
In total, 13 children were interviewed. Participants described their experiences of dental anxiety across multiple dimensions (situational factors and altered thoughts, feelings, physical symptoms, and behaviours). Participants placed considerable value on communication by dental professionals, with poor communication having a negative influence on dental anxiety and the dentist-patient relationship.
CONCLUSIONS
This study confirms the Five Areas model as an applicable theoretical model for the assessment of childhood dental anxiety. Children provided insights about their own dental anxiety experiences that have not previously been described.
Topics: Adaptation, Psychological; Adolescent; Child; Communication; Dental Anxiety; Dentist-Patient Relations; Emotions; Female; Humans; Male; Qualitative Research
PubMed: 27376925
DOI: 10.1111/ipd.12238 -
Health and Quality of Life Outcomes Sep 2020There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother's perception of her child's oral health-related...
BACKGROUND
There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother's perception of her child's oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child's dental caries experience and the COHRQoL was also assessed.
METHODS
A cross-sectional study was conducted involving 1150, 5-6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL.
RESULTS
Overall, complete data on 842 mother-child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child's dental caries experience and COHRQoL (p < 0.001).
CONCLUSIONS
Maternal dental anxiety and child's dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5-6-year-old preschool children.
Topics: Child; Child, Preschool; Cross-Sectional Studies; Dental Anxiety; Dental Caries; Female; Humans; Malaysia; Male; Mother-Child Relations; Mothers; Quality of Life; Surveys and Questionnaires
PubMed: 32993663
DOI: 10.1186/s12955-020-01565-z -
International Journal of Environmental... Jun 2023The aims of this paper were twofold: first, to evaluate dental anxiety levels among patients undergoing oral surgery procedures; second, to assess how dental anxiety and...
OBJECTIVES
The aims of this paper were twofold: first, to evaluate dental anxiety levels among patients undergoing oral surgery procedures; second, to assess how dental anxiety and fear are connected to age, gender, educational background, past traumatic experiences, and the frequency of dental appointments.
METHODS
A cross-sectional Likert-scale questionnaire survey was conducted to collect quantitative data from 206 patients at the Oral Surgery Clinics at Dubai Dental Clinics, Dubai, United Arab Emirates. The reliability and validity of the questionnaire were tested using Cronbach's alpha. The normality of the MDAS score was tested using the Kolmogorov-Smirnov test. The chi square and Kruskal-Wallis tests were used to determine the association between categorical variables. Descriptive statistics were used to describe continuous and categorical variables. The statistical significance was set at -value ≤ 0.05.
RESULTS
The evaluation of the degree of dental anxiety among patients who visited the Dubai Dental clinics revealed that there was a considerably high level of moderate or high anxiety (72.3%). Tooth extraction and dental surgery procedures (95%), followed by local anesthetic injection in the gingiva (85%) and teeth drilling (70%), were the primary causes of anxiety, whereas scaling and polishing resulted in the lowest degree of anxiety (35%). There was no substantial difference in dental anxiety between male and female patients or among patients with different marital statuses. A total of 70% of patients preferred the tell-show-do method, whereas 65% chose communication strategies to reduce dental anxiety.
CONCLUSIONS
The evaluation of the degree of dental anxiety among patients who visited Dubai Dental clinics revealed that there was a considerably high level of anxiety. Tooth extraction and dental surgery procedures, followed by local anesthetic injection and teeth drilling, were the primary causes of anxiety, whereas scaling and polishing resulted in the lowest degree of anxiety. Despite the use of a modified anxiety scale and a large and representative sample of oral surgery patients, more research is necessary to investigate the impact of various factors on dental anxiety.
Topics: Humans; Adult; Male; Female; Dental Anxiety; Prevalence; Cross-Sectional Studies; Reproducibility of Results; Anesthetics, Local; Fear; Surveys and Questionnaires; Marital Status; Ambulatory Care Facilities
PubMed: 37372705
DOI: 10.3390/ijerph20126118 -
European Journal of Paediatric Dentistry Mar 2022As parents and caregivers are responsible for the oral health of children, their own dental anxiety may negatively impact the oral health of their children. This study...
AIM
As parents and caregivers are responsible for the oral health of children, their own dental anxiety may negatively impact the oral health of their children. This study aimed to assess whether parental dental anxiety and knowledge of caries preventive measures are associated with their psychological profiles and their children's oral health.
METHODS
This case-control study involved parents, who were divided according to whether their children did or did not have active caries. The differences in Short version of the Dental Anxiety Inventory, and Knowledge of Caries Preventive Measures (KCPM) scores between the parents whose children have and do not have active caries was established by the Mann-Whitney U test (P < 0.05).
CONCLUSION
Parental dental anxiety and knowledge of caries preventive measures are associated with the oral health of their children.
Topics: Case-Control Studies; Child; Cross-Sectional Studies; Dental Anxiety; Dental Caries Susceptibility; Humans; Oral Health; Parents
PubMed: 35274540
DOI: 10.23804/ejpd.2022.23.01.06