Dental Anxiety and Caries Experience in Patients from 7 to 12 Years Old
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Abstract
Introduction: Dental anxiety has been related to caries experience, as anxiety may lead to avoidance behaviours towards dental care. Objective: To compare caries experience according to the level of dental anxiety in a paediatric population. Materials and methods: We investigated the association between dental anxiety and caries experience measured by the Decayed, Missing and Filled Teeth (dmft) Index in a sample of children (n=110) between 7 and 12 years of age who attended dental consultations at four health care centres in the Mexico City Metropolitan Area. During the dental consultation, the patients were clinically inspected and the DMFT index (decayed, missing and filled) was recorded. Then, they were assessed with the Corah’s Dental Anxiety Scale (DAS) according to which they were classified into two groups: a group without dental anxiety (4 to 8 points) and a group with dental anxiety (9 to 20 points). The means of the DMFT index, as well as its individual components, were obtained and the results were compared between the groups with Student's t- and Chi-squared statistical tests. Results: Significant differences were found between the groups when analysing the ‘decayed teeth’ component (p<0.05), with a greater number of decayed teeth in the group with dental anxiety. Conclusions: Higher scores on the ‘decayed teeth’ component of the dmft were found in children with dental anxiety compared to children without dental anxiety.
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References
Cianetti S, Lombardo G, Lupatelli E, Pagano S, Abraha I, Montedori A, et al. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent. 2017; 18(2): 121-130. DOI: 10.23804/ejpd.2017.18.02.07
Armfield JM, Spencer AJ, Stewart JF. Dental fear in Australia: who's afraid of the dentist? Aust Dent J. 2006; 51(1): 78-85. DOI: 10.1111/j.1834-7819.2006.tb00405.x
Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013; 58(4): 390-407. DOI: 10.1111/adj.12118
Ng SKS, Leung WK. A community study on the relationship of dental anxiety with oral health status and oral health-related quality of life. Community Dent Oral Epidemiol. 2008; 36: 347-356. DOI: 10.1111/j.1600-0528.2007.00412.x
Soares FC, Lima RA, Salvador DM, de Barros MVG, Dahllöf G, Colares V. Reciprocal longitudinal relationship between dental fear and oral health in schoolchildren. Int J Paediatr Dent. 2020; 30: 286-292. DOI: 10.1111/ipd.12598
Akbay Oba A, Dülgergil CT, Sönmez IS. Prevalence of dental anxiety in 7- to 11-year-old children and its relationship to dental caries. Med Princ Pract. 2009; 18(6): 453-457. DOI: 10.1159/000235894
Ríos-Erazo M, Herrera-Ronda A, Molina-Muñoz Y, Cadenasso-Salinas P, Zambrano-Canelo V, Rojas-Alcayaga G. Ansiedad dental en adultos chilenos que concurren a un servicio de salud primaria. Int. J. Odontostomat. 2016; 10(2): 261-266. DOI: 10.4067/S0718-381X2016000200012
Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – a comprehensive review. J Clin Periodontol. 2017; 44(Suppl 18): S94-S105. DOI: 10.1111/jcpe.12677
Potter CM, Kinner DG, Tellez M, Ismail AI, Heimberg RG. Clinical implications of panic symptoms in dental phobia. J Anxiety Disord. 2014; 28(7): 724-730. DOI: 10.1016/j.janxdis.2014.07.013
Kroniņa L, Rasčevska M, Care R. Psychosocial factors correlated with children's dental anxiety. Stomatologija. 2017; 19(3): 84-90. PMID: 29339671
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007; 369(9555): 51-59. DOI: 10.1016/S0140-6736(07)60031-2
Skaret E, Raadal M, Berg E, Kvale G. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. Eur J Oral Sci. 1999; 107(6): 422-428. DOI: 10.1046/j.0909-8836.1999.eos107602.x
Wong HM, Peng SM, Perfecto A, McGrath CPJ. Dental anxiety and caries experience from late childhood through adolescence to early adulthood. Community Dent Oral Epidemiol. 2020; 48(6): 513-521. DOI: 10.1111/cdoe.12563
Esa R, Ong AL, Humphris G, Freeman R. The relationship of dental caries and dental fear in Malaysian adolescents: a latent variable approach. BMC Oral Health. 2014; 14: 19. DOI: 10.1186/1472-6831-14-19
Milsom KM, Tickle M, Humphris GM, Blinkhorn AS. The relationship between anxiety and dental treatment experience in 5-year-old children. Br Dent J. 2003; 194(9): 503-506. DOI: 10.1038/sj.bdj.4810070
Helkimo AN, Rolander B, Koch G. Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years. BMC Oral Health. 2022; 22: 146. DOI: 10.1186/s12903-022-02166-6
Alsadat FA, El-Housseiny AA, Alamoudi NM, Elderwi DA, Ainosa AM, Dardeer FM. Dental fear in primary school children and its relation to dental caries. Niger J Clin Pract. 2018; 21(11): 1454-1460. DOI: 10.4103/njcp.njcp_160_18
Corah NL. Development of a dental anxiety scale. J Dent Res. 1969; 48(4): 596. DOI: 10.1177/00220345690480041801
Organización Mundial de la Salud. Basic principles of clinical oral health surveys. 1.5 Assessment of oral health status. In: Petersen PE, Baez RJ. (Eds). Oral health surveys. Basic methods. 5th ed. Paris: WHO, 2013. pp. 35-56. https://iris.who.int/bitstream/handle/10665/97035/9789241548649_eng.pdf?sequence=1
Bialoszewska K, Lazarewicz M, Świeczkowski D, Cwalina N, Merks P, Białoszewski A, et al. The state of the health of the oral cavity and health behaviors. Wiad Lek. 2018; 71(7): 1354-1359. PMID: 30448810
McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol. 2004; 32(1): 67-72. DOI: 10.1111/j.1600-0528.2004.00119.x
Taani DQ, El-Qaderi SS, Abu Alhaija ES. Dental anxiety in children and its relationship to dental caries and gingival condition. Int J Dent Hyg. 2005; 3(2): 83-87. DOI: 10.1111/j.1601-5037.2005.00127.x
Rivera Zelaya IC, Fernández Parra A. Ansiedad y miedos dentales en escolares hondureños. Rev Latinoam Psicol. 2005; 37(3): 461-475. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0120-05342005000300002&lng=pt.
Thomson WM, Poulton RG, Kruger E, Davies S, Brown RH, Silva PA. Changes in self-reported dental anxiety in New Zealand adolescents from ages 15 to 18 years. J Dent Res. 1997; 76(6): 1287-1291. DOI: 10.1177/00220345970760060801

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