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Original Research

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A study on related factors affecting dental fear in preschool children

  • Ruobing Peng1
  • Linhua Liu1
  • Youjian Peng1
  • Jun Li1
  • Tiantian Mao1,*,

1Department of Stomatology, Renmin hospital of Wuhan University, 430060 Wuhan, Hubei, China

DOI: 10.22514/jocpd.2024.020 Vol.48,Issue 1,January 2024 pp.184-190

Submitted: 24 August 2023 Accepted: 17 October 2023

Published: 03 January 2024

*Corresponding Author(s): Tiantian Mao E-mail: mtt6166@163.com

Abstract

This study aims to examine the manifestations of dental anxiety (DA) and its influencing factors during dental visits among preschool children. The data of 166 preschool children who visited the Department of Dentistry of our hospital from April 2021 to April 2023 with oral problems were retrieved. Their DA performance was investigated using the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS). In addition, based on their general data and potential risk factor information, we performed logistic regression analysis to identify the factors influencing DA. Of the 166 questionnaires distributed, a total of 160 valid questionnaires were retrieved. The average CFSS-DS score was 35.57 ± 3.51 points. Sixty-six children had DA, resulting in an incidence rate of 41.25%. The top 5 items with the highest CFSS-DS scores were fear of needles, dentists, tooth extraction, drilling and oral anesthesia. When the 66 children with DA were classified into a DA group and a non-DA group, we observed significant differences in age distribution, dental experience, only child status, general anxiety symptoms, dental condition, family income and specific dental treatment procedures, particularly tooth extraction, between them (p < 0.05). Multivariate logistic regression analysis revealed that preschool children aged ≤4 years, those with prior dental experiences, single-child status, general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing specific dental procedures, such as tooth extractions, were independently associated with a higher risk of DA (p < 0.05). The incidence of DA in preschool children is high, and they exhibit substantial fear of needles, dentists, tooth extraction, drilling and oral anesthesia. Preschool children aged ≤4 years, with prior dental experiences, single-child status, the presence of general anxiety symptoms, suboptimal dental health, family incomes below 100,000 yuan/year, and those undergoing dental procedures, particularly tooth extraction, could be more predisposed to DA.


Keywords

Preschool age; Children; Dental anxiety; Influencing factors


Cite and Share

Ruobing Peng,Linhua Liu,Youjian Peng,Jun Li,Tiantian Mao. A study on related factors affecting dental fear in preschool children. Journal of Clinical Pediatric Dentistry. 2024. 48(1);184-190.

References

[1] Shetty V, Suresh LR, Hegde AM. Effect of virtual reality distraction on pain and anxiety during dental treatment in 5 to 8 year old children. Journal of Clinical Pediatric Dentistry. 2019; 43: 97–102.

[2] Aravena PC, Almonacid C, Mancilla MI. Effect of music at 432 Hz and 440 Hz on dental anxiety and salivary cortisol levels in patients undergoing tooth extraction: a randomized clinical trial. Journal of Applied Oral Science. 2020; 28: e20190601.

[3] Arslan I, Aydinoglu S, Karan NB. Can lavender oil inhalation help to overcome dental anxiety and pain in children? A randomized clinical trial. European Journal of Pediatrics. 2020; 179: 985–992.

[4] Alyami YD, Farran JK, Alsubhi JA, Omar JA, Alsoubaia NA, Alyami NF, et al. Dental anxiety among migraine patients. Journal of Medicine and Life. 2021; 14: 498–503.

[5] Rangel CRG, Pinheiro SL. Laser acupuncture and intravascular laser irradiation of blood for management of pediatric dental anxiety. Journal of Oral Science. 2021; 63: 355–357.

[6] Dixit U, Jasani R. Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: a randomized controlled study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2020; 38: 71–78.

[7] Soares MEC, Araújo AS, Pinto ICL, Barbosa LSA, Borsatto MC, Galo R. Effect of acupressure on dental anxiety in children: a pilot study for a randomized clinical trial. Journal of Acupuncture and Meridian Studies. 2022; 15: 307–313.

[8] Ying J, Tao H, He Q, Zhang Z, Hu W, Chen S, et al. Children’s dental fear: occurrence mechanism and prevention guidance. Journal of Multidisciplinary Healthcare. 2023; 16: 2013–2021.

[9] Wakana K, Kimura Y, Nitta Y, Fujisawa T. The effect of music on preoperative anxiety in an operating room: a single-blind randomized controlled trial. Anesthesia Progress. 2022; 69: 24–30.

[10] Ma L, Wang M, Jing Q, Zhao J, Wan K, Xu Q. Reliability and validity of the Chinese version of the children’s fear survey schedule-dental subscale. International Journal of Paediatric Dentistry. 2015; 25: 110–116.

[11] Fabella FET. Authoritative and authoritarian parenting styles as factors in the grit scores of selected college students. International Journal of Research and Review. 2022; 9: 283–287.

[12] Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 2006; 166: 1092–1097.

[13] Adil AH, Eusufzai SZ, Kamruddin A, Wan Ahmad WMA, Jamayet NB, Karobari MI, et al. Assessment of parents’ oral health literacy and its association with caries experience of their preschool children. Children. 2020; 7: 101.

[14] Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. International Journal of Paediatric Dentistry. 2007; 17: 391–406.

[15] Felemban OM, Alshamrani RM, Aljeddawi DH, Bagher SM. Effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients: a randomized clinical trial. BMC Oral Health. 2021; 21: 321.

[16] Lahti S, Suominen A, Freeman R, Lähteenoja T, Humphris G. Virtual reality relaxation to decrease dental anxiety: immediate effect randomized clinical trial. JDR Clinical & Translational Research. 2020; 5: 312–318.

[17] Sivrikaya EC, Yilmaz O, Sivrikaya P. Dentist-patient communication on dental anxiety using the social media: a randomized controlled trial. Scandinavian Journal of Psychology. 2021; 62: 780–786.

[18] Thakkar TK, Naik SN, Dixit UB. Assessment of dental anxiety in children between 5 and 10 years of age in the presence of a therapy dog: a randomized controlled clinical study. European Archives of Paediatric Dentistry. 2021; 22: 459–467.

[19] Alkanan SAM, Alhaweri HS, Khalifa GA, Ata SMS. Dental pain perception and emotional changes: on the relationship between dental anxiety and olfaction. BMC Oral Health. 2023; 23: 175.

[20] Gozin F, Tabe Bordbar F, Esmaeili M. Audio-visual storytelling for reducing dental anxiety in Iranian children: a randomized controlled trial. European Archives of Paediatric Dentistry. 2022; 23: 953–960.

[21] Pezzini Soares J, Cardoso M, Bolan M. Demystifying behaviour and dental anxiety in schoolchildren during endodontic treatment for primary teeth—controlled clinical trial. International Journal of Paediatric Dentistry. 2019; 29: 249–256.

[22] Park ES, Yim HW, Lee KS. Progressive muscle relaxation therapy to relieve dental anxiety: a randomized controlled trial. European Journal of Oral Sciences. 2019; 127: 45–51.

[23] Yigit T, Gucyetmez Topal B, Ozgocmen E. The effect of parental presence and dental anxiety on children’s fear during dental procedures: a randomized trial. Clinical Child Psychology and Psychiatry. 2022; 27: 1234–1245.

[24] Sghaireen MG. Effect of verbal and visual information on the level of anxiety among dental implant patients. The Journal of Contemporary Dental Practice. 2020; 21: 846–851.

[25] Freeman R, Maguire A, Ryan V, Wilson N, Innes NPT, Clarkson JE, et al. The FiCTION trial: child oral health-related quality of life and dental anxiety across three treatment strategies for managing caries in young children. Community Dentistry and Oral Epidemiology. 2020; 48: 328–337.

[26] Dou L, Vanschaayk MM, Zhang Y, Fu X, Ji P, Yang D. The prevalence of dental anxiety and its association with pain and other variables among adult patients with irreversible pulpitis. BMC Oral Health. 2018; 18: 101.

[27] Rajeswari SR, Chandrasekhar R, Vinay C, Uloopi KS, RojaRamya KS, Ramesh MV. Effectiveness of cognitive behavioral play therapy and audiovisual distraction for management of preoperative anxiety in children. International Journal of Clinical Pediatric Dentistry. 2019; 12: 419–422.

[28] Kayaaltı-Yüksek S, Yıldırım S. Effect of Mozart’s music on the learning of toothbrushing behavior in children with high and low dental anxiety levels. Clinical Oral Investigations. 2022; 26: 5979–5988.

[29] Nalci G, Alaçam T, Altunkaynak B. Evaluation of the effectiveness of a mobile application in the management of dental anxiety: a randomised controlled trial. Journal of Oral Rehabilitation. 2022; 49: 535–540.

[30] Guinot F, Mercadé M, Oprysnyk L, Veloso A, Boj JR. Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. European Journal of Paediatric Dentistry. 2021; 22: 230–236.

[31] Dodd S, Widnall E, Russell AE, Curtin EL, Simmonds R, Limmer M, et al. School-based peer education interventions to improve health: a global systematic review of effectiveness. BMC Public Health. 2022; 22: 2247.

[32] Padminee K, Hemalatha R, Shankar P, Senthil D, Jayakaran TG, Kabita S. Effectiveness of biofeedback relaxation and audio-visual distraction on dental anxiety among 7- to 12-year-old children while administering local anaesthesia: a randomized clinical trial. International Journal of Paediatric Dentistry. 2022; 32: 31–40.

[33] Camacho-Alonso F, Vilaplana-Vivo J, Caballero-Guerrero PM, Pato-Mourelo J, Sánchez-Siles M. Impact of audiovisual information on anxiety and fear in patients undergoing dental implant treatment. Clinical Implant Dentistry and Related Research. 2019; 21: 1189–1198.

[34] Smolarek PC, da Silva LS, Martins PRD, Hartman KDC, Bortoluzzi MC, Chibinski ACR. Evaluation of pain, disruptive behaviour and anxiety in children aging 5–8 years old undergoing different modalities of local anaesthetic injection for dental treatment: a randomised clinical trial. Acta Odontologica Scandinavica. 2020; 78: 445–453.


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