Disproportionate Dental Anxiety Clinical and Nosological Considerations

Molin, C; Seeman, Kenneth

doi:10.3109/00016357009032028

Cited by 54 publications

(13 citation statements)

References 7 publications

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“…No. I (7 two previous twelve year intervals of the major study. The somewhat higher frequency of edentulous individuals in the low anxiety group, 7.5% compared to 5.0% in the high anxiety group, was surprising and contrary to expectations.…”

Section: Mucosiil Lesionsmentioning

confidence: 99%

Dental anxiety among middle‐aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors

et al. 1996

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The aim of this project was to investigate dental anxiety and its expression in utilisation of dental services, oral health and oral symptoms. In a cross-sectional study of women's health in Göteborg (population 432,000), Sweden, 1016 women aged 38 to 84 years participated. This randomly selected population took part in a series of investigative procedures including medical and dental clinical examinations, interviews and questionnaires. Levels of dental anxiety were measured on the Corah Dental Anxiety Scale (DAS). The average DAS score obtained was 7.2. The study showed that older women were significantly less anxious than younger ones. Severe dental anxiety (DAS > or = 15) was experienced by 3.9% of the participants. This frequency corresponds well with findings by Hällström and Halling in their analysis of data from the first Göteborg study of women's health 24 years ago. High levels of dental anxiety were correlated with longer intervals between dental visits, poorer oral function and aesthetics and a higher frequency of oral symptoms. Headaches were more prevalent in the younger age groups and a correlation with dental anxiety was revealed. Our previous studies have shown that symptoms such as tension headaches are prevalent among dental phobic patients and that they are reported to be reduced by therapy for dental fear. The clinical and radiographical examinations revealed a generally poorer oral status, with a statistically significant higher number of decayed teeth among women with high dental anxiety.

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Section: Mucosiil Lesionsmentioning

confidence: 99%

Dental anxiety among middle‐aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors

et al. 1996

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“…It may range from extreme anxiety long before the treatment is actually happening to just a feeling of discomfort when the dentist starts to drill. Generally, the fear is at its highest when the anesthetic injection and drilling or extraction of a tooth are about to take place (Molin and Seeman, 1970;Gale, 1972;Kleinknecht et al, 1973;Berggren and Meynert, 1984). It can be hypothesized that, in general, dental anxiety builds up with time, starting at a relatively low level when the actual treatment is still far away, and growing into higher levels as the treatment comes nearer.…”

Section: Introductionmentioning

confidence: 95%

Ratings of Fears Associated with Twelve Dental Situations

Stouthard

Hoogstraten

1987

J Dent Res

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Ratings of fear aroused by 12 dental situations were obtained by the method of paired comparisons. The dental situations concerned one of four categories: (a) preparations for the dental visit, (b) preparations for dental treatment, (c) comments by the dentist on oral state, and (d) actual dental treatment. The situations originated from Gale's ranking questionnaire. It was hypothesized that the amount of fear elicited would increase in the order a, b, c, and d. Results indicated that subjects were capable of ranking dental situations according to the amount of anxiety they aroused. Overall ratings show reasonably good agreement with the results of Gale's study. The hypothesis concerning the rank order of the situations was partly confirmed. Two situations deviated strongly from the expected order. The categories (c) and (d) were rated highest in the hierarchy of fear arousal, but their rank order couldn't be established. This finding suggests that dental fear contains a component of physical danger as well as a component of threat to a person's self-esteem.

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“…A multitude of factors have been associated with dental anxiety, such as early unfavorable experiences, family background and attitudes, and dentist behavior (6)(7)(8)(9)(10)(11)(12)(13)(14). The consequences of dental anxiety have predominantly been related to inadequate dental behavior, in terms both of non-use of dental services (15)(16)(17)(18)(19)(20)(21) and of management problems in the dental clinic (22)(23)(24)(25).…”

mentioning

confidence: 99%

Dental anxiety in young adult Danes under alternative dental care programs

Schwarz

1990

European J Oral Sciences

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– The purpose of the present report is to establish to what extent dental anxiety is expressed by young adults with a long history of regular dental care, to analyze whether expressions of dental anxiety vary during young adulthood in response to different dental care delivery programs, and to study which factors might account for existing expressions of dental anxiety. The study comprised 697 persons who participated in a longitudinal study on alternative dental care programs, running from the youngsters' 16th to their 19th yr. At the end, Corah Dental Anxiety Scale (DAS) was applied through self‐completed questionnaires. Overall DAS‐mean was 7.26; women expressed more anxiety than men (7.73; 6.78). Significant association between anxiety expressed at the end and at the start of the study indicated that dental anxiety was probably present at an early age. No association was found with utilization of dental services, A multiple regression analysis indicated early expressed dental anxiety and negative self assessment of dental health as important predictors for dental anxiety, while sex, negative assessment of gingival health, and dental program were of less importance, altogether explaining 22% of the DAS score variation. The risk group concept currently employed by the Public Child Dental Health Services might be extended to include expressions of dental anxiety.

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Disproportionate Dental Anxiety Clinical and Nosological Considerations

Cited by 54 publications

References 7 publications

Dental anxiety among middle‐aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors

Dental anxiety among middle‐aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors

Ratings of Fears Associated with Twelve Dental Situations

Dental anxiety in young adult Danes under alternative dental care programs

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