Effects of child characteristics and dental history on dental fear: cross-sectional study

Abstract

BackgroundDental fear (DF) is a challenging problem in dentistry. It is multifactorial in origin and many contributing factors have been identified. The aim of the study was to assess dental fear among 12–15 years old Arabic speaking children in Jeddah, Saudi Arabia and its relation to demographic variables, previous dental experience, and child behaviour.MethodsIn this cross-sectional study, a total of 1522 boys and girls from middle schools in Jeddah, Saudi Arabia participated in this study during the period of 2014 to 2016. The Children’s Fear Survey Schedule–Dental Subscale (CFSS-DS) was used to assess DF. A parental questionnaire was used to record the children’s previous dental experience. Children were examined for caries and the children’s behaviour was assessed during dental examination using Frankl Behaviour Rating Scale. The associations between different variables and the CFSS-DS scores were analysed using t-tests, ANOVA, and multiple linear regression analysis.ResultsThe response rate of the questionnaires was 78.6%. The mean CFSS-DS score was 25.99 ± 9.3 out of a maximum of 75. Bivariate analysis showed that younger children, girls, and public-school students were significantly more fearful than older children, boys, and private school children, respectively (P < 0.001). Children who showed poor behaviour during dental examination were significantly more fearful than those with good behaviour (P < 0.001). Regression analysis showed that children who had significantly higher scores of dental fear were the children who did not visit the dentist in the past year due to dental fear; who never visited the dentist or those who only visited the dentist on pain; who were reported by parents as crying, screaming, or resistant during their previous dental visit; and those who were described to be in pain during previous dental treatment. Dental caries showed no significant association with DF.ConclusionsThis study confirms that DF is low among 12–15 years old Arabic speaking children in Jeddah, Saudi Arabia. DF is associated with age, gender, school type, irregular patterns of dental visits, painful experiences during previous dental visits and negative behaviours during dental examinations.Electronic supplementary materialThe online version of this article (10.1186/s12903-018-0496-4) contains supplementary material, which is available to authorized users.

Evaluation of intraosseous computerized injection system (QuickSleeper™) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single‐blind, combined split‐mouth and parallel‐arm randomized controlled trial

“…Moreover, we did not find a difference between the pain felt by boys vs girls. Contrary to our results, some studies showed significantly higher dental anxiety in girls as compared to boys …”

“…Contrary to our results, some studies showed significantly higher dental anxiety in girls as compared to boys. 28,29 For the secondary outcomes, we found statistically significant evidence in favour of IOA for latency, about 1.5 minutes. However, we did not assess injection time, which could be longer for IOA, because it was delivered by a computerized system at a constant rate and pressure.…”

Demystifying behaviour and dental anxiety in schoolchildren during endodontic treatment for primary teeth—controlled clinical trial

“…[6][7][8]14,19 The fact that age was associated with dental anxiety was expected, given that maturation increases over time in children. 20,21 However, children at this age can understand the importance of the procedure they are about to undergo and can control their dental anxiety, enabling the dentist better management of the child. A previous study found that negative behaviour decreases with age.…”

Prevalence of Dental Fear and Anxiety among Russian Children of Different Ages: The Cross-Sectional Study

“…1 Children's DFA is a dynamic process that depends on many different factors, such as age, gender, maternal dental fear, unbearable pain during the first dental visit, and even the sweet consumption frequency. 2,3 With that, the associations of DFA prevalence with age and sex are not almost clear. It is considered that younger children and girls have higher odds of displaying negative behavior, and that girls usually have higher rates of severe dental fear than boys.…”