Abstract
Background
Dental anxiety is a common problem, related to dental pain, which contributes to irregular dental attendance and avoidance of dental care, resulting in poorer oral health during childhood.
Aim
To evaluate anxiety, pain and/or discomfort related to dental treatment in 5- to 12-year-old children examined during a public holiday.
Methods
This cross-sectional survey study was carried out with parental permission in 970 children of both sexes. Socio-economic status, dental anxiety and dental pain experience data were obtained through a questionnaire answered by parents or guardians. Dental anxiety was measured using the dental anxiety questionnaire (DAQ). The statistical analyses were performed using Pearson’s Chi-square test. The intra-examiner agreement was high (κ = 0.80) and the inter-examiner was κ = 0.79.
Results
The prevalence of dental anxiety was 39.4 % and that of a history of dental pain was 44.9 %. Dental anxiety among children was associated with the child never having had a dental appointment.
Statistics
The anxiety correlated positively with a history of dental pain (p < 0.001), the mother’s low level of schooling (p = 0.037), parents’ dental anxiety (p < 0.001), and negatively with visits to the dentist (p < 0.001).
Conclusion
A high percentage of children presented with dental anxiety and a history of dental pain.
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References
Al-Omiri MK, Al-Wahadni AM, Saeed KN. Oral health attitudes, knowledge and behaviour among school children in North Jordan. J Dent Educ. 2006;70:179–87.
Armfield JM, Spencer AJ, Stewart JF. Dental fear in Australia: who’s afraid of the dentist? Aust Dent J. 2006;51:78–85.
Caraciolo GM, Colares V. The prevalence of fear and/or anxiety related to the dental visits in 5-years-old children in Recife city. Revista Odonto Ciência. 2004;19:348–53.
Cardoso CL, Loureiro SR, Nelson-Filho P. Pediatric dental treatment: manifestations of stress in patients, mothers and dental school students. Braz Oral Res. 2004;18:150–5.
Cinar AB, Murtomaa H. A comparison of psychosocial factors related to dental anxiety among Turkish and Finnish pre-adolescents. Oral Health Prev Dent. 2007;5:173–9.
Colares V, Caraciolo GM, Miranda AM, Araújo GVB, Guerra P. Fear and/or anxiety related to the avoidance of dental visits. Arq em Odontol. 2004;40:59–72.
Folayan MO, Idehen EE, Ojo OO. Dental anxiety in a subpopulation of African children: parents ability to predict and its relation to general anxiety and behaviour in the dental chair. Eur J Paediatr Dent. 2004;5:19–23.
Gonçalves MR, Percinoto C, Castro AM, Sundefeld MLMM, Machado AS. Evaluation of anxiety and behaviour of children during dental procedures and correlation of those variables with influencing factors. RPG. 2003;10:131–40.
Jalevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent. 2002;12:24–32.
Kiwanuka SN, Astrom AN. Self-reported dental pain and associated factors in Ugandan schoolchildren. Norsk Epidemiologi. 2005;15:175–82.
Klages U, Ulusoy O, Kianifard S, Wehrbein H. Dental trait anxiety and pain sensitivity as predictors of expected and experienced pain in stressful dental procedures. Eur J Oral Sci. 2004;112:477–83.
Neverlien PO. Assessment of a single-item dental anxiety question. Acta Odontol Scand. 1990;48:365–9.
Nicolas E, Bessadet M, Collado V, et al. Factors affecting dental fear in French children aged 5–12 years. Int J Paediatr Dent. 2010;20:366–73.
Nomura LH, Bastos JLD, Peres MA. Dental pain prevalence and association with dental caries and socioeconomic status in schoolchildren, Southern Brazil, 2002. Braz Oral Res. 2004;18:134–40.
Oliveira MM, Colares V. The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State, Brazil. Cad Saude Publica. 2009;25:743–50.
Peretz B, Sarnat H. Relations between dental and somatic pain in children. Int J Paediatr Dent. 2010;20:201–16.
Shepherd MA, Nadanovsky P, Sheiham A. The prevalence and impact of dental pain in 8-year-old school children in Harrow, England. Br Dent J. 1999;187:38–41.
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;3:83–7.
van Wijik AJ, Hoogstraten J. Experience with dental pain and fear of dental. Dent Res. 2005;84:947–50.
Versloot J, Veerkamp SJ, Hoogstraten J, Martens LC. Children’s coping with pain during dental care. Community Dent Oral Epidemiol. 2004;32:456–61.
Wogelius P, Poulsen S. Associations between dental anxiety, dental treatment due to toothache, and missed dental appointments among six to eight-year-old Danish children: a cross-sectional study. Acta Odontol Scand. 2005;63:179–82.
Acknowledgments
We acknowledge with thanks the support given by CAPES (Brazilian Government Research Agency) and FACEPE (Brazilian Foundation for Research) for the PhD fellowship.
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Colares, V., Franca, C., Ferreira, A. et al. Dental anxiety and dental pain in 5- to 12-year-old children in Recife, Brazil. Eur Arch Paediatr Dent 14, 15–19 (2013). https://doi.org/10.1007/s40368-012-0001-8
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DOI: https://doi.org/10.1007/s40368-012-0001-8