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Dental Fear and Associated Factors among Children and Adolescents

A School-Based Study in Lithuania

Bibliographic Data

ID15475873
AuthorsEglė Slabšinskienė (0000-0002-0811-8850, Lithuanian University of Health Sciences, corresponding author), Aistė Kavaliauskienė (0000-0003-0013-153X, Lithuanian University of Health Sciences), Miglė Žemaitienė (0000-0002-8706-3797, Lithuanian University of Health Sciences), Ingrida Vasiliauskienė (Lithuanian University of Health Sciences), Apolinaras Zaborskis (0000-0001-6518-2237, Lithuanian University of Health Sciences)
Year2021
Volume18
Issue16
Pages8883-8883
Publication date2021-08-23
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18168883
PMID34444632
OpenAlexW3193694834
LanguageEN
Citations received3
References cited48

Dental fear is a challenging problem in dentistry and many contributing factors have been identified. Although this problem among children and adolescents has been studied in the literature for a long time, few such studies have been conducted in Lithuania. This study aimed to evaluate the prevalence of dental fear and examine its association with gender, age and several psychological and social factors among children and adolescents in Lithuania. The cross-sectional survey included a randomly selected sample ( n = 1590) of children aged 11-14 and adolescents aged 15-18. The data were supplemented by interviewing the parents of these subjects ( n = 1399). Dental fear was measured with a single five-score question. The data collection also included questions on oral health, socioeconomic status, oral health-related quality of life and self-esteem. Poisson regression analysis was used to assess the association between perception of dental fear and potential predictor variables. It was found that 32.2% (95% CI: 29.9-34.4%) of children and adolescents reported no fear of dental treatment, 12.5% (10.8-14.2%) of their peers were highly afraid of dental treatment, and other subjects assessed their dental fear gradually. Girls reported greater dental fear scores than boys, but the level of dental fear did not depend on the age. We identified the groups of subjects by gender and age, and a higher level of dental fear was significantly associated with untreated caries experience, a delay in the age of the subject's first visit to the dentist, low self-esteem, low oral health-related quality of life, low overall life satisfaction and low family affluence. The results also suggested that dental fear could originate from previous toothache, dentists' actions, high sensitivity in the child and poor psychological readiness for treatment. It was concluded that dental fear among Lithuanian children and adolescents is a common problem that is associated with gender and several dental, psychological and social factors. The findings indicate that school-based health policies, paediatric dentists and parents should be encouraged to focus on the psychosocial factors associated with dental fear because most of them can be prevented

Anxiety · Cross-sectional study · Dental fear · Environmental health · Oral health · Poisson regression · Population · Psychiatry · Socioeconomic status · Anesthesia and Sedative Agents · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Dental Anxiety and Anesthesia Techniques · Dentistry · Medicine · Psychology

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Citations per year0.75
Citation span2022 - 2025 (4)
Highly citedNo

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