Can parents and children evaluate each other's dental fear?
ABSTRACT The aim of this study was to determine whether parents and their 11-16-yr-old children can evaluate each other's dental fear. At baseline the participants were 11-12-yr-old children from the Finnish Cities of Pori (n = 1,691) and Rauma (n = 807), and one of their parents. The children and their parents were asked if they or their family members were afraid of dental care. Fears were assessed using single 5-point Likert-scale questions that included a 'do not know' option. Children and parents answered the questionnaire independently of each other. Background variables were the child's and their parent's gender. Parents' and children's knowledge of each other's dental fear was evaluated with kappa statistics and with sensitivity and specificity statistics using dichotomized fear variables. All kappa values were < 0.42. When dental fear among children and parents was evaluated, all sensitivities varied between 0.10 and 0.39, and all specificities varied between 0.93 and 0.99. Evaluating dental fear among fearful children and parents, the sensitivities varied between 0.17 and 0.50 and the specificities varied between 0.85 and 0.94, respectively. Parents and children could not recognize each other's dental fear. Therefore, parents and children cannot be used as reliable proxies for determining each other's dental fear.
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ABSTRACT: Aim The objectives of this article are to approach the problem of dental fear in children and adolescents, which is met by dentists in dental practices and to describe the methods of its evaluation. There are objective and subjective methods for the assessment of the intensity of dental anxiety. These methods can be useful for treatment planning in anxious patients. Overview The dental fear and anxiety of a child patient which is associated with a dental appointment may take many different forms. An adequate evaluation of the behaviour of a child patient in the dental treatment is very important at the very first contact with the dentist, as it allows the dental team to choose the right method. In dental practices especially those, who do not specialize in pediatric dentistry, may barely have skills sufficient to properly evaluate the behaviour of a young patient. This results in the selection of inappropriate methods of conduct with a child, during the first appointment, the consequence of which is a lack of cooperation during treatments, present and future. Conclusions Dentists lacking abilities and experience to assess patients’ behaviour, should considering a wider variety of evaluation methods for dental anxiety in children and adolescents. A proper relationship between dentist and patient will have a positive influence on children's attitudes in dental treatment and will improve the comfort of work and increase the effectiveness of the treatment.Postepy Psychiatrii i Neurologii 03/2014; 23(1):47–52. DOI:10.1016/j.pin.2014.03.006
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ABSTRACT: Objective: This study aimed to investigate the prevalence of dental fear in preschool children and to estimate its association with maternal and children characteristics. Methods: The study was nested in a population-based birth cohort from Pelotas, Brazil, started in 2004. A sample of 1,129 children aged 5 years was dentally examined, and their mothers were interviewed. Dental fear was investigated using a validated instrument through the question 'Do you think that your child is afraid of going to the dentist?'. The possible answers were (1) 'no', (2) 'yes, a little', (3) 'yes' and (4) 'yes, a lot'. The outcome was dichotomized as 'children without dental fear' (answers 1 and 2) and 'children with dental fear' (answers 3 and 4). Exploratory variables included demographic characteristics, socioeconomic status, maternal oral health status and maternal behaviors. The main explanatory variables were caries and dental pain. Data were analyzed using multivariable Poisson regression. Results: The prevalence of dental fear was 16.8% (95% confidence interval 14.6-19.0). Multivariate analysis showed that the lower the family income at birth and the higher the severity of dental caries, the higher the prevalence of dental fear. Children who never visited the dentist and those who frequently experienced dental pain were positively associated with higher dental fear prevalence. Conclusions: Presence of dental caries and dental pain were associated with dental fear regardless of socioeconomic origin and lack of dental service use in childhood. © 2014 S. Karger AG, Basel.Caries Research 02/2014; 48(4):263-270. DOI:10.1159/000356306 · 2.50 Impact Factor
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ABSTRACT: Abstract Objective. The aim was to study longitudinal changes in dental fear among children and one of their parents separately for girls, boys, mothers and fathers over a 3.5-year period. Materials and methods. 11-12-year-old children in Pori, Finland (n = 1691) and one of their parents were invited to participate in this longitudinal study. Dental fear was measured in 2001, 2003 and 2005 when the children were 11-12, 13-14 and 15-16-years-old, respectively. The participants were asked if they were afraid of dental care (1 = 'not afraid', 2 = 'slightly afraid', 3 = 'afraid to some degree', 4 = 'quite afraid', 5 = 'very afraid' and 6 = 'I don't know'). The participants' gender was also registered. Mean values of the change scores were studied. Prevalence and incidence of dental fear and changes in dichotomized dental fear (responses 4-5 = high dental fear and responses 1-3 = low dental fear) were studied using cross-tabulations and Cochran's Q test. Results. Overall, the prevalence of dental fear slightly increased and female preponderance in dental fear became more evident during the follow-up. Of the mothers and children with high dental fear at the baseline, 24% and 56%, respectively, reported not to be fearful at the end of the follow-up. Conclusions. Dental fear seems to be more stable in adulthood than in childhood. Thus, it might be better to intervene in dental fear during childhood rather than during adulthood.Acta Odontologica Scandinavica 06/2014; 72(8):1-6. DOI:10.3109/00016357.2014.923582 · 1.31 Impact Factor