The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear

<p>Abstract</p> <p>Background</p> <p>Based on the hypothesis that a vicious cycle of dental fear exists, whereby the consequences of fear tend to maintain that fear, the relationship between dental fear, self-reported oral health status and the use of dental services wa...

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Main Authors: Spencer A John, Stewart Judy F, Armfield Jason M
Format: Article
Language:English
Published: BMC 2007-01-01
Series:BMC Oral Health
Online Access:http://www.biomedcentral.com/1472-6831/7/1
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author Spencer A John
Stewart Judy F
Armfield Jason M
author_facet Spencer A John
Stewart Judy F
Armfield Jason M
author_sort Spencer A John
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Based on the hypothesis that a vicious cycle of dental fear exists, whereby the consequences of fear tend to maintain that fear, the relationship between dental fear, self-reported oral health status and the use of dental services was explored.</p> <p>Methods</p> <p>The study used a telephone interview survey with interviews predominantly conducted in 2002. A random sample of 6,112 Australian residents aged 16 years and over was selected from 13 strata across all States and Territories. Data were weighted across strata and by age and sex to obtain unbiased population estimates.</p> <p>Results</p> <p>People with higher dental fear visited the dentist less often and indicated a longer expected time before visiting a dentist in the future. Higher dental fear was associated with greater perceived need for dental treatment, increased social impact of oral ill-health and worse self-rated oral health. Visiting patterns associated with higher dental fear were more likely to be symptom driven with dental visits more likely to be for a problem or for the relief of pain. All the relationships assumed by a vicious cycle of dental fear were significant. In all, 29.2% of people who were very afraid of going to the dentist had delayed dental visiting, poor oral health and symptom-driven treatment seeking compared to 11.6% of people with no dental fear.</p> <p>Conclusion</p> <p>Results are consistent with a hypothesised vicious cycle of dental fear whereby people with high dental fear are more likely to delay treatment, leading to more extensive dental problems and symptomatic visiting patterns which feed back into the maintenance or exacerbation of existing dental fear.</p>
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spelling doaj.art-3036243c05d0458bb5ca7fa46752721d2022-12-21T18:48:48ZengBMCBMC Oral Health1472-68312007-01-0171110.1186/1472-6831-7-1The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fearSpencer A JohnStewart Judy FArmfield Jason M<p>Abstract</p> <p>Background</p> <p>Based on the hypothesis that a vicious cycle of dental fear exists, whereby the consequences of fear tend to maintain that fear, the relationship between dental fear, self-reported oral health status and the use of dental services was explored.</p> <p>Methods</p> <p>The study used a telephone interview survey with interviews predominantly conducted in 2002. A random sample of 6,112 Australian residents aged 16 years and over was selected from 13 strata across all States and Territories. Data were weighted across strata and by age and sex to obtain unbiased population estimates.</p> <p>Results</p> <p>People with higher dental fear visited the dentist less often and indicated a longer expected time before visiting a dentist in the future. Higher dental fear was associated with greater perceived need for dental treatment, increased social impact of oral ill-health and worse self-rated oral health. Visiting patterns associated with higher dental fear were more likely to be symptom driven with dental visits more likely to be for a problem or for the relief of pain. All the relationships assumed by a vicious cycle of dental fear were significant. In all, 29.2% of people who were very afraid of going to the dentist had delayed dental visiting, poor oral health and symptom-driven treatment seeking compared to 11.6% of people with no dental fear.</p> <p>Conclusion</p> <p>Results are consistent with a hypothesised vicious cycle of dental fear whereby people with high dental fear are more likely to delay treatment, leading to more extensive dental problems and symptomatic visiting patterns which feed back into the maintenance or exacerbation of existing dental fear.</p>http://www.biomedcentral.com/1472-6831/7/1
spellingShingle Spencer A John
Stewart Judy F
Armfield Jason M
The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
BMC Oral Health
title The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
title_full The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
title_fullStr The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
title_full_unstemmed The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
title_short The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear
title_sort vicious cycle of dental fear exploring the interplay between oral health service utilization and dental fear
url http://www.biomedcentral.com/1472-6831/7/1
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