Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years

Abstract Purpose To study prevalence of dental fear and the relationship to gender, oral disease and dental treatment between 1973 and 2013 in school children and young adults attending public dental health care. Methods Every ten years from 1973 to 2013 random samples of about 100 individuals in ea...

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Main Authors: Anna Nydell Helkimo, Bo Rolander, Göran Koch
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02166-6
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author Anna Nydell Helkimo
Bo Rolander
Göran Koch
author_facet Anna Nydell Helkimo
Bo Rolander
Göran Koch
author_sort Anna Nydell Helkimo
collection DOAJ
description Abstract Purpose To study prevalence of dental fear and the relationship to gender, oral disease and dental treatment between 1973 and 2013 in school children and young adults attending public dental health care. Methods Every ten years from 1973 to 2013 random samples of about 100 individuals in each of the age groups 10, 15 and 20 years took part in a repeated cross-sectional study based on clinical parameters and a questionnaire. Dental fear was estimated by the question: “What do you feel at the prospect of an appointment with a dentist?”. 75–99% of the samples answered the question. Agreement to at least one of the alternative answers: ill at ease, frightened and sick defined dental fear. Frightened and/or sick indicated severe dental fear. The prevalence of caries, gingivitis and number of filled tooth surfaces were calculated. Chi-square tests were used to show differences in proportions between groups and linear regression to show trends over time. Results Prevalence of dental fear declined in all age groups over time. In the 20-year olds dental fear was found in 29% of the sample and severe dental fear in 12% of girls and 5% of boys in 2013. Individuals with dental fear had higher mean caries prevalence and number of filled tooth surfaces compared with individuals without dental fear. Conclusions This 40-year time trend study showed a reduction in dental fear prevalence in school children and young adults offered regular public dental health care based on prevention and a psychological approach. The prevalence of dental fear was still high in 2013 despite a significant decline in caries during the study period. Further improvements in the psychological approach when treating children are thus needed.
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spelling doaj.art-b7e913d85e1a4899800537da1661d7472022-12-22T00:14:32ZengBMCBMC Oral Health1472-68312022-04-0122111010.1186/s12903-022-02166-6Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 yearsAnna Nydell Helkimo0Bo Rolander1Göran Koch2Department of Paediatric Dentistry, The Institute for Postgraduate Dental EducationFuturum, Academy for Health and CareDepartment of Paediatric Dentistry, The Institute for Postgraduate Dental EducationAbstract Purpose To study prevalence of dental fear and the relationship to gender, oral disease and dental treatment between 1973 and 2013 in school children and young adults attending public dental health care. Methods Every ten years from 1973 to 2013 random samples of about 100 individuals in each of the age groups 10, 15 and 20 years took part in a repeated cross-sectional study based on clinical parameters and a questionnaire. Dental fear was estimated by the question: “What do you feel at the prospect of an appointment with a dentist?”. 75–99% of the samples answered the question. Agreement to at least one of the alternative answers: ill at ease, frightened and sick defined dental fear. Frightened and/or sick indicated severe dental fear. The prevalence of caries, gingivitis and number of filled tooth surfaces were calculated. Chi-square tests were used to show differences in proportions between groups and linear regression to show trends over time. Results Prevalence of dental fear declined in all age groups over time. In the 20-year olds dental fear was found in 29% of the sample and severe dental fear in 12% of girls and 5% of boys in 2013. Individuals with dental fear had higher mean caries prevalence and number of filled tooth surfaces compared with individuals without dental fear. Conclusions This 40-year time trend study showed a reduction in dental fear prevalence in school children and young adults offered regular public dental health care based on prevention and a psychological approach. The prevalence of dental fear was still high in 2013 despite a significant decline in caries during the study period. Further improvements in the psychological approach when treating children are thus needed.https://doi.org/10.1186/s12903-022-02166-6Dental fearSchool childrenYoung adultsOral healthDental treatmentPublic dental health care
spellingShingle Anna Nydell Helkimo
Bo Rolander
Göran Koch
Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
BMC Oral Health
Dental fear
School children
Young adults
Oral health
Dental treatment
Public dental health care
title Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
title_full Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
title_fullStr Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
title_full_unstemmed Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
title_short Dental fear in school children and young adults attending public dental health care: prevalence and relationship to gender, oral disease and dental treatment; trends over 40 years
title_sort dental fear in school children and young adults attending public dental health care prevalence and relationship to gender oral disease and dental treatment trends over 40 years
topic Dental fear
School children
Young adults
Oral health
Dental treatment
Public dental health care
url https://doi.org/10.1186/s12903-022-02166-6
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AT gorankoch dentalfearinschoolchildrenandyoungadultsattendingpublicdentalhealthcareprevalenceandrelationshiptogenderoraldiseaseanddentaltreatmenttrendsover40years