DOI QR코드

DOI QR Code

Factors Affecting Dental Fear in Korean Adolescents

  • Kim, Ah-Hyeon (Department of Preventive and Public Health Dentistry, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Ahn, Eun-Suk (Department of Dental Hygiene, Kyungbok University) ;
  • An, So-Youn (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
  • Received : 2016.11.14
  • Accepted : 2017.06.29
  • Published : 2017.06.30

Abstract

Purpose: The purpose of this study was to evaluate the dental fear experienced among Korean adolescents and to identify the relevant factors. Materials and Methods: In order to compare the level of dental fear depending on the subjects' previous experience, descriptive statistical analysis was performed. Gender- and grade-dependent evaluation was performed according to the presence of their previous dental visit and dental fear. Subjective oral health status was also investigated. In order to determine the factors affecting dental fear, logistic regression analysis was performed. Result: Among the total of 333 subjects who had experienced dental fear, females were found to experience 1.766 times greater dental fear than males (P=0.007). The worse subjective perception of their oral health was associated with increase in the experience of dental fear by 1.245-fold (P=0.047). Conclusion: The dental fear was likely to be formed during the visit to the dentist's office or through previous experience of dental treatment. Therefore in order to reduce the fear associated with dental treatment in adolescents, establishemnt of a proper environment in the dental clinic and a patient management program are necessitated.

Keywords

References

  1. Rantavuori K, Lahti S, Hausen H, Seppa L, Karkkainen S. Dental fear and oral health and family characteristics of Finnish children. Acta Odontol Scand. 2004; 62: 207-13. https://doi.org/10.1080/00016350410001586
  2. Yousuf A, Ganta S, Nagaraj A, Pareek S, Atri M, Singh K, Sidiq M. Acoustic noise levels of dental equipments and its association with fear and annoyance levels among patients attending different dental clinic setups in Jaipur, India. J Clin Diagn Res. 2014; 8: ZC29-34.
  3. Gao X, Hamzah SH, Yiu CK, McGrath C, King NM. Dental fear and anxiety in children and adolescents: qualitative study using YouTube. J Med Internet Res. 2013; 15: e29. https://doi.org/10.2196/jmir.2290
  4. Klages U, Kianifard S, Ulusoy O, Wehrbein H. Anxiety sensitivity as predictor of pain in patients undergoing restorative dental procedures. Community Dent Oral Epidemiol. 2006; 34: 139-45. https://doi.org/10.1111/j.1600-0528.2006.00265.x
  5. Moore R, Brodsgaard I, Rosenberg N. The contribution of embarrassment to phobic dental anxiety: a qualitative research study. BMC Psychiatry. 2004; 4: 10. https://doi.org/10.1186/1471-244X-4-10
  6. Kleinknecht RA, Thorndike RM, McGlynn FD, Harkavy J. Factor analysis of the dental fear survey with cross-validation. J Am Dent Assoc. 1984; 108: 59-61. https://doi.org/10.14219/jada.archive.1984.0193
  7. Oliveira MA, Vale MP, Bendo CB, Paiva SM, Serra-Negra JM. Dental Fear Survey: a cross-sectional study evaluating the psychometric properties of the Brazilian Portuguese version. ScientificWorldJournal. 2014. doi: 10.1155/2014/725323.
  8. Yoshida T, Milgrom P, Mori Y, Nakai Y, Kaji M, Shimono T, Donaldson AN. Reliability and crosscultural validity of a Japanese version of the Dental Fear Survey. BMC Oral Health. 2009; 9: 17. https://doi.org/10.1186/1472-6831-9-17
  9. Choi JS, Kim JS. Analysis of dental fear and its related factors using dental fear survey among 13 to 18 year olds. J Korean Acad Pediatr Dent. 2008; 35: 118-26.
  10. Schuller AA, Willumsen T, Holst D. Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol. 2003; 31: 116-21. https://doi.org/10.1034/j.1600-0528.2003.00026.x
  11. Kvale G, Berg E, Nilsen CM, Raadal M, Nielsen GH, Johnsen TB, Wormnes B. Validation of the dental fear scale and the dental belief survey in a Norwegian sample. Community Dent Oral Epidemiol. 1997; 25: 160-4. https://doi.org/10.1111/j.1600-0528.1997.tb00915.x
  12. Milgrom P, Vignehsa H, Weinstein P. Adolescent dental fear and control: prevalence and theoretical implications. Behav Res Ther. 1992; 30: 367-73. https://doi.org/10.1016/0005-7967(92)90048-L
  13. Raciene R. Dental fear among teenagers. Individual anxiety factors. Baltic Dental and Maxillofacial Journal. 2004; 6: 118-21.
  14. Raadal M, Milgrom P, Weinstein P, Mancl L, Cauce AM. The prevalence of dental anxiety in children from low-income families and its relationship to personality traits. J Dent Res. 1995; 74: 1439-43. https://doi.org/10.1177/00220345950740080201
  15. Murray P, Liddell A, Donohue J. A longitudinal study of the contribution of dental experience to dental anxiety in children between 9 and 12 years of age. J Behav Med. 1989; 12: 309-20. https://doi.org/10.1007/BF00844874
  16. Ahn ES, Han JH. Measure of unmet dental care needs among Korean adolescent. J Dent Hyg Sci. 2015; 15: 91-7. https://doi.org/10.17135/jdhs.2015.15.2.91
  17. Moon SJ, Moon WS, Ku IY. The related factors of fear of dental treatment and distrust for dentists in high school students. Korean Soc Heal Serv Manag. 2014; 8: 125-35.
  18. Kleinknecht RA, Bernstein DA. The assessment of dental fear. Behav Ther. 1978; 9: 626-34. https://doi.org/10.1016/S0005-7894(78)80138-5
  19. Milgrom P, Fiset L, Melnick S, Weinstein P. The prevalence and practice management consequences of dental fear in a major US city. J Am Dent Assoc. 1988; 116: 641-7. https://doi.org/10.14219/jada.archive.1988.0030
  20. Shim YS, Ahn SY, Park SY. The survey of fear associated with dental treatment in some middle school students in Cheongju. Korean J Heal Serv Manag. 2014; 8: 165-73. https://doi.org/10.12811/kshsm.2014.8.1.165
  21. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007; 17: 391-406. https://doi.org/10.1111/j.1365-263X.2007.00872.x
  22. Pohjola V, Lahti S, Vehkalahti MM, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adults in Finland. Acta Odontol Scand. 2007; 65: 224-30. https://doi.org/10.1080/00016350701373558