Abstract
Dental fear and anxiety (DFA) serves as significant problem in child patient management as it leads to greater prevalence and increased severity of the disease associated with delayed dental visits. Therefore, it is necessary to effectively predict children dental behaviour and identify children at risk of Behaviour Management problems. Study of factors influencing DFA and its association with behaviour in children during first dental visit. The study included 209 children (5-14 years). DFA levels were assessed using 3 standardised questionnaires i.e. Facial Image Scale (FIS), Dental Anxiety Scale (DAS), Children’s Fear Survey Schedule – Dental Subscale (CFSS-DS). The behaviour of the child was then assessed using Frankl’s Behaviour Rating Scale (FBRS). The data were analysed, and a correlation was established between DFA and behaviour using statistical analysis. Presence of DFA according to FIS is 13.4%, according to DAS is 15.2% and according to CFSS-DS is 17.7%. Maximum participants showed positive behaviour (81.8%) according to FBRS. Factors causing maximum Dental anxiety according to DAS was anticipation of treatment (26.30%) and factor which caused maximum dental fear according to CFSS-DS was injections (45.4%). There is association between DFA and behaviour in children during first dental visit. This study will help assess the factors which lead to dental fear and anxiety in children and also find a correlation between dental fear and anxiety and behaviour management problems which can help the Paedodontist to predict various behaviour management problems and to avoid the factors which lead to them before the initiation of the dental treatment. This can lead to a decrease in the fear and anxiety levels of children which will further lead to better treatment and in turn better case management.
Highlights
Dental fear and anxiety serve as a consequential problem in pedodontic patient management[1,2]
The null hypothesis for the study was set as, there will not be any association between dental fear and anxiety and behavior management problems in children during first dental visit using facial image scale, CFSS- DS, Dental anxiety scale and Frankl’s behavior rating scale
An operator elicited each child’s background variables using standardized questionnaires.The study consisted of three sets of questionnaires of fear and anxiety scales- Facial Image Scale (FIS), Dental anxiety scale (DAS) and Children’s Fear Survey Schedule –Dental Subscale (CFSS-DS)
Summary
Dental fear and anxiety serve as a consequential problem in pedodontic patient management[1,2]. Dental anxiety is indicative of apprehension that something bad will occur in relation to the dental treatment Both dental fear and anxiety initiates mostly during childhood and persist through adolescence and can have a major influence towards the provision of dental services and tends to decrease as child grows older[3]. The present study was aimed to identify factors influencing dental fear and anxiety and its association with behavior management problems in children aged 5- 14 years during the dental visit. The null hypothesis for the study was set as, there will not be any association between dental fear and anxiety and behavior management problems in children during first dental visit using facial image scale, CFSS- DS, Dental anxiety scale and Frankl’s behavior rating scale
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