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Lafebre-Carrasco MF, Arroyo-Menéndez M, Lozano-Paniagua D, Parrón-Carreño T, Nievas-Soriano BJ. Social and Preventive Factors That Explain Oral Health among Pregnant Women in the Canton of Cuenca, Ecuador. Healthcare (Basel) 2023; 11:2664. [PMID: 37830702 PMCID: PMC10572668 DOI: 10.3390/healthcare11192664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 09/28/2023] [Accepted: 09/29/2023] [Indexed: 10/14/2023] Open
Abstract
(1) Background: pregnant women in underprivileged areas may face challenges that affect their oral health. The analysis of these issues such as toothaches or cavities, among others could be crucial for them. However, no studies have been conducted in Cuenca, Ecuador. Thus, this study aimed to create a model explaining how social factors and healthy habits impact oral health in Cuenca, Ecuador. (2) Methods: An observational study was performed using a questionnaire developed from scratch. Principal component factor analysis was performed to calculate the oral disease index based on the oral health issues reported by women during pregnancy. (3) Results: 1971 women participated in the research. In total, 88% reported at least one oral health problem, with cavities (34%) and bleeding gums (33%) as the most prevalent. The rate of preventive visits and frequent brushing were the two variables that most impacted the oral disease index. The consumption of sweets, age, and the belief that visiting the dentist harms their unborn child were also important factors. However, income, education, and ethnic background showed little to no effect. (4) Conclusions: The most beneficial determinants of oral health factors in pregnant women in Cuenca, Ecuador, are preventive dentist visits, frequent brushing, and a contained consumption of sweets. The main harmful factors are age and the misconception that dental visits can harm their unborn child. Surprisingly, income, education, and ethnic background have little effect. This study can be replicated in other countries and cultures.
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Affiliation(s)
| | - Millán Arroyo-Menéndez
- Department of Sociology: Theory and Methodology, Faculty of Political Science and Sociology, Member of TRANSOC Research Institute, Complutense University of Madrid, 28223 Madrid, Spain;
| | - David Lozano-Paniagua
- Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain; (T.P.-C.); (B.J.N.-S.)
| | - Tesifón Parrón-Carreño
- Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain; (T.P.-C.); (B.J.N.-S.)
| | - Bruno José Nievas-Soriano
- Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain; (T.P.-C.); (B.J.N.-S.)
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2
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Khalid G, Metzner F, Pawils S. Prevalence of dental neglect and associated risk factors in children and adolescents-A systematic review. Int J Paediatr Dent 2022; 32:436-446. [PMID: 34585811 DOI: 10.1111/ipd.12923] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 09/16/2021] [Accepted: 09/20/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Dental neglect (DN) is characterized within the wider framework of child neglect, though it is under-recognized by professionals. AIM To get an overview of the prevalence of DN worldwide and highlight the possible risk factors associated with it. METHODS A systematic review was conducted according to PRISMA guidelines. Studies on children and adolescents aged 0-19 years were included. Studies were identified by searching in the various scientific databases up to 14 January 2020. RESULTS Ten primary studies were included in which DN or indicators of DN were examined. The prevalence estimate range of DN reported by seven of the included studies after removing the outliers is from 34% to 56%. The prevalence of untreated caries reported by three of the included studies ranged from 38.9% to 99%. The education level and SES of parents and parental attitudes towards dental health affect children's oral health. Moreover, looked-after children and children of refugees are at higher risk of DN. CONCLUSION The study showed a high prevalence of DN and untreated caries. Due to the under-reporting of DN and a limited number of included studies, the results cannot be generalized worldwide. There is a need to make policies that include reporting of DN to higher authorities by dental professionals.
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Affiliation(s)
- Ghazal Khalid
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Franka Metzner
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Silke Pawils
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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3
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RIGO DCA, FERREIRA JBDS, COSTA LR, FREIRE MDCM. Religiosity is associated with caregivers’ perception of preschool children’s dental health. Braz Oral Res 2022; 36:e0121. [DOI: 10.1590/1807-3107bor-2022.vol36.0121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 05/17/2022] [Indexed: 11/22/2022] Open
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Gómez-Polo C, Vilches AA, Ribas D, Castaño-Séiquer A, Montero J. Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial. J Clin Med 2021; 10:3019. [PMID: 34300185 PMCID: PMC8304330 DOI: 10.3390/jcm10143019] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 06/23/2021] [Accepted: 06/25/2021] [Indexed: 12/30/2022] Open
Abstract
Clinicians should appreciate the effectiveness of virtual reality (VR) headsets for managing both the anxiety and the behaviour of non-cooperative paediatric patients who require treatment over several dental appointments. The aim of this study was to assess the effectiveness of using a VR headset as a distraction for managing the anxiety and behaviour of paediatric patients during their dental treatment. Eighty patients, aged between five and ten years old and who required dental treatment over three or more appointments, were randomly allocated into two groups. One group used a VR headset during all their appointments, and the other one did not use any distraction technique. The patients were asked to take a Facial Image Scale Test during their first and last appointments to assess their level of anxiety. Additionally, the dentist completed the Frankl Test to quantify the child's behaviour at the beginning and the end of their treatment. The results obtained, both from the group using the VR headset and from the control group, were compared using the chi-square test. The use of a VR headset during dental treatment significantly reduced anxiety (95% of the children were happy) and improved behaviour (100% positive behaviour) as compared with the control group (40% and 57.5%, respectively). A VR headset can effectively distract a paediatric patient, helping to reduce anxiety and manage behaviour during dental treatment.
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Affiliation(s)
- Cristina Gómez-Polo
- Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
| | | | - David Ribas
- Department of Stomatology, Faculty of Dentistry, University of Seville, Calle Avicena S/N, 41009 Seville, Spain; (D.R.); (A.C.-S.)
| | - Antonio Castaño-Séiquer
- Department of Stomatology, Faculty of Dentistry, University of Seville, Calle Avicena S/N, 41009 Seville, Spain; (D.R.); (A.C.-S.)
| | - Javier Montero
- Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
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Pauli LA, Costa VPPD, Azevedo MS, Leal SC, Goettems ML. Discriminant validity of the CAST instrument compared to the dmf index in the deciduous dentition: a cross sectional study. Braz Oral Res 2021; 35:e078. [PMID: 34161415 DOI: 10.1590/1807-3107bor-2021.vol35.0078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 10/30/2020] [Indexed: 11/21/2022] Open
Abstract
This study aimed to assess the discriminant validity of the Caries Assessment Spectrum and Treatment (CAST) at different thresholds, compared with the Decayed, Missing, and Filled Teeth Index (dmf) instrument, to discriminate caries risk factors. A cross-sectional study was conducted including children aged 2-5 years from preschools in Southern Brazil. Parents answered a questionnaire, and children were clinically examined using the CAST instrument and, in the following weeks, using the dmf index. Two caries thresholds were adopted for CAST: caries in dentin (CAST4-7/CAST2,4-8) and enamel caries (CAST3-7/CAST2-8). Poisson regression was used in the analysis (p < 0.05). A total of 200 children were included. The prevalence of caries was 47.0% with dmf, 42.5% with CAST4-7, and 77.5% with CAST3-7. When the outcome was caries prevalence, CAST4-7 discriminated between sexes, household crowding, and dental pain, and CAST3-7 discriminated age and family income, while the dmf was associated with dental pain. When experience of caries was the outcome, all the criteria discriminated between sexes, age, family income, household overcrowding, visible dental plaque, and dental pain, while dmf and CAST2-8 also discriminated maternal schooling. The CAST discriminated caries risk factors similar to the dmf index when caries experience was the outcome. When prevalence was considered, CAST was able to discriminate for more individual characteristics than dmf.
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Affiliation(s)
- Laís Anschau Pauli
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
| | | | - Marina Souza Azevedo
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
| | - Soraya Coelho Leal
- Universidade de Brasília - UnB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
| | - Marília Leão Goettems
- Universidade Federal de Pelotas - UFPel, School of Dentistry, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
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Alhareky M, Nazir MA, AlGhamdi L, Alkadi M, AlBeajan N, AlHossan M, AlHumaid J. Relationship Between Maternal Dental Anxiety and Children's Dental Caries in the Eastern Province of Saudi Arabia. Clin Cosmet Investig Dent 2021; 13:187-194. [PMID: 34040449 PMCID: PMC8141273 DOI: 10.2147/ccide.s310026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 05/01/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose Dental anxiety is a barrier to dental care utilization and is associated with poor oral health outcomes. The aim of the study was to assess the relationship between dental anxiety of mothers and dental caries of their children in the Eastern Province, Saudi Arabia. Methodology A cross-sectional study was conducted on a sample of mother-child pairs (N= 199) in Dammam, AlKhobar, and Dhahran, Saudi Arabia. Dental caries experience among children was determined using dmft/DMFT indexes following the World Health Organization's guidelines. Maternal dental anxiety was assessed by using the Modified Dental Anxiety Scale (MDAS). Results The mean ages of mothers and children were 33.98 ± 5.41 and 6.74 ± 2.29 years, respectively. The mean dmft score was 4.3 ± 3.99 in primary dentition and the mean maternal dental anxiety score was 13.89 ± 5.33. Ninety-two percent of mothers had low to extreme dental anxiety and only 8% reported no dental anxiety. Dental caries experience in primary teeth was higher in children of dentally anxious mothers (mean dmft 4.45 ± 3.92) than the children of mothers who were non-anxious (mean dmft 2.56 ± 4.59) (P=0.07). The mean maternal anxiety score was significantly higher in children with untreated decay in primary dentition (14.49 ± 5.08) than those with sound primary dentition (12.24 ± 5.67) (P = 0.008). The study also found a statistically significant correlation between maternal dental anxiety and untreated decay in the primary dentition (Pearson's r =0.171, P = 0.015). Conclusion Dental anxiety was highly prevalent among mothers in the present study. There was a significant relationship between maternal dental anxiety and untreated decay in the primary dentition. Awareness should be raised among dentally anxious mothers to reduce the burden of dental caries in their children.
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Affiliation(s)
- Muhanad Alhareky
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Muhammad Ashraf Nazir
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Lamia AlGhamdi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mariam Alkadi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Noura AlBeajan
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - May AlHossan
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Jehan AlHumaid
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Andreola Beber Gomes M, Polina Pereira da Costa V, Leão Goettems M, Sousa Azevedo M. Maternal Common Mental Disorders symptoms influence associated with early childhood dental caries: A cross-sectional study in a southern Brazilian city. Int J Paediatr Dent 2021; 31:344-350. [PMID: 32603522 DOI: 10.1111/ipd.12685] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 05/19/2020] [Accepted: 06/09/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND Maternal mental problems can interfere with the overall health and care of the child; some oral health studies have been trying to elucidate whether there is a relationship between maternal common mental disorders (CMD) and children's oral health status. AIM The aim was to investigate the influence of mothers that present CMD symptoms on their child's dental caries status. DESIGN This cross-sectional study was carried out in Pelotas with 530 mother/child (aged 2-5 years old) dyads recruited from an epidemiological survey in August 2015 during the national vaccination campaign. A questionnaire was used to determine mother's CMD symptoms using the Self-Reporting Questionnaire (SRQ-20) and socioeconomic/demographic variables which were used for adjustment. Dental caries examination was performed. The outcome was obtained using the dmfs (decayed, missing, filled surfaces) index, based on OMS guidelines. Poisson regression with robust variance was used to estimate the risk ratio and 95% confidence interval (CI). RESULTS Maternal CMD was positively associated with dental caries prevalence in children; the adjusted relative risk for every 1 SRQ-20 score increase was 1.06 (95% CI 1.00-1.12). CONCLUSIONS Our findings suggest that maternal mental health can impair children's oral health in relation to dental caries.
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8
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Esa R, Jamaludin M, Yusof ZYM. Impact of maternal and child dental anxiety on oral health-related quality of life of 5-6-year-old preschool children. Health Qual Life Outcomes 2020; 18:319. [PMID: 32993663 PMCID: PMC7526362 DOI: 10.1186/s12955-020-01565-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Accepted: 09/16/2020] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother's perception of her child's oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child's dental caries experience and the COHRQoL was also assessed. METHODS A cross-sectional study was conducted involving 1150, 5-6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL. RESULTS Overall, complete data on 842 mother-child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child's dental caries experience and COHRQoL (p < 0.001). CONCLUSIONS Maternal dental anxiety and child's dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5-6-year-old preschool children.
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Affiliation(s)
- Rashidah Esa
- Department of Dental Public Health, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Jenjarom, Selangor, Malaysia.,Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.,Community Oral Health Research Group, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Marhazlinda Jamaludin
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.,Community Oral Health Research Group, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Zamros Yuzadi Mohd Yusof
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia. .,Community Oral Health Research Group, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
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Gomes MAB, Cademartori MG, Goettems ML, Azevedo MS. Are maternal mental disorders associated with children's oral health? A systematic review. Int J Paediatr Dent 2020; 30:252-264. [PMID: 31849127 DOI: 10.1111/ipd.12608] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 12/02/2019] [Accepted: 12/12/2019] [Indexed: 12/11/2022]
Abstract
Maternal mental problems may lead to a negative effect on children's oral health (COH). The aim of this study was to systematically review the literature to answer the question: Are maternal mental disorders (MMD) associated with COH from zero to 12 years old? Electronic searches were performed in five databases with no language restriction. Cohort, case-control, and cross-sectional studies were included. A total of 1183 references were identified, and seven studies were included. In relation to MMD studies investigated: Common Mental Disorders (n = 2), Major Depressive Disorder (MDD) (n = 2), symptoms of depression (SD) (n = 3), Alcohol-related diagnosis (n = 1), and symptoms of anxiety (n = 2). As outcome, the studies investigated dental caries (n = 5), gingivitis and periodontal diseases (n = 1), sleep bruxism (SB) (n = 1), and malocclusion (n = 1). Positive association was found between MDD and OH (SB and dental caries). There was no MMD associated with malocclusion. Alcohol-related diagnosis showed a positive association with gingivitis and periodontal diseases and no association with dental caries; anxiety had a positive association with dental caries and no association with SB. The heterogeneity of the data precluded precise conclusions to be drawn, but MMD may have influence on COH.
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Buldur B, Güvendi ON. Conceptual modelling of the factors affecting oral health-related quality of life in children: A path analysis. Int J Paediatr Dent 2020; 30:181-192. [PMID: 31622504 DOI: 10.1111/ipd.12583] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Revised: 09/16/2019] [Accepted: 10/15/2019] [Indexed: 12/24/2022]
Abstract
BACKGROUND It is important to understand the interaction of various predictors with oral health-related quality of life (OHRQoL) to better design effective interventions to improve OHRQoL. AIM The aim of this study was to develop and validate a conceptual model evaluating the factors affecting the OHRQoL in children. DESIGN The study group consisted of 754 parent-child dyads. The data collection tools were a socio-demographic data form, the Early Childhood Oral Health Impact Scale (ECOHIS), Corah Dental Anxiety Scale (C-DAS), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and an oral and dental health examination form. A conceptual model was developed to examine the factors affecting OHRQoL in children consisting of four endogenous and four exogenous variables. Path analysis was used to test the compatibility of the conceptual model. RESULTS OHRQoL was associated with parental socio-economic status (β = -0.12; P < .001), dental anxiety (β = -0.15; P < .001), and oral health behaviours (β = -0.13; P < .001). Although parental dental anxiety had the strongest direct effect on OHRQoL, children's oral health behaviours had the strongest indirect effect. CONCLUSIONS This study revealed a valid demonstrable path of association between parental socio-economic status, dental anxiety, childhood dental anxiety, oral health behaviours, and OHRQoL.
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Affiliation(s)
- Burak Buldur
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - Ozge Nur Güvendi
- Department of Pediatric Dentistry, Faculty of Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
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Hatipoğlu Z, Akşit-Bıçak D. Maternal anxiety, social status, and dental caries formation in children: a cross-sectional study. J Int Med Res 2019; 47:6206-6214. [PMID: 31566045 PMCID: PMC7045670 DOI: 10.1177/0300060519878377] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Objective We sought to evaluate the association of maternal anxiety and social status with caries formation in children. Methods Participants comprised 258 pairs of children and their mothers. We collected information regarding age, sex, birth order of children, and mothers’ education and marital status using a questionnaire. The Spielberger Trait Anxiety Inventory was used to determine maternal trait anxiety levels. The children underwent oral examination. Total values for decayed, missing, filled, and total permanent/primary teeth (DMFT/dmft) were evaluated according to standards of the World Health Organization. Results No significant relationship was found between the mother's anxiety level and DMFT/dmft scores in their children. A negative correlation was observed between the child’s age and dental caries in children. The sex of the child, mother's education level, and marital status of the mother showed a weak negative correlation with the number of dental caries observed in their children. Conclusion Although social, economic, and environmental factors might contribute substantially to the development of dental caries, we failed to demonstrate a clear relationship between maternal anxiety and social status and dental caries in children. We can therefore conclude that biological factors are decisive in the formation of dental caries among children.
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Affiliation(s)
- Zerrin Hatipoğlu
- Yeditepe University, Faculty of Dentistry, Department of Pediatric Dentistry, İstanbul, Turkey
| | - Damla Akşit-Bıçak
- Near East University, Faculty of Dentistry, Department of Pediatric Dentistry, Nicosia Mersin 10, Turkey
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12
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Cademartori MG, Costa VPP, Corrêa MB, Goettems ML. The influence of clinical and psychosocial characteristics on children behaviour during sequential dental visits: a longitudinal prospective assessment. Eur Arch Paediatr Dent 2019; 21:43-52. [PMID: 31066016 DOI: 10.1007/s40368-019-00444-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Accepted: 04/25/2019] [Indexed: 12/18/2022]
Abstract
PURPOSE This is the first study to adopt a multilevel approach to assess the impact of the order of dental visits on child's behaviour. The aim was to investigate which factors directly interfere with child's behaviour regardless of the order of sequential dental visits. METHODS In this prospective longitudinal study, children aged 7-12 years were invited to participate. Child behaviour was assessed using the Frankl Scale during four sequential dental visits. Chi-square test was used to analyse the effect of dental fear on children's non-cooperative behaviour according to the presence of dental fear. Multilevel mixed logistic regression model was used to assess the association between predictor variables and the outcome (child behaviour) during the sequential dental visits. RESULTS Overall, 111 children participated in this study. Maternal dental anxiety, dental pain and complexity of the treatment were associated with the non-cooperative behaviour in children aged 7-12 years. When stratified by dental fear, the complexity of the treatment remained associated with non-cooperative behaviour. CONCLUSIONS The results provide evidence that, even with the familiarization of child with the dental environment, maternal dental anxiety, dental pain in the last month, and the complexity of dental treatment negatively affect the children's behaviour aged 7-12 years.
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Affiliation(s)
- M G Cademartori
- Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil.
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil.
| | - V P P Costa
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
| | - M B Corrêa
- Department of Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
| | - M L Goettems
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
- School of Dentistry (UFPel), 457, Gonçalves Chaves Street, Pelotas, RS, Brasil
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13
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Heydari A, Shahrabi M, Shafizadeh M, A Anaraki E, Aref M. Parental Knowledge and Awareness of the First Permanent Molar. Int J Clin Pediatr Dent 2019; 11:382-385. [PMID: 30787550 PMCID: PMC6379531 DOI: 10.5005/jp-journals-10005-1544] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Accepted: 06/19/2018] [Indexed: 11/30/2022] Open
Abstract
Background and Aim This study aimed to assess the awareness of parents about the presence of first permanent molar and its effect on the health of this tooth. Materials and methods This cross-sectional research has been done on 250 elementary school students which were 6 to 8-year-old boys and their parents in Tehran city. Sampling was done randomly. The questionnaires were filled out by the parents, and then tooth condition was registered in a visit formfor each student separately. Next, the related children’s decayed missing filled teeth (DMFT) was determined and recorded. The mean value was calculated. Data were analyzed using the statistical package for the social sciences (SPSS) via a generalized estimating equation. Results There was a significant relationship between parental awareness of being permanent of the first permanent molar and DMFT (p < 0.05). Conclusion Socio-economical factors like parental education can have an effect on oral health condition. How to cite this article: Heydari A, Shahrabi M, Shafizadeh M, Anaraki EA, Aref M, Parental Knowledge and Awareness of the First Permanent Molar. Int J Clin Pediatr Dent, 2018;11(5):382-385.
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Affiliation(s)
- Alireza Heydari
- Assistant Professor, Department of Pediatric Dentistry, Dental School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Mahdi Shahrabi
- Associate Professor, Department of Pediatric Dentistry, Dental School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Maryam Shafizadeh
- Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Ilam University of Medical Sciences, Ilam, Islamic Republic of Iran
| | - Elnaz A Anaraki
- Postgraduate Student, Department of Pediatric Dentistry, Dental School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Mostafa Aref
- Dentist, Department of Pediatric Dentistry, Dental School, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
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14
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Cademartori MG, Corrêa MB, Silva RA, Goettems ML. Childhood social, emotional, and behavioural problems and their association with behaviour in the dental setting. Int J Paediatr Dent 2019; 29:43-49. [PMID: 30381852 DOI: 10.1111/ipd.12436] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Revised: 08/10/2018] [Accepted: 09/26/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Mental disorders are among the main causes of global disability in children, with negative impacts on their quality of life. It is possible that mental disorders could be associated with how children react in the dental setting. AIM To test the association between children's psychological attributes and behaviour presented during dental care. DESIGN A questionnaire was given to mothers of children attending a paediatric dental clinic. Psychological attributes were evaluated using the Strengths and Difficulties Questionnaire. For analysis, the Internalizing and Externalizing problems and the Prosocial behaviour subscales were considered. Children's behaviour was assessed using the Frankl Scale. For analysis, Poisson regression models were employed. A significant level of P ≤ 0.05 was adopted. RESULTS Overall, 128 children aged between four and 12 years were included. Total difficulties (PR 5.36; 95%CI 2.2-12.9), Internalizing problems (PR 4.04; 95%CI 1.6-10.0), and externalizing problems (PR 3.36; 1.5-7.7) were associated with uncooperative behaviour. In relation to the strength domain, the Prosocial behaviour subscale (PR 1.21; 95%CI 0.6-2.6) was not associated with child behaviour. CONCLUSIONS This study provides evidence that children aged between four and 12 years with internalizing and externalizing problems tend to have a higher prevalence of negative behaviour during dental treatment.
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Affiliation(s)
| | - Marcos B Corrêa
- Department of Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Ricardo A Silva
- Graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil
| | - Marília L Goettems
- Department of Social and Preventive Dentistry and Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
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15
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Isaksson H, Koch G, Alm A, Nilsson M, Wendt LK, Birkhed D. Parental factors in early childhood are associated with approximal caries experience in young adults-A longitudinal study. Community Dent Oral Epidemiol 2018; 47:49-57. [DOI: 10.1111/cdoe.12421] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 06/28/2018] [Accepted: 08/12/2018] [Indexed: 12/28/2022]
Affiliation(s)
- Helén Isaksson
- Department of Paediatric Dentistry; The Institute for Postgraduate Dental Education; Jönköping Sweden
| | - Göran Koch
- Department of Paediatric Dentistry; The Institute for Postgraduate Dental Education; Jönköping Sweden
| | - Anita Alm
- Department of Preventive and Community Dentistry; Public Dental Health Service; Västra Götaland Region; Göteborg Sweden
| | - Mats Nilsson
- Futurum, Academy of Health and Care; Region Jönköping County; Jönköping and Department of Medical and Health Sciences; Linköping University; Linköping Sweden
| | - Lill-Kari Wendt
- Centre of Oral Health; School of Health Sciences; Jönköping University; Jönköping Sweden
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16
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Northridge ME, Schrimshaw EW, Estrada I, Greenblatt AP, Metcalf SS, Kunzel C. Intergenerational and Social Interventions to Improve Children's Oral Health. Dent Clin North Am 2018; 61:533-548. [PMID: 28577635 DOI: 10.1016/j.cden.2017.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Dental caries and gingival and periodontal diseases are commonly occurring, preventable chronic conditions in children. These diseases are more common in disadvantaged communities and marginalized populations. Thus, public health approaches that stress prevention are key to improving oral health equity. There is currently limited evidence on which community-based, population-level interventions are most effective and equitable in promoting children's oral health. More rigorous measurement and reporting of study findings are needed to improve the quality of available evidence. Improved understanding of the multilevel influences of children's oral health may lead to the design of more effective and equitable social interventions.
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Affiliation(s)
- Mary E Northridge
- Department of Epidemiology & Health Promotion, New York University College of Dentistry, 433 First Avenue, Room 726, New York, NY 10010, USA; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA.
| | - Eric W Schrimshaw
- Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th Street, Room 907, New York, NY 10032, USA
| | - Ivette Estrada
- Section of Population Oral Health, Columbia University College of Dental Medicine, 630 West 168th Street, P&S Box 20, New York, NY 10032, USA
| | - Ariel P Greenblatt
- Department of Epidemiology & Health Promotion, New York University College of Dentistry, 433 First Avenue, Room 715B, New York, NY 10010, USA
| | - Sara S Metcalf
- Department of Geography, The State University of New York at Buffalo, 115 Wilkeson Quad, Ellicott Complex, Buffalo, NY 14261-0055, USA
| | - Carol Kunzel
- Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA; Section of Population Oral Health, Columbia University College of Dental Medicine, 630 West 168th Street, P&S Box 20, New York, NY 10032, USA
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Abstract
Social determinants of health are defined as conditions in which people are born and live and the role these conditions play on health outcomes. Research indicates that risk factors and their interactions are far more complex than originally thought. This article outlines social determinant constructs and their role in understanding oral health promotion. Due to the complex interactions, oral health must be promoted using a multilevel chronic disease model or common risk factor approach. An understanding of social determinants is particularly important for the pediatric population because optimum oral health and general health in adulthood are heavily influenced by childhood.
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Affiliation(s)
- Marcio A da Fonseca
- Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina Street, 254 DENT, Chicago, IL 60612-7211, USA.
| | - David Avenetti
- Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, 801 South Paulina Street, 254 DENT, Chicago, IL 60612-7211, USA
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18
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Silveira ERD, Goettems ML, Demarco FF, Azevedo MS. Clinical and Individual Variables in Children’s Dental Fear: A School-Based Investigation. Braz Dent J 2017; 28:398-404. [DOI: 10.1590/0103-6440201601265] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2016] [Accepted: 02/02/2017] [Indexed: 12/14/2022] Open
Abstract
Abstract This cross-sectional study evaluated the prevalence of dental fear and associated factors in schoolchildren aged 8 to 12 years old, in Pelotas, southern Brazil. Schoolchildren enrolled in 20 public and private schools were selected using a multi-stage sample design. Sociodemographic characteristics, children’s dental visit and oral hygiene habits were assessed by questionnaires. The Dental Anxiety Question was used to measure dental fear prevalence. Children’s clinical examination evaluated presence of dental caries (DMFT/dmft index) and gingival bleeding. Data were analyzed using Poisson regression with robust variance (prevalence ratio; 95% confidence interval). One thousand two hundred and two children were included. Dental fear prevalence was 24.6%. After the adjustment, girls [PR=1.71 (CI 95%: 1.31-2.22)], children from poorer families [PR=1.96 (CI 95%: 1.36-2.83)], those who had decayed teeth (D/d index>0)[PR=1.32 (CI 95%: 1.01-1.72), and who had never been at the dentist [PR=1.85 (CI 95%: 1.42-2.41) remained significantly associated with dental fear. The prevalence of dental fear indicates that it is a common problem among schoolchildren. Early dental care and dental caries prevention are important factors to prevent dental fear.
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dos Santos Pinto G, de Ávila Quevedo L, Britto Correa M, Sousa Azevedo M, Leão Goettems M, Tavares Pinheiro R, Demarco FF. Maternal Depression Increases Childhood Dental Caries: A Cohort Study in Brazil. Caries Res 2016; 51:17-25. [DOI: 10.1159/000449040] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Accepted: 08/09/2016] [Indexed: 11/19/2022] Open
Abstract
Aim: To investigate the relationship between maternal depression and childhood caries in a cohort of adolescent mothers. Methods: This cross-sectional study nested in a cohort evaluated a sample of 538 mother/child dyads. When the children were 24-36 months of age, data regarding oral health from children and mothers were collected by clinical dental examination. A mother's major depressive disorder was assessed by using the Mini International Neuropsychiatric Interview (MINI [Plus]), at the current moment. Independent variables were obtained by using questionnaires. The outcome on dental caries experience was dichotomized by using 2 cut points: dmfs ≥1 and dmfs ≥3. Poisson regression analysis, using a hierarchical approach, was applied to assess the association between major depressive disorder in mothers with and those without caries experience and the outcome. Results: The prevalence of dental caries in children was 15.1% (n = 82). The mean dmfs index was 1.12 (SD = 3.72). The prevalence of major depressive disorder was 32.6% (n = 168). An interaction between caries status and depressive disorder was found, and after adjusted analysis, children from mothers with major depressive disorder with negative caries experience presented a higher caries prevalence (prevalence ratio 4.00, 95% confidence interval 1.29-12.41). Conclusion: Our findings suggest that maternal psychiatric disorders could have a negative impact on children's oral health.
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Krüger MSM, Lang CA, Almeida LHS, Bello-Corrêa FO, Romano AR, Pappen FG. Dental pain and associated factors among pregnant women: an observational study. Matern Child Health J 2016; 19:504-10. [PMID: 24894731 DOI: 10.1007/s10995-014-1531-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The present study aimed to determine the prevalence of dental pain during pregnancy and its association with sociodemographic factors and oral health conditions among 315 pregnant women in South Brazil. Participants were interviewed to obtain sociodemographic data, such as age, educational level, employment status, family income, and marital and parity status. Medical and dental histories were also collected, including the occurrence of dental pain and the use of dental services during pregnancy. Clinical examinations were performed to assess the presence of visible plaque and gingival bleeding and to calculate the decayed, missing, and filled teeth index. Means and standard deviations of continuous variables and frequencies and percentages of categorical variables were calculated. Independent variables were included in a multivariate logistic regression analysis. A total of 173 (54.9 %) pregnant women reported dental pain during pregnancy. After adjustment of the analysis, caries activity remained the main determinant of dental pain (odds ratio 3.33, 95 % CI 1.67-6.65). The prevalence of dental pain during pregnancy was high and the presence of caries activity was a determinant of dental pain. Moreover, access to oral health care was low, despite pregnant women's increased need for dental assistance.
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Affiliation(s)
- Marta S M Krüger
- Department of Pediatric Dentistry, Federal University of Pelotas-UFPel, Pelotas, RS, Brazil
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21
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Khawja SG, Arora R, Shah AH, Wyne AH, Sharma A. Maternal Dental Anxiety and its Effect on Caries Experience Among Children in Udaipur, India. J Clin Diagn Res 2015; 9:ZC42-5. [PMID: 26266216 DOI: 10.7860/jcdr/2015/13647.6103] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Accepted: 05/18/2015] [Indexed: 11/24/2022]
Abstract
CONTEXT Dental caries is a common oral disease among children. There are various factors that influence caries development. Parents and family environment influence oral health behaviours among children. Dental Anxiety is a common hindrance in seeking dental treatment. Mothers' dental anxiety may act as a barrier to seek professional advice about their children's caries experience. AIM To evaluate dental anxiety among mothers and its possible relationship with caries experience in their children in Udaipur city, India. SETTING AND DESIGN The sample was selected from those attending Darshan Dental College and Hospital, Udaipur for dental treatment. The study period was from June 2014 to November 2014. MATERIALS AND METHODS A cross-sectional survey was designed. A total of 187 mother-child pairs were recruited for the study. The children's age ranged from 3-14 years. Modified Dental Anxiety Scale (MDAS), Hindi version, was used to evaluate dental anxiety among the mothers that categorizes the dental anxiety into five levels. Demographic detail such as age, educational level, and family income was also collected. The World Health Organization (WHO) criteria was utilized for the diagnosis of dental caries in children. DMFT (Decayed, missing and filled teeth) and DMFS (Decayed, missing and filled surfaces) scores were then calculated. STATISTICAL ANALYSIS Statistical Package for Social Sciences (SPSS) version 20.0 was used to interpret data. Maternal anxiety scores taken as mean MDAS were compared with various independent variables. Statistical tests were used to compare maternal anxiety and children's caries experience. A p value equal or less than 0.05 was considered as statistically significant. RESULTS Almost half (49.7%) of the mothers reported as being 'fairly anxious' or 'very anxious'. There was a significant (p=.001) difference in maternal dental anxiety level in relation to age of the children. Mothers of younger children reported higher anxiety scores. Similarly, mothers with lesser education and lesser family income reported higher anxiety scores. The mean decayed score in children of very anxious mothers and phobic mothers was significantly (p=.001) higher as compared to the children of the mothers with lower anxiety levels. CONCLUSION There was a strong positive association between maternal dental anxiety and children's dental caries experience.
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Affiliation(s)
- Shabnam Gulzar Khawja
- PG Student, Department of Pedodontics and Preventive Dentistry, Darshan Dental College and Hospital , Loyra, Udaipur, Rajasthan, India
| | - Ruchi Arora
- Professor and Head, Department of Pedodontics and Preventive Dentistry, Darshan Dental College and Hospital , Loyra, Udaipur, Rajasthan, India
| | - Altaf Hussain Shah
- Faculty, Department of Preventive Dental Sciences, College of Dentistry, Salman bin Abdulaziz University , AlKharj, Saudi Arabia , Fellow Pacific Academy of Higher Education and Research (PAHER) University, Udaipur, Rajasthan, India
| | - Amjad Hassan Wyne
- Professor and Director, Post Graduate Studies, Paediatric Dentistry, College of Dentistry, King Saud University , Saudi Arabia
| | - Anshu Sharma
- Lecturer, Paediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Salman bin Abdulaziz University , AlKharj, Saudi Arabia
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Coric A, Banozic A, Klaric M, Vukojevic K, Puljak L. Dental fear and anxiety in older children: an association with parental dental anxiety and effective pain coping strategies. J Pain Res 2014; 7:515-21. [PMID: 25187737 PMCID: PMC4149462 DOI: 10.2147/jpr.s67692] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
An association between dental fear and anxiety (DFA) has been confirmed for children younger than 8 years, but this association in older children is less clear. The aim of this study was to fill this knowledge gap by studying DFA in older children and their parents with validated measures. This cross-sectional study, conducted at Community Health Centre Mostar, Bosnia and Herzegovina, included 114 children and their parents. DFA, coping, and sociodemographic variables were studied using Corah Dental Anxiety Questionnaire (CDAS), Dental Subscale of the Children’s Fear Survey Schedule (CFSS-DS), Dental Cope Questionnaire, and sociodemographic questionnaire. Maternal CDAS scores had significant positive correlation with child DFA measured with CFSS-DS (r=0.35, P<0.001) and CDAS (r=0.32, P<0.001). Fathers’ CDAS scores were not associated with child CFSS-DS, but showed a moderate correlation with child CDAS (r=0.19, P<0.05). There were no significant differences in children’s fear and anxiety based on age, sex, or socioeconomic variables. Children used internal coping strategies most frequently and external coping strategies were rated by the children as the most effective. We did not find differences in number and type of effective coping strategies in children with high DFA compared with children with low DFA. In conclusion, there is evidence of the coexistence of dental fear in parents and older children. These findings may help to devise interventions that will prevent or alleviate children’s DFA.
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Affiliation(s)
- Anka Coric
- School of Medicine, University of Mostar, Health Center Mostar, Mostar, Bosnia and Herzegovina
| | - Adriana Banozic
- Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia
| | - Miro Klaric
- Department of Psychiatry, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
| | - Katarina Vukojevic
- Department of Anatomy, University of Split School of Medicine, Split, Croatia
| | - Livia Puljak
- Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia
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Goettems ML, Schuch HS, Demarco FF, Ardenghi TM, Torriani DD. Impact of dental anxiety and fear on dental care use in Brazilian women. J Public Health Dent 2014; 74:310-6. [PMID: 24946683 DOI: 10.1111/jphd.12060] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2013] [Accepted: 05/04/2014] [Indexed: 12/15/2022]
Affiliation(s)
- Marília Leão Goettems
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Helena Silveira Schuch
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Flávio Fernando Demarco
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
- Post-Graduate Program in Epidemiology; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
| | - Thiago Machado Ardenghi
- Post-Graduate Program in Dentistry; Federal University of Santa Maria; Santa Maria Rio Grande do Sul Brazil
| | - Dione Dias Torriani
- Post-Graduate Program in Dentistry; Federal University of Pelotas; Pelotas Rio Grande do Sul Brazil
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Torriani D, Ferro R, Bonow M, Santos I, Matijasevich A, Barros A, Demarco F, Peres K. Dental Caries Is Associated with Dental Fear in Childhood: Findings from a Birth Cohort Study. Caries Res 2014; 48:263-70. [DOI: 10.1159/000356306] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Accepted: 10/14/2013] [Indexed: 11/19/2022] Open
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Silva AER, Menezes AMB, Demarco FF, Vargas-Ferreira F, Peres MA. Obesity and dental caries: systematic review. Rev Saude Publica 2013; 47:799-812. [DOI: 10.1590/s0034-8910.2013047004608] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2012] [Accepted: 05/07/2013] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.
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