Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

Dental anxiety and the associated factors and caries experience among adolescents of elementary and middle schools in Changwon, Korea

창원시 초.중학생들의 구강진료공포 관련요인 및 공포수준에 따른 치아우식경험실태

  • Cho, Hyun-Jin (Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Min-Ji (Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University) ;
  • Ha, Jung-Eun (Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University) ;
  • Bae, Kwang-Hak (Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University) ;
  • Han, Dong-Hun (Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jin-Bom (Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University)
  • 조현진 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 김민지 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 하정은 (서울대학교 치의학대학원 예방치학교실) ;
  • 배광학 (서울대학교 치의학대학원 예방치학교실) ;
  • 한동헌 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 김진범 (부산대학교 치의학전문대학원 예방치과학교실)
  • Received : 2009.11.26
  • Accepted : 2010.03.03
  • Published : 2010.03.30
⟨ Previous Next ⟩

Abstract

Objectives. The purposes of this study were to measure the dental anxiety, to analyze the factors associated with dental anxiety and to investigate the caries prevalence according to the level of dental anxiety among the adolescents in Changwon city. Methods. The subjects were 4,143 elementary (5th and 6th grades) and middle school students. Among them, the number of male students was 2,246 (54.2%). All the subjects gave the responses of the questionnaire composed of a 4-item dental anxiety scale and questions on gender, age, the first dental visit and the experiences with primary prevention of dental caries. They also received an oral examination. The association of dental anxiety with demographic factors and oral behavioral factors was analyzed by the chi square method and multivariate logistic regression analysis. The differences of caries prevalence between the high and low dental anxiety groups were analyzed by Student's t-test. Results. The prevalence of high dental anxiety might be 2.2 times higher in the female students than that in the males, 1.4 times higher in the middle school students than that in the elementary school students, 1.7 times higher in the subjects who visited dental clinic before entering elementary school than that in the subjects who had not experienced a dental visit and 1.4 times higher in the subjects who had not experienced primary oral prevention than that in the subjects who had. The subjects who felt high dental anxiety had more decayed teeth than those who felt low dental anxiety. Conclusions. The present study suggested that the dental anxiety could be reduced by primary oral prevention of caries.

Keywords

Acknowledgement

Supported by : 창원시보건소

References

  1. Skaret E, Raadal M, Berg E, Kvale G. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. Eur J Oral Sci 1999;107(6):422-428. https://doi.org/10.1046/j.0909-8836.1999.eos107602.x
  2. Schuurs AH, Duivenvoorden HJ, Thoden van Velzen SK, Verhage F, Makkes PC, Eijkman MA. Anxiety and dental attendance. Community Dent Health 1985;2(3):203-211.
  3. Hagglin C, Berggren U, Hakeberg M, Ahlqwist M. Dental anxiety among middle-aged and elderly women in Sweden. A study of oral state, utilisation of dental services and concomitant factors. Gerodontol 1996;13(1):25-34. https://doi.org/10.1111/j.1741-2358.1996.tb00147.x
  4. Wisloff TF, Vassend O, Asmyhr O. Dental anxiety, utilisation of dental services, and DMFS status in Norwegian military recruits. Community Dent Health 1995;12(2):100-103.
  5. Willumsen T, Vassend O, Hoffart A. A comparison of cognitive therapy, applied relaxation, and nitrous oxide sedation in the treatment of dental fear. Acta Odontol Scand 2001;59(5):290-296. https://doi.org/10.1080/000163501750541156
  6. Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behav Res Ther 1993;31(7):659-666. https://doi.org/10.1016/0005-7967(93)90119-F
  7. Unell L, Soderfeldt B, Halling A, Birkhed D. Explanatory models for clinically determined and symptom-reported caries indicators in an adult population. Acta Odontol Scand 1999;57(3):132-138. https://doi.org/10.1080/000163599428850
  8. Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dent Oral Epidemiol 1992;20(2):97-101. https://doi.org/10.1111/j.1600-0528.1992.tb00686.x
  9. 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(6):641-647.
  10. Teo CS, Foong W, Lui HH, Vignehsa H, Elliott J, Milgrom P. Prevalence of dental fear in young adult Singaporeans. Int Dent J 1990;40(1):37-42.
  11. Thomson WM, Stewart JF, Carter KD, Spencer AJ. Dental anxiety among Australians. Int Dent J 1996;46(4):320-324.
  12. Weinstein P, Shimono T, Domoto P, Wohlers K, Matsumura S, Ohmura M, et al. Dental fear in Japan: Okayama Prefecture school study of adolescents and adults. Anesth Prog 1993; 39(6):215-220.
  13. Kaufman E, Rand RS, Gordon M, Cohen HS. Dental anxiety and oral health in young Israeli male adults. Community Dent Health 1992;9(2):125-132.
  14. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48(4):596. https://doi.org/10.1177/00220345690480041801
  15. Venham L, Bengston D, Cipes M. Children's response to sequential dental visits. J Dent Res 1977;56(5):454-459. https://doi.org/10.1177/00220345770560050101
  16. Cuthbert MI, Melamed BG. A screening device: children at risk for denatl fears and management problems. ASDC J Dent Child 1982;49(6):432-436.
  17. 최성숙, 김지영, 송근배, 이성국. 개인치과의원 내원청소년들의 치과치료공포감에 대한 관련요인 분석. 대한구강보건학회지 2004; 28(4):495-504.
  18. 김지영, 홍숙선, 정성화, 최연희, 송근배. 일부 지역 초등학생을 대상으로 치과공포 측정을 위한 CFSS-DS 수정 설문지의 타당성 여부와 관련요인 분석. 대한구강보건학회지 2005;29(2):131-140.
  19. Moore R, Birn H, Kirkegaard E, Brodsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol 1993;21(5):292-296. https://doi.org/10.1111/j.1600-0528.1993.tb00777.x
  20. 차문호, 김진태, 손동수, 한세현, 김종철, 이상훈. 행동치과학. 서울:의치학사;1991:81-115.
  21. 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(2): 116-121. https://doi.org/10.1034/j.1600-0528.2003.00026.x