Main Article Content
Objective: This study aims to investigate the impact of parental anxiety and a history of epilepsy on children's dental anxiety.
Materials and Methods: The study involved 84 children aged 4 to 12 who visited the Pedodontics Department at Necmettin Erbakan University. The subjects were divided into two groups: children with no history of epilepsy (Group 1, n = 44) and children with a history of epilepsy (Group 2, n = 40). Before receiving dental treatment, each child was asked to independently complete the Children's Dental Anxiety Screening Scale (CFSS-DS) questionnaire. Parental dental anxiety was assessed using the Turkish version of the Modified Dental Anxiety Scale (MDAS), which categorizes dental anxiety into five levels.
Results: There was no statistically significant difference in CFSS-DS total scores between Group 1 and Group 2 (p = 0.103). Pearson Correlation analysis revealed a statistically significant weak positive association between parental anxiety and children's dental anxiety (p = 0.008).
Conclusion: This study found a significant and linear correlation between children's dental anxiety and their parents' dental anxiety. However, it could not establish a direct link between a child's medical history of epilepsy and their anxiety.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literature review. Int J Paediatr Dent. 2004;14:241-245. DOI: https://doi.org/10.1111/j.1365-263X.2004.00563.x
Smyth JS. Some problems of dental treatment. Part 1. Patient anxiety: some correlates and sex differences. Aust Dent J. 1993;38:354-359. DOI: https://doi.org/10.1111/j.1834-7819.1993.tb05516.x
Buchanan H, Niven N. validation of a facial ımage scale to assess child dental anxiety. Int J Paediatr Dent. 2002;12(1):47-52. DOI: https://doi.org/10.1046/j.0960-7439.2001.00322.x
Skaret E, Raadal M, Berg E, Kvale G, Dental anxiety among 18-yr-olds in Norway. Prevalence and related factors. Eur J Oral Sci.1998;106(4): 835-843. DOI: https://doi.org/10.1046/j.0909-8836.1998.eos106402.x
Shinde SD, Hegde RJ. Evaluation of the influence of parental anxiety on children's behavior and understanding children's dental anxiety after sequential dental visits. Indian J Dent Res. 2017;28(1):22-26. DOI: https://doi.org/10.4103/ijdr.IJDR_181_16
Versloot J, Veerkamp JS, Hoogstraten J, Martens LC. Children's s coping with pain during dental care. Community Dent Oral Epidemiol. 2004;32(6):456-461. DOI: https://doi.org/10.1111/j.1600-0528.2004.00187.x
Sermet O. Emotional and medical factors in child dental anxiety. J Child Psychol Psychiatry 1974;15:313-321. DOI: https://doi.org/10.1111/j.1469-7610.1974.tb01255.x
Hollis A, Willcoxson F, Smith A, Balmer R. An investigation into dental anxiety amongst paediatric cardiology patients. Int J Paediatr Dent 2015;25(3):183-190. DOI: https://doi.org/10.1111/ipd.12111
Klinberg G, Hwang CP. Children’s dental fear picture test (CDFP): a projective test for the assessment of child dental fear. J Dent Child. 1994;61(2):89-96.
Tunc EP, Firat D, Onur OD, Sar V. Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population, Community Dent Oral Epidemiol, 2005;33(5):357-362. DOI: https://doi.org/10.1111/j.1600-0528.2005.00229.x
Khanduri N, Singhal N, Mitra M. The prevalence of dental anxiety and fear among 4-13-year-old Nepalese children, J Indian Soc Pedod Prev Dent, 2019;37(4):345-349. DOI: https://doi.org/10.4103/JISPPD.JISPPD_108_19
Goh EZ, Beech N, Johnson NR. Dental anxiety in adult patients treated by dental students: A systematic review. J. Dent. Educ. 2020;84(7):805-811. DOI: https://doi.org/10.1002/jdd.12173
Slabšinskienė E, Kavaliauskienė A, ŽemaitienėM, Vasiliauskienė I, Zaborskis A. Dental fear and associated factors among children and adolescents: A school-based study in Lithuania. Int J Environ Res Public Health. 2021;18:8883. DOI: https://doi.org/10.3390/ijerph18168883
Boka V, Arapostathis B, Kotsanos N, Karagiannis V, van Loveren C, Veerkamp J. Relationship between child and parental dental anxiety with child’s psychological functioning and behavior during the administration of local anesthesia. J Clin Pediatr Dent. 2016;40(6):431-437. DOI: https://doi.org/10.17796/1053-4628-40.6.431
Eli I, Baht R, Blacher S. Prediction of success and failure of behavior modification as treatment for dental anxiety. Eur J Oral Sci. 2004;112(4):311-315. DOI: https://doi.org/10.1111/j.1600-0722.2004.00140.x
Bayrak YŞ, Tunç YEŞ, Eğilmez D, Tüloğlu D. The effects of parental anxiety and sociodemographic factors on dental anxiety in children. J Dent Fac Atatürk Uni. 2010; 2010(3):181-188.
Lee CY, Chang YY, Huang ST. Prevalence of dental anxiety among 5- to 8-year-old Taiwanese children. J Public Health Dent. 2007;67(1):36-41. DOI: https://doi.org/10.1111/j.1752-7325.2007.00006.x
Themessl Huber M, Freeman R, Humphris G, Mac Gillivray S, Terzi N. Empirical evidence of the relationship between parental and child dental fear: a structured review and meta-analysis. Int J Paediatr Dent. 2010;20(2):83-101. DOI: https://doi.org/10.1111/j.1365-263X.2009.00998.x