Maternal dental anxiety as a risk factor for dental caries in children: a cross-sectional study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20163782Keywords:
Children, Dental anxiety, Dental caries, MothersvAbstract
Background: The prevalence of dental caries among children is quite enormous; parental dental anxiety being one of the factors for this burden of disease. Environment of the family has a significant bearing on children’s oral health. Mothers who have a fear of dental treatment delay or avoid their children’s timely and appropriate treatment of oral health problems which ultimately lead to poor oral health among children; dental caries being the most common one. Aim: To assess the association of dental anxiety among mothers with the dental caries among their children.
Methods: A cross-sectional questionnaire based study was carried out at various private dental clinics in Kashmir, India. 200 mother-child pairs were selected for the study. To assess the dental anxiety level of mothers, Modified Dental Anxiety Scale (MDAS) {Urdu version} was used. Dental caries (DMFT/dmft) of their children was recorded using World Health Organization (WHO) criteria.
Results: The caries experience (mean dmft/DMFT of children with highly anxious mothers was higher than those with less anxious and non-anxious mothers. The children whose mothers were ‘extremely anxious’ (phobic) had the highest mean dmft/DMFT (4.06±1.99) while the mean DMFT was least (1.03±2.01) among those children whose mothers were non-anxious. The difference was found to be statistically significant (p <0.05).
Conclusions: It was concluded that occurrence of dental caries was more in children of highly anxious mother’s and hence there exists the association between the mother’s dental anxiety and their children’s dental caries prevalence.
References
Beck AT, Emery G, Greenberg RL. Anxiety disorders and phobias: A cognitive perspective. Basic Books. 2005.
Kvale B, Berg E, Raadal M. The ability of Corah’s Dental Anxiety Scale and Spielberger’s State Inventory to distinguish between fearful and regular Norwegian dental patients. Acta Odontol Scand. 1998;56(2):105-9.
Seeman K, Molin C. Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA). Acta Psychiatrica Scandinavica. 1976;54:81-91.
Krikken JB, Ten Cate JM, Veerkamp JS. Child dental fear and general emotional problems: a pilot study.Eur Arch Paediatr Dent. 2010;11(6):283-6.
Newton JT, Edwards JC. Psychometric properties of the modified dental anxiety scale: an independent replication. Community dental health. 2005;22:40-2.
Petersen PE, Baez RJ, Organization WH. Oral health surveys: basic methods. 2013.
Eli I, Uziel N, Blumensohn R, Baht R. Modulation of dental anxiety - the role of past experiences, psychopathologic traits and individual attachment patterns. Bri Den J. 2004;194:689-94.
Locker O, Liddell A, Dempster L, Shapiro D. Age of Onset of Dental Anxiety. J Dent Res. 1999;78:790-6.
Okada M, Kawamura M, Kaihara Y, Matsuzaki Y, Kuwahara S, Ishidori H, et al. Influence of parents’ oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Pae¬diatr Dent. 2002;12(2):101-8.
Porritt J, Marshman Z, Rodd HD. Understanding children's dental anxiety and psychological approaches to its reduction. International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children. 2012;22:397-405.
Suprabha BS, Rao A, Choudhary S, Shenoy R. Child dental fear and behaviour: the role of environmental factors in a hospital cohort. Journal of the Indian Society of Pedodontics and Preventive Dentistry. 2011;29:95-101.
Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabilitation. 2006;33:588-93.
Pramila M, Murthy AK. Dental fear in children and its relation to dental caries and gingival condition–a cross sectional study in Bangalore city, India. Inter J Clin DenScie. 2010;1.
Smith PA, Freeman R. Remembering and repeating childhood dental treatment experiences: parents, their children, and barriers to dental care. International journal of paediatric dentistry/the British Paedodontic Society [and] the International Association of Dentistry for Children. 2010;20:50-8.
Luoto A, Tolvanen M, Rantavuori K, Pohjola V, Lahti S. Can parents and children evaluate each other’s dental fear? Eur J Oral Sci. 2010;118:254-8.
Pohjola V, Lahti S, Tolvanen M, Hausen H. Dental fear and oral health habits among adults in Finland. Acta Odontol Scand. 2008;66:148-53.
Honkala E, Paronen O, Rimpelä M. Familial aggregation of dental health habits in Finland. J Pedod 1983;7:276-90.
Klinberg G, Berggren U, Carlsson S.G, Noren J.G. Child dental fear, causerelated factors and clinical effects. Eur J Oral Sci. 1995;103:405-12.
Versloot J, Veerkamp J, Hoogstraten J, Martens L. Children's coping with pain during dental care. Community Dent Oral Epidemiol. 2004;32:456-61.
