Anxiety and dental phobia, psychological factors affecting children's oral health [Ansiedad y odontofobia, factores psicológicos incidentes en la salud oral de los niños]
DOI:
https://doi.org/10.62574/3d03td62Keywords:
dental offices, dental service hospital, laboratories dentalAbstract
Objective: to analyse the psychological factors associated with anxiety and odontophobia in children. Method: systematic review of 30 scientific articles in the population. Results and Conclusion: Dental anxiety and odontophobia in children are multifactorial conditions that significantly impact their oral health and quality of life, being influenced by psychological, social and, in some cases, genetic factors. These conditions not only increase the risk of caries and periodontal disease due to avoidance of treatment but also affect the emotional and social well-being of paediatric patients. Evidence-based management strategies such as audiovisual distraction, cognitive-behavioural therapy and sensory adaptation of the environment have been shown to be effective, especially when combined with parental education.
Downloads
References
Gómez O, Montes V. Análisis de los factores asociados a la odontofobia en los pacientes de la Clínica Integral VII. Rev Digit Pasión Saber. 2013;3(5):3-12.
Padmanabhan V, Islam MS, Habib M, et al. Association between salivary cortisol levels, dental anxiety, and dental caries in children: a cross-sectional study. Dent J. 2023;11(9):205.
Ying J, Tao H, He Q, et al. Children’s dental fear: occurrence mechanism and prevention guidance. J Multidiscip Healthc. 2023;16:2013-2021.
Slabšinskienė E, Kavaliauskienė A, Žemaitienė M, et al. Dental fear and associated factors among children and adolescents: a school-based study in Lithuania. Int J Environ Res Public Health. 2021;18(16):8883.
Merdad L, El-Housseiny AA. Do children’s previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL)? BMC Oral Health. 2017;17:47.
Flores V, Anthony J. Eficacia de la distracción contingente sobre el nivel de ansiedad en niños de 6 a 10 años que asisten al Centro Odontológico de la Facultad de Odontología de la UCSM Arequipa, 2023.
Montero IVS, Cala GM, Almanza YML. Eficacia de materiales de mínima intervención odontológica: revisión sistemática. 2023.
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.
Gao S, Lu J, Li P, et al. Prevalence and risk factors of children’s dental anxiety in China: a longitudinal study. BMJ Open. 2021;11(4):e043647.
Alharbi A, Humphris G, Freeman R. The associations among dental anxiety, self-esteem, and oral health-related quality of life in children: a cross-sectional study. Dent J. 2023;11(7):179.
Reyes JMV, Castellano-Prada D, El-Ghannam-Ruisánchez Y, Martín LAD. Caracterización de pacientes con miedo al odontólogo. Acta Odontológica Colomb. 2015;5(2):33-46.
Al-Namankany A, Petrie A, Ashley P. Video modelling for reducing anxiety related to the use of nasal masks place it for inhalation sedation: a randomised clinical trial. Eur Arch Paediatr Dent. 2015;16(1):13-18.
Appukuttan D. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016;35.
Qazi SH, Masoud S, Tariq K, et al. Effectiveness of auditory distraction on the management of dental anxiety in patients undergoing tooth extraction at a tertiary care hospital in Islamabad. Clin Exp Dent Res. 2024;10(2):e863.
Gil-Abando G, Medina P, Signorini C, et al. Assessment of clinical parameters of dental anxiety during noninvasive treatments in dentistry. Int J Environ Res Public Health. 2022;19(17):11141.
Guinot F, Mercadé M, Oprysnyk L, et al. Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. Eur J Paediatr Dent. 2021;22(3):230-236.
Corrêa-Faria P, Viana KA, Raggio DP, et al. Recommended procedures for the management of early childhood caries lesions – a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE). BMC Oral Health. 2020;20(1):75.
Rosa A, Pujia AM, Docimo R, Arcuri C. Managing dental phobia in children with the use of virtual reality: a systematic review of the current literature. Children. 2023;10(11):1763.
Ide-Okochi A, Funayama H, Asada Y. Pediatric dentists’ perspectives of children with special health care needs in Japan: developmental disabilities, phobia, maltreatment, and multidisciplinary collaboration. BMC Pediatr. 2021;21(1):240.
Gomes HDS, Anabuki AA, Viana KA, et al. Assessment of child’s dental anxiety/fear and stress during dental treatment: a systematic review by CEDACORE. Braz Oral Res. 2022;36:e067.
Dahal S, Shrestha A, Bhagat T. Prevalence of dental fear among 6-15 years old school children. J Nepal Med Assoc. 2020;58(221). Disponible en: https://www.jnma.com.np/jnma/index.php/jnma/article/view/4791
Schibbye R, Hedman-Lagerlöf E, Kaldo V, Dahllöf G, Shahnavaz S. Internet-based cognitive behavioral therapy for children and adolescents with dental or injection phobia: randomized controlled trial. J Med Internet Res. 2024;26:e42322.
Brännemo I, Levinsson A, Hasselblad T, Dahllöf G, Tsilingaridis G. Parental psychosocial factors and children's oral health-related quality of life: Data from a caries prevention study with phone-based support. BMC Oral Health. 2025;25(1):94. Published 2025 Jan 18. doi:10.1186/s12903-025-05446-z
Gavić L, Tadin A, Gulin J, Jerković D, Hrvatin S, Sidhu SK. Relationship Between Early Childhood Oral Health Impact Scale, Child's Dental Status and Parental Psychological Profiles. Psychiatr Danub. 2022;34(Suppl 10):168-172.
Ludovichetti FS, Zuccon A, Zambon G, et al. Maternal mental health and children oral health: a literature review. Eur J Paediatr Dent. 2023;24(2):99-103. doi:10.23804/ejpd.2023.1833
Ramseier CA, Klima S, Klima E, Enkling N. Dental anxiety in Switzerland: trends in prevalence and associations with socioeconomic factors in 2010 and 2017. Swiss Dent J. 2023;134(1):52-71. Published 2023 Sep 28. doi:10.61872/sdj-2024-05-01
Zhou Y, McNeil DW, Haworth S, et al. Genome-wide Scan of Dental Fear and Anxiety Nominates Novel Genes. J Dent Res. 2022;101(12):1526-1536. doi:10.1177/00220345221105226
Dias C, Schwertner C, Grando D, et al. Caregiving of children with Down syndrome: impact on quality of life, stress, mental and oral health. Spec Care Dentist. 2022;42(4):398-403. doi:10.1111/scd.12694
Carrillo-Díaz M, Migueláñez-Medrán BC, Nieto-Moraleda C, Romero-Maroto M, González-Olmo MJ. How Can We Reduce Dental Fear in Children? The Importance of the First Dental Visit. Children (Basel). 2021;8(12):1167. Published 2021 Dec 9. doi:10.3390/children8121167
Fallea A, Zuccarello R, Roccella M, et al. Sensory-Adapted Dental Environment for the Treatment of Patients with Autism Spectrum Disorder. Children (Basel). 2022;9(3):393. Published 2022 Mar 10. doi:10.3390/children9030393
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ángelo Sebastian Paredes-Jinez, Zuleika Sarahi Chango-Sisalema, Juan Diego Vallejo-Angulo, Luis Darío Pérez-Villalba (Autor/a)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
