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:: Volume 3, Issue 2 (5-2025) ::
cofs 2025, 3(2): 6-12 Back to browse issues page
The Effect of Environmental Factors on Dental anxiety and behavior in Children
Mehdi Motevali , Shahrzad Javadinejad * , Azadeh Majidian
Department of Pediatric Dentistry, Faculty of Dentistry, Isf.C, Islamic Azad University, Isfahan, Iran
Abstract:   (214 Views)
Background: The multifactorial etiology of children’s dental anxiety and behavior identifies the influence of many different risk factors in its development. The aim of this study was to evaluate the association between environmental factors on Dental anxiety and behavior in children.
Materials and methods: This descriptive-analytical cross-sectional study involved 239 children aged 6 to 10 and included their parents, who completed a questionnaire about family background, dental history, and the first dental visit. Children's anxiety and behaviour were measured, respectively, using the Modified Child Dental Anxiety Scale and Frankel's scale. Cooperative behavior was defined as positive or completely positive, while uncooperative behavior was considered negative or completely negative. Data were analyzed using Chi-square, Fisher's exact test, independent sample t-test, and Spearman correlation coefficient. (α=0.05)
Results: No significant differences were found in cooperation and anxiety levels between children with and without siblings (p = 0.31) or between first-borns and others (P = 0.52). However, children who had a pleasant first visit to the dentist had significantly higher cooperation and lower anxiety levels (P < 0.001). Cooperation was also notably lower in children from divorced families compared to those from intact families (P < 0.001). There were no significant differences between children with and without a history of hospitalization (P = 0.62), and age and gender did not affect cooperation levels.
Conclusion: The history of hospitalization, the experience of the first visit to the dentist, and the unpleasant experience at the dental clinic can influence anxiety and fear levels. The level of cooperation is also associated with parental divorce status, the presence or absence of siblings, first visit experience with the dentist, and unpleasant experience in the dental clinic.

 
Full-Text [PDF 312 kb]   (61 Downloads)    
Type of Study: Research | Subject: Oral Medicine
Received: 2024/11/30 | Accepted: 2025/03/16 | Published: 2025/05/20
References
1. Nematullahi H, Nashi A. Investigating the relationship between preschool children's sensory processing abilities and anxiety and their cooperation in the patients of Mashhad Dental School. J Mashhad Dent 2019; 43(2):179-96.
2. JabariFar SE, Ahmadi Roozbahani N, Javadinejad S, Hosseini L. Comparing the level of fear and anxiety of children aged 3-6 following outpatient dental treatments under general anesthesia in Isfahan city. J Mashhad Dent 2014; 38(1):9-16.
3. ParviziFard AA, Hashmati Kh, Taheri AA. Prediction of dental anxiety based on pain anxiety and mental pain among people referring to dental clinics in Kermanshah. J Mashhad Dent 2022; 46(1):25-34.
4. Maljaei E, Erfanparast L, Azima N, Babapour J, Hosseinpour K. The correlation between mother's emotional maturation with children's anxiety during routine dental procedures. J Res Dent Sci 2019; 16 (1):60-66. [DOI:10.29252/jrds.16.1.60]
5. Aminabadi NA, Vafaei A, Erfanparast L, Oskouei SG, Jamali Z. Impact of pictorial story on pain perception, situational anxiety and behavior in children: a cognitive-behavioral schema. J Clin Pediatr Dent. 2011;36(2):127-132. [DOI:10.17796/jcpd.36.2.3163251527508338] [PMID]
6. Asna Ashari M, Satari M, Dadkhah M. The Survey of anxiety prevalence in patients undergoing root canal treatment referred to section Endodontics, School of Dentistry, Azad Islamic University, year 2000. Journal of Dental School Shahid Beheshti University of Medical Sciences 2003; 20(4):441-35
7. Semple D, Smyth R. Oxford Textbook of Psychiatry. 4th ed. Oxford: Oxford University Press. 2019:1139-1225. [DOI:10.1093/med/9780198795551.001.0001]
8. Abrahamsson KH, Berggren U, Carlsson SG. Psychosocial aspects of dental and general fears in dental phobic patients. Acta Odontol Scand. 2000;58(1):37-43. [DOI:10.1080/000163500429415] [PMID]
9. Nuttall NM, Bradnock G, White D, Morris J, Nunn J. Dental attendance in 1998 and implications for the future. Br Dent J. 2001;190(4):177-182. a [DOI:10.1038/sj.bdj.4800918] [PMID]
10. Feigal R. Pediatric behavior management through nonpharmacologic methods. Gen Dent. 1995;43(4):327-334.
11. Colares V, Richman L. Factors associated with uncooperative behavior by Brazilian preschool children in the dental office. ASDC J Dent Child. 2002;69(1):87-13.
12. Koch G, Poulsen S, Espelid I, Haubek D. Pediatric dentistry: a clinical approach. 3rd ed. Chichester: John Wiley & Sons, 2017.
13. Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH. Pediatric dentistry. Infancy through adolescence. 6th ed. Philadelphia: Elsevier, 2019
14. Gustafsson A, Arnrup K, Broberg AG, Bodin L, Berggren U. Psychosocial concomitants to dental fear and behaviour management problems. Int J Paediatr Dent. 2007;17(6):449-459. [DOI:10.1111/j.1365-263X.2007.00883.x] [PMID]
15. Arnrup K, Berggren U, Broberg AG, Lundin SA, Hakeberg M. Attitudes to dental care among parents of uncooperative vs. cooperative child dental patients. Eur J Oral Sci. 2002;110(2):75-82. [DOI:10.1034/j.1600-0722.2002.11190.x] [PMID]
16. Lee CY, Chang YY, Huang ST. The clinically related predictors of dental fear in Taiwanese children. Int J Paediatr Dent. 2008;18(6):415-422. [DOI:10.1111/j.1365-263X.2008.00924.x] [PMID]
17. Kyritsi MA, Dimou G, Lygidakis NA. Parental attitudes and perceptions affecting children's dental behaviour in Greek population. A clinical study. Eur Arch Paediatr Dent. 2009;10(1):29-32. [DOI:10.1007/BF03262664] [PMID]
18. Suprabha BS, Rao A, Choudhary S, Shenoy R. Child dental fear and behavior: the role of environmental factors in a hospital cohort. J Indian Soc Pedod Prev Dent. 2011;29(2):95-101. [DOI:10.4103/0970-4388.84679] [PMID]
19. Bahrololoomi Z, Zarebidoki F, Hosseini Yekani A, Boostanifard P. The Relationship between Temperament and Dental Anxiety in Children Aged 6 to 11 Referred to Yazd Dental School. J Mash Dent Sch. 2023; 47(2): 124-34.
20. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007;17(6):391-406. [DOI:10.1111/j.1365-263X.2007.00872.x] [PMID]
21. Javadinejad S, Farajzadegan Z, Madahain M. Iranian version of a face version of the modified child dental anxiety scale: transcultural adaptation and reliability analysis. J Res Med Sci 2011; 16(7):872-7.
22. Javadinejad S, Farajzadegan Z, Sherkat S, Shokri MM. Reliability and validity of the modified retranslated Persian version of the child dental anxiety scale in comparison with the Corah Dental Anxiety Scale and Venham picture test. J Res Med Sci 2014; 11(2):105-8.
23. Dean JA, Jones JE, Sanders BJ, Vinson LAW, Yepes JF. McDonald and Avery's dentistry for the child and adolescent.. 11th ed. St. Louis: Mosby, 2022. P: 38
24. Zhang HM, Xia B, Wang JH, Xie P, Huang Q, Ge LH. Chinese version of a face version of the modified child dental anxiety scale: transcultural adaptation and evaluation. Zhonghua Kou Qiang Yi Xue Za Zhi. 2013;48(7):403-8.
25. Ghorbani B. The comparison of depression in children and adolescents of normal families and families seeking divorce in Isfahan. Knowledge and research in psychology. 2006; 27:95-112.
26. Paryab M, Hosseinbor M. Dental anxiety and behavioral problems: a study of prevalence and related factors among a group of Iranian children aged 6-12. J Indian Soc Pedod Prev Dent. 2013;31(2):82-86. [DOI:10.4103/0970-4388.115699] [PMID]
27. Maughan DR, Christiansen E, Jenson WR, Olympia D, Clark E. Behavioral parent training as a treatment for externalizing behaviors and disruptive behavior disorders: A meta-analysis. School Psychology Review. 2005;34(3):267. [DOI:10.1080/02796015.2005.12086287]
28. Shindova MP, Belcheva AB. Dental fear and anxiety in children: a review of the environmental factors. Folia Med (Plovdiv). 2021;63(2):177-182. [DOI:10.3897/folmed.63.e54763] [PMID]
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Motevali M, Javadinejad S, Majidian A. The Effect of Environmental Factors on Dental anxiety and behavior in Children. cofs 2025; 3 (2) :6-12
URL: http://cofs.khuisf.ac.ir/article-1-88-en.html


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Volume 3, Issue 2 (5-2025) Back to browse issues page
Contemporary Orofacial Science Contemporary Orofacial Science
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