Oral-health-related quality of life among children with and without dental fear
Open accessAbstract
Objectives. This study aims to determine whether the oral‐health‐related quality of life (ORHQoL) and its dimensions differed among children with and without dental fear when different characteristics of fear were measured. Material and methods. The participants were 11‐ to 14‐year‐old Finnish child volunteers from the Oulu University Hospital cleft lip and/or palate (CLP) treatment register (n = 51) and schoolchildren (n = 82). Dental fear was measured with ‘Treatment of dental decay’ and ‘Attending dentist’ dimensions of the modified Children's Fear Survey Schedule–Dental Subscale and a single question. ORHQoL was measured with CPQ 11–14. Background variables were gender and the dental care experienced. Results. The response rates were 87% and 51% in the schoolchildren's and CLP groups, respectively. Those who were afraid of ‘Treatment of dental decay’ had higher mean CPQ 11–14 total scores (33.2) and higher scores for social (8.8) and emotional well‐being (9.0) than those who were not fearful (24.0, 6.2, and 5.8, respectively,P < 0.05), indicating poorer ORHQoL. Among those with experience of orthodontics, the association between dental fear and social and emotional well‐being was weaker than among those with no experience of orthodontics. Conclusion. Dental fear may have a negative effect on a child's ORHQoL, especially on social and emotional well‐being. Positive minor treatment experiences might weaken this effect.
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Improvements in worry about dental treatment and pain are promising given that the specific fear of pain and dental procedures is associated with dental avoidance and worse oral health and quality of life outcomes in children.
“Improvements in these areas are promising given that the specific fear of pain and dental procedures is associated with dental avoidance and thus worse oral health and quality of life outcomes in children [3].”
From Evaluation of self-help cognitive behavioural therapy for children's dental anxiety in general dental practice (2019) · cites this paper as [3]
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- Authors
- LUOTO, A., LAHTI, S., NEVANPERÄ, T., TOLVANEN, M., & LOCKER, D.
- Affiliations
- University of Oulu (FI)
- Oulu University Hospital (FI)
- University of Toronto (CA)
- Corresponding author
- LUOTO, ANNI
- Venue
- International Journal of Paediatric Dentistry
- Publisher
- Wiley
- Published
- 2009-02-16
- Volume
- 19
- Issue
- 2
- Pages
- 115-120
- ISSN
- 0960-7439 (ISSN-L)
- 1365-263X
- OpenAlex
- W2014997807
- Cited by
- 92
- References
- 22
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 2 · 2023: 5 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 7 · 2016: 7 · 2015: 1 · 2014: 11 · 2013: 4 · 2012: 4
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Paediatric Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Suomen Hammaslääkäriseura Apollonia
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- oral health-related quality of life, dental anxiety, children, cleft lip and palate, orthodontics, social well-being, emotional well-being, Children's Fear Survey Schedule-Dental Subscale
- MeSH terms
- Adolescent, Child, Cleft Lip, Cleft Palate, Cross-Sectional Studies, Dental Care, DMF Index, Fear, Female, Humans, Male, Oral Health, Orthodontics, Quality of Life, Reference Values, Case-Control Studies, Dental Anxiety, Cost of Illness
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