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Dental fear/anxiety among children and adolescents. A systematic review
Pubblication date: 06/2017
Authors: S. Cianetti*, G. Lombardo*, E. Lupatelli, S. Pagano*, I. Abraha**, A. Montedori**, S. Caruso***, R. Gatto***, S. De Giorgio****, R. Salvato****, L. Paglia*****
Institution: * Biomedical Sciences, Unit of Paediatric Dentistry,
University of Perugia, Perugia, Italy
** Regional Health Authority of Umbria,
Health Planning Service of Perugia, Perugia, Italy
***Department of Life, Health and Environmental Sciences, School of Dentistry, University of L´Aquila, L´Aquila, Italy
****Department of Philosophy, Social and Human Sciences
and Education, University of Perugia, Perugia, Italy
*****Department of Paediatric Dentistry , Istituto Stomatologico Italiano (Isi), Milan, Italy
Publication: European Journal of Paediatic Dentistry
Title: Dental fear/anxiety among children and adolescents. A systematic review
Abstract: Aim The aim of this paper was to review the published scientific literature to quantify the prevalence and mean score of dental fear/anxiety (DFA) in children/adolescents and its variation according to several variables.
Materials and methods Cross-sectional and cohort studies published from 2000 to 2014, that measured DFA in children /adolescents (aged 0-19 years), in the general population, or visiting private or public dental services (general or pediatric) or attending school and kindergarten, were searched, with specific terms, in 3 electronic databases (Medline, Embase, Web Of Science). Primary data, collected with specific questionnaires of demonstrated reliability and/or validity, were extracted.
Results After screening 743 abstracts and evaluating 164 full-text publications, 36 articles were selected. Dental fear/anxiety prevalence rates were 12.2%, 10.0%, 12.2%,11.0% and 20.0% for the CFSS-DS, DAS, MDAS, DFS, and DFSS-SF scores, respectively. In the studies that used MCDAS Dental fear/prevalence rates varied from 13.3% to 29.3%. In the studies that used CFSS-DS ratings, the prevalence and the mean score of dental fear/anxiety was lower in Northern Europe than the remaining countries, the prevalence decreased with increasing age and the frequency was higher in females than males.
Conclusions Dental fear/anxiety is a common problem in children/adolescents worldwide, therefore, new strategies to overcome this relevant children/adolescent condition should be encouraged.