ArticleBMJ open2021
Prevalence and risk factors of children's dental anxiety in China: a longitudinal study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Effects of dental treatment under general anesthesia on the oral health quality of life and dental fear of preschool children: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Dental Anxiety among Preschool Children Attending a Tertiary Children's Hospital: Associations with Previous Dental Experience, Parental Dental Anxiety, and Oral Health Indicators.Oral health & preventive dentistry · 2026Article
- Assessing Pediatric Dental Stress Through Wearable Technology: Influence of Procedure Type, Treatment Phase, and Age.European journal of dentistry · 2026Article
- Dental fear and anxiety and its sociodemographic associations among public and private schoolchildren aged 8 to 12 years in Depok, Indonesia: a cross-sectional study.BMC oral health · 2026Article
- Estimating the need for sedation in Chinese patients using the IOSN tool: a pilot study.BMC oral health · 2025Article
- A Cross-Sectional Study of Salivary Cortisol, Alpha Amylase, and Measures of Psychological Distress in Children Undergoing Dental Procedures.Children (Basel, Switzerland) · 2025Article
- Effectiveness and predictive factors of nitrous oxide and oxygen inhalation sedation for paediatric dental procedures: a retrospective cohort study of Thai children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- Risk Factors Associated with Children's Behavior in Dental Clinics: A Cross-Sectional Study.Children (Basel, Switzerland) · 2024Article
- Possible Risk Factors for Dental Fear and Anxiety in Children Who Suffered Traumatic Dental Injury.Dentistry journal · 2023Article
- Association of dental hypersensitivity and anxiety in children with molar-incisor hypomineralisation (MIH).European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023Article
- Dental Fear and Anxiety of Chinese Preschool Children in a School-Based Outreach Service Using Silver Diamine Fluoride for Caries Control: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Study of dental phobia, psychological resilience, and related factors in children aged 8-9 years in Weifang city.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2023Article
- The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model.International journal of environmental research and public health · 2022Review
- Dental Fear and Associated Factors among Children and Adolescents: A School-Based Study in Lithuania.International journal of environmental research and public health · 2021Article
- Parental Acceptance of Pediatric Dentistry Behavior Management Techniques and Its Relationship to Parental Dental Anxiety and Experience in Dubai.Journal of International Society of Preventive & Community DentistryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDental anxiety remains widespread among children, may continue into adulthood and affect their oral health-related quality of life and clinical management. The aim of the study was to explore the trend of children's dental anxiety over time and potential risk factors.
designLongitudinal study.
methodsChildren aged between 5 and 12 years were investigated with the Chinese version of face version of Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and Frankl Behavior Rating scale from 2008 to 2017, and influential factors were explored.
resultsClinical data were available from 1061 children, including 533 (50.2%) male participants and 528 (49.8%) female participants. The total CFSS-DS scores ranged from 16 to 66, with a mean of 24.8±10.3. The prevalence of dental anxiety is 11.59%. No significant differences in total CFSS-DS scores between girls and boys were found. According to the Frankl scale, 238 children were allocated to the uncooperative group and the remaining 823 children were allocated to the cooperative group. Scores of CFSS-DS were negatively correlated with the clinical behaviour level of Frankl. Children aged 11-12 years old had significantly decreased scores compared with other age groups, and there was a decline in the scores of the group aged 8-10 years old over time. The factor analysis divided 15 items of CFSS-DS into four factors, and the total scores of 'less invasive oral procedures' items belonging to factor III decreased significantly over time in the group aged 8-10 years old.
conclusionsAge is a significant determinant for children's dental anxiety, and dental anxiety outcomes have improved for Chinese children aged 8-10 years. This study is one of the few reports on changes of children's dental anxiety in a new era of information, but the results may be extrapolated to other populations with caution.
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