ArticleInternational dental journal2023
Methods Helping Dentists to Detect Dental Fear.
Article in International dental journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Prevalence of Awake and Sleep Bruxism in Israel Under Conditions of Collective Stress and Influential Factors.International dental journal · 2026Article
- Dental service utilization among hospitalized patients with psychiatric and/or substance use disorders: a Norwegian cross-sectional study.Frontiers in oral health · 2026Article
- Reliability and Validity of the Modified Dental Anxiety Scale Among Children Aged 9 to 12 Years.Dentistry journal · 2025Article
- Dental professional recognition of dental anxiety from a patient perspective: a grounded theory study.Acta odontologica Scandinavica · 2024Article
- Cross-cultural adaptation and validation of the Swedish version of the Modified Dental Anxiety Scale.Acta odontologica Scandinavica · 2024Article
- A Pre-Adoption Assessment of a Collaborative Care Approach to Dental-Fear Treatment.Oral (Basel, Switzerland) · 2024Article
- Two-Year Trajectories of Dental Anxiety in Parents and Their Association with Parents' and Children's Oral Healthcare Procedures in FinnBrain Birth Cohort Study.Dentistry journal · 2024Article
- Exploring dental students' attitudes toward patient-centered management of dental fear.Journal of dental education · 2024Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDental fear is common and yet often remains unrecognised. COVID-19 has challenged health care since 2020. This study aimed to evaluate patients' self-reported dental fear and detection of dental fear by the dentists. Another aim was to validate a colour code instrument for estimating dental fear. The influence of COVID-19 on fear and attendance was assessed.
methodsA cross-sectional survey was conducted in the primary urgent dental care of Oulu, Finland, in spring 2020 and 2021 after the first (T1) and third waves (T2) of the pandemic. Data were obtained for analyses using the Modified Dental Anxiety Scale (MDAS), Facial Image Scale (FIS), and a new "traffic light" colour code for dental fear (CCF). The influence of COVID-19 on dental fear and attendance was assessed with structured and open-ended questions. The questionnaires were completed by 273 anonymous participants.
resultsOf the participants, 167 (61.2%) visited dental care during T1 and 106 (38.8%) during T2. Their mean age was 45.1 years. An MDAS score of 19 or above, indicating severe fear, was reported by 10.6% of the participants. Of those with severe dental fear, 87% chose the red colour in the CCF "traffic light" system. The association between dentists' and participants' estimation of dental fear was weak (P < .001) and agreement with the red code was nonexistent (Cohen's kappa value = -0.035). MDAS scores of the younger participants were higher than those of the older ones after the first wave (T1) (P = .021). COVID-19 had the strongest influence on dental attendance and dental fear of those having the most severe self-reported dental fear as measured by the MDAS.
conclusionsColour-coded traffic lights seem valid for screening severe dental fear and are easy and quick to use. They could be useful tools especially since recognising dental fear seems difficult for dentists. The COVID-19 pandemic has complicated dental care for the most fearful individuals.
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