J Dent Anesth Pain Med.  2017 Dec;17(4):289-295. 10.17245/jdapm.2017.17.4.289.

The relationship between subjective oral health and dental fear in Korean adolescents

Affiliations
  • 1Department of Dental Hygiene, Wonkwang Health Science University, Iksan, Republic of Korea.
  • 2Department of Dental Hygiene, Sunmoon University, Cheonan, Republic of Korea.
  • 3Department of Pediatric Dentistry, College of Dentistry, Wonkwang University, Wonkwang Bone Regeneration Research Institute, Daejeon, Republic of Korea. 9543sue@hanmail.net

Abstract

BACKGROUND
This study is aimed to evaluate the level of fear and to reduce the overall fear, thereby enabling patients to receive treatment via timely visits.
METHODS
In a survey conducted by 460 South Korean middle school students, we used 453 data that faithfully responded to the survey. Multiple regression analysis was conducted to investigate the factors influencing subjective oral health and dental fear. The significance level used for statistical significance was α = 0.05.
RESULTS
The level of fear was higher for upper grade, female students. The factors affecting dental fear were higher for gingival bleeding and dental pain. Regarding factors for dental fear affecting subjective oral health, lower fear of puncture needle and tooth removal tool resulted in higher subjective oral health.
CONCLUSION
The study found that adolescents had higher fear of dental care when they had gingival bleeding and tooth pain. Gingival bleeding is a symptom of early gingival disease and dental pain is likely due to advanced dental caries. These results suggested that it is necessary to have a program to reduce dental fear and anxiety as well as a program to prevent dental diseases through regular periodic screening and education.

Keyword

Adolescent; Dental Fear; Oral Health; Pain; Well-Being

MeSH Terms

Adolescent*
Anxiety
Dental Anxiety*
Dental Care
Dental Caries
Education
Female
Gingival Diseases
Hemorrhage
Humans
Mass Screening
Needles
Oral Health*
Punctures
Stomatognathic Diseases
Tooth

Reference

1. Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J Am Dent Assoc. 2016; 147:915–917. PMID: 27886668.
Article
2. Diener E, Scollon CN, Lucas RE. The evolving concept of subjective wellbeing: the multifaceted nature of happiness. In : Diener E, editor. Assessing wellbeing: the collected works of Ed Diener. New York: Springer;2009. p. 67–100.
3. Klages U, Kianifard S, Ulusoy O, Wehrbein H. Anxiety sensitivity as predictor of pain in patients undergoing restorative dental procedures. Community Dent Oral Epidemiol. 2006; 34:139–145. PMID: 16515678.
Article
4. Moore R, Brødsgaard I, Rosenberg N. The contribution of embarrassment to phobic dental anxiety: a qualitative research study. BMC Psychiatry. 2004; 19:4–10.
Article
5. Sullivan MJ, Neish NR. Catastrophizing, anxiety and pain during dental hygiene treatment. Community Dent Oral Epidemiol. 1998; 26:344–349. PMID: 9792127.
Article
6. Corah NL. Development of a dental anxiety scale. J Dent Res. 1969; 48:596. PMID: 5256508.
Article
7. Molin C, Seeman K. Disproportionate dental a and anxiety. Clinical and nosological considerations. Acta Odontol Scand. 1970; 28:197–212. PMID: 5268145.
8. Lautch H. Dental Phobia. Br J Psychiatry. 1971; 119:151–158. PMID: 5565902.
Article
9. Gale EN. Fears of the dental situation. J Dent Res. 1972; 51:964–966. PMID: 4504718.
Article
10. Kleinknecht RA, Thorndike RM, McGlynn FD, Harkavy J. Factor analysis of the dental fear survey with crossalidation. J Am Dent Assoc. 1984; 108:59–61. PMID: 6582116.
11. Domoto PK, Weinstein P, Melnick S, Ohmura M, Uchida H, Ohmachi K, et al. Results of a dental fear survey in japan: impli-cations for dental public health in Asia. Community Dent Oral Epidemiol. 1988; 16:199–201. PMID: 3165743.
Article
12. Shim YS, Kim AH, An SY. Dental fear and anxiety of juveniles in some areas of Gyeonggi province. J Korean Acad Pediatr Dent. 2011; 38:362–367.
Article
13. Choi JE, Yang HJ, An SY. Dental fear and anxiety of middle school students in D middle school in Gyeonggi-Do, 2012. J Korean Dent Assoc. 2013; 51:405–413.
14. Shim YS, Kim AH, An SY. Dental Fear and the associated Factors of some Middle School Students in Cheongju-City. J Korea Contents Assoc. 2013; 13:295–304.
Article
15. Kim AH, Shim YS, Park SO, Kim HW, An SY. Reliability and validity of the Korean version of the Dental Fear Survey. J Dent Anesth Pain Med. 2015; 15:85–92. PMID: 28879263.
Article
16. Shim YS, Park SO, An SY. The Survey of Fear Associated with Dental Treatment in Some Middle School Students in Cheongju. Korean J Health Serv Manag. 2014; 8:165–173.
Article
17. Matthias RE, Atchison KA, Lubben JE, De Jong F, Schweitzer SO. Factors affecting self-ratings of oral health. J Public Health Dent. 1995; 55:197–204. PMID: 8551458.
Article
18. Wilson IR, Cleary PD. Linking clinical variables with health related quality of life; a conceptual model of patient outcomes. J Am Med Assoc. 1995; 273:59–65.
19. Lee SM, Kim SK, Kang BW. Adults concern for oral health and subjective oral health symptoms. J Korean Soc Dent Hyg. 2011; 11:871–880.
20. Reisine ST, Bailit HI. Clinical oral health status and adult perceptions of oral health. Soc Sci Med Med Psychol Med Sociol. 1980; 14A:597–605. PMID: 7209633.
Article
21. Lee JY, Watt RG, Williams DM, Giannobile WV. A New Definition for Oral Health: Implications for Clinical Practice, Policy, and Research. J Dent Res. 2017; 96:125–127. PMID: 27879422.
Article
22. Willits FK, Crider DM. Health rating and life satisfaction in later middle years. J Gerontol. 1988; 43:S172–S176. PMID: 3418042.
23. Moore R, Birn H, Kirkegaard E, Brødsgaard I, Scheutz F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol. 1993; 21:292–296. PMID: 8222604.
Article
24. Holtzman JM, Berg RG, Mann J, Berkey DB. The relationship of age and gender to fear and anxiety in response to dental care. Spec Care Dentist. 1997; 17:82–87. PMID: 9582708.
Article
25. Lundgern J, Berggren U, Carlsson SG. Psychophysiological reactional phobic patients during video stimulation. Eur J Oral Sci. 2001; 109:172–177. PMID: 11456347.
26. Skaret E, Raadal M, Berg E, Kvale G. Dental anxiety and dental avoidance among 12 to 18 year olds in Norway. Eur J Oral Sci. 1999; 107:422–428. PMID: 10625100.
Article
27. Bedi R, MeGrath C. Factors associated with dental anxiety among older people in Britain. Gerodontology. 2000; 17:97–103. PMID: 11813685.
Article
28. Kvalge G, Berg E, Nilsen CM, Raadal M, Nielsen GH, Johansen TB, et al. Validation of the dental fear scale and the dental be life survey in a Norwegian sample. Community Dent Oral Epidemiol. 1997; 25:160–164. PMID: 9181291.
29. Moon SJ, Park JH, Choi YC, Choi SC. The study of changes in oral health care of preschoolers in taebaek city through oral hygiene education. J Korean Acad Pediatr Dent. 2009; 36:71–77.
30. Park SY, Won YS. Influences of previous pain experiences during dental treatment on dental fear. Korean J Health Serv Manag. 2012; 6:141–151.
Article
31. Kim SK, Kim MH, Choi HJ, Hwang JG. Related factors to dental fear in some adults. J Korean Soc Dent Hyg. 2014; 14:881–886.
Article
32. Choi MH, Kim NS. The effect of factors dental treatment fear of dental hygiene and non-dental hygiene students. J Korean Soc Dent Hyg. 2011; 11:523–532.
Full Text Links
  • JDAPM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr