Caracterización de la ansiedad al tratamiento estomatológico en pacientes adultos de La Habana / Characterization of anxiety to stomatological treatment in adult patients from Havana

Introducción: La ansiedad al tratamiento estomatológico es un evento psicológico presente en pacientes de diferentes continentes y culturas. Objetivo: Describir características epidemiológicas de la ansiedad al tratamiento estomatológico en una población cubana. Método: Estudio descriptivo, transversal en 240 pacientes adultos de La Habana. Como instrumentos de medida se utilizó la escala ansiedad al tratamiento estomatológico, versión cubana, y un cuestionario referido a datos sociodemográficos y etiológicos. Los instrumentos se aplicaron en la sala de espera de las unidades asistenciales seleccionadas. La prueba ji al cuadrado se utilizó para establecer asociaciones entre variables y el coeficiente de contingencia para expresar la intensidad de la relación. Resultados: Se obtuvo una prevalencia de 88,7 por ciento y un predominio de ansiedad moderada y severa del 34,6 por ciento y 30,4 por ciento, respectivamente. El grupo etario de 20 a 34 años predominó en la categoría de ansiedad severa y las mujeres en la moderada. Los pacientes que viven sin pareja, con nivel educacional de secundaria y preuniversitario presentaron ansiedad moderada y severa. Los factores etiológicos tipo de tratamiento y relación médico-paciente inadecuada se agruparon en su mayoría en la categoría de ansiedad moderada. Conclusiones: La ansiedad al tratamiento estomatológico tiene una alta prevalencia en la población cubana. Epidemiológicamente se caracterizó por niveles moderado y severo, en el sexo femenino, trabajadores y en el nivel medio escolar. Todos los factores etiológicos estuvieron relacionados con el desarrollo de la ansiedad al tratamiento estomatológico(AU)

Introduction: Anxiety to dental treatment is a psychological event present in patients from different continents and cultures. Objective: To describe epidemiological characteristics of anxiety to dental treatment in a Cuban population. Method: A descriptive, cross-sectional study was conducted in 240 adult patients from Havana. As measurement instruments, a Cuban version of the anxiety scale to stomatological treatment and a questionnaire referring to sociodemographic and etiological data were used. The instruments were applied in the waiting room of the selected care units. The Ji-square test was used to establish associations between variables and the contingency coefficient to express the intensity of the relationship. Results: A prevalence of 88.7 percent and a predominance of moderate and severe anxiety of 34.6 percent and 30.4 percent, respectively, were obtained. The age group from 20 to 34 years prevailed in the category of severe anxiety and women in moderate. Patients who live without a partner, with secondary and pre-university educational levels, showed moderate and severe anxiety. The etiological factors type of treatment and inadequate medical-patient relationship were mostly grouped in the category of moderate anxiety. Conclusions: Anxiety to dental treatment has high prevalence in the Cuban population. Epidemiologically, it was characterized by moderate and severe levels, in the female sex, workers and in the middle school level. All the etiological factors were related to the development of anxiety to dental treatment(AU)

Prevalence of Dental Fear and its Association with Painful Oral Conditions in Adolescents

ABSTRACT Objective: To estimate the prevalence of dental fear and evaluate its association with dental caries and with Molar Incisor Hypomineralization (MIH) in schoolchildren aged 11-14 years. Material and Methods: A cross-sectional study was conducted with 375 adolescents in Campina Grande, Brazil. Socioeconomic and oral health information was collected, while dental fear was measured using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). The diagnosis of dental caries and MIH was performed by three trained examiners (κ ≥ 0.61) using the International Caries Detection & Assessment System - ICDAS II and a previously validated index, respectively. Data were descriptively analyzed using the Chi-Square, Fisher's Exact, and Poisson regression tests with robust variance (p<0.05). Results: The prevalence of dental fear was 18.4%, and the mean CFSS-DS total score was 28.96 ± 8.92. After adjusting for covariates family structure, schooling of parents/guardians, type of dental health service and dental pain in the last six months, the prevalence of dental fear was associated with dental pain in the last six months (PR=2.03; 95%CI=1.31-3.16; p=0.002). Conclusion: Although no association was found between dental fear, dental caries and MIH in adolescents, those who experienced dental pain in the last six months had a higher prevalence of dental fear.

Prevalence of dental anxiety in patients attending the dental service of two hospitals managed by the Ministry of Health of Peru / Prevalencia de ansiedad dental en pacientes del servicio de odontología de dos hospitales del Ministerio de Salud del Perú

Objective: To determine the level of dental anxiety in dental patients from two hospitals managed by the Ministry of Health of Peru, between August-September 2015. Material and Methods: Cross-sectional, comparative, and observational study, carried out between August and September 2015, including a total of 660 adult patients from the Dental Service of the Hospitals Regional Docente de Trujillo and Belén de Trujillo, Peru. A questionnaire based on the Modified Dental Anxiety Scale (MDAS) (Cronbach's Alpha=0.77) was applied to the participating subjects. Student's t test for independent groups and the Mann-Whitney U test were used for the analysis of the results, considering a significance level of 5%. Results: The mean total anxiety score for the population was 12.05 (SD=3.76). Females (mean=12.56) presented greater anxiety than males (mean=11.53) (p<0.001), young adults (Me=12.60) presented greater anxiety than subjects in mid-adulthood (Me=11.10) (p<0.001). No difference was found in terms of hospitals (p=0.386); 96.06% of the patients evaluated presented dental anxiety, 4.09% had extreme anxiety. Conclusion: The mean dental anxiety of the studied population coincides with the level of moderate anxiety. Females and young adults presented greater anxiety. No difference was found with respect to hospitals. Likewise, 96.06% of the evaluated patients presented dental anxiety, 4.09% had extreme anxiety.

Objetivo: Determinar la ansiedad dental en pacientes odontológicos de dos hospitales del Ministerio de Salud del Perú, agosto-septiembre, 2015.Material y Métodos: El presente estudio de corte transversal, comparativo y observacional, se desarrolló entre agosto y septiembre del 2015 e incluyó un total de 660 pacientes adultos del Servicio de Odontología de los hospitales Regional Docente de Trujillo y Belén de Trujillo. Se les aplicó un cuestionario basado en la Escala de Ansiedad Dental Modificada (Alfa de Cronbach=0.77). Para el análisis de resultados se empleó la prueba t de Student para grupos independientes y la prueba U de Mann-Whitney, considerando un nivel de significancia del 5%. Resultados: La puntuación media total de ansiedad para la población fue de 12.05 (DE=3.76), el sexo femenino (Me=12.56) presentó mayor ansiedad que el masculino (Me=11.53) (p<0.001), la adultez joven (Me=12.60) presentó mayor ansiedad que la adultez media (Me=11.10) (p<0.001). No se encontró diferencia en cuanto a hospital (p=0.386). El 96.06% de los pacientes evaluados presentaron ansiedad dental, siendo el 4.09% de ansiedad extrema. Conclusión: La ansiedad dental media de la población estudiada coincide en el nivel de ansiedad moderada. El sexo femenino y los adultos jóvenes presentaron mayor ansiedad. No se encontró diferencia con respecto a los hospitales. Asimismo, el 96.06% de los pacientes evaluados presentaron ansiedad dental, siendo el 4.09% de ansiedad extrema.

Is dental anxiety associated with the behavior of sedated children?

Abstract The aim of this cross-sectional study was to investigate factors associated with dental anxiety in children treated under moderate sedation. Prior to treatment, each child's dental anxiety was evaluated using the modified Venham Picture Test (VPT). Interviews were also conducted with parents/guardians to gather information on the child's dental anxiety (Corah's Dental Anxiety Scale [DAS]), age and sex, shyness or anxiety in the presence of strangers, and dental history, as well as socioeconomic factors. All the children were sedated, and had at least one tooth restored using the atraumatic restorative treatment technique. Child behavior was assessed using the Frankl scale. Data analysis involved descriptive statistics and bivariate tests. The median VPT score was 2.0 (range: 0 to 8). Children who were shy in the presence of strangers (yes: median 2.0 [0-8]; no: 0.5 [0-4]; p = 0.018), and those with negative behavior during dental care (negative: 3.0 [0-8]; positive: 1.0 [0-8]; p = 0.014) had greater anxiety. The child's dental anxiety was associated with the mother's education level (≤ 8 years: 4 [2-7]; > 8 years: 1 [0-8]; p = 0.016). The dental anxiety of children treated under sedation is associated with negative behavior, shyness, and the mother's education level.

Dental Fear in Children: Association with Dental Caries and Molar Incisor Hypomineralization

Abstract The aim of this study was to investigate the prevalence of dental fear and to evaluate its association with dental caries and molar incisor hypomineralization (MIH) in schoolchildren aged 8-10 years from a municipality in Northeastern Brazil. Data from 466 students enrolled in urban public schools in a cross-sectional study were collected. Parents/guardians answered a questionnaire addressing sociodemographic characteristics, dental fear was measured by means of the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) and clinical examinations were performed by three calibrated examiners for diagnosis of dental caries, using the International Caries Detection & Assessment System - ICDAS II and a previously validated index for MIH. Descriptive data analysis was performed, and associations between dental fear, dental caries and MIH were analyzed using robust Poisson regression for complex samples (p<0,05). The prevalence of dental fear was 21.6%, and the mean total CFSS-DS score was 29.97 (CI 95%=29.05-30.89). In the multivariate adjusted model, the prevalence of dental fear was associated to family income (PR=1.78; CI 95%=1.02-3.08; p= 0.041). Monthly family income was associated with dental fear in children, whereas dental caries and MIH were not associated with dental fear.

Resumo O objetivo deste estudo foi investigar a prevalência de medo odontológico e avaliar sua associação com a cárie dentária e a Hipomineralização molar-incisivo (HMI), em escolares de 8 a 10 anos, em um município da região Nordeste do Brasil. Foram coletados dados de 466 estudantes matriculados em escolas públicas urbanas, em um estudo transversal. Os pais/responsáveis responderam a um questionário abordando características sociodemográficas, o medo odontológico foi mensurado por meio do Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), e os exames clínicos foram realizados por três examinadores calibrados para o diagnóstico de cárie dentária, utilizando o índice International Caries Detection & Assessment System (ICDAS II) e, por um índice previamente validado, para HMI. Foi realizada a análise descritiva dos dados e as associações entre medo odontológico, cárie dentária e HMI foram avaliadas pela regressão robusta de Poisson para amostras complexas (p<0,05). A prevalência de medo odontológico foi de 21,6%, e o escore médio total do CFSS-DS foi de 29,97 (IC 95%=29,05-30,89). No modelo multivariado ajustado, a prevalência de medo odontológico esteve associada à renda familiar (RP=1,78; IC 95%=1,02-3,08; p= 0,041). A renda familiar mensal foi associada ao medo odontológico em crianças, enquanto a cárie dentária e a HMI não foram associadas ao medo odontológico.

Ansiedade materna odontológica e experiência de cárie dentária em crianças de 7 a 13 anos de idade: um estudo transversal / Maternal dental anxiety and dental caries experience in children aged 7 to 13 years: a cross-sectional study

Objetivo: o objetivo deste estudo foi investigar se a ansiedade materna odontológica está associada à experiência de cárie dentária da criança. Métodos: este estudo transversal foi realizado com crianças entre 7 a 13 anos de idade. A coleta de dados consistiu na aplicação de um questionário às mães e exame clínico nas crianças. A ansiedade odontológica materna foi avaliada pela Modified Dental Anxiety Scale. A experiência de cárie dentária foi avaliada por meio do índice CPO-D/CEO-D. A análise multivariada, bruta e ajustada, foi realizada pelo teste de Regressão de Poisson com variância robusta para testar o efeito das variáveis independentes no desfecho (Razão de Prevalência, Intervalo de Confiança de 95%). Um nível de significância de 5% foi adotado. Resultados: participaram 85 díades mãe/criança. Em torno de 32% das mães apresentaram moderado/alto grau de ansiedade odontológica. A experiência de cárie foi associada à idade da criança (p = 0,001), à percepção materna da saúde bucal da criança (p = 0,017) e à ansiedade materna odontológica (p = 0,001). Após os ajustes, a ansiedade materna odontológica permaneceu associada à experiência de cárie da criança. Crianças filhas de mães ansiosas apresentaram 23% maior prevalência de experiência de cárie dentária quando comparadas aquelas crianças filhas de mães não ansiosas. Conclusão: em crianças de 7 a 13 anos de idade, a ansiedade materna odontológica foi associada à experiência de cárie da criança.(AU)

Aim: to investigate if maternal dental anxiety is associated eith dental caries experience in children. Methods: this cross-sectional study was performed in children aged 7-13 years. Data collection included in a questionnaire applied to mothers and in a clinical examination in children. Maternal dental anxiety was measured using the Modified Dental Anxiety Scale. Dental caries was assessed through dmft/DMFT Index. Multivariate analyses, crude and adjusted, using Poisson Regression model with robust variance in order to test asssociation between maternal dental anxiety and dental caries experience (Prevalence Ratio, 95% Confidence Interval). A significance level of 5% was adopted. Results: na overall of 85 dyades mothers/ children particpated. About 32% of mothers presented moderate/high level of dental anxiety. Dental caries was associated to child's age (p = 0,001), maternal perception abut oral health of children (p = 0,017) and to maternal dental anxiety (p = 0,001). After adjustments, maternal dental anxiety was associated to dental caries experience. Children from anxious mothers presented 23% higher prevalence of dental caries experience than those whose mothers did not present anxiety. Conclusion: in children aged 7 to 13 years, maternal dental anxiety was associated to dental caries experience.(AU)

Satisfação dos usuários atendidos na Clínica Integral de Odontologia da Universidade Federal de Pernambuco e fatores associados / Patients satisfaction in Dental School Clinics of the Federal University of Pernambuco and associated factors

Objetivo: avaliar a satisfação dos usuários atendidos nas clínicas integrais do curso de Odontologia da Universidade Federal de Pernambuco e a associação com fatores relacionados ao paciente, ao acesso e ao atendimento. Método: trata-se de um estudo descritivo, quantitativo, de corte transversal, partindo de uma amostra de conveniência, realizado com 81 pacientes adultos, de ambos os sexos. Foi aplicado um questionário semiestruturado com questões do Questionário de Avaliação dos Serviços de Saúde Bucal (QASSAB), uma questão de ansiedade ao tratamento odontológico (Dental Anxiety Question modificada) e dados individuais do paciente, como sexo, idade, escolaridade, local de residência e procedimentos realizados. Resultados: os resultados demonstraram que os usuários consideraram a obtenção de uma vaga como razoável ou fácil (75,3%), e o tempo na fila de espera como razoável ou curto (66,7%). A maioria dos participantes respondeu que o motivo da procura por atendimento na clínica era o fato de não ter dinheiro para pagar o tratamento particular, e 40,7% dos pacientes manifestaram algum sinal de ansiedade. Houve uma avaliação positiva do ambiente físico do serviço por parte dos usuários, para a maioria das variáveis pesquisadas. No entanto, apenas a variável organização foi significativamente associada com a satisfação dos usuários. Conclusão: de forma geral, os resultados encontrados nesta pesquisa indicam um bom nível de satisfação, porém, tornam-se necessárias reavaliações periódicas para obtenção de informações importantes que possibilitem melhorias na estrutura e no atendimento das clínicas.(AU)

Objective: to evaluate patient satisfaction at the Dental School Clinics at the Federal University of Pernambuco, Brazil, and the association with factors related to the patient, access and care. Method: this is a descriptive, quantitative, cross-sectional study, based on a convenience sample, conducted with 81 adult patients, of both sexes. A semi-structured questionnaire was applied with questions from the Oral Health Services Assessment Questionnaire (QASSAB), a question of anxiety to dental treatment (modified Dental Anxiety Question) and individual patient data, such as sex, age, education, place of residence and procedures performed. Results: the results showed that users considered obtaining a place as reasonable or easy (75.3%) and the time in the queue as reasonable or short (66.7%), most participants answered that the reason why they chose theservice was the fact that they did not have the money to pay for private treatment and 40.7% of the patients showed some sign of anxiety. There was a positive evaluation of the physical stucture of the service by users, for most of the variables surveyed. However, only the organization variable was significantly associated with user satisfaction. Conclusion: in general, the results found in this research indicate a good level of satisfaction, however, periodic reassessments are necessary to obtain important information that will allow improvements in the structure and care of clinics.(AU)

Dor de dentes e fatores associados entre adolescentes de um município de grande porte populacional no Nordeste brasileiro / Tooth pain and associated factors among adolescents of a large population municipality in Northeastern Brazil

Resumo O objetivo deste estudo foi descrever e analisar o histórico de dor de dente e seus fatores associados, entre adolescentes de escolas públicas de um município do Nordeste do Brasil. Realizou-se uma pesquisa observacional, descritiva, quantitativa e transversal, através da aplicação de quatro questionários junto a 458 adolescentes. Pela análise bivariada, a prevalência de dor de dente na vida foi alta entre os adolescentes de menor idade (76,9%; p = 0,004), que visitaram o Cirurgião-Dentista alguma vez (74,8%; p = 0,001) e que relataram medo frente ao atendimento odontológico (74,9%; p = 0,006). Todavia, nos últimos 6 meses, a prevalência de dor de dente foi baixa, na qual os adolescentes do sexo masculino (77,4%; p < 0,001) e de maior idade (73,1%; p = 0,031) relataram justamente não terem sentido dor. Quando da análise multivariada, a maior prevalência de dor de dente na vida se manteve entre os adolescentes de menor idade (76,9%; p = 0,003) e que relataram medo (74,9%; p = 0,006). A prevalência de dor de dente nos últimos 6 meses se manteve baixa na análise multivariada, entre os adolescentes do sexo masculino e de maior idade. Conclui-se que a prevalência de dor de dente na vida foi maior do que nos últimos 6 meses, havendo associação significativa com os fatores: sexo, idade, visita ao Cirurgião-Dentista e sensação de medo.

Abstract The aim of this study was to describe and analyze history of toothache and associated factors among adolescent students enrolled in public schools of a city in Northeastern Brazil. An observational, descriptive, quantitative and cross-sectional study was conducted through the application of 4 questionnaires with 458 adolescents. By bivariate analysis, the prevalence of toothache in life was higher among younger adolescents (76.9%; p = 0.004), who have visited the dentist at least once (74.8%; p = 0.001) and who reported fear (74.9%; p = 0.006). The occurrence of dental pain in the last 6 months was low, where male (77.4%; p = 0,001) and older adolescents (73.1%; p = 0.031) reported no occurrence of pain. Through multivariate analysis, the highest prevalence of dental pain in life remained among younger adolescents (76.9%; p = 0.003) and who reported dental fear (74.9%; p = 0.006). The prevalence of toothache in the last 6 months remained low through multivariate analysis, among male and older adolescents. It could be concluded that the prevalence of toothache in life was higher than in the last 6 months, showing significant association with gender, age, visit to the dentist and dental fear.

Dor, ansiedade e qualidade de vida relacionada à saúde bucal de pacientes atendidos no serviço de urgência odontológica / Pain, anxiety and quality of life related to the oral health of patients treated in a dental emergency clinic

Resumo O objetivo deste estudo foi avaliar associação entre dor pré-operatória, ansiedade e impacto da condição bucal na qualidade de vida dos pacientes atendidos no serviço de Urgência Odontológica da Universidade Federal dos Vales do Jequitinhonha e Mucuri. Estudo transversal retrospectivo foi conduzido avaliando dados clínicos de 240 prontuários de pacientes com idades entre 18 e 65 anos. A dor foi mensurada pela Heft-Parker Visual Analogue Scale; ansiedade, pela Corah's Detal Anxiety Scale e qualidade de vida, pelo Oral Health Impact Profile (OHIP-14). Associações foram analisadas pelo Teste qui-quadrado de Pearson (p < 0,05). Foi observada associação estatisticamente significante entre dor e pior qualidade de vida, com impacto nos domínios desconforto psicológico (p < 0,001), incapacidade física (p < 0,001), psicológica (p < 0,001) e social (p < 0,001). Ansiedade influenciou na pior qualidade de vida, com impacto nos domínios desconforto psicológico (p = 0,009), incapacidade fisica (p = 0,016), psicológica (p = 0,011) e desvantagem social (p = 0,028). Esse estudo é relevante para o planejamento de ações voltadas para a saúde bucal dos pacientes atendidos nos serviços de urgência odontológica, priorizando aqueles com maiores impactos psicossociais decorrentes dos problemas bucais.

Abstract The scope of this study was to assess the association between preoperative pain, anxiety and the impact of the oral condition on the quality of life of patients treated at the Dental Emergency Service at the Federal University of the Jequitinhonha and Mucuri Valleys. A retrospective cross-sectional study was conducted evaluating data from 240 patient charts aged from 18 to 65 years. Pain was measured by the Heft-Parker Visual Analog Scale; dental anxiety by Corah's Dental Anxiety Scale; and oral health-related quality of life by the Oral Health Impact Profile (OHIP-14). Associations were analyzed using Pearson's Chi-square test (p < 0.05). A statistically significant association was observed between pain and poorer quality of life, with impacts on psychological discomfort (p < 0.001), physical incapacity (p < 0.001) and the psychological (p < 0.001) and social (p < 0.001) domains. Anxiety influenced poorer quality of life, with impacts on the psychological discomfort (p = 0.009), physical disability (p = 0.016), psychological disability (p = 0.011) and social disadvantage (p = 0.028) domains. This study is relevant for the planning of programs and actions aimed at the oral health of patients treated in dental emergency services, prioritizing those with the greatest psychosocial impact arising from oral problems.

Avaliação do status de ansiedade durante o atendimento odontológico / Evaluación del estado de ansiedad durante la atención odontológica / Assessment of patient anxiety during dental care

Introdução: A ansiedade é uma condição emocional relacionada a situações desconhecidas comumente associada ao atendimento odontológico. Objetivo: Avaliar os níveis de ansiedade dos pacientes frente ao atendimento odontológico. Métodos: O presente estudo, do tipo transversal analítico, foi realizado com uma amostra de conveniência composta por 300 pacientes oriundos de um centro de referencia em Odontologia da região sul do estado do Ceará - Brasil. Foram coletadas informações sobre idade, sexo, percepção da saúde bucal, dor de dente, experiência pregressa à tratamentos odontológicos e sobre aspectos psicológicos. O status de ansiedade dos pacientes foi avaliado através do instrumento Modified Dental Anxiety Scale. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa local sob o número de protocolo 1.759.075. Resultados: Dos 300 pacientes selecionados para o estudo, 222 (74,0 porcento) eram do sexo feminino e 78 (26,0 porcento) do masculino, com idade média de 32,7 anos. Em relação à ansiedade, 22,7 porcento (n= 68) dos indivíduos foram considerados ansiosos. Através da análise bivariada verificou-se associação estatisticamente significativa entre o status de ansiedade e os indivíduos do sexo feminino (p= 0,004) e pacientes com histórico de experiências desagradáveis no dentista (p= 0,015). Conclusão: A prevalência de ansiedade é maior nos indivíduos do sexo feminino e experiências odontológicas pregressas desagradáveis ou de sofrimento podem se configurar como um importante fator associado à ansiedade odontológica(AU)

Introducción: La ansiedad es una afección emocional relacionada con las situaciones desconocidas comúnmente asociadas con la atención dental. Objetivo: Evaluar el estado de ansiedad de los pacientes durante el cuidado dental. Métodos: El presente estudio, del tipo transversal analítico, fue realizado con una muestra de conveniencia compuesta por 300 pacientes atendidos en un centro de referencia en Odontología de la región sur del estado Ceará - Brasil. Se recolectó información sobre edad, sexo, percepción de salud bucal, dolor de muelas, tratamientos dentales previos y aspectos psicológicos. El estado de ansiedad se evaluó usando el instrumento Modified Dental Anxiety Scale. El estudio fue aprobado por el Comité de Ética en Investigación local con el número de protocolo 1.759.075. Resultados: De los 300 pacientes seleccionados para el estudio, 222 (74.0 por ciento) eran mujeres y 78 (26,0 por ciento) eran hombres, con una media de 32,7 años. Con respecto a la ansiedad, el 22,7 por ciento (n= 68) de los pacientes del estudio presentaron ansiedad. El asesoramiento de análisis bivariado mostró una asociación estadísticamente significativa entre el estado de ansiedad y las mujeres (p= 0,004) y pacientes con historial de experiencias desagradables en el dentista (p= 0,015). Conclusiones: La prevalencia de la ansiedad es mayor en las mujeres, y las experiencias odontológicas desagradables previas o el sufrimiento pueden ser un factor importante asociado con la ansiedad dental(AU)

Introduction: Anxiety is an emotional state related to the unfamiliar situations commonly associated with dental care. Objective: Evaluate the anxiety status of patients during dental care. Methods: An analytical cross-sectional study was conducted of a convenience sample composed of 300 patients attending a dental care reference center in the southern region of the state of Ceará in Brazil. Information was collected about age, sex, perception of oral health, toothache, previous dental treatment and psychological aspects. Anxiety status was evaluated with the Modified Dental Anxiety Scale. The study was approved by the local Research Ethics Committee with protocol number 1.759.075. Results: Of the 300 patients selected for the study, 222 were women (74.0 percent) and 78 were men (26.0 percent); mean age was 32.7 years. Regarding anxiety, 22.7 percent (n= 68) of the patients studied had anxiety symptoms. Bivariate analysis revealed a statistically significant relationship between anxiety and women (p= 0.004) and patients with a history of unpleasant experiences at the dentist (p= 0.015). Conclusions: Prevalence of anxiety is higher among women. Previous unpleasant experiences or suffering at the dentist may be important factors associated to dental anxiety(AU)

Dental anxiety in the municipal personnnel of Biblián, Ecuador, 2018

The aim of this study was to determine the degree of dental anxiety in the staff of the Municipality of Biblián, Ecuador. A cross-sectional study was carried out using the modified Corah dental anxiety scale in its Spanish version. A total of 159 employees, 72.3% men and 27.7% women, were included. The most prevalent level of dental anxiety was mild or none (37.1%), followed by moderate anxiety (35.6%), and severe anxiety or phobia (13.8%). The most prevalent degree of anxiety in men was mild or null (28.9%), and in women this was moderate at 8.8%. In relation to age, the group aged 31 to 50 years had the highest prevalence of severe dental anxiety or phobia (9.4%). The staff of the Municipality of Biblián presented a high prevalence of mild or no anxiety

Prevalencia de Ansiedad Dental en Niños Atendidos en los Servicios de Salud Públicos de Valdivia, Chile / Prevalence of dental anxiety in children treated at public health services in Valdivia, Chile

Objetivo: Determinar la prevalencia de ansiedad dental (AD) en niños de entre 6 a 10 años de edad atendidos en los servicios de salud públicos (SSP) de la ciudad de Valdivia, Chile. Material y método: Se diseñó un estudio observacional de corte transversal. Se midió la prevalencia de AD previa a la atención odontológica utilizando la Escala de Imagen Facial (FIS) en niños de 6 a 10 años que fueron atendidos en los SSP, durante los meses de marzo a junio de 2015. Resultados: De los 200 niños(as) encuestados el 22,5% presentó ansiedad dental; 51% eran niñas (n=102); edad promedio de 7,9 ± 1,45 años. Conclusión: La prevalencia de AD en Valdivia es mayor a la observada en otro estudio similar realizado en Santiago de Chile. Recomendamos implementar FIS, dentro de la atención odontológica pediátrica, para facilitar una mejor adaptación y adherencia al tratamiento.

Objective: To determine the prevalence of dental anxiety (DA) in children between 6-10 years of age treated at public health services (PHS) in Valdivia, Chile. Materials and Methods: An observational cross-sectional study was designed. The prevalence of DA before dental treatment was measured using the Facial Image Scale (FIS) in children between 6-10 years of age treated at public health services (PHS) of Valdivia, Chile, from March to June 2015. Results: Of the 200 children surveyed, 22.5% had dental anxiety; 51% were girls (n=102); average age 7.9 ± 1.45. Conclusion: The prevalence of DA in Valdivia is higher than that observed in a similar study conducted in Santiago, Chile. We suggest the implementation of FIS in pediatric dental care, to ensure better adaptation and adherence to the dental treatment.

Clinical and Individual Variables in Children's Dental Fear: A School-Based Investigation

Abstract This cross-sectional study evaluated the prevalence of dental fear and associated factors in schoolchildren aged 8 to 12 years old, in Pelotas, southern Brazil. Schoolchildren enrolled in 20 public and private schools were selected using a multi-stage sample design. Sociodemographic characteristics, children's dental visit and oral hygiene habits were assessed by questionnaires. The Dental Anxiety Question was used to measure dental fear prevalence. Children's clinical examination evaluated presence of dental caries (DMFT/dmft index) and gingival bleeding. Data were analyzed using Poisson regression with robust variance (prevalence ratio; 95% confidence interval). One thousand two hundred and two children were included. Dental fear prevalence was 24.6%. After the adjustment, girls [PR=1.71 (CI 95%: 1.31-2.22)], children from poorer families [PR=1.96 (CI 95%: 1.36-2.83)], those who had decayed teeth (D/d index>0)[PR=1.32 (CI 95%: 1.01-1.72), and who had never been at the dentist [PR=1.85 (CI 95%: 1.42-2.41) remained significantly associated with dental fear. The prevalence of dental fear indicates that it is a common problem among schoolchildren. Early dental care and dental caries prevention are important factors to prevent dental fear.

Resumo Este estudo transversal avaliou a prevalência do medo odontológico e fatores associados em escolares de 8 a 12 anos de idade, na cidade de Pelotas, RS, Brasil. Alunos matriculados em 20 escolas públicas e privadas foram selecionados através de um delineamento de conglomerado em duplo estágio. As características sociodemográficas, a experiência odontológica da criança e os hábitos de higiene bucal foram avaliados por meio de questionários. O medo odontológico da criança foi avaliado através da Dental Anxiety Question. Examinadores calibrados avaliaram a presença de cárie dentária (CPOD) e o índice de sangramento gengival. Os dados foram analisados por meio de regressão de Poisson com variância robusta (razão de prevalência; 95% intervalo de confiança). No total, 1202 crianças foram incluídas. A prevalência medo odontológico foi de 24,6%. Após o ajuste, as meninas [RP=1,71 (IC 95%: 1,31-2,22)], as crianças de famílias mais pobres [RP=1,96 (IC 95%: 1,36-2,83)], com lesões de cárie (D/d index>0) [RP=1,32 (IC 95%: 1,01-1,72) e as que nunca tinham ido ao dentista [RP=1,85 (IC 95%: 1,42-2,41) permaneceram significativamente associadas ao medo dental. A prevalência de medo odontológico encontrada indica que este é um problema comum em escolares. O atendimento odontológico precoce e a prevenção de cárie são fatores importantes para evitar o medo.

Maternal depression and anxiety associated with dental fear in children: a cohort of adolescent mothers in Southern Brazil

Abstract Exposure to maternal symptoms of depression/anxiety has long-term negative consequences for child development, regardless of the contextual risk. The objective of this study was to investigate the relationship of the symptomatology of persistent maternal depression and anxiety with child dental fear. This study was nested in a cohort of adolescent mothers in southern Brazil. Symptomatology of maternal depression and anxiety was assessed during pregnancy and postpartum, when the mothers' children were 24-36 months old, using Beck Depression Inventory and Beck Anxiety Inventory. The mothers answered a questionnaire to assess dental fear in their children, and to obtain socioeconomic and demographic data. Both mothers and their children were submitted to clinical oral examination (n= 540 dyads) to obtain oral health data. Multivariate hierarchical Poisson regression analysis was used to determine associations (p < 0.05). At data collection, the prevalence of maternal depressive symptoms was 39.1%, and anxiety was observed in 27.8% of the mothers, whereas 21.6% of the children presented dental fear. In the adjusted analysis, children's dental fear was positively associated with mothers' presenting depressive symptomatology and caries experience. The depression symptomatology trajectory was not associated with dental fear, whereas mothers with persistent symptoms of anxiety reported higher prevalence of dental fear toward their offspring. The findings of symptomatology of maternal depression observed at data collection and persistence of anxiety may negatively impact the child's perception of dental fear. Mothers are the main caregivers and primary models responsible for transmitting health-related behaviors; consequently, mental disorders affecting mothers may negatively impact their children.

Prevalencia y aspectos sociodemográficos de la ansiedad al tratamiento estomatológico / Prevalence and sociodemographi aspects of dental anxiety to the dental treatment

Introducción: la ansiedad al tratamiento estomatológico es un fenómeno que influye en el estado de salud bucal, entorpeciendo tanto el manejo del paciente durante su atención como la posterior mantención al tratamiento. En Cuba esta alteración psicológica es pobremente conocida en el medio estomatológico, por lo que el dominio por parte del profesional de los aspectos relacionados con su prevalencia y aspectos sociodemográficos es de vital importancia como punto de partida para las futuras investigaciones y estrategias a trazar con vista a controlar dicho fenómeno. Objetivo: realizar una revisión bibliográfica sobre prevalencia y aspectos sociodemográficos de la ansiedad al tratamiento odontológico. Métodos: se realizó un estudio de revisión teniendo en cuenta la bibliografía publicada en el período comprendido de 2010 a junio de 2015. Se obtuvieron 81 trabajos de los cuales fueron excluidos aquellos que manejaban la ansiedad en individuos con condiciones específicas o algún tipo de enfermedad, y quedaron 53 trabajos a revisar, de los cuales fueron tomados 42 a criterios del autor. Análisis e integración de la información: la prevalencia de la ansiedad al tratamiento estomatológico se manifiesta de manera general en niños y adultos, específicamente los niveles de moderada a severa se evidencian en la mayoría de los estudios con valores considerables. La edad y el sexo son los más manejados en relación a esta; tiende a disminuir con el aumento de la edad, así como las mujeres son más libres de expresar su ansiedad. Conclusiones: la ansiedad al tratamiento estomatológico es un fenómeno psicológico que afecta a la población mundial con una tendencia a afectar más a las mujeres y a los más jóvenes. El nivel de escolaridad y el estado marital muestran criterios ambivalentes en relación a ella(AU)

Ansiedad dental en adultos chilenos que concurren a un servicio de salud primaria / Dental anxiety in Chilean adults who attend a primary care health service

El objetivo fue identificar el nivel de ansiedad dental en una muestra de adultos chilenos que concurren a un servicio de atención de salud primaria. Se realizó un estudio transversal, obteniendo una muestra de 174 adultos, con edades entre los 20 y 70 años, pertenecientes al área urbana de Santiago de Chile, y que acudían en calidad de acompañantes de niños(as) que asistían a atención dental. Se registraron datos socio-demográficos y fecha de último control dental. Se aplicó la escala de ansiedad dental de Corah. Se realizaron estadísticos descriptivos, prueba t, prueba U de Mann Whitney y prueba de Spearman. Se trabajó con un error de significancia del 5 %. Un 37,9% de la muestra presentó ansiedad dental, en sus niveles moderado (16,1 %), severo (13,2 %) y fobia dental (8,6 %). A nivel educacional, los sujetos con educación básica completa presentaron la mayor frecuencia (57,1 %) de ansiedad, mientras que los de educación superior incompleta presentaron la menor frecuencia (25 %). No se observaron asociaciones entre ansiedad dental y edad, sexo, nivel educacional, índice per cápita y último control dental. La muestra de adultos encuestados de Santiago de Chile presentó altos niveles de ansiedad dental en comparación con países desarrollados. Se recomienda realizar más estudios en dicha población para determinar las variables que explican el problema de la ansiedad dental en la población chilena.

The objective of this study is to identify the level of dental anxiety in a sample of Chilean adults who attend a service of primary health care. A cross-sectional study was carried out. The sample consisted of 174 caregivers of pediatric dental patients, aged between 20 and 70 years, belonging to the urban area of Santiago de Chile. A questionnaire that included socio-demographic information (sex, age, educational level, income per capita index and last dental visit) were registered. Corah's Dental Anxiety Scale was applied. Descriptive statistics and t-test, U-Mann Whitney test and Spearman test was used. An error of significance of 5% was applied. 37.9 % of thesample shows dental anxiety in their moderate levels (16.1 %), severe (13.2 %) and dental phobia (8.6 %). Of the subjects who had dental anxiety, the majority had moderate anxiety (42.4 %). In an educational level, subjects with complete basic education have the highest rate (57.1 %) of anxiety, while incomplete higher education had the lowest rate (25 %). Adults between 50 and 59 years reported greater presence of dental anxiety. There were not significant associations between dental anxiety and age, sex, educational level, per capita rate and last dental visit. The sample of adults surveyed in Santiago de Chile presented high levels of dental anxiety compared to other developed countries. We recommend further studies in this population to determine the variables that explain the problem of dental anxiety in the Chilean population.

Influência da experiência odontológica na infância e do conhecimento em saúde bucal no medo odontológico na idade adulta / Influence of childhood dental experience and knowledge on oral health dental fear in adulthood

Os objetivos deste estudo foram verificar a associação entre o relato de experiência odontológica negativa na infância e o alto medo odontológico entre universitários da Universidade Federal de Minas Gerais (UFMG), Brasil e avaliar a influência do conhecimento em saúde bucal no medo odontológico entre universitários de odontologia, após cinco anos de curso. Este estudo será apresentado em formato de dois artigos científicos. O primeiro apresenta um estudo caso-controle aninhado a um estudo transversal, cujos participantes eram universitários de odontologia, psicologia e matemática. O segundo artigo descreve um estudo longitudinal de cinco anos, realizado entre universitários de odontologia. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa com Seres Humanos da UFMG (COEP/UFMG) protocolo (# 0201.0.203.000-10). Os instrumentos utilizados para a coleta de dados foram o Dental Fear Survey (DFS) e um questionário autorrelatado sobre experiência odontológica. A variável dependente em ambos os artigos foi o medo odontológico. No primeiro artigo, os universitários foram alocados em dois grupos: alto medo e baixo medo odontológico, pareados por gênero, curso de graduação e condição sociodemográfica (1 caso: 4 controles). O grupo caso incluiu universitários com alto medo (n=65) e o grupo controle incluiu aqueles com baixo medo (n=260), definidos pela análise de cluster. O segundo artigo incluiu 48 universitários de odontologia da UFMG que responderam os mesmos instrumentos quando iniciaram o curso, em 2010 e no final do curso, em 2015. No primeiro artigo a análise estatística incluiu análise descritiva, bivariada e regressão logística multivariada condicional com nível de significância de 5%. No segundo artigo foram utilizados os testes de Wilcoxon e Qui-quadrado de McNemar com nível de significância de 5%. O estudo caso-controle demonstrou que os estudantes com maior chance de apresentar alto medo odontológico relataram experiência odontológica negativa na infância (OR= 2,97; 95% IC: 1,44 - 6,14), experiência de dor de dente nos últimos 12 meses (OR=11,31; 95% IC: 4,79 - 26,68), incômodo durante o tratamento odontológico (OR=5,36; 95% IC: 2,53 - 11,36) e autoavaliação da saúde bucal ruim (OR=3,62; 95% IC: 1,61-8,11). Os resultados do estudo longitudinal mostraram que houve redução de visitas/ano ao dentista dos estudantes de odontologia, ao finalizarem o curso (p=0,012). As médias dos escores totais do DFS foram semelhantes nas duas ocasiões: no início do curso (31,7 ± 9,3) e no final do curso de odontologia (29,6 ± 6,6) (p=0,318). Universitários no final do curso de odontologia apresentaram menores escores médios em relação ao fator estrutural do DFS "medo de situações e estímulos específicos do tratamento dentário" (12,3 ± 3,5) do que quando iniciaram o curso (14,0 ± 5,4) (p=0,042). Concluiu-se que experiências odontológicas negativas na infância influenciaram o alto medo odontológico entre os universitários, mesmo na presença de outros fatores. O percurso curricular no curso de odontologia diminuiu o medo de estímulos específicos do tratamento odontológico, mas não contribuiu para a redução dos níveis de medo odontológico de maneira geral. As faculdades de odontologia devem enfatizar temas do comportamento humano para a compreensão do medo odontológico

The objectives of the present study were to investigate the association between negative dental experience in childhood and high dental fear among undergraduates of the Universidade Federal de Minas Gerais (UFMG), Brazil, and to evaluate the effect of oral health education on dental fear among dental students after five years of university study. The study is divided into two manuscripts. The first manuscript describes a case-control study, nested to a cross-sectional study, whose participants were dentistry, psychology and mathematics undergraduate students. The second manuscript describes a 5-year longitudinal study of dental students. The present study was approved by the Human Research Ethics Committee of UFMG (COEP / UFMG) under protocol number # 0201.0.203.000-10. The instruments used for data collection were the Dental Fear Survey (DFS) and a self-reported questionnaire about previous dental experiences. The outcome variable for both manuscripts was dental fear. In the first manuscript, the students were allocated into two dental fear groups, and matched for gender, undergraduate course and sociodemographic condition (1 case group: 4 controls). The case group included students with high fear (n = 65) and the control group included those with low fear (n = 260), as defined by cluster analysis. The second manuscript included 48 dental students who responded to the same instruments at the beginning of the course in 2010 and at the end of the course in 2015. Statistical analysis of the case-control study included descriptive analysis, bivariate and multivariate conditional logistic regression with a 5% significance level. The Wilcoxon test and the Chi-square McNemar's test with a 5% significance level were used in the longitudinal study. The case-control study showed that students with a greater chance of presenting high dental fear reported a negative dental experience in childhood (OR = 2.97; 95% CI: 1.44 - 6.14), having experienced toothache the last 12 months (OR = 11.31; 95% CI: 4.79 - 26.68), discomfort during dental treatment (OR = 5.36; 95% CI: 2.53 - 11.36) and poor oral health self-assessmet (OR = 3.62; 95% CI: 1.61- 8.11). The longitudinal study found that there was a reduction in visits to the dentist per year among dental students by the end of the course (p = 0.012). The mean total DFS scores were similar at both the beginning of the course (31.7 ± 9.3) and the end of the course (29.6 ± 6.6) (p = 0.318). At the end of the course dental students had lower mean scores for the DFS structural factor of "fear of specific situations and dental treatment stimuli" (12.3 ± 3.5) than when they started the course (14.0 ± 5 4) (p = 0.042). It was concluded that negative dental experiences in childhood influence high dental fear among undergraduates, even in the presence of other factors. The curricular pathway in dentistry course decreased fear of specific dental treatment stimuli, but did not contribute to the reduction of general dental fear levels. Dental schools should emphasize the study of human behavior to the understanding of dental fear

Prevalência de ansiedade odontológica e sua relação com fatores socioeconômicos entre gestantes de João Pessoa, Brasil / La prevalencia de la ansiedad dental y su relación con factores socioeconómicos entre las mujeres embarazadas en Joao Pessoa, Brasil / Prevalence of dental anxiety and its relationship to socioeconomic factors among pregnant women from Joao Pessoa, Brazil

Objetivo: deste trabalho foi determinar a prevalência e nível de ansiedade ao atendimento odontológico de gestantes de João Pessoa, Brasil, além de analisar a sua relação com fatores socioeconômicos. Métodos: o presente estudo é caracterizado por ser transversal do tipo observacional, a amostra foi composta por 360 gestantes atendidas nas Unidades de Saúde da Família na Cidade de João Pessoa/Brasil. Foram aplicados a dental anxiety scale e um questionário estruturado, por meio do qual foram investigados fatores socioeconômicos. Na análise estatística, foi empregado o teste de c². O nível de significância adotado foi de 5 porcento. Resultados: a prevalência de ansiedade entre as gestantes foi de 96,4 porcento. A maioria (41,1 porcento) apresentou alto nível de ansiedade (p < 0,001). A média de idade das gestantes foi 23,4 ± 5,9 anos. Em relação ao estado civil, a maioria das gestantes era casada (35 porcento). A renda familiar revelada apresentou média de 610,07 reais, sendo 92 porcento abaixo de dois salários mínimos. Oitenta e nove gestantes (24,7 porcento) estavam no primeiro trimestre, frente à maioria (47,8 porcento), no segundo trimestre (p > 0,05). Conclusões: a maioria das gestantes apresentou ansiedade, de nível alto. Os fatores socioeconômicos investigados não revelaram associação com a presença de ansiedade. Evidencia-se a necessidade de atenção odontológica durante a gestação com medidas direcionadas a redução da ansiedade ao atendimento odontológico(AU)

Objetivos: determinar la prevalencia y el nivel de ansiedad a la atención dental para embarazadas de João Pessoa, Brasil, y analizar su relación con factores socioeconómicos. Métodos: la muestra consistió en 360 mujeres embarazadas inscritas en las Unidades de Salud de la Familia en la ciudad de João Pessoa, Brasil. Se aplicó la escala de ansiedad dental y un cuestionario estructurado, a través del cual los factores socioeconómicos fueron investigados. En el análisis estadístico se utilizó la prueba c2. El nivel de significación fue de 5 por ciento. Resultados: la prevalencia de ansiedad entre las mujeres embarazadas fue del 96,4 por ciento. La mayoría (41,1 por ciento) mostró altos niveles de ansiedad (p < 0,001). La edad media de las madres fue de 23,4 ± 5,9 años. En cuanto al estado civil, la mayoría de las madres estaban casadas (35 por ciento). En cuanto al ingreso de la familia había un promedio de 610,07, el 92 por ciento por debajo de dos salarios mínimos. Un total de 89 pacientes (24,7 por ciento) correspondió al primer trimestre, en comparación con la mayoría (47,8 por ciento) en el segundo trimestre (p > 0,05). Conclusión: la mayoría de las mujeres tenían ansiedad de alto nivel. Los factores socioeconómicos investigados no mostraron asociación con la presencia de ansiedad. Este estudio pone de relieve la necesidad de cuidado dental durante el embarazo y las medidas destinadas a reducir la ansiedad en el cuidado dental(AU)

Objectives: determine the prevalence and level of dental anxiety among pregnant women from Joao Pessoa, Brazil, and analyze its relationship to socioeconomic factors. Methods: the sample consisted of 360 pregnant women registered with Family Health Units in the city of Joao Pessoa, Brazil. The study was based on the Dental Anxiety Scale and a structured questionnaire through which socioeconomic factors were surveyed. The chi-square test was used for statistical analysis, with a significance of 5 percent. Results: the prevalence of anxiety among pregnant women was 96.4 percent. Most (41,1 percent) showed high anxiety levels (p < 0,001). The mean age of mothers was 23,4 ± 5,9 years. As to marital status, most mothers were married (35 percent). Average family income was 610,07, with 92,percent below two minimum salaries. A total 89 patients (24,7 percent) were in their first quarter, whereas most (47,8 percent) were in their second quarter (p > 0,05). Conclusion: most women had high level anxiety. The socioeconomic factors studied did not show any association with the presence of anxiety. The study revealed the importance of dental care during pregnancy and the measures aimed at reducing dental anxiety(AU)

Factores de riesgo asociados con el estado de ansiedad en niños de cuatro a seis años de edad que acuden por primera vez con el odontopediatra / Risk factors for anxiety in children aged four to six, attending a pediatric dental appointment for the first time

Determinar los principales factores de riesgo asociados con el estado de ansiedad en los niños de cuatro a seis años de edad que asisten a la Clínica Reforma (FES Zaragoza, UNAM) para su primera consulta con el odontopediatra. Diseño del estudio: Se realizó un estudio a 100 niños de cuatro a seis años de edad. Se aplicó un cuestionario a sus padres con el fin de determinar los principales factores de riesgo asociados con el estado de ansiedad que pudieran presentar los pacientes. Para evaluar el grado de ansiedad en los niños antes de la consulta se utilizó una escala visual análoga de rostros. El análisis de datos se realizó mediante el paquete estadístico SPSS versión 17.0. Resultados: El 44 por ciento de los pacientes evaluados presentó ansiedad. En la distribución por sexo, el 50 por ciento de los sujetos de sexo femenino mostró ansiedad, a diferencia de los de sexo masculino, donde sólo el 38.5 por ciento la manifestó. El 87.5 por cientode los hijos de aquellos padres que sintieron confianza al dejarlos pasar solos con el odontopediatra no presentó ansiedad (p < 0.001). Por otro lado, la escolaridad fue determinante, ya que el 86.4 por ciento de los niños de nivel preescolar presentó ansiedad (p < 0.0001). Asimismo, el 72.7 por ciento de los menores que no entendieron las explicaciones de sus padres de por qué asistían a la consulta también mostró ansiedad (p = 0.032), así como los que reaccionaron negativamente al separarse de sus padres (70.5 por ciento con [p < 0.0001] p = 0.0001). Finalmente, 70.5 por ciento de los menores que reportaron temor a las inyecciones presentaron ansiedad (p < 0.0001). Conclusiones: La prevalencia de ansiedad en la población de estudio fue de un 44 por ciento; los factores de riesgo asociados fueron: padres ansiosos, grado escolar del paciente, reacción negativa al separarse de los padres; temor hacia el personal de salud, a las inyecciones, al llegar a su cita y al reconocer la clínica

To determine the main risk factors associated with a state of anxiety before their first contact with pediatric dentistry in children between four and six years of age attending the Reforma Multidisci-plinary Clinic (FES Zaragoza, UNAM).study design: A study of 100 children aged between four and six years old was carried out. The parents of the children were given a questionnaire aimed at identify-ing the main risk factors associated with the state of anxiety that the patient might display. A visual analog scale of faces was used to assess the degree of anxiety in the children before their appointment. Data analysis was performed using SPSS version 17.0. results: 44% of the patients assessed displayed anxiety. In terms of differences between the sexes, 50% of females presented anxiety, whilst 38.5% of the males did. Where parents felt confident enough to leave their children alone with the pediatric dentist, 87.5% of the patients showed no anxiety (p < 0.001). Furthermore, the child’s academic level played a major role, with 86.4% of preschool children feeling anxiety (p < 0.0001). Similarly, 72.7% of children who did not understand their parents’ explanations of why they were visiting the dentist also showed anxiety (p = 0.032), as did a significant proportion of those who reacted nega-tively to being separated from their parents (70.5%, with p < 0.0001). Finally, 70.5% of children who reported a fear of injections showed anxiety (p < 0.0001).conclusions: The prevalence of anxiety in the study population was 44%, and the risk factors were: anxious parents, the school grade of the patient, a negative reaction to being separated from their parents, a fear of health personnel, injections, fear when arriving at the appointment and recognizing the clinic.

Relação do medo, dor, ansiedade e condições de saúde bucal com o acesso aos serviços de saúde bucal e qualidade de vida de adolescentes / Relationship of fear, pain, anxiety and oral health with access to oral health services and quality of life of adolescents

A presente pesquisa teve por objetivo avaliar a relação entre as condições de saúde bucal, a dor, o medo e a ansiedade odontológica, com o acesso aos serviços de saúde bucal e com a qualidade de vida de adolescentes. Para a realização deste estudo transversal de investigação observacional a amostra foi composta por 256 adolescentes entre 15 e 19 anos de idade matriculados em escolas públicas do município de Agudos, SP. Para avaliar as condições de saúde bucal foram utilizados os Índices CPOD para cárie dentária, Índice de Dean para fluorose, Índice Periodontal Comunitário para condição periodontal e Índice de Estética Dental para má oclusão, utilizando-se os códigos e critérios recomendados pela Organização Mundial da Saúde (OMS). Além disso, foi utilizado o Modified Dental Anxiety Scale para avaliar a ansiedade odontológica, o Dental Fear Survey para avaliar o medo odontológico, o questionário de Goes para avaliar a dor de dente, questionário de acesso aos serviços de saúde bucal e o OHIP 14 para avaliar a influência de saúde bucal na qualidade de vida. O teste Mann Whitney foi utilizado para avaliar a diferença entre os grupos sexo e etnia e o teste Kruskall Wallis foi utilizado para avaliar a diferença entre as idades, quanto às condições de saúde bucal, ansiedade e medo. O teste qui quadrado foi utilizado para avaliar a associação entre os grupos na dor e acesso aos serviços de saúde bucal. Para avaliar a relação entre a ansiedade, o medo e a dor de dente, as condições de saúde bucal com a qualidade de vida e com o acesso aos serviços de saúde bucal foi utilizado o teste de correlação de Spearman (p<0,05). Foi encontrado um CPOD médio de 3,09 com maior expressividade do componente restaurado (2,45); foi observado um percentual de 3,91% de adolescentes com fluorose muito leve. A condição periodontal mais prevalente foi o cálculo dentário com 32,03%. Em relação à má oclusão, 27,73% dos adolescentes apresentaram-se com má oclusão...

This study aimed to assess the relationship between oral health status, pain, fear and dental anxiety, with access to oral health services and quality of life of adolescents. To carry out this observational cross-sectional study the sample consisted of 256 adolescents between 15 and 19 years old enrolled in public schools in the municipality of Agudos, SP. To assess the oral health conditions were used DMFT index for dental caries, Dean index for dental fluorosis, Community Periodontal Index for periodontal status and the Dental Aesthetic Index for malocclusion, using codes and criteria recommended by the World Health Organization (WHO). In addition, it was used the Modified Dental Anxiety Scale to assess anxiety dentistry, the Dental Fear Survey to assess the dental fear, the Goes questionnaire to evaluate the toothache, the access to oral health services questionnaire and OHIP 14 to assess the impact of oral health on quality of life. The Mann Whitney test was used to evaluate the difference between sex and ethnic groups and Kruskal-Wallis test was used to assess the difference between the ages, regarding oral health conditions, anxiety and fear. The chi square test was used to assess association between the groups in pain and access to oral health services. To evaluate the relationship between anxiety, fear, toothache and the oral health status with quality of life and with access to oral health services was used Spearman correlation test (p <0.05). It was found an DMFT average of 3.09 with greater expressiveness of the filled component (2.45). There was a percentage of 3.91% of adolescents with very mild fluorosis. The most prevalent periodontal status was dental calculus with 32.03%. In relation to malocclusion, 27.73% of the adolescents presented with defined malocclusion requiring elective treatment. It was found 76.56% of the adolescents with low anxiety and 83.98% with low dental fear; tooth pain in the last 6 months was observed in 32.42% of the...