• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.2
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• pp.370-376
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• 2005

In children, dental anxiety of dental treatment has been recognized as a source of problems in patient man agement for many years. Dental anxiety can be causes of negative cooperation, cancel and avoid of dental treatment. Therefore, dentist and dental team should recognize of child's dental anxiety as early as possible and manage appropriately. In previous studies, it is reported that parental dental anxiety affect dental anxiety and cooperation of their child. And it is parental decision which results in a child's visit to the dentist, rather than a child's decision in most cases. Therefore, it is important to identify the relationship of dental anxiety between child and parent. We estimated child's dental anxiety before dental treatment using Venham Picture Scale that is useful even a very young child and parental dental anxiety using Corah's dental anxiety scale. Then, two values above were compared. Child's cooperation, temperament, sex, age, parental education were estimated and compared with dental anxiety, too. The results were as follows: 1. There are positive relationship of dental anxiety between child and parent with the correlation analysis(P<0.02). 2. There are negative relationship of child's dental anxiety and child's cooperation with the correlation and regression analysis(P<0.001). 3. Low anxiety group has lower mean value of four temperament item with the Student's t-test. But, there is no statistical differences(P>0.1). 4. Girl and younger group have higher mean value of dental anxiety than boy and older group with the Student's t-test(P<0.001). 5. Low educated parents have higher mean value of dental anxiety than high educated parents with the Student's t-test(P>0.1).

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.3
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• pp.354-362
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• 2003

The aim of the present study was to establish validity for Dental Anxiety Scale in children by their drawings. Dental treatment was provied for 35 children in the ages of 4 to 8, using the quadrant approach. The children's anxiety arising during dental treatment was measured by Modified Sheskin's Criteria(Dental Anxiety Scale, DAS). After reliability analysis of Dental Anxiety Score, it was compared with Faces Pain Scale and was tested for their correlation. Thereafter the several factors having an effect on Dental Anxiety Scale were examined. A significant correlation(r=0.2610) was found between the two scales and Dental Anxiety Scale was high significantly in 4-6 score of Faces Pain Scale. The findings suggested that the Dental Anxiety Scale is a valid means of assessing child dental anxiety status in a clinical context and the Dental Anxiety Scale can be affected by 'Age', 'Gender' and 'Reaction in the past'.

• Journal of dental hygiene science
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• v.18 no.4
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• pp.227-233
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• 2018

The purpose of this study was to investigate the factors affecting dentists' attitudes and dental hygienists' services on dental anxiety in adults. The subjects were 300 adults older than 20 years of age living in Seoul, Gyeonggi, Daejeon, and Daegu. Data were collected using structured questionnaires. Among the distributed questionnaires, 225 respondents were selected as subjects, excluding 74 people who did not answer and 1 person who was not faithful. Data were analyzed using statistical software with a t-test, one-way ANOVA, and multiple regression. As a result, the gender was slightly higher in women (54.7%) than in men, and the last dental visit was less than one year in 59.6% of respondents. Most of the respondents' educational level was higher than college level (79.1%), and the monthly income was less than 2 million won in 53.8 of respondents. This study showed that distrust of dentists affected dental anxiety and anxiety stimulation. Higher reliability of the dentist was correlated with less dental anxiety in patients. Dental anxiety showed statistically significant results in dentist subcategories of patient slight and dentists' trust (p<0.01). Additionally, the factors affecting dental anxiety and anxiety stimulus were knowledge of dental hygienist and distrust of dentist (p<0.01). According to this study, dentists' and dental hygienists' trust of dental staff show the importance of oral health professionals' role in reducing dental anxiety in patients. It is also suggested that efforts should be made to improve public awareness of oral health experts. It is believed that dentists, and dental hygienists need to promoted to become professionals. In addition, a variety of programs have been developed to reduce dental anxiety, so patients need to be comfortable to receive dental treatment.

• Journal of dental hygiene science
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• v.17 no.1
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• pp.46-55
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• 2017

Many people in Korea suffer from a fear of dental treatments; however, only a few studies have focused on this population. This study assessed the effectiveness of cognitive behavioral therapy (CBT) and its interventions in reducing dental anxiety, especially when administered by trained dental staff. Using case studies, the authors analyzed the content of each session and examined the process of reducing dental anxiety. First, the authors observed that the results of both dental fear scale and subjective unit of disturbance decreased significantly with changes in cognitive distortions related to dental anxiety and that rapid improvements were noted after two therapy sessions. Second, the study reported that practicing relaxation (deep-breathing) and muscle relaxation techniques; using hand signals to indicate anxiety or discomfort; establishing an empathic relationship with the therapist; making an anxiety list; and graded insensitive and exposure along with rehearsal, were effective in coping with dental anxiety and in changing negative thoughts towards the dentist. Third, a simple cognitive behavioral intervention can be effective in reducing dental anxiety. In summary, a short-term, five-session psychological intervention with CBT produced a sustained decrease in the symptoms of dental anxiety, allowing the patients to receive the required procedures. The authors discussed the study limitations and the implication of their results on future research.

• Journal of dental hygiene science
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• v.10 no.5
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• pp.357-363
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• 2010

The aim of this study was to measure the dental anxiety, the factors associated with dental anxiety and the utilization behavior of dental treatment. Modified dental anxiety scale(MDAS) and Dental fear survey(DFS) were used as measurement, where through the mean and the standard deviation were worked out and also the T-test and ANOVA were performed. In relation to MDAS, females and males showed the mean, '$2.86{\pm}0.06$' and '$2.49{\pm}0.06$' (p=0.000). Also, less than 20 and more than 21 showed the mean, '$2.81{\pm}1.01$' and '$2.61{\pm}0.99$' (p=0.023). In relation to dental utilization behavior, the subjects were classified into three groups, a group who uses dental clinics periodically, a group who uses them only when problems arise, and a group who has not ever used them. MDAS indicated a higher value in the group who use dental clinics only when problems arise, which was significant statistically (p=0.000). In the case of MDAS, many respondents answered that they felt anxious in the process of actual treatment; in the case of DFS, they felt anxious due to the factors that cause irritation.

• Journal of dental hygiene science
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• v.11 no.1
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• pp.15-21
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• 2011

Introduction The aim of this study, personal trait and their dental care based on experience level of dental fear is to analyze the differences. Catastrophizing is an irrational belief that something is far worse than it actually is. Because it makes it possible to analyze patients' anxious thoughts and tendencies. Methods The Dental Fear Survey(DFS) and Anxious Thoughts and Tendencies(AT&T) were used as measuring tools, and the independent sample t-test and ANOVA were performed on the basis of the mean value of the summated scale scores and the standard deviation. On the factors to dental anxiety, the multiple regression analysis was performed. Results Demographically, the total DFS score was higher in women($25.73{\pm}8.27$) than in men. Also, AT&T was higher in women($31.01{\pm}7.05$) (p<0.05). Dental fear was intense in the group of patients who visited dental clinics only problems($25.29{\pm}8.57$) than in those regular visited($22.29{\pm}7.78$). In relation to dental experiences, the DFS score was significantly higher in children. In many cases, patients experienced therapeutic pains in children($26.40{\pm}9.54$) (p=0.004). Also in many patients, dental anxiety began to occur in adolescence(44.3%). The multiple regression analysis result, it was found that dental treatment pain and their AT&T wielded great influence upon dental fear.

• 대한치과마취과학회:학술대회논문집
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• 2005.09a
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• pp.29-35
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• 2005

• Journal of the korean academy of Pediatric Dentistry
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• v.34 no.3
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• pp.390-397
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• 2007

The purpose of this study was to observe dental anxiety of second grade elementary school children projected in the drawing of dental treatment situation. The subjects of study were 213 school children. Questionnaire survey was done regarding their experience of pain and fear during the dental treatment and children's attitude toward the dental treatment and dentist. Drawings were analyzed using criteria modified from Dental Anxiety Scale(DAS) by Sheskin et al. The mean anxiety score was 2.00 and the range was from 0 to 6. The mean anxiety score was 2.82 in untreated children and 1.92 in treated children (P<0.05). The mean anxiety score was 2.00 in boys and 1.99 in girls. The rates of children who showed severe fear and pain of the subjects were 8.2% and 5.6%. The rates of children who showed slightly or definitely negative attitude for dental treatment and dentists of the subjects were 19.9% and 4.6%.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.28 no.1
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• pp.54-60
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• 2019

Objective: Dental fear is a feeling of anxiety and fear without intervention during a dental visit, mainly due to past negative dental treatment experiences, and in adults, despite the recognition of the need for dental treatment, it can lead to avoidance of dental treatment, which may cause deterioration of oral health. Therefore, this study was conducted to measure dental fear and anxiety level in some adults, and to identify related factors and their causes. Methods: This study used Kleinknecht's Dental Fear Survey scale and the SPSS 21 program (IBM SPSS Statistics 21) was used for analysis. Result: When the dental fear was the higher, the "access to the dental clinic" was found to be the highest, followed by "sitting in dental unit chair" and "smell of dental clinic" in that order. Conclusions: Dentists and dental hygienists should be able to understand the fear, anxiety, and concerns of the dentist office and to find various ways to provide systematic medical services.

• Journal of the korean academy of Pediatric Dentistry
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• v.38 no.4
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• pp.362-367
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• 2011

The objective of this study is to measure the fear and anxiety levels of some middle school students in Gyeonggi Province, to analyze the relevant factors, to seek how to alleviate such fear and anxiety and thus enable to make a comfortable and efficient oral management. Six hundred twenty two middle school students in Gyeonggi Province participated in the survey, which used the data of 614 respondents, i.e. 337 males and 277 females. A frequency analysis was conducted to determine the distribution of answers for each question, a crosstabulation analysis was performed to verify the gender differences in answer and an Mann-whitney U test was used to compare fear scores. According to the results patients feared even in unexpected circumstances. In addition, they feared when receiving direct treatment. In terms of gender, female students showed higher levels of fear than male ones (p<0.05).