• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.2
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• pp.53-61
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• 2015

Background: There are few previous studies investigating the relationship of dental fear and anxiety (DFA) with dental pain among children and adolescents. To address this issue, we examined the literature published between November 1873 and May 2015 to evaluate the prevalence of DFA and dental pain among children and adolescents, and their relationships with age and sex. Methods: We performed a broad search of the PubMed database using 3 combinations of the search terms dental fear, anxiety, and dental pain and prevalence. A large proportion of the identified articles could not be used for the review due to inadequate end points or measures, or because of poor study design. Thirty-two papers of acceptable quality were identified and reviewed. Results: We found that the prevalence of DFA was estimated to be 10%, with a decrease in prevalence with age. It was more frequently seen in girls, and was related to dental pain. Conclusions: We concluded that dental fear, anxiety, and pain are common, and several psychological factors are associated with their development. In order to better understand these relationships, further clinical evaluations and studies are required.

• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.697-706
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• 2020

Objectives: The purpose of this study was to analyze the factors that affect the test anxiety among dental hygiene students, including mental health and academic self-efficacy. Methods: A self-administered questionnaire survey was conducted among dental hygiene students in a metropolitan area from July 21 to July 31, 2020, and finally, 196 copies were statistically analyzed using SPSS 21.0. Results: The mean values of mental health, academic self-efficacy, and test anxiety among the dental hygiene students were 1.47±0.41, 2.99±0.46, and 2.76±0.74, respectively. Mental health was negatively correlated with self-efficacy (r=-0.346, p<0.01) and positively correlated with test anxiety (r=0.405, p<0.01), while academic self-efficacy was negatively correlated with test anxiety (r=-0.424, p<0.001). The factors that affect test anxiety were somatization (p<0.05), anxiety (p<0.05), paranoia (p<0.05), task preference (p<0.05), and confidence (p<0.001), which are the detailed items of academic self-efficacy. Conclusions: It is necessary to develop and apply customized health programs suitable for individual students to improve their mental health, as well as develop teaching and learning methods that can improve academic selfefficacy, as mental health and academic self-efficacy are influential factors in test anxiety among dental hygiene students.

• Journal of Korean society of Dental Hygiene
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• v.20 no.6
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• pp.937-947
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• 2020

Objectives: This study was conducted to investigate the factors that prevent dental patients from visiting the dental clinic. Methods: From June 22, 2020 to July 17, 2020, among patients 10 years or older who had visited the dental clinic, 314 individuals who agreed to the study were asked to fill out a self-administered questionnaire. The data were analyzed using the SPSS Statistics 22.0 program, and the significance level was set at 0.05. Results: The dental avoidance factors according to the general characteristics were high in women and housewives, and among the dental-related characteristics, the most common reason for visiting the dental clinic was experiencing pain. The factors influencing anxiety were fear, environment, stimulus, age, and exercise, and the factors influencing the fear were anxiety, stimulus, subjective oral health status, education, and exercise. The factors influencing the stimulus were environmental factors, fear, anxiety, and age, and the factors that influenced environmental factors were stimulus and anxiety. Conclusions: There is a need to develop measures and policies to overcome fear of dental procedures, such as developing a dental experience program and allowing patients to experience dental fear and anxiety in advance.

• 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.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 Korean society of Dental Hygiene
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• v.17 no.5
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• pp.721-733
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• 2017

Objectives: This study was conducted to help reduce the anxiety about dental radiation exposures of people and to provide a way to instill proper awareness of dental radiation. Methods: To fulfill the research aim, this study conducted a survey to 330 subjects who are 20 years old or over living in Seoul and Gyeonggi-do during the month of December 2016. The collected data were analyzed using frequency analysis, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression analysis among others. Results: As a result of examining the correlation between the anxiety of dental radiography and the correlations between the variables showed that the knowledge of radiation knowledge and the need for radiography (r=0.186, p<0.01), thinking about shooting (r=0.137, p<0.05), and the effectiveness of wearing protective equipment (r=0.120, p<0.01), showing statistically significant differences. As a result of examining the factors influencing anxiety of dental radiography among adults, high awareness of the need for dental radiography (p<0.01), the more the idea of dental anxiety in dental radiography is radiography showed higher (p<0.01). Conclusions: It seems proper that adequate dental radiography requires adequate explanation about it to patients, wearing of protective equipment, and appropriate dental radiation safety education.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.6
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• pp.303-315
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• 2023

Painless treatment determines the quality of pediatric dental care. Although local anesthesia has been used to manage pain in dentistry, children often cite traditional aspirating syringes as a symbol of fear and pain. Adequate pain control during dental procedures may help alleviate fear and anxiety and instill positive oral health attitudes in children. Newer approaches such as intranasal spray, centbucridine, jet injectors, buzzy devices, and acupressure have been developed to help dentists provide near-painless injections while reducing dental anxiety. This review aims to summarize newer approaches to alleviate pain and anxiety in children.

• Journal of Korean society of Dental Hygiene
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• v.14 no.2
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• pp.131-137
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• 2014

Objectives : The aim of the study is to investigate anxiety, fatigue and stress of dental hygiene students in clinical practice and to improve the psychological support program. Methods : A self-reported questionnaire was filled out by 428 dental hygiene students in 4 universities in Gwagju and Jeonnam. Data were analyzed for anxiety, stress and fatigue, general characteristics using SPSS 18.0 program for descriptive statistics, ANOVA, and correlation. Results : Saliva suction showed the most high score in treatment($mean{\pm}SD=2.92{\pm}1.13$) and was followed by children dental care($2.79{\pm}1.21$), preventive dental care($2.38{\pm}1.04$), maxillofacial radiology($2.35{\pm}1.15$). During the clinical practice, students felt uneasy when they stayed in relative home(p<0.05). Poor interpersonal relation(p<0.001), poor health condition(p<0.01), low satisfaction with major(p<0.01), the other cause of major choice(p<0.01) influenced on their stress. Satisfaction with major was closely related to clinical practice performance, anxiety, physical fatigue and mental fatigue. Conclusions : In order to reduce physical, mental, neuro sensory fatigue of students in clinical practice, it is recommended to reinforce the patient care etiquettes in curricula.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.1
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• pp.77-87
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• 2012

This study is a descriptive paper addressing the relationship between test anxiety, self-esteem and the mental health levels of freshmen and third year students of Dental Hygienics. In late 2011, we received a total of 298 questionnaires from freshmen and third year Dental Hygienics students of three South Korean universities, located specifically in Seoul and Gyeonggi-do. The timing of this questionnaire was significant because it was one week prior to midterm examinations. The results were as follows:1. There was a statistically significant relationship between age (t=3.017, p<.001) and grade(t=2.665, p<0.05), subjective health status(t=27.513, p<.001). 2. The lower the participants' reported mental health in general, the higher their level of test anxiety (r=.565, p<.001), broken down into two subdivisions: cognitive text anxiety (r=526, p<.001) and emotional test anxiety (r=.534, p<.001). 3. When considering the factors that influence the general mental health of participants, there were age differences. For first year students, their subjeetive health status (${\ss}$=-.300, p<.001) and test anxiety (${\ss}$=.530, p<.001) were significant. For third year students, this was also true (subjective mental condition: ${\ss}$=-.242, p<.001 and test anxiety: ${\ss}$=.350, p<.001) but self-worth was also significant (${\ss}$=.377, p<.001). The results of this study suggest that the key factors that influence the mental health level of students Dental Hygienics are test anxiety, subjective appraisal of health level, and general self-worth. A systematic approach is therefore needed to improve students' mental health and reduce test anxiety. Health management programs which address and test students' physical health will also be important in improving student performance and welfare.

• The Journal of the Korean dental association
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• v.51 no.7
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• pp.405-413
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• 2013

Pediatric and adolescent dental anxiety and fear have been researched in the connection with behavior modification for a long time and this dental anxiety can persist until the adult hoods resulting in extreme fear of and avoidance of dental treatments and causes oral health deterioration. However, the domestic researches regarding adolescent dental anxiety and fear are insufficient. For this reason, this study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Gyeonggi-Do. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students. The distribution of responses in each category of fear was examined by frequency analysis. The analysis was conducted using cross tabulation in order to examine the difference between male students and female students and using independent sample t-test in order to compare the fear score of each category. The study results showed the fear score of female students for the category 'causing irritation during the dental treatments' was significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.