Related Experiment Videos
DENTAL ANXIETY AND FEAR: A POTENTIAL BARRIER TO PERIODONTAL HEALTH
Clement Wei Ming Lai1, Jacob Chew Ren Jie1, Francine Seah1
1Faculty of Dentistry, National University of Singapore, Singapore.
Objectives:
To examine the association of dental anxiety and fear (DFA) with periodontal disease and dental healthcare utilisation among adults in a multiethnic Asian population.
Methods:
Cross-sectional data were analysed from a community-based study of 238 adults who completed the Index of Dental Anxiety and Fear core (IDAF-4C) and stimulus module questionnaires, and underwent full-mouth oral examinations. High DFA was defined as a mean IDAF-4C score ≥2.5. Multivariable regressions examined the associations between high DFA, and measures of periodontal health and dental healthcare utilisation.
Results:
Overall, 18% of participants had high DFA. Compared with participants with low anxiety, those with high DFA had a higher occurrence of irregular dental attendance (PR: 1.83, 95% CI: 1.16, 2.89), and higher prevalence of moderate/severe periodontitis (PR: 1.23, 95% CI: 1.03, 1.46), and greater bleeding on probing (%BOP) (mean difference: 11.90%, 95% CI: 3.77, 20.02), even after adjusting for potential confounders. Treatment costs and fear of painful or uncomfortable procedures were the most prominent anxiety-provoking stimuli.
Conclusions:
High dental anxiety was common and associated with poorer periodontal health and irregular dental attendance in this multiethnic Asian population. These findings suggest that DFA may be a potentially modifiable barrier to timely periodontal care. Future prospective and interventional research could evaluate the value of routine DFA assessment and develop and test targeted interventions addressing the procedural and structural drivers of DFA.
Clinical Significance Statement:
Dental anxiety is prevalent. Identifying patients who require tailored communication, upfront discussion of treatment costs, and targeted pain-control strategies may support dental attendance and earlier periodontal management.
Related Concept Videos
Tooth Anatomy
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
The Oral Microbiota
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Development of the Oral Microbiota
Psychosexual Stages of Personality: Oral
Weaning, typically occurring around the age...