Child dental fear: cause-related factors and clinical effects

The relationship between child dental fear and clinical effects, and the importance of some etiological factors related to the development of dental fear in children, were studied in 3,204 urban Swedish children aged 4 to 6 and 9 to 11 yr. Information concerning child dental fear (as measured by the Dental Subscale of Children's Fear Survey Schedule), general fears, parental dental fear, parents' employment and native language was obtained through questionnaires. Data regarding dental health, behavior management problems (BMP) and modes of dental treatment were compiled from dental records. The results showed that child dental fear was associated with missing appointments and dental caries. A proportion of 27% of the children with BMP were dentally fearful, while 61% of the children with dental fear reacted with BMP. A model for stepwise regression analysis showed that general fears, maternal dental fear, and age were important etiological factors in the development of dental fear in children.