Key Points
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Encourages clinicians to conduct formal assessment of children's dental anxiety using validated questionnaires in line with SDCEP guidelines' recommendations.
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Raises a question on parents'/guardians' judgment of their child's dental anxiety and encourages children's self-reported dental anxiety assessments.
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Describes children's self-reported dental anxiety to be present in 18% of study participants.
Abstract
Background Healthcare professionals often rely on parents to provide accurate dental anxiety assessment for their children. To date no studies have reported on inter-rater agreement between children's self-reported and their parents'/guardians' proxy-reported dental anxiety in the UK.
Aims To assess the frequency of self-reported dental anxiety in 7–16-year-old children and the inter-rater agreement between children's self-reported and parent/guardian proxy-reported dental anxiety for their children.
Methods Data were collected prospectively from 7–16-year-old children and their parents/guardians attending two community dental clinics in Fife, Scotland (July 2012–January 2013). Dental anxiety was assessed using faces version of Modified Child Dental Anxiety Scale. Questionnaires were separately and independently completed by children and their accompanying parent or guardian.
Results One hundred and thirty-two child-parent/guardian pairs participated in this study. Children's self-reported dental anxiety was 18% (n = 24, 95% CI 12–25). Inter-rater agreement between children and their parent/guardian was poor for dental filling (linear weighted kappa coefficient 0.17) and tooth extraction (0.20), whereas other questions had fair inter-rater agreement (0.21–0.34). Parents' proxy-reported assessments significantly failed to recognise dental anxiety in 46% (n = 11) dentally anxious children (p = 0.0004).
Conclusion Parent/guardian proxy-reported dental anxiety differs from children's self-reported dental anxiety suggesting children should be encouraged to self-report their dental anxiety.
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References
The Scottish Dental Clinical Effectiveness Programme. Oral health assessment and review dental clinical guidance. 2012. Online information available at http://www.sdcep.org.uk/index.aspx?o=3079 (accessed January 2015).
Nuttall N M, Gilbert A, Morris J . Children's dental anxiety in the United Kingdom in 2003. J Dent 2008; 36: 857–860.
Wogelius P, Poulsen S . Associations between dental anxiety, dental treatment due to toothache, and missed dental appointments among six to eight-year-old Danish children: a cross-sectional study. Acta Odontol Scand 2005; 63: 179–182.
Wong H M, Humphris G M, Lee G T . Preliminary validation and reliability of the Modified Child Dental Anxiety Scale. Psychol Rep 1998; 83: 1179–1186.
Marshman Z, Hall M J . Oral health research with children. Int J Paediatr Dent 2008; 18: 235–242.
Gustafsson A, Arnrup K, Broberg A G, Bodin L, Berggren U . Child dental fear as measured with the Dental Subscale of the Children's Fear Survey Schedule: the impact of referral status and type of informant (child versus parent). Community Dent Oral Epidemiol 2010; 38: 256–266.
Morgan A G, Madahar A K, Deery C . Acceptability of fissure sealants from the child's perspective. Br Dent J 2014; 217: E2.
Summary of: 'I felt weird and wobbly.' Child-reported impacts associated with a dental general anaesthetic. Br Dent J 2014; 216: 470–471.
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Morgan, A. Summary of: Inter-rater agreement between children's self-reported and parents' proxy-reported dental anxiety. Br Dent J 218, 236–237 (2015). https://doi.org/10.1038/sj.bdj.2015.125
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DOI: https://doi.org/10.1038/sj.bdj.2015.125
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