Community Dental Health

cover art

Cover Date:
December 2015
Vol:
32
Issue:
4

Dental anxiety and oral health in 15-year-olds: a repeated cross-sectional study over 30 years

Objectives: To report the prevalence of dental anxiety in Swedish 15-year-olds over a 30-year period (1973-2003) and how dental anxiety
relates to oral health. Basic research design: The study used a repeated cross-sectional design. Participants: In 1973, 1983, 1993, and
2003, random samples of 96 to 107 15-year-olds were selected from the city of Jönköping, Sweden, 405 overall. Main Outcome Measures: Dental anxiety (DA) and its association with oral health (caries, gingivitis, plaque, fillings) were analysed (α=0.05). Results: The
proportions of dentally anxious during the period were 38% (n=37) in 1973, 26% (n=28) in 1983, 18% (n=15) in 1993 and 13% (n=12)
in 2003 a clearly decreasing trend with time. The strongest predictor of DA was gender, with girls reporting higher levels of DA. In three
of the four examination years, adolescents with DA had more filled permanent surfaces than those without DA. Those with DA had a
greater caries experience only in 1973. No associations were found between DA and plaque or gingivitis. Multivariate logistic modelling
confirmed that DA decreased over time and that girls had higher levels of DA. Conclusions: This study showed a clear decrease in DA in
15-year-olds over a 30-year period, with a greater proportion of girls being more dentally anxious. The results also indicate a relationship
between DA and oral health; the dentally anxious having more filled surfaces and, only in 1973, more decayed tooth surfaces.

Key words: adolescence, dental anxiety, oral health, dental caries, prevalence, Sweden

Article Price
£15.00
Institution Article Price
£
Page Start
221
Page End
225
Authors
A. Stenebrand, M. Hakeberg, A. Nydell Helkimo, G. Koch, U. Wide Boman

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