Cognitive vulnerability and dental fear
2008

Understanding Dental Fear: The Role of Perceptions

Sample size: 3937 publication 10 minutes Evidence: moderate

Author Information

Author(s): Armfield Jason M, Slade Gary D, Spencer A John

Primary Institution: Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, South Australia, Australia

Hypothesis

Vulnerability-related perceptions would be significantly associated with dental fear after controlling for other possible confounding variables.

Conclusion

Perceptions of uncontrollability and dangerousness are significantly associated with high dental fear.

Supporting Evidence

  • High dental fear is prevalent among individuals who perceive dental visits as uncontrollable.
  • Perceptions of dangerousness significantly increase the odds of high dental fear.
  • Unpredictability did not show a significant independent association with dental fear after controlling for other variables.

Takeaway

People who feel like they have no control or think going to the dentist is dangerous are more likely to be very afraid of dental visits.

Methodology

The study used a clustered, stratified national sample of Australians aged 15 years and over, assessing dental fear through telephone interviews and self-complete questionnaires.

Potential Biases

Participants with high dental fear may have been less likely to attend the dental examination, potentially skewing results.

Limitations

The study used single-item measures for dental fear and vulnerability perceptions, and the cross-sectional design limits cause-and-effect conclusions.

Participant Demographics

Mean age was 44 years, with 52.2% female; participants were from various Australian states and territories.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI for high dental fear prevalence ranged from 4.74 to 15.19 for ages 15-24.

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6831-8-2

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