European Archives of Paediatric Dentistry

, Volume 12, Issue 6, pp 298–302 | Cite as

Patterns of dental anxiety in children after sequential dental visits

  • D. M. de Menezes AbreuEmail author
  • S. C. Leal
  • J. Mulder
  • J. E. Frencken


AIM: To determine whether gradually exposing Brazilian children to the dental environment would decrease their levels of dental anxiety over a 14.5-month period. sTuDY DESIGN AND METHODS: The study was carried out on 302 children of both genders, aged 6–7 years old. Dental anxiety was assessed using the Facial Image Scale (FIS) at five time points: 1) before an epidemiological examination; 2) before the first treatment session; 3) before the second treatment session; 4) before the first evaluation session 5) before the second evaluation session. STSTISTICS: ANOVA, Student-t tests and ANCOVA were used to analyse the data. RESULTS: There was a statistically significant decrease in levels of dental anxiety between time points 1 and 5. Eighty-nine percent of the children with FIS score 1 or 2 at baseline had the same scores at the last time point, whereas 82% of children with FIS score 4 or 5 at baseline had a FIS score of 1 or 2 at the last time point. CONCLUSION: A gradual exposure of children to the dental environment in sequential dental visits of different natures in a school premise decreased their levels of dental anxiety over a 14.5-month period.


Dental anxiety facial image scale dental caries restorative treatment paediatric dentistry 


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Copyright information

© Adis International 2011

Authors and Affiliations

  • D. M. de Menezes Abreu
    • 1
    Email author
  • S. C. Leal
    • 2
  • J. Mulder
    • 3
  • J. E. Frencken
    • 1
  1. 1.Department of Global Oral Health, College of Dental SciencesRadboud University Nijmegen Medical CentreThe Netherlands
  2. 2.Department of Dentistry, School of Health SciencesUniversity of BrasíliaBrazil
  3. 3.Department of Preventive and Restorative Dentistry, College of Dental SciencesRadboud University Nijmegen Medical CentreThe Netherlands

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