Scoping Review of Dental Anxiety among Children
and Adolescents in Saudi Arabia
Volume 4 - Issue 1
Abdullah Ali H Alzahrani*
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- Department of Dental Health, Faculty of Applied Medical Sciences, Albaha University, Saudi Arabia
*Corresponding author:
Abdullah Ali H Alzahrani, Dental Health Department, Faculty of Applied Medical Sciences, Albaha University,
Saudi Arabia
Received: February 26, 2020; Published: March 05, 2020
DOI: 10.32474/IPDOAJ.2020.04.000177
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Abstract
Background: Dental anxiety (DA) has shown to be a complex concept associated with multiple factors including parents and
children previous episodes of DA, poor oral health, avoidance of appointments, and unstable overall health. Thus, exploring this
issue among Saudi children is highly important.
Aim: This scoping study aims to review the nature of research conducted on dental anxiety among Saudi children and
adolescents.
Methods: Arksey and O’Malley’s scoping review methodology was used. Relevant cross-sectional studies, case reports, cohort
studies, randomized and non-randomized control trials, systematic and scoping reviews published between 1900 and the end of
January 2020 were extracted from MEDLINE via PubMed, MEDLINE via Voids, Web of Knowledge, Cochrane, CINAHL, Embase, and
Scopus, and were assessed for their eligibility.
Results: A total of 18 eligible studies were included. Six articles evaluated validity of different DA measures; four assessed
effectiveness of different distraction techniques in reducing DA; four examined association of previous dental experiences with DA;
and four explored causative factors associated with DA.
Conclusion: To advocate reducing the level of children’s DA, dentists must not consider only common causative factors such
as anaesthesia, dental extraction, and numbness; but also socio-dental aspects related to DA including children’s previous painful
experiences, gender, age, and oral health related quality of life.
Key Message
Dental practitioners must consider the common causative factors and socio-dental aspects associated with dental anxiety as
this could help in reducing dental anxiety level among children.
Keywords: Dental anxiety; dental fear; dental phobia; children; scoping review
Abbreviations: DA: Dental Anxiety; OHRQoL: Oral Health Related Quality of Life; ACDAS: A beer Children Dental Anxiety Scale;
CFSS-DS: Children’s Fear Survey Schedule-Dental Subscale
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