{"title":"Dental anxiety in cooperative preschool children during their first dental visit to the pediatric dentistry department: a cross-sectional study.","authors":"Alaa Snobar, Chaza Kouchaji, Jamila Bchara","doi":"10.1186/s12887-026-07393-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Dental fear and anxiety (DFA) is a psychological response ranging from mild apprehension to severe phobia of dental procedures, affecting children and adolescents. Its prevalence is highly variable globally, influenced by culture, family conditions, personality traits, and assessment tools.This study aimed to assess dental anxiety levels in cooperative children aged 4-6 during their first dental visit using both self-reported and physiological measures.</p><p><strong>Methods: </strong>A cross-sectional study included 100 children attending a pediatric dental clinic for the first time. The sample was collected from patients visiting the pediatric dentistry department in the faculty of dentistry. Self-reported anxiety was assessed using the Facial Image Scale (FIS), and pulse rate was recorded as a physiological indicator.</p><p><strong>Results: </strong>The sample comprised 44% males and 56% females. No significant differences were found among age and gender groups for FIS scores (p = 0.162, p = 0.811) or pulse rate in age groups (p = 0.552), but females exhibited significantly higher pulse rates than (mean 106.93vs. 95.52 bpm, p = 0.007).</p><p><strong>Conclusion: </strong>Dental anxiety is similar across ages 4-6 during the first visit, with girls showing higher physiological indicators. Monitoring both self-reported and physiological measures is essential, Future studies should include non-cooperative children and assess pulse rate at multiple time points to better distinguish situational arousal from dental anxiety.</p><p><strong>Clinical trial registration number: </strong>Not applicable.</p>","PeriodicalId":9144,"journal":{"name":"BMC Pediatrics","volume":"26 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13689192/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12887-026-07393-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Dental fear and anxiety (DFA) is a psychological response ranging from mild apprehension to severe phobia of dental procedures, affecting children and adolescents. Its prevalence is highly variable globally, influenced by culture, family conditions, personality traits, and assessment tools.This study aimed to assess dental anxiety levels in cooperative children aged 4-6 during their first dental visit using both self-reported and physiological measures.
Methods: A cross-sectional study included 100 children attending a pediatric dental clinic for the first time. The sample was collected from patients visiting the pediatric dentistry department in the faculty of dentistry. Self-reported anxiety was assessed using the Facial Image Scale (FIS), and pulse rate was recorded as a physiological indicator.
Results: The sample comprised 44% males and 56% females. No significant differences were found among age and gender groups for FIS scores (p = 0.162, p = 0.811) or pulse rate in age groups (p = 0.552), but females exhibited significantly higher pulse rates than (mean 106.93vs. 95.52 bpm, p = 0.007).
Conclusion: Dental anxiety is similar across ages 4-6 during the first visit, with girls showing higher physiological indicators. Monitoring both self-reported and physiological measures is essential, Future studies should include non-cooperative children and assess pulse rate at multiple time points to better distinguish situational arousal from dental anxiety.
Clinical trial registration number: Not applicable.
期刊介绍:
BMC Pediatrics is an open access journal publishing peer-reviewed research articles in all aspects of health care in neonates, children and adolescents, as well as related molecular genetics, pathophysiology, and epidemiology.