Factors affecting dental fear in French children aged 5–12 years

International Journal of Paediatric Dentistry 2010; 20: 366–373 Background.  While dental anxiety is often correlated with prior negative dental experience, prevention of dental anxiety should in theory include early exposure to the dental setting. Objective.  We set out to evaluate factors affecting dental fear in French children. Methods.  Dental fear was evaluated using a visual analogue scale (DF-VAS) in a group of 1303 French children (681 boys and 622 girls) aged 5–11 years (mean: 8.12 years, SD: 1.42 years). Indicators of caries and oral hygiene were evaluated on dental examination. Indicators of well-being related to oral health, dental experience, and oral health education were collected via a structured interview. Results.  Dental fear was scored low in 75.7% (DF-VAS 0–3), moderate in 16.7% (DF-VAS 4–6), and high in 7.6% (DF-VAS 7–10). DF-VAS decreased statistically with experience of a prior dental visit. Children who had at least one decayed tooth presented a higher level of dental fear than those with no decay, while children with fillings were significantly less anxious than those without previous dental care. Conclusions.  This study shows that for children aged 5–12 years, prior experience of the dental setting can act as a positive component of dental fear.