Is there a relationship of negative oral health beliefs with dental fear and anxiety regarding diverse dental patient groups? A systematic review and meta-analysis

Objectives This systematic review and meta-analysis aimed to critically appraise the evidence on the relationship of oral health beliefs with dental fear and anxiety in distinct patient groups. Materials and methods Observational studies were retrieved by Cochrane, Embase Search, Portal BVS, Clinica...

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Bibliographic Details
Published in:Clinical oral investigations 2019-09, Vol.23 (9), p.3613-3621
Main Authors: Strieder, Anna Paola, Oliveira, Thaís Marchini, Rios, Daniela, Cruvinel, Agnes Fátima Pereira, Cruvinel, Thiago
Format: Article
Language:English
Subjects:
Adolescent
Anxiety
Bias
Case-Control Studies
Child
Clinical trials
Cross-Sectional Studies
Culture
Dental Anxiety
Dental Care
Dentistry
Fear
Humans
Medicine
Meta-analysis
Oral Health
Oral hygiene
Original Article
Patients
Systematic review
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Summary:Objectives This systematic review and meta-analysis aimed to critically appraise the evidence on the relationship of oral health beliefs with dental fear and anxiety in distinct patient groups. Materials and methods Observational studies were retrieved by Cochrane, Embase Search, Portal BVS, Clinical Trials, Ovid, Open Gray, PubMed, Scopus, and Web of Science, and they were manually checked for the inclusion of additional articles of interest. The assessment of quality of studies was performed by the application of three different versions of the Newcastle-Ottawa Scale, for cohort, case-control, and cross-sectional studies. Only studies with low or unclear/moderate risk of bias contributed to meta-analyses, regarding the analysis of random effects of mean differences of dental beliefs scores between dental fear/anxiety and control groups, and the correlation of dental beliefs with dental fear and anxiety measures. Results Of 276 articles initially retrieved, 10 were included in the systematic review, while only 6 studies with unclear/moderate risk of bias were considered in meta-analyses. The mean difference of dental beliefs effects was higher in patients with dental fear and anxiety compared to controls (1.20; 95% CI 0.27–2.14; P  = 0.01). Additionally, a moderate positive correlation was observed between dental beliefs and dental fear measures ( r  = 0.54, 95% CI 0.47–0. 60; P
ISSN:1432-6981
1436-3771
DOI:10.1007/s00784-018-2786-2