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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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| Published in: | Clinical oral investigations 2019-09, Vol.23 (9), p.3613-3621 |
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| cites | cdi_FETCH-LOGICAL-c372t-9176ab89e56218d0c1879e0ab465eb689b71126fab5e548a7e84b980e46e6f483 |
| container_end_page | 3621 |
| container_issue | 9 |
| container_start_page | 3613 |
| container_title | Clinical oral investigations |
| container_volume | 23 |
| creator | Strieder, Anna Paola Oliveira, Thaís Marchini Rios, Daniela Cruvinel, Agnes Fátima Pereira Cruvinel, Thiago |
| description | 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 |
| doi_str_mv | 10.1007/s00784-018-2786-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2164550101</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2164550101</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-9176ab89e56218d0c1879e0ab465eb689b71126fab5e548a7e84b980e46e6f483</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVpaNKkD9BNEXSTjVuNLEvyqoTQn0Cgm2RtZHvsq-C_auQk93n6otG9N2mh0IWkGc13jgSHsfcgPoEQ5jOlzapMgM2ksTqTr9gJqFxnuTHwel_LTJcWjtlbojshQGmTv2HHudAgpYIT9vuKeNxgQO54wMFFP0-08QufOz5hn_p75HNwA9-gG-KG1zh47Ig_-NS0OMU06tAF7qY2rUePcZucehdaP_W8TfpA-EIuyTBVvA_zutAXfsFpSxHHdN0k1b3Hh73RiNFlbnLDljydsaPODYTvns9Tdvvt683lj-z65_ery4vrrMmNjFkJRrvallhoCbYVDVhTonC10gXW2pa1AZC6c3WBhbLOoFV1aQUqjbpTNj9l5wffJcy_VqRYjZ4aHAY34bxSJUGrohAgIKEf_0Hv5jWk_-6pvCiUMjtDOFBNmIkCdtUS_OjCtgJR7RKsDglWKcFql2Alk-bDs_Naj9j-UbxElgB5ACiNph7D36f_7_oEpW-oPg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2163554478</pqid></control><display><type>article</type><title>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</title><source>Springer Nature</source><creator>Strieder, Anna Paola ; Oliveira, Thaís Marchini ; Rios, Daniela ; Cruvinel, Agnes Fátima Pereira ; Cruvinel, Thiago</creator><creatorcontrib>Strieder, Anna Paola ; Oliveira, Thaís Marchini ; Rios, Daniela ; Cruvinel, Agnes Fátima Pereira ; Cruvinel, Thiago</creatorcontrib><description>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
< 0.001).
Conclusions
Based on these results, the presence of negative health beliefs is directly related to the increase of dental fear and anxiety; however, these findings are supported in studies with unclear/moderate risk of bias.
Clinical relevance
Dental fear and anxiety is an important obstacle for the access of dental treatment and patient-dentist relationship, leading to inadequate oral health levels.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2786-2</identifier><identifier>PMID: 30612241</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Clinical oral investigations, 2019-09, Vol.23 (9), p.3613-3621</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-9176ab89e56218d0c1879e0ab465eb689b71126fab5e548a7e84b980e46e6f483</citedby><cites>FETCH-LOGICAL-c372t-9176ab89e56218d0c1879e0ab465eb689b71126fab5e548a7e84b980e46e6f483</cites><orcidid>0000-0001-7095-908X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30612241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strieder, Anna Paola</creatorcontrib><creatorcontrib>Oliveira, Thaís Marchini</creatorcontrib><creatorcontrib>Rios, Daniela</creatorcontrib><creatorcontrib>Cruvinel, Agnes Fátima Pereira</creatorcontrib><creatorcontrib>Cruvinel, Thiago</creatorcontrib><title>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</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>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
< 0.001).
Conclusions
Based on these results, the presence of negative health beliefs is directly related to the increase of dental fear and anxiety; however, these findings are supported in studies with unclear/moderate risk of bias.
Clinical relevance
Dental fear and anxiety is an important obstacle for the access of dental treatment and patient-dentist relationship, leading to inadequate oral health levels.</description><subject>Adolescent</subject><subject>Anxiety</subject><subject>Bias</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Culture</subject><subject>Dental Anxiety</subject><subject>Dental Care</subject><subject>Dentistry</subject><subject>Fear</subject><subject>Humans</subject><subject>Medicine</subject><subject>Meta-analysis</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Original Article</subject><subject>Patients</subject><subject>Systematic review</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kc1q3TAQhUVpaNKkD9BNEXSTjVuNLEvyqoTQn0Cgm2RtZHvsq-C_auQk93n6otG9N2mh0IWkGc13jgSHsfcgPoEQ5jOlzapMgM2ksTqTr9gJqFxnuTHwel_LTJcWjtlbojshQGmTv2HHudAgpYIT9vuKeNxgQO54wMFFP0-08QufOz5hn_p75HNwA9-gG-KG1zh47Ig_-NS0OMU06tAF7qY2rUePcZucehdaP_W8TfpA-EIuyTBVvA_zutAXfsFpSxHHdN0k1b3Hh73RiNFlbnLDljydsaPODYTvns9Tdvvt683lj-z65_ery4vrrMmNjFkJRrvallhoCbYVDVhTonC10gXW2pa1AZC6c3WBhbLOoFV1aQUqjbpTNj9l5wffJcy_VqRYjZ4aHAY34bxSJUGrohAgIKEf_0Hv5jWk_-6pvCiUMjtDOFBNmIkCdtUS_OjCtgJR7RKsDglWKcFql2Alk-bDs_Naj9j-UbxElgB5ACiNph7D36f_7_oEpW-oPg</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Strieder, Anna Paola</creator><creator>Oliveira, Thaís Marchini</creator><creator>Rios, Daniela</creator><creator>Cruvinel, Agnes Fátima Pereira</creator><creator>Cruvinel, Thiago</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7095-908X</orcidid></search><sort><creationdate>20190901</creationdate><title>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</title><author>Strieder, Anna Paola ; Oliveira, Thaís Marchini ; Rios, Daniela ; Cruvinel, Agnes Fátima Pereira ; Cruvinel, Thiago</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-9176ab89e56218d0c1879e0ab465eb689b71126fab5e548a7e84b980e46e6f483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Anxiety</topic><topic>Bias</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Clinical trials</topic><topic>Cross-Sectional Studies</topic><topic>Culture</topic><topic>Dental Anxiety</topic><topic>Dental Care</topic><topic>Dentistry</topic><topic>Fear</topic><topic>Humans</topic><topic>Medicine</topic><topic>Meta-analysis</topic><topic>Oral Health</topic><topic>Oral hygiene</topic><topic>Original Article</topic><topic>Patients</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strieder, Anna Paola</creatorcontrib><creatorcontrib>Oliveira, Thaís Marchini</creatorcontrib><creatorcontrib>Rios, Daniela</creatorcontrib><creatorcontrib>Cruvinel, Agnes Fátima Pereira</creatorcontrib><creatorcontrib>Cruvinel, Thiago</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strieder, Anna Paola</au><au>Oliveira, Thaís Marchini</au><au>Rios, Daniela</au><au>Cruvinel, Agnes Fátima Pereira</au><au>Cruvinel, Thiago</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>23</volume><issue>9</issue><spage>3613</spage><epage>3621</epage><pages>3613-3621</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>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
< 0.001).
Conclusions
Based on these results, the presence of negative health beliefs is directly related to the increase of dental fear and anxiety; however, these findings are supported in studies with unclear/moderate risk of bias.
Clinical relevance
Dental fear and anxiety is an important obstacle for the access of dental treatment and patient-dentist relationship, leading to inadequate oral health levels.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30612241</pmid><doi>10.1007/s00784-018-2786-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7095-908X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2019-09, Vol.23 (9), p.3613-3621 |
| issn | 1432-6981 1436-3771 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2164550101 |
| source | Springer Nature |
| 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 |
| title | 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 |
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