Dental anxiety among survivors of childhood cancer: a cross-sectional study.
BACKGROUND
Childhood cancer survivors may have experienced a high number of invasive medical and dental procedures which are known to be risk factors for dental anxiety.


OBJECTIVE
The aim of this study was to examine the prevalence of dental anxiety among children who have survived cancer.


METHODS
In a cross-sectional study, we examined 51 6- to 14-year-old children who had been treated for cancer at Aalborg Hospital, and 192 children without cancer. All children answered the Dental Subscale of the Children's Fear Survey Schedule. Dental anxiety was defined as a dental anxiety score exceeding the mean dental anxiety score + 1 standard deviation for the children without cancer.


RESULTS
Children with cancer did not have an increased prevalence of dental anxiety compared with children without cancer: the prevalence ratio was 0.41 [95% confidence interval (CI): 0.10-1.24]. The mean dental anxiety score was 23.1 (95% CI: 21.2-25.0) among children who had been treated for cancer, and 24.7 (95% CI: 23.4-26.0) among children without cancer (mean difference: 1.6; 95% CI: 1.1-4.3).


CONCLUSIONS
Cancer and cancer treatment during childhood were not associated with an increased risk of dental anxiety in this population.
Wogelius
Pia
P
Department of Pediatric Dentistry, School of Dentistry, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark. wog-fb@aalborg.dk
Rosthøj
Steen
S
Dahllöf
Göran
G
Poulsen
Sven
S
D000293:Adolescent; D016022:Case-Control Studies; D016543:Central Nervous System Neoplasms / Q000150:complications / Q000523:psychology*; D002648:Child; D003430:Cross-Sectional Studies; D003718:Denmark / Q000453:epidemiology; D016854:Dental Anxiety / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007938:Leukemia / Q000150:complications / Q000523:psychology*; D008223:Lymphoma / Q000150:complications / Q000523:psychology*; D008297:Male; D015995:Prevalence; D012016:Reference Values; D017741:Survivors / Q000523:psychology*