This was to study prospectively a cohort of children as to whether behaviour at a 3-year examination, exposure to
medical care and operative dental treatment are associated with each other, and with the level of dental apprehension at 9 years of age.
Data were collected at three subsequent dental examinations of 126 children (67 boys, 59 girls). Cooperation, general
health condition and operative dental treatment during the preceding 3 years were obtained at dental examinations with 3-year intervals,
i.e. at 3, 6 and 9 years of age. Children's dental apprehension was assessed at the age of 9 years. The data were analysed using an
ordinal logistic regression model.
Dental apprehension at 9 years of age was associated with frequent exposure to invasive
medical care (p<0.001) and past experience of operative dental care (p<0.002), but not with cooperation at 3 years of age (p=0.124).
Frequent invasive medical care in early childhood and operative dental treatment, tooth extractions in
particular, are associated with dental apprehension at 9 years of age.
Vol.4 – n.4/2003
Harvard: S. Karjalainen, J. Olak, E. Sderling, K. Pienihkkinen, O. Simell (2003) "Frequent exposure to invasive medical care in early childhood and operative dental treatment associated with dental apprehension of children at 9 years of age", European Journal of Paediatric Dentistry, 4(4), pp186-190. doi:
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