Dental Fear and the associated Factors of some Middle School Students in Cheongju-City

청주시 일부 중학생들의 치과공포도와 치과공포 요인

  • 심연수 (청주대학교 치위생학과) ;
  • 김아현 (연세대학교 치과대학 예방치과학교실) ;
  • 안소연 (원광대학교 치과대학 산본치과병원 소아치과/원광치의학연구소)
  • Received : 2013.06.14
  • Accepted : 2013.07.17
  • Published : 2013.09.28


This study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Cheongju-City. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students for a week from December 19th 2011. The survey result showed that 77 male students and 169 female students(total 246 students) answered 'yes' to the question 'Have you ever felt fear when you visited a dentist?' among 475 students who had visited a dentist in the past. The distribution of responses in each category of fear was examined by frequency analysis. The study results showed significant difference in the item of 'causing irritation during the dental treatments' between male students and female students (p<0.05). Converting the level of fear into scores after marking the answers, the score of male students was 52.0 points and the score of female students was 58.53 showing the score of female students was significantly higher in statistics. Moreover, the fear score of female students for the category 'causing irritation during the dental treatments' was also significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.


Adolescent;Dental Anxiety;Dental Fear;Middle School Student


  1. R. E. McDonald and D. R. Avery, Dentistry for the child and adolescent, The CV. Mosby Co. pp.27-38, 1978.
  2. 오애영, 김지영, 이형숙, 최연희, 송근배, "대구지역 일부 초등학교 아동들의 치과공포감과 구강건 강관련 삶의 질의 관련성", 대한구강보건학회지, 제35권, 제1호, pp.93-101, 2011.
  3. 보건복지부, 2010 국민구강건강실태조사, 서울, 보건복지부, 2010.
  4. 세미나리뷰, 국민 10명중 4명은 치과치료전무, 제194호, 2004.
  5. 위유민, 이창섭, 이상호, "소아환자의 치과의사 복장에 대한 선호도 연구", 대한소아치과학회지, 제29권, 제2호, pp.168-179, 2002.
  6. G. Klingberg, U. Berggren, and S. Carlsson, "Child dental fear: cause-related factors and clinical effects," European Journal of Oral Sciences, Vol.103, No.6, pp.405-412, 1995.
  7. O. Vassend, "Anxiety, pain and discomfort associated with dental treatment," Behav Res Ther, Vol.31, No.7, pp.659-666, 1993.
  8. G. Kvale, E. Berg, and M. Raadal, "The ability of Corah's Dental Anxiety Scale and Spielberger's State Anxiety Inventory to distinguish between fearful and regular Norwegian dental patients," Acta Odontol Scand, Vol.56, pp.105-109, 1998.
  9. H. Buchanan and N. Niven, "Validation of a Facial Image Scale to assess child dental anxiety," Int J Paediatr Dent, Vol.12, pp.47-52, 2002.
  10. D. Locker, A. Liddell, and L. Dempster, "Age of onset of dental anxiety," J Dent Res, Vol.78, No.3, pp.790-796, 1999.
  11. P. Milgrom, L. Fiset, and S. Melnick, "The prevalence and practice management consequences of dental fear in a major US city," J Am Dent Assoc, Vol.116, No.6, pp.641-647, 1998.
  12. 신연순, 수면치과치료가 환자 만족도와 재이용 의사에 미치는 영향, 계명대학교 대학원 석사학위논문, 2008.
  13. R. A. Kleinknecht, R. M. Thorndike, and F. D. McGlynn, "Factor analysis of the dental fear survey with cross-validation," J Am Dent Assoc, Vol.108, pp.59-61, 1984.
  14. 박소영, 한동운, "중학생들의 치과공포와 불안에 미치는 요인", 대한구강보건학회지, 제34권, 제2호, pp.282-290, 2010.
  15. 최성숙, 김지영, 송근배, "개인치과의원 내원 청소년들의 치과치료 공포감에 대한 관련요인 분석 ", 대한구강보건학회지, 제28권, 제4호, pp.409-503, 2004.
  16. 권수진, 최유진, "경남지역 청소년들이 치과진료 형태가 치과공포감에 미치는 영향", 한국콘텐츠학회논문지, 제10권, 제2호, 2010.
  17. 이효영, 나미향, 이용환, "치과치료 공포감 관련 요인분석", 한국치위생학회지, 제12권 제1호, pp.57-65, 2012.
  18. R. Moore, H. Birn, and E. Kirkegaard, "Prevalence and characteristics of dental anxiety in Danish adults," Community Dent Oral Epidemiol, Vol.21, pp.292-296, 1993.
  19. A. Akbay Oba, C. T. Dülgergil, and I. S. Sonmez, "Prevalence of dental anxiety in 7- to 11-year-old children and its relationship to dental caries," Med Princ Pract, Vol.18, No.6, pp.453-457, 2009.
  20. 심연수, 김아현, 안소연, "경기도 일부지역 청소년들의 치과공포 및 불안에 대한 연구", 제38권, 제4호, pp.362-367, 2010.
  21. 홍선화, 오정숙, "일부 고등학생의 치과치료 공포감에 대한 관련요인분석", 한국치위생학회지, 제12권, 제4호, pp.741-749, 2012.
  22. G. M. Humphris, T. Morrison, and S. J. Lindsay, "The modified dental anxiety scale: validation and United Kingdom norms," Community Dent Health, Vol.12, No.3, pp.143-150, 1995.
  23. H. Erten, Z. Z. Akarslan, and E. Bodrumlu, "Dental fear and anxiety levels of patients attending a dental clinic," Quintessence Int, Vol.37, pp.304-310, 2006.
  24. B. Peretz and J. Efrat, "Dental anxiety among young adolescent patients in Israel," Int J Paediatr Dent, Vol.10, pp.126-132, 2000.
  25. H. Lautch, "Dental phobia," Br J Phychiatry, Vol.119, pp.151-158, 1971.
  26. R. A. Kleinknecht, R. K. Klepac, and L. D. Alexander, "Origins and characteristics of fear of dentistry," J Am Dent Assoc, Vol.86, No.4, pp.842-848, 1973.
  27. 최성숙, "중학생들의 치과치료 공포수준에 미치는 요인", 한국치위생학회지, 제10권, 제4호, pp.585-593, 2010.
  28. J. M. Holtzman, R. G. Berg, J. Mann, and D. B. Berkey, "The relationship of age and gender to fear and anxiety in response to dental care," Spec Care Dentist, Vol.17, pp.82-87, 1997.
  29. 유성이, 아동의 치과병원 공포감소를 위한 인지 행동적 접근법의 효과에 관한 연구, 서울여자대학교 대학원 석사 학위논문, 1993.
  30. 김지영, "일부 중학생들의 치과치료에 대한 공포감과 치과의료종사자들에 대한 신뢰성", 대한구강보건학회지, 제31권, 제3호, pp.407-415, 2007.
  31. 전영신, "음악감상이 치과치료시 경험하는 불안과 통증감소에 미치는 효과", 한국음악치료학회지, Vol.6, No.1, pp.35-47, 2004.
  32. Y. Satoch, E. Naagai, and M. Sakamura, "Relaxation effect of an audiovisual system on dental patients, Part 2 Pulse-Amplitude," J Nihon Univ Sch Dent, Vol.37, No.3, pp.138-145, 1995.

Cited by

  1. Related factors to dental fear in some adults vol.14, pp.6, 2014,