Dental anxiety is a common health problem that results in avoidance of dental care. Individuals with high dental anxiety generally present a greater treatment need than regular attendees and individuals who are not anxious. Highly anxious subjects have more decayed teeth/surfaces and missing teeth and fewer restored teeth. The main factors related to dental fear in previous studies were reported as age, gender, education level, general fear status, the frequency of dental visits, and the self-reported oral health status of the patient.

Up to the present, anxiety has almost always been studied in relation to various Dental Treatment modalities. However, little research has been done in the area of fear as it relates to dental hygiene treatment. The anxiety-provoking character of this kind of treatment seems to have been systematically underestimated.

There are a number of indications suggesting that anxiety and anticipation of pain are also relevant factors in dental hygiene care. Nevertheless, there have been only a few studies investigating the stimuli that contribute to anxiety for dental hygiene care.

In a study in which anxiety and its relationship to regular dental treatment and dental hygiene treatment were investigated, 85 percent of the participants reported feelings of anxiety during dental hygiene treatment. Feelings of anxiety were greater in response to dental hygiene treatment than to dental treatment.

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