Schedule - Dental Subscale Dental fear in schoolchildren: a pilot study using the Children’s Fear Survey Schedule - Dental Subscale

Natália Medeiros Andrade, Isla Camilla Carvalho Laureano, Lunna Farias, Liege Helena Freitas Fernandes, Alessandro Leite Cavalcanti


To estimate the prevalence of dental fear in schoolchildren and verify its association with gender, age group and oral health habits. Cross-sectional study with 44 elementary students from public schools. Data on sociodemographic issues and children's oral health habits were collected and the Children’s Fear Survey Schedule - Dental Subscale (CFSS-DS) questionnaire was applied. Descriptive analysis of the data was performed, Fisher's Exact and U Mann-Whitney tests (p <0.05). The prevalence of dental fear was 6.8% and the average of the total score of the CFSS-DS was 26.43 ± 7.20, median of 24.50, IQR25-75 21-33, minimum score of 16 and a maximum of 42. Most children had a low level of dental fear (95.5%). The levels of dental fear did not show statistically significant associations between sex (p = 0.162), age group (p = 0.181), having visited the dentist once in life (p = 0.201), complaints of tooth pain (p = 0.522) and complaints of tooth sensitivity (p = 0.181). The prevalence of dental fear was low and most children had a low level of dental fear. There was no association between dental fear and the variables sex, age, having visited the dentist at any time in life, complaints of pain and complaints of dental sensitivity.


Dental Anxiety; Child; Pediatric Dentistry.


Achmad, M. H., Horax, S., Rizki, S. S., Ramadhany, S., Singgih, M. F., Handayani, H., & Sugiharto, S. (2019) Pulse Rate Change After Childhood Anxiety Management with Modeling and Reinforcement Technique of Children's Dental Care. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 19(1), 1-7.

Armfield, J. M., Mohan, H., Luzzi, L., & Chrisopoulos, S. (2014) Dental anxiety screening practices and self-reported training needs among Australian dentists. Australian Dental Journal, 59(4), 464-472.

Barbério, G. S. (2017) Confiabilidade e validade do questionário Children's Fear Survey Schedule-Dental Subscale para avaliação do medo e ansiedade ao tratamento odontológico em crianças. 74p. Tese (Doutorado) – Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru.

Barreto, K. A., Prazeres, L. D. K. T., Lima, D. S. M., Redivivo, R. M. M. P., & Colares, V. (2017) Children’s Anxiety during Dental Treatment with Minimally Invasive Approaches: Findings of an Analytical Cross-sectional Study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 17(1), 1-9.

Beena, J. P. (2013) Dental subscale of children's fear survey schedule and dental caries prevalence. European Journal of Dentistry, 7(2), 181-185.

Caprioglio, A., Mariani, L., & Tettamanti, L. (2009) A pilot study about emotional experiences by using CFSS-DS in young patients. European Journal of Paediatric Dentistry, 10(3), 121-124.

Cianetti, S., Lombardo, G., Lupatelli, E., Pagano, S., Abraha, I., Montedori, A., Caruso, S., Gatto, R., De Giorgio, S., & Salvato, R. (2017) Dental fear/anxiety among children and adolescents. A systematic review. European Journal of Paediatric Dentistry, 18(2), 121-130.

Cuthbert, M. I., & Melamed, B. G. (1982) A screening device: children at risk for dental fears and management problems. ASDC J Dent Child, 49(6), 432-436.

El-Housseiny, A. A., Alsadat, F. A., Alamoudi, N. M., El Derwi, D. A., Farsi, N. M., Attar, M. H., & Andijani, B. M. (2016) Reliability and validity of the Children’s Fear Survey Schedule-Dental Subscale for Arabic-speaking children: a cross-sectional study. BMC Oral Health, 16(49), 1-9.

El-Housseiny, A. A., Farsi, N. M., Alamoudi, N. M., Bagher, S., & El Derwi, D. (2014) Assessment for the Children’s Fear Survey Schedule—Dental Subscale. The Journal of Clinical Pediatric Dentistry¸ 39(1), 40-46.

Instituto Brasileiro de Geografia e Estatística (IBGE). (2019). Brasil/Paraíba/Campina Grande. Panorama. Acesso em 16 de março de 2020, em

Kakkar, M., Wahi, A., Thakkar, R., Vohra, I., & Shukla, A. K. (2016) Prevalence of dental anxiety in 10-14 years old children and its implications. Journal of Dental Anesthesia and Pain Medicine, 16(3), 199-202.

Lalić, M., Aleksić, E., Milić, J., Malesevic, A., & Jovicic, B. (2015) Reliability and validity of the Serbian version of Children's Dental Fear Questionnaire. Vojnosanitetski pregled, 72(7), 602-607.

Marconi, M., & Lakatos, E. (2011) Metodologia científica. 6. ed. São Paulo: Atlas, 320p.

Ollé, L. A., Araújo, C., Casagrande, L., Bento, L. W., Santos, B. Z., & Dalpian, D. M. (2016) Anxiety in Children submitted to Dental Appointment. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 16(1), 167-175.

Sathyaprasad, S., Lalugol, S. S., & George, J. (2018) Prevalence of Dental Anxiety and Associated Factors among Indian Children. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 18(1), 1-10.

Soares, F. C., Lima, R. A., Barros, M. V. G., Dahllöf, G., & Colares, V. (2017) Development of dental anxiety in schoolchildren: A 2-year prospective study. Community Dentistry and Oral Epidemiology, 45(3), 281-288.

Soares, F. C., Lima, R. A., Barros, M. V. G., & Colares, V. (2014) Factors Associated with Dental Anxiety in Brazilian Children of 5 to 8 years. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 14(2), 97-105.

Soares, F. C., Lima, R. A., Santos, C. F. B. F., Barros, M. V, & Colares, V. (2016) Predictors of dental anxiety in Brazilian 5-7 years old children. Comprehensive Psychiatry, 67(1), 46-53.

Wang, M., Vinall-Collier, K., Csikar, J., & Douglas, G. (2017) A qualitative study of patients’ views of techniques to reduce dental anxiety. Journal of Dentistry, 66(1), 45-51.

Wu, L., & Gao, X. (2018) Children’s dental fear and anxiety: exploring family related factors. BMC Oral Health, 18(1), 100.

Yahyaoglu, O., Baygin, O., Yahyaoglu, G., & Tuzuner, T. (2018) Effect of Dentists’ Appearance Related with Dental Fear and Caries Status in 6-12 Years Old Children. The Journal of Clinical Pediatric Dentistry¸ 42(4), 262-268.



  • There are currently no refbacks.

Base de Dados e Indexadores: Base, Diadorim,, DOI Crossref, Dialnet, Scholar Google, Redib, Doaj, Latindex, Portal de Periódicos CAPES

Research, Society and Development - ISSN 2525-3409

Licença Creative Commons
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional

Rua Irmã Ivone Drumond, 200 - Distrito Industrial II, Itabira - MG, 35903-087 (Brasil)