DOI: 10.4103/jisppd.jisppd_234_26 ISSN: 0970-4388

Evaluation of the influence of child–parent relationship on dental fear in children: A cross-sectional study

Sakshi Chawla, Dhanashree Dalal, Madhura Pawar, Sakshi Bhude, Lalit Patil, Sneha Panamgipalli

ABSTRACT

Background:

Dental fear and anxiety can complicate treatment delivery in children, while the contribution of broader child–parent relationship characteristics remains uncertain.

Aims:

The study aimed to evaluate the association between child–parent relationship domains and dental fear among children aged 6–12 years.

Settings and Design:

A cross-sectional observational study was conducted at a tertiary dental care center.

Materials and Methods:

Children attending the Department of Pediatric and Preventive Dentistry were recruited consecutively. Dental fear was assessed using the 17-item Modified Children’s Fear Survey Schedule–Dental Subscale, and child–parent relationship quality was evaluated using the 30-item Child–Parent Relationship Scale. Closeness, conflict, and dependency were analyzed as domain scores. Of 300 available records, 299 met the eligibility criteria for the primary analysis.

Statistical Analysis Used:

Descriptive statistics, Cronbach’s alpha, Spearman’s rank correlation, Mann–Whitney U -test, and multiple linear regression were applied. Statistical significance was set at P < 0.05.

Results:

The mean dental fear score was 33.61 ± 7.30. Tooth extraction, syringe-related procedures, and drilling produced the highest fear scores. Closeness ( r s = −0.036, P = 0.534), conflict ( r s =0.065, P = 0.260), and dependency ( r s = −0.004, P = 0.940) were not significantly associated with dental fear. Age and sex were also not associated with dental fear, and adjusted analysis yielded comparable findings.

Conclusions:

Dental fear was more closely related to procedure-specific concerns than to the child–parent relationship domains assessed in this study. Particular attention should be directed toward fear associated with needles, drilling, and anticipated extraction.