International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 14 , ISSUE S2 ( Special Issue (Behaviour Management), 2021 ) > List of Articles


Child Dental Patient's Anxiety and Preference for Dentist's Attire: A Cross-sectional Study

Sujatha Paranna, Asha Nara, Ashwini Avanti, Prakashchandra Shetty, Krishna Patil

Keywords : Behavior management, Child, Dental anxiety

Citation Information : Paranna S, Nara A, Avanti A, Shetty P, Patil K. Child Dental Patient's Anxiety and Preference for Dentist's Attire: A Cross-sectional Study. Int J Clin Pediatr Dent 2021; 14 (S2):S107-S110.

DOI: 10.5005/jp-journals-10005-1940

License: CC BY-NC 4.0

Published Online: 01-02-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Aim and objective: Initial perceptions of physicians can affect the level of comfort. Creating a strong rapport on the child's first visit helps to create a comfortable atmosphere. Child-friendly clothing of the dentists might possibly contribute to the dentist's empathy. Different attires may evoke different feelings. Hence, the purpose of the study was to assess the children's preferences for dentist's attire and its relation with anxiety. Materials and methods: Eighty children aged 5–12 years were included in the study. Five photographs of dentists wearing different attires were placed in the same order for every child. The child was asked to look at the photographs and decide which dentist they would prefer to take care of them. A facial image scale was used to evaluate the child's anxiety level. The children were asked to point at which face they felt almost like at that moment. Results: 42.7% of males and 38.5% of females chose child-friendly attire. The least preferred by males was a pink apron (7.5%) compared with females (28.1%). Whereas the blue apron was least preferred by females (5.1%) compared with males (20%). A Chi-square test was done to access the association between dental anxiety and the dental attire the children chose, where statistically significant (0.030) results were found. Anxious children were found to prefer child-friendly attire. Conclusion: Although the view that children are fearful of the white coat was not found, the concept of child-friendly attire might be more appropriate for anxious children and enhance an easy first communication with them.

PDF Share
  1. Steen WM. Our relation to children. Dent Rev 1891;5:534–537.
  2. Nuttall NM, Bradnock G, White D, et al. Dental attendance in 1998 and implications for the future. Br Dent J 2001;190(4):177–182. DOI: 10.1038/sj.bdj.4800918.
  3. Corah NL, Gale EN, Illig SJ. The use of relaxation and distraction to reduce psychological stress during dental procedures. J Am Dent Assoc 1979;98(3):390–394. DOI: 10.14219/jada.archive.1979.0049
  4. Friedson E, Feldman JM. The public looks at dental care. J Am Dent Assoc 1956;57(3):325–330. DOI: 10.14219/jada.archive.1958.0178
  5. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc 1973;86(4):842–846. DOI: 10.14219/jada.archive.1973.0165.
  6. Klinberg G, Berggren U, Carlsson SG, et al. Child dental fear:cause related factors and clinical effects. Eur J Oral Sci 1995;103(6):405–412. DOI: 10.1111/j.1600-0722.1995.tb01865.x.
  7. Townend E, Dimigen G, Fung D. A clinical study of child dental anxiety. Behav Res Therapy 2000;38(1):31–46. DOI: 10.1016/s0005-7967(98)00205-8
  8. Vagnoli L, Caprilli S, Robiglio A. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatr 2005;116(4):563–567. DOI: 10.1542/peds.2005-0466.
  9. Umamaheshwari N, Asokan S, Kumaran TS. Child-friendly colors in a pediatric dental practice. J Indian Soc Pedod Prev Dent 2013;31(4):225–228. DOI: 10.4103/0970-4388.121817.
  10. Ravikumar D, Gurunathan D, Karthikeyan S. Children's perception towards pediatric dentist attire: an observation study. Int J Pedod Rehabil 2016;1(2):49–51. DOI: 10.4103/2468-8932.196479.
  11. Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Pediatr Dent 2002;12(1):47–52. DOI: 10.1046/j.0960-7439.2001.00322.x.
  12. Nirmala SV, Veluru S, Nuvvula S, et al. Preferences of dentist's attire by anxious and nonanxious Indian children. J Dent Child (Chic) 2015;82(2):97–101.
  13. Prashant B, Pavni C, Vikram R, et al. Evaluation of child preference for dentist attire and usage of camouflage syringe in reduction of anxiety. Eur J Dent 2017;11(4):531–536. DOI: 10.4103/ejd.ejd_223_17.
  14. Ikusaka M, Kamegai M, Sunaga T, et al. Patients’ attitude toward consultations by a physician without a white coat in Japan. Intern Med 1999;38(7):533–536. DOI: 10.2169/internalmedicine.38.533.
  15. Kuscu OO, Caglar E, Kayabasoglu N, et al. Short communication: preferences of dentist's attire in a group of Istanbul school children related with dental anxiety. Eur Arch Paediatr Dent 2009;10(1):38–41. DOI: 10.1007/BF03262666.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.