The Relationship between Parental Knowledge and Children's Anxiety Level in Tooth Extraction




Anxiety is a psychological reaction to something unwanted. Dental anxiety is the thought that something scary will happen before someone has a dental visit or treatment. The results of the initial data collection related to anxiety about tooth extraction at SD Islam Maryam Surabaya, it is known that 86% of children experience severe anxiety. The study aims to determine the relationship between parental knowledge and children's anxiety levels in the act of removing teeth in class IV SD Islam Maryam Surabaya. The type of research used was analytic research with a cross-sectional design, with 65 class IV children as research subjects. Data collection method by means of a questionnaire. The data analysis technique uses the Chi Square test. The test results from the study obtained an Asymp.sig.(2-tailed) value of 0.000, which means that the p value (signification) is smaller than α (0.05) so that parental knowledge is related to the level of anxiety in the act of removing teeth in class IV SD Islam Maryam Surabaya.

INDEX TERMS Knowledge, Anxiety, Tooth extraction


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J. Opydo-szymaczek, M. Borysewicz-lewicka, K. Andrysiak, and Z. Witkowska, “Clinical Consequences of Dental Caries , Parents ’ Perception of Child ’ s Oral Health and Attitudes towards Dental Visits in a Population of 7-Year-Old Children,” 2021.

S. E. Sekeon, P. N. Gunawan, and D. H. C. Pangemanan, “Gambaran Tingkat Kecemasan Anak Saat Perawatan Ekstraksi Gigi,” vol. 9, no. 30, pp. 340–346, 2021.

Q. Du et al., “ORIGINAL ARTICLE A digital intervention using virtual reality helmets to reduce dental anxiety of children under local anesthesia and primary teeth extraction : A randomized clinical trial,” no. May 2021, pp. 1–7, 2022, doi: 10.1002/brb3.2600.

C. Yazd, F. Kebriaei, H. Attarzadeh, E. Foroughi, M. Taghian, and S. Sadri, “Dental Anxiety : The Prevalence and Related Factors among 7-14-,” vol. 10, no. 97, pp. 15304–15312, doi: 10.22038/IJP.2021.60713.4687.

A. M. A. Flores et al., “Distraction techniques in children with dental fear and anxiety,” Int. J. Appl. Dent. Sci., vol. 8, no. 1, pp. 513–516, 2022, doi: 10.22271/oral.2022.v8.i1h.1469.

B. Abbas et al., “Estimating the Need for Sedation in Patients with Dental Anxiety and Medical Complexities Reporting to Tertiary Care Dental Hospital Using the IOSN Tool,” vol. 2022, 2022.

S. R. Rajeswari, R. Chandrasekhar, C. Vinay, K. S. Uloopi, and K. S. Rojaramya, “Effectiveness of Cognitive Behavioral Play Therapy and Audiovisual Distraction for Management of Preoperative Anxiety in Children,” pp. 3–6, 2019.

A. D. Masula, R. Larasati, S. F. Ulfah, and A. Deenan, “Factors For Determining Dental Anxiety Level in Elementary School Children with Tooth Extraction : A Cross-Sectional Study,” pp. 196–203, 2022.

M. Helal, S. Abdel, and M. Foad, “Parents ’ knowledge , attitude and practices toward oral health of their children with primary dentition : A cross sectional study,” pp. 164–170, 2022, doi: 10.4103/jmisr.jmisr.

R. Dumitrescu et al., “The Impact of Parental Education on Schoolchildren’s Oral Health—A Multicenter Cross-Sectional Study in Romania,” Int. J. Environ. Res. Public Health, vol. 19, no. 17, pp. 1–13, 2022, doi: 10.3390/ijerph191711102.

A. N. Patil, S. Karkare, H. S. Jadhav, Y. Damade, and B. K. Punjari, “Knowledge, Attitude, and Practice of Parents toward Their Children’s Oral Health and its Influence on the Dental Caries Status of 5–10-year-old Schoolchildren in Nashik, Maharashtra: A Cross-sectional Study,” Int. J. Clin. Pediatr. Dent., vol. 15, no. S2, pp. S126–S130, 2022, doi: 10.5005/jp-journals-10005-2137.

Nursalam. (2020). Model Pendidikan Karakter . Banten: CV. AA Rizky

R. Vlad, M. Monea, and A. Mihai, “A REVIEW OF THE CURRENT SELF-REPORT MEASURES FOR ASSESSING CHILDREN ’ S DENTAL ANXIETY,” vol. 25, no. 38, pp. 53–56, 2020, doi: 10.2478/amtsb-2020-0014.

Arslan, I., Aydinoglu, S. (2022). Turkish version of the faces version of the Modified Child Dental Anxiety Scale (MCDASf): translation, reliability, and validity. Clinical Oral Investigations, 26(1), 2031–2042.

O. B. Al-Batayneh, H. O. Al-Khateeb, W. M. Ibrahim, and Y. S. Khader, “Parental Knowledge and Acceptance of Different Treatment Options for Primary Teeth Provided by Dental Practitioners,” Front. Public Heal., vol. 7, no. November, 2019, doi: 10.3389/fpubh.2019.00322.

K. Otayto, W. Godana, T. Feleke, S. Hussen, and M. Alemu, “Prevalence of Milk Teeth Extraction and Enabling Community Factors Among Under Five-Year-Old Children in Alle Special Woreda, SNNPR, Ethiopia, 2022: Community-Based Cross-Sectional Study; Based on Theory of Planned Behavior Model,” Pediatr. Heal. Med. Ther., vol. Volume 13, pp. 257–269, 2022, doi: 10.2147/phmt.s365768.

P. Nepaul, “Influence of Parents’ Oral Health Knowledge and Attitudes on Oral Health Practices of Children (5–12 Years) in a Rural School in KwaZulu-Natal, South Africa,” pp. 605–612, 2020, doi: 10.4103/jispcd.JISPCD.

E. Aliakbari et al., “Home-based toothbrushing interventions for parents of young children to reduce dental caries: A systematic review,” Int. J. Paediatr. Dent., vol. 31, no. 1, pp. 37–79, 2021, doi: 10.1111/ipd.12658.

M. L. Anvarovna, “Early Diagnosis of Pathologies at the Exit of Teeth in a Young Child and its Peculiarities CAJMNS,” no. c, pp. 286–289, 2022.

M. Kazeminia et al., “Dental caries in primary and permanent teeth in children’s worldwide, 1995 to 2019: A systematic review and meta-analysis,” Head Face Med., vol. 16, no. 1, pp. 1–21, 2020, doi: 10.1186/s13005-020-00237-z.

K. Spodzieja and D. Olczak-Kowalczyk, “Premature Loss of Deciduous Teeth as a Symptom of Systemic Disease: A Narrative Literature Review,” Int. J. Environ. Res. Public Health, vol. 19, no. 6, 2022, doi: 10.3390/ijerph19063386.

S. Ramalingam et al., “Patient’s Knowledge and Attitude towards Post-extraction Instructions Following Permanent Teeth Extraction,” J. Pharm. Res. Int., vol. 33, pp. 533–540, 2021, doi: 10.9734/jpri/2021/v33i60a34516.

E. Slabšinskienė, A. Kavaliauskienė, M. Žemaitienė, I. Vasiliauskienė, and A. Zaborskis, “Dental fear and associated factors among children and adolescents: A school-based study in lithuania,” Int. J. Environ. Res. Public Health, vol. 18, no. 16, pp. 1–17, 2021, doi: 10.3390/ijerph18168883.

M. M. H. Bakri, H. A. Al Shawkani, and M. M. Al Moaleem, “A Systematic Review of Cross-Sectional Studies Conducted in the Kingdom of Saudi Arabia on Levels of Dental Anxiety Between Genders and Demographic Groups,” pp. 1–14, 2022, doi: 10.12659/MSM.937470.

Rania Abdalla Al-Saddi and MaanYacoub Alfar, “The Relationship between Dental Anxiety and Reported Dental Treatment Experience in 11-14-Year-Old Jordanian Children,” J. US-China Med. Sci., vol. 16, no. 5, pp. 203–209, 2019, doi: 10.17265/1548-6648/2019.05.001.

N. Mahajan, B. Kotwal, A. Gupta, B. Kaul, R. K. Gupta, and S. Kaul, “Comparative Evaluation of an Audiovisual Distraction Aid and Print Format Entertainment on Pain Perception, Anxiety and Children Behavior in the Dental Setting,” Int. J. Clin. Pediatr. Dent., vol. 15, no. 1, pp. 54–59, 2022, doi: 10.5005/jp-journals-10005-2329.

Yılmaz, S., Calikoglu, E. O., & Kosan, Z. (2019). for an Uncommon Neurosurgical Emergency in a Developing Country. Nigerian Journal of Clinical Practice, 22(02), 1070–1077.

J. Jeffrey, F. Meliawaty, and A. Rahaju, “Maternal Education Level and Child’s Anxiety on Dental Extraction,” J. Med. Heal., vol. 2, no. 1, pp. 611–619, 2018, doi: 10.28932/jmh.v2i1.738.

A. Riad et al., “Estonian Dental Students’ Oral Health-Related Knowledge, Attitudes and Behaviours (KAB): National Survey-Based Study,” Int. J. Environ. Res. Public Health, vol. 19, no. 3, 2022, doi: 10.3390/ijerph19031908.

Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta

Stuart, G. W. (2016). Prinsip dan Praktik Keperawatan Kesehatan Jiwa Buku 1 Edisi Indonesia. Bandung: Elseive

K. H. Kaczmarczyk, K. A. Gray-Burrows, K. Vinall-Collier, and P. F. Day, “Oral health promotion apps: An assessment of message and behaviour change potential,” Int. J. Qual. Heal. Care, vol. 33, no. 1, pp. 1–5, 2021, doi: 10.1093/intqhc/mzaa112




How to Cite

Azizah Shofiyatul Fadhilah, I. Isnanto, B. H. . Sugito, and I. S. . Edi, “The Relationship between Parental Knowledge and Children’s Anxiety Level in Tooth Extraction”, International Journal of Advanced Health Science and Technology, vol. 3, no. 3, pp. 186–193, Jun. 2023.



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