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J Indian Soc Pedod Prev Dent. 2019 Oct-Dec;37(4):345-349. doi: 10.4103/JISPPD.JISPPD_108_19.

The prevalence of dental anxiety and fear among 4-13-year-old Nepalese children.

Author information

Department of Pediatric and Preventive Dentistry, Seema Dental College and Hospital, Rishikesh, Uttarakhand, India.
Department of Oral Pathology, Institute of Dental Education and Advance Studies, Gwalior, Madhya Pradesh, India.
Department of Pediatric and Preventive Dentistry, Guru Nanak Institute of Dental Science and Research, Kolkata, West Bengal, India.



The aim of the study was to assess the prevalence of dental fear and anxiety among children aged 4-13 years using three fear scales, i.e., facial image scale (FIS), Nepalese version of Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Modified Child Dental Anxiety Scale (MCDAS).

Materials and Methods:

The study was conducted on 300 children (4-13 years) who visited the Department of Pedodontics and Preventive Dentistry. The fear and anxiety levels were measured using three fear measurement scales, i.e., FIS, Nepalese version of CFSS-DS, and MCDAS. The dental behavior observed was rated according to the Frankl's Behavior Rating Scale (FBRS).


The prevalence of dental fear according to FIS was 11.9% as evident from children having FIS 4 and 5 scores. Dental fear with CFSS-DS ≥38 was identified in 49 children (21 [12.5%] male and 28 [21.21%] female). In assessment of the behavior of children in the clinics through FBRS, it was observed that the maximum number of respondents (70.6%) showed Frankl's rating 3, i.e., positive.


The Nepalese versions of the CFSS-DS and the MCDAS are both reliable and valid scales for evaluating dental anxiety and fear in young children. Assessing dental anxiety and fear is useful, as behavior management can be designed accordingly for child patients.


Children's fear survey schedule–dental subscale; dental fear and anxiety; modified child dental anxiety scale

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