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Recognising maternal characteristics as key determinants of child health, this study examined the intergenerational relationship between dental fear\/anxiety and early childhood dental service utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from the baseline (birth), 12\u2010month, and four\u2010year follow\u2010ups of the 2015 Pelotas Birth Cohort Study (Brazil). Outcomes included child dental fear\/anxiety and dental service use (frequency and reasons) at age four. Exposures were maternal dental fear\/anxiety at 12\u2010month and maternal assessment of child dental fear\/anxiety. Covariates, including maternal education and family income, were collected perinatally. All variables were obtained through questionnaires administered to mothers at each follow\u2010up. Analyses used Poisson and multinomial logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample included 3809 mother\u2013child dyads; 79.7% of mothers and 64.2% of children had no reported dental fear\/anxiety, yet 64.0% of children had never visited a dentist. Adjusted analyses showed that maternal dental fear\/anxiety was associated with a 1.20 times higher prevalence of childhood dental fear\/anxiety (PR\u2009=\u20091.20, 95% CI\u2009=\u20091.09; 1.32). Children with dental fear\/anxiety had a 1.89 times higher prevalence of visits for curative reasons (PR\u2009=\u20091.89, 95% CI\u2009=\u20091.45; 2.48) and a 2.10 times higher prevalence of never visiting a dentist (PR\u2009=\u20092.10, 95% CI\u2009=\u20091.78; 2.48), adjusting for maternal dental fear\/anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early and regular preventive visits may help mitigate dental fear\/anxiety. This study highlights the intergenerational link between maternal and childhood dental fear and its impact on dental service utilisation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70057","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T04:46:11Z","timestamp":1770871571000},"page":"370-377","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intergenerational Dental Fear and Anxiety: Children's Pattern of Dental Service Use"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9932-9698","authenticated-orcid":false,"given":"Helena Silveira","family":"Schuch","sequence":"first","affiliation":[{"name":"School of Dentistry, Faculty of Health, Medical and Behavioural Sciences The University of Queensland  Brisbane Australia"},{"name":"Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-4274","authenticated-orcid":false,"given":"Cinthia Fonseca","family":"Araujo","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Epidemiology Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9513-4241","authenticated-orcid":false,"given":"Giulia Tarquinio","family":"Demarco","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2433-8298","authenticated-orcid":false,"given":"Mariana Gonzalez","family":"Cademartori","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6512-2602","authenticated-orcid":false,"given":"Mar\u00edlia Le\u00e3o","family":"Goettems","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4680-3197","authenticated-orcid":false,"given":"Andr\u00e9a D\u00e2maso","family":"Bertoldi","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Epidemiology Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0766-8455","authenticated-orcid":false,"given":"Daniel W.","family":"McNeil","sequence":"additional","affiliation":[{"name":"College of Dentistry University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2276-491X","authenticated-orcid":false,"given":"Fl\u00e1vio Fernando","family":"Demarco","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Pelotas  Pelotas Brazil"},{"name":"Postgraduate Program in Epidemiology Federal University of Pelotas  Pelotas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Center on the Developing Child at Harvard University \u201cThe Foundations of Lifelong Health Are Built in Early Childhood \u201d(2010). papers:\/\/3A1C84B7\u20131D09\u20104494\u20109751\u201018F2A4917626\/Paper\/p6389."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u2010263X.2007.00872.x"},{"key":"e_1_2_10_4_1","first-page":"165","volume-title":"Behavioral Dentistry","author":"McNeil D. 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