{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:40Z","timestamp":1787775700294,"version":"build-2784847793"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>This study aimed to assess the effects of maternal dental anxiety on the time of first dental visit and dental caries status of children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted on 220 children between 3 to 6 years and their mothers presenting to health centers in Ardabil, Iran in 2023. Maternal dental anxiety was measured by using the Modified Dental Anxiety Scale (MDAS). Dental caries status of children was evaluated by using the decayed, missing, and filled teeth (dmft) index. The Spearman analyzed data\u2019s correlation coefficient, multiple linear regression, and Kruskal-Wallis tests (alpha = 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Most of the mothers (69.1%) had no or mild dental anxiety, while 11.8% had high or severe dental anxiety, which significantly decreased with age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.043). The level of education of the mothers had no significant effect on their dental anxiety (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.118). A significant association was found between maternal dental anxiety and reason for seeking dental care (checkup and dental caries) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008). By an increase in maternal dental anxiety, the dmft of children and age at first dental visit significantly increased (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>According to the results, the dmft index and age at the first dental visit were significantly higher in children, whose mothers had a higher level of dental anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_264_25","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:01:07Z","timestamp":1772175667000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effects of maternal dental anxiety on the time of first dental visit and dental caries status of children"],"prefix":"10.4103","volume":"15","author":[{"given":"Neda","family":"Mohammadpour","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Medicine, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Shirdel","sequence":"additional","affiliation":[{"name":"Dental Student, Dental Faculty, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somayeh","family":"Hekmatfar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry, Dental Faculty, Ardabil University of Medical Sciences, Ardabil, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"R1-20260302","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1038\/s41368-022-00167-3","article-title":"Expert consensus on dental caries management","volume":"14","author":"Cheng","year":"2022","journal-title":"Int J Oral Sci"},{"key":"R2-20260302","first-page":"121","article-title":"Dental fear\/anxiety among children and adolescents. 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