University of Oulu

Kallio A, Suominen A,Tolvanen M, Rantavuori K, Jussila H, Karlsson L,et al. Concurrent changes in dental anxiety andsmoking in parents of the FinnBrain Birth CohortStudy. Eur J Oral Sci. 2023;131:e12912.

Concurrent changes in dental anxiety and smoking in parents of the FinnBrain Birth Cohort Study

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Author: Kallio, Anu1,2; Suominen, Auli1; Tolvanen, Mimmi3;
Organizations: 1Department of Community Dentistry, University of Turku, Turku, Finland
2City of Turku, Welfare Services Division, Oral and Dental Health Care, Turku, Finland
3Center for Life Course Health Research, University of Oulu, Oulu, Finland
4Department of Oral Development and Orthodontics, University of Turku, Turku, Finland
5Cleft Palate and Craniofacial Center, Department of Plastic Surgery, Helsinki University Hospital and Helsinki University, Helsinki, Finland
6FinnBrain Birth Cohort Study, Department of Clinical Medicine, Brain and Mind Center, University of Turku, Turku, Finland
7Department of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland
8Centre for Population Health Research, University of Turku, Turku, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
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Language: English
Published: John Wiley & Sons, 2023
Publish Date: 2023-08-14


We evaluated associations between changes in dental anxiety and tobacco use, adjusted for general anxiety and depressive symptoms. The FinnBrain Birth Cohort Study data, collected at gestational weeks 14 and 34 and at 3 months postpartum, were used. Questionnaires included the Modified Dental Anxiety Scale (MDAS), the Edinburgh Postnatal Depression Scale (EPDS), and the anxiety subscale of the Symptom Checklist-90 (SCL). Smoking was categorized as “stable non-smoking”, “started smoking”, “quit smoking”, and “stable smoking”. Changes in smoking and dental anxiety were evaluated “during pregnancy” (i.e., from gestational week 14 to gestational week 34) in 2442 women and 1346 men and “after pregnancy” (i.e., from gestational week 34 to 3 months postpartum) in 2008 women and 1095 men. Changes were evaluated in three smoking categories (stable non-smoking, fluctuating, and stable smoking), using data from all three time-points (1979 women and 1049 men). Modeling used repeated measures analysis of covariance. Stable smoking mothers had statistically significantly higher levels of dental anxiety (mean MDAS 12.3–12.6) than non-smoking mothers (mean MDAS 10.1–10.7) or mothers who smoked at some point during pregnancy (mean MDAS 10.8–11.5). A similar tendency was observed in fathers. However, no systematic change in dental anxiety by changes in smoking habits was observed. Those smoking during pregnancy and with high dental anxiety may need special support for smoking cessation.

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Series: European journal of oral sciences
ISSN: 0909-8836
ISSN-E: 1600-0722
ISSN-L: 0909-8836
Volume: 131
Issue: 1
Article number: e12912
DOI: 10.1111/eos.12912
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Funding: Academy of Finland, Finnish State Grants for Clinical Research, and Signe and Ane Gyllenberg Foundation and the Finnish Dental Society Apollonia.
Copyright information: © 2023 The Authors. European Journal of Oral Sciences published by John Wiley & Sons Ltd on behalf of Scandinavian Division of the International Association for Dental Research. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.