Approximately 9 percent of children and adolescents suffer from dental anxiety (DA) that can lead to serious physical and psychological health consequences. Cognitive behavioral therapy (CBT) is a treatment of choice concerning phobias. Few dental clinics have the possibility to offer face-to-face CBT to children with dental anxiety. Internet-based cognitive behavioral therapy (ICBT) is a form of psychological therapy in which patients and parents work with digital self-help manuals; texts and films and are guided via email. ICBT has shown good treatment results in uncontrolled studies. ICBT in dentistry has the potential to increase access to psychological treatments for anxiety problems and prevent serious physical and psychological health consequences of DA.
Dental health care has a role in identifying children at risk for maltreatment. Oral health and use of dental health services can indicate broader family dysfunction or child maltreatment. Children who are exposed to child maltreatment are at risk of developing both physical and mental ill-health and of expressing risk-taking behaviours. In addition Injuries to the head and neck are reported. Children are also more likely to have neglected dentitions and dental health service avoidance. To prevent poor oral health, early detection of dental disease and adequate support are essential.