The relationship between child dental fear and clinical effects, and t
he importance of some etiological factors related to the development o
f dental fear in children, were studied in 3,204 urban Swedish childre
n aged 4 to 6 and 9 to 11 yr. Information concerning child dental fear
(as measured by the Dental Subscale of Children's Fear Survey Schedul
e), general fears, parental dental fear, parents' employment and nativ
e language was obtained through questionnaires. Data regarding dental
health, behavior management problems (BMP and modes of dental treatmen
t were compiled from dental records. The results showed that child den
tal fear was associated with missing appointments and dental caries. A
proportion of 27% of the children with BMP were dentally fearful, whi
le 61% of the children with dental fear reacted with BMP. A model for
stepwise regression analysis showed that general fears, maternal denta
l fear, and age were important etiological factors in the development
of dental fear in children.