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           aged 8 years having the highest median (5.00) and those aged   Ethical disclosures
           10 years having the lowest median (2.00). This difference was
           not found in the literature, making it impossible to compare
           these findings. However, these data may indicate that the den-  Protection of human and animal subjects. The  authors
           tist is seen as a stranger, being a source of fear for children,   declare that no experiments were performed on humans or
           since the discomfort expected can be associated with the per-  animals for this study.

           son who will perform the treatment. 21              Confidentiality of data. The authors declare that they have
              Researches like the present one are relevant due to pro-  followed their work center protocols on access to patient data
           viding a better understanding of dental fear and factors sur-  and for its publication.
           rounding it. Being aware that detecting the different causes
                                                   2
           of fear early is very important to solve the problem,  knowing   Right to privacy and informed consent. The authors have
           the factors that generate fear in children, and identifying a   obtained the written informed consent of the patients or sub-
           potential relationship with age and/or sex allows the pedi-  jects mentioned in the article. The corresponding author is in
           atric dentist to adopt individual procedures in dental care   possession of this document.
           for a more pleasant moment and, if possible, minimizing
           dental fear.                                        Conflict of interest
              Fun activities, games, drawings, and painting materials can
           be offered in the waiting room to reduce anxiety levels in pe-
                        6
           diatric patients,  aiming to alleviate fear at the time of dental   The authors have no conflicts of interest to declare.
               2
           care.  In addition, it is important to tighten the bond between
           the pediatric patient and the dentist through consultations for
           educational -preventive procedures. This approach can be ben-  orcid
           eficial to establishing the professional -patient relationship,
           providing safety, confidence in the professional, and comfort   Natália Medeiros Andrade    0000-0003-1059-8205
           with the dental environment.                        Isla Camilla Carvalho Laureano    0000-0002-6621-1834
              This study has some limitations, such as the cross-  Lunna Farias    0000-0002-4077-6706
           -sectional design, which does not allow establishing a cause-  Liege Helena Freitas Fernandes    0000-0001-6431-7857
           -effect relationship. Moreover, the sample size can be consid-  Cibele da Cruz Prates    0000-0002-5135-7371
           ered small, as it prevents the generalization of results to all   Alessandro Leite Cavalcanti    0000-0003-3572-3332
           children of the same age group, but rather for the target pop-
           ulation. On the other hand, the use of a validated instrument
           widely used in literature to assess dental fear and anxiety and   references
           the absence of similar studies in the country should be high-
           lighted as strengths.                                1. Penteado LAM, Pinho RCM, Santos NB, Vajgel BCF, Cimões R.
                                                                 The impact of dental anxiety and dental fear on the
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                                                                 Colares V. Does previous dental care experience make the
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           health conditions, and reducing the need for more invasive   Anxiety in Dental Practice Settings. J Dent Hyg. 2017;91:30-4.
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                                                                 Integr. 2019;19:e4074.
           Acknowledgments                                      7. Ummat A, Dey S, Nayak AP, Joseph N, Rao A, Karuna YM.
                                                                 Association Between Dental Fear and Anxiety and Behavior
           Funding: This work was supported by the Coordination for   Amongst Children During Their Dental Visit. Biomed
           the Advancement of Higher Education Personnel (CAPES) (Fi-  Pharmacol J. 2019;12:907-13.
           nancing Code 001), the National Council for Scientific and   8. Laureano ICC, Farias L, Fernandes LHF, Alencar CRB, Forte
           Technological Development (CNPq) – Research Productivity   FDS, Honório DR, et al. Dental Fear in Children: Association
                                                                 with Dental Caries and Molar Incisor Hypomineralization.
           Scholarship (Process Number 302850/2016-3), and the State of   Braz Dent J. 2020;31:673-9.
           Paraíba Research Assistance Foundation (FAPESQ/PB) (conces-  9. Ma L, Wang M, Jing Q, Zhao J, Wan K, Xu Q. Reliability and
           sion term 021/2018, Protocol 005/2018 – SEIRHMACT/FAPESQ/  validity of the Chinese version of the Children’s Fear Survey
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