“…Although there was some anticipatory anxiety about leaving the secondary care service, it was reassuring to observe a maintenance of anxiety reduction, which concurs with findings from other dental CBT studies. 13,19 Children had clearly adopted new cognitions and behaviours following their previous (successful) course of dental treatment, supported by the principles of CBT. It is well recognised that the use of sedation or general anaesthesia (GA) alone, to facilitate treatment for dentally anxious children, does not actually promote transferrable skills, or changes in attitudes and behaviours in the same way as a psychological intervention would do.…”