Predicting anxiety during dental treatment using patients'self-reports

Heaton, Lisa J.; Carlson, Charles R.; Smith, Timothy A.; Baer, Ruth A.; Leeuw, Reny de

doi:10.14219/jada.archive.2007.0135

Cited by 48 publications

(60 citation statements)

References 26 publications

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“…According to the distribution of total scores, the MDFS survey's results were stratified into 3 equal levels of dental fear such as low (14)(15)(16)(17)(18), medium (19)(20)(21)(22)(23)(24)(25)(26)(27), high . The distribution of dental fear in the participant group that regularly visit their dentists was 9.3% (n = 18) low level, 3.8% (n = 8) medium level and 4.9% (n = 10), while the 83.8% (n=176) of the participants who go to the dental health and care center just when they have a relevant complaint tend to show a medium level of dental fear (p = 0.015).…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, having a past perceived bad experience was ascertained highly associated with the level of dental anxiety in another study. 26 Heaton et al 27 also reported on the fact that higher dental fear survey scores were related to past avoidance of dental care regarding a bad experience for the prediction of higher observed anxiety. The results of the present study were in agreement with previous studies indicating the negative dental experience in their lives had significantly associated higher scores of dental fear.…”

Section: Discussionmentioning

confidence: 99%

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Does the trait anxiety affect the dental fear?

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Does the trait anxiety affect the dental fear?

et al. 2017

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“…However, and despite longstanding recommendations for the use of structured dental fear questionnaires during clinical assessment, 37 the use of dental anxiety measures in general clinical practice is believed to be limited. 38 For example, a study investigating the practices of UK practitioners with a declared special interest in treating patients with dental anxiety, found that only 20% used adult dental anxiety assessment questionnaires. 39 This is surprising as managing dental anxiety requires a tailored treatment approach which firstly requires the dental practitioner to be efficient at detecting the presence of anxiety.…”

Section: Identification and Assessmentmentioning

confidence: 99%

“…Evidence out of the US indicates that a dentist's assessment of patient anxiety has only a small-to-moderate correlation with the patient's self-reported anxiety using several different dental fear scales. 38 The proper screening of dental anxiety and fear by dental practitioners will determine which treatment approaches to adopt and is a fundamental first step in managing patient anxiety. As stated above, it is recommended that a structured, psychometrically valid scale be used in addition to the dental practitioner's questions for the patient.…”

Section: Identification and Assessmentmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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“…12 However, despite recommendations for the use of validated dental fear questionnaires during clinical assessment, 13 adoption of such tools in general clinical practice is believed to be limited. 14 For example, a study investigating the practices of UK practitioners with a declared special interest in treating patients with dental anxiety found only 20% used adult dental anxiety assessment questionnaires. 15 This is perhaps surprising as managing dental anxiety requires a tailored treatment approach which begins with efficiently and accurately detecting the presence of anxiety, 16 and the earlier a dentist can determine that a patient is fearful, the greater the likelihood of success in managing the patient.…”

Section: Introductionmentioning

confidence: 99%

Dental anxiety screening practices and self-reported training needs among Australian dentists

et al. 2014

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Background: It is recommended that dentists screen for dental anxiety (DA) so that fearful patients may be better managed. The main aim of this study was to determine what dentists are being taught in relation to DA as well as whether and how anxious patients are identified in the clinic. Methods: Two hundred and forty-six practising dentists (adjusted response rate = 40.1%), from a random sample of registered Australian dentists, completed a mailed questionnaire. Results: Dentists estimated that high DA affected 23.3% of children and 19.4% of adults seen. Only 3.7% of dentists reported using a published scale for screening DA, with the most common reason being lack of awareness (56.5%). Approximately one-half of responding dentists directly asked their patients about DA and this was more common among younger dentists (v 2 = 7.75, p = 0.021). There were few differences in DA screening by other practitioner or practice characteristics (p > 0.05). Only one-third of dentists had received undergraduate training related to DA and only 41.7% considered this to be 'good' or better. Almost 37% of respondents expressed an interest in future training opportunities. Conclusions: The use of formal, validated scales for screening DA is minimal. Training in anxiety management appears to be low and is an area that could be expanded upon.

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Predicting anxiety during dental treatment using patients'self-reports

Cited by 48 publications

References 26 publications

Does the trait anxiety affect the dental fear?

Does the trait anxiety affect the dental fear?

Management of fear and anxiety in the dental clinic: a review

Dental anxiety screening practices and self-reported training needs among Australian dentists

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