A qualitative study of patients' views of techniques to reduce dental anxiety

J Dent. 2017 Nov:66:45-51. doi: 10.1016/j.jdent.2017.08.012. Epub 2017 Aug 31.

Abstract

Objectives: To explore the fear/anxiety inducing triggers associated with dental treatment, and what dentally anxious adults would like from their dental encounter.

Methods: Two focus-groups and three interviews with fourteen dentally-anxious people were conducted in this qualitative study. All discussions were tape-recorded and transcribed verbatim. Content was categorised by common characteristics to identify underlying themes using thematic analysis.

Results: Four themes were identified to bring general meaning within the content: 1. Preparedness, 2. Teamwork, 3. Reinforced trust, 4. Tailored treatment plan.

Conclusions: Preparatory information may need to be tailored and comprehensive, yet dissociative and reassuring. Dentally-anxious people might want a sense of control and shared-decision making. They may not want dentists to understate the treatment procedures and risks to make them feel better temporarily.

Clinical significance: Dental anxiety affects between 10 and 60% of the population. Participants in this study suggested different ways the dental team could help their anxiety. Therefore, it is key for whole dental team to find out what could be done to help dentally anxious patients.

Keywords: Dental anxiety; Dental fear; Preparedness; Qualitative research; Sense of control; Shared decision making.

MeSH terms

  • Adolescent
  • Adult
  • Attitude of Health Personnel
  • Behavior Therapy / methods*
  • Dental Anxiety / epidemiology
  • Dental Anxiety / psychology
  • Dental Anxiety / therapy*
  • Dental Care*
  • Dentist-Patient Relations
  • Dentists / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Care Planning*
  • Practice Patterns, Dentists'
  • Qualitative Research*
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Young Adult