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

dc.contributor.authorArmfield, J.
dc.contributor.authorHeaton, L.
dc.date.issued2013
dc.description.abstractPeople 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.
dc.description.statementofresponsibilityJM Armfield, LJ Heaton
dc.identifier.citationAustralian Dental Journal, 2013; 58(4):390-407
dc.identifier.doi10.1111/adj.12118
dc.identifier.issn0045-0421
dc.identifier.issn1834-7819
dc.identifier.orcidArmfield, J. [0000-0001-7962-7559] [0000-0002-3223-8860]
dc.identifier.urihttp://hdl.handle.net/2440/82309
dc.language.isoen
dc.publisherAustralian Dental Assn Inc
dc.rights© 2013 Australian Dental Association
dc.source.urihttps://doi.org/10.1111/adj.12118
dc.subjectDental anxiety
dc.subjectmanagement
dc.subjecttreatment
dc.subjectreview
dc.subjectnon-pharmacological
dc.titleManagement of fear and anxiety in the dental clinic: a review
dc.typeJournal article
pubs.publication-statusPublished

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