Cited by 24Dental Anxiety and Anesthesia TechniquesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesDental Health and Care Utilization

A randomized controlled trial of the effect of a brief cognitive‐behavioral intervention on dental fear

Open access
Spindler, Helle, Staugaard, Søren Risløv, Nicolaisen, Camilla, Poulsen, Rikka·2015·Journal of Public Health Dentistry

Abstract

Objectives: The objective of this study was to examine the effect of a brief cognitive‐behavioral intervention for patients with dental fear in a private dental clinic. Methods: Patients presenting with subjectively reported dental fear were randomly assigned to either an immediate intervention ( n = 53) or a waiting list ( n = 51) group. Both groups received an identical intervention, but delayed by 4‐6 weeks in the waiting list group. Participants were asked to fill out two self‐report questionnaires of dental fear at pre‐ and post‐intervention, and again at a 2‐year follow‐up assessment. Results: Analysis of variance showed that dental fear was significantly reduced in the immediate intervention group ( d = 1.5‐2.2), compared with the waiting list group ( d = 0.3‐0.4). Additionally, all participants showed a significant reduction of dental fear following the brief intervention, and in the subgroup available for follow‐up, this effect was maintained after 2 years. Conclusions: This indicates that a brief cognitive‐behavioral intervention may be efficacious in helping a significant number of patients with dental fear return to regular dental treatment. Future research should investigate the applicability of a brief cognitive‐behavioral intervention in the dental clinic.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1111/jphd.12074

Cites

5 of 5 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 36

  1. Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  2. Halonen H, Salo T, Hakko H, Räsänen P. Association of dental anxiety to personality traits in a general population sample of Finnish University students. Acta Odontol Scand 2012;70:96-100.
  3. Astrøm AN, Skaret E, Haugejorden O. Dental anxiety and dental attendance among 25- year-olds in Norway: time trends from 1997 to 2007. BMC Oral Health 2011;11:10.
  4. Oosterink FM, de Jongh A, Hoogstraten J. Prevalence of dental fear and phobia relative to other fear and phobia subtypes. Eur J Oral Sci 2009;117:135-143.
  5. Nicolas E, Collado V, Faulks D, Bullier B, Hennequin M. A national cross-sectional survey of dental anxiety in the French adult population. BMC Oral Health 2007;10:7- 12.
  6. Moore R, Birn H, Kirkegaard E, Brødsgaard IA, Scheutz, F. Prevalence and characteristics of dental anxiety in Danish adults. Community Dent Oral Epidemiol 1993;21:292-6.
  7. Hakeberg M, Berggren U, Carlsson SG. Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Community Dent Oral Epidemiol 1992;20:97-101.
  8. This is the accepted version of the following article: Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  9. Milgrom P, Fiset L, Melnick S, Weinsein P. The prevalence and practice management consequences of dental fear in a major US city. J Am Dent Assoc, 1988;116:641-7
  10. Pohjola V, Lahti S, Vehkalahti MM, Tolvanen M, Hausen H. Association between dental fear and dental attendance among adult in Finland. Acta Odontol Scand 2007;65:224-30.
  11. Hakeberg M, Berggren U, Gröndahl HG. A radiographic study of dental health in adult patients with dental anxiety. Community Dent Oral Epidemiol 1993;21:27-30.
  12. Moore R, Brødsgaard I, Rosenberg N. (2004). The contribution of embarrassment to phobic dental anxiety: A qualitative research study. BMC Psychiatry 2004;4:10.
  13. Thom A, Sartory G, Jöhren P. Comparison between one-session psychological treatment and benzodiazepine in dental phobia. J Consult Clin Psychol 2000;68: 378- 387.
  14. Jöhren P, Enkling N, Heinen R, Sartory G. Clinical outcome of a short-term psychotherapeutic intervention for the treatment of dental phobia. Quintessence International 2007;38:589-596.
  15. Haukebø K, Skaret E, Öst LG, Raadal M, Berg E, Sundberg H, et al. One-vs. five- session treatment of dental phobia: A randomized controlled study. J Behav Ther Exp Psychiatry 2008;39:381-390.
  16. This is the accepted version of the following article: Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  17. Hill KB, Hainsworth JM, Burke FJT, Fairbrother HJ. Evaluation of dentists' perceived needs regarding treatment of the anxious patient. Br Dent J 2008;13:1-5.
  18. Friedman N, Cecchini JJ, Wexler M, Pitts WC. A dentist oriented fear reduction technique: The Iatrosedative Process. Compendium of Continuing Education in Dentistry 1989;10: 113-118.
  19. Friedman N, Wood GJ. An evaluation of the Iatrosedative Process for treating dental fear. Compendium of Continuing Education in Dentistry 1998;19: 434-442.
  20. Sartory G, Heinen R, Pundt I, Jöhren P. Predictors of behavioral avoidance in dental phobia: The role of gender, dysfunctional cognitions, and the need for control. Anxiety, Stress and Coping 2006;19: 279-291.
  21. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48:596.
  22. de Jongh A, Muris P, Shoenmakers N, ter Horst G. Negative cognitions of dental phobics: Reliability and validity of the Dental Cognitions Questionnaire. Behav Res Ther 1995;33:507-515.
  23. This is the accepted version of the following article: Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  24. Kleinknecht RA, Klepac RK, Alexander LD. Origins and characteristics of fear of dentistry. J Am Dent Assoc 1973;8:842-848.
  25. Kleinknecht RA, Bernstein DA. The assesment of dental fear. Behav Ther 1978;9:626- 634.
  26. Tönnes S, Mehrstedt M, Eisentraut I. Die Dental Scale (DAS) und das Dental Fear Survey (DFS)-zwei messinstrumente zur erfassung von zahnbehandlungsängsten. Zeitschrift für Medizinische Psychologie 2002;2:63-72.
  27. Johansson P, Berggren U. Assessment of dental fear. A comparison of two psychometric instruments. Acta Odont Scand 1992;50:43-49.
  28. Jacobsen NS, Truax P. Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 1991;59:12-19.
  29. McGlynn FD, McNeil DW, Gallagher SL, Vrana S. Factor structure, stability, and internal consistency of the dental fear survey. Behav Assess 1987; 9: 57-66.
  30. Vassend O. Anxiety, pain, and discomfort associated with dental treatment. Behav ResTher 1993;31:659-666.
  31. Milgrom P, Getz T, Weinstein P. Recognizing and treating fears in general practice. Dent Clin North Am 1988; 32: 657-65.
  32. Milgrom P. Kleinknecht RA, Elliott J, Liu HH, Teo CS. A cross-cultural cross validation of the Dental Fear Survey in South East Asia. Behav Res Ther 1990;28:227- 33.
  33. This is the accepted version of the following article: Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  34. de Jongh A, Adair P, Meijerink-Anderson M. Clinical management of dental anxiety: What works for whom? Int Dent J 2005;55:73-80.
  35. This is the accepted version of the following article: Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.
  36. Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R. (in press). A randomized controlled trial of the effect of a brief cognitive-behavioral intervention on dental fear, Journal of Public Health Dentistry, DOI: 10.1111/jphd.12074, which has been published in final form at https://dx.doi.org/10.1111/jphd.12074.

Cited by

Sorted by citations

Authors
Spindler, H., Staugaard, S. R., Nicolaisen, C., & Poulsen, R.
Affiliations
  • Aarhus University (DK)
  • Tandlægerne Hjelmensgade 2 Aarhus Denmark
Corresponding author
Spindler, Helle
Venue
Journal of Public Health Dentistry
Publisher
Wiley
Published
2014-09-18
Volume
75
Issue
1
Pages
64-73
ISSN
  • 0022-4006 (ISSN-L)
  • 1752-7325
OpenAlex
W1951527876
Cited by
24
References
5
Citations by year
2025: 2 · 2024: 8 · 2023: 1 · 2022: 3 · 2018: 2 · 2017: 4 · 2015: 4
FWCI
3.17
Type
journal article
Language
en
Open access
Locations
  • Journal of Public Health Dentistry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Danish National Research Foundation
  • Regional Health Cooperation in the Central Denmark Region
Topics
  • Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Keywords
dental anxiety, cognitive-behavioral intervention, brief intervention, private dental practice, long-term follow-up, waitlist control
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Waiting Lists, Cognitive Behavioral Therapy, Dental Anxiety, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review