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Dental Fear and Avoidance: A Comparison of Two Modes of Treatment

Department of Oral Diagnosis, Faculty of Odontology, University of Goteborg, Box 33070, S-400 33 Göteborg, Sweden

A. Linde

Department of Oral Diagnosis, Faculty of Odontology, University of Goteborg, Box 33070, S-400 33 Göteborg, Sweden

Ninety-nine individuals, all of whom had long avoided dental treatment due to severe dental fear, received therapy according to one of two treatment modalities - behavioral therapy from a psychologist (BT) and treatment under general anesthesia (GA) - both of which were followed by clinical training and dental test treatments. These treatment programs were followed by referring the individuals to community dental clinics for complete oral rehabilitation.

Among BT patients, significantly more (92%) completed the treatment program, compared with the GA patients (69%). Complete oral rehabilitation in community dental clinics was achieved by 78 and 53%, respectively. BT patients also had a significantly lower frequency of cancellations. The reduction in dental anxiety according to the Corah Dental Anxiety Scale was substantial in both groups, but the anxiety was significantly more reduced for BT patients, who reached a level equivalent to that of average dental patients. Patients' self-reported tension and the dentists' ratings of patient behavior during treatment were also significantly more positive for the BT groups.

REFERENCES

• Berggren, U. and Carlsson, S.G. (1984a): A Psychophysiological Therapy for Dental Fear, Behav Res Ther, in press.
• Berggren, U. and Carlsson, S.G. (1984b): Psychometric Measures of Dental Fear, Community Dent Oral Epidemiol, in press.
• Berggren, U. and Carlsson, S.G. (1984c): Usefullness of Two Psychometric Scales in Patients with Severe Dental Fear, Community Dent Oral Epidemiol, in press.
• Berggren, U.; Linde, A.; Carlsson, S.G.; and Ohman, A. (1982): Behandling av tandvårdsträdda patienter inom distriktstandvård efter forbehandling på specialklinik, Tandläkartidningen 74:76-83.[Medline] [Order article via Infotrieve]
• Berggren, U. and Meynert, G. (1984): Dental Fear and Avoidance: Etiology, Manifestations and Consequences, JADA, in press.
• Carlsson, S.G.; Linde, A.; and Ohman, A. (1980): Reduction of Tension in Fearful Dental Patients, JADA 101:638-641.
• Corah, N.L. (1969): Development of a Dental Anxiety Scale, J Dent Res 48:596.[Free Full Text]
• Corah, N.L.; Gale, E.N.; and Illig, S.J. (1978): Assessment of a Dental Anxiety Scale, JADA 97:816-819.
• Freidson, E. and Feldman, J.J. (1958): The Public Looks at Dental Care, JADA 57:325-335.
• Klepac, R.K.; Dowling, J.; and Hauge, G. (1982): Characteristics of Clients Seeking Therapy for the Reduction of Dental Avoidance: Reactions to Pain, J Behav Ther Exp Psychiat 13: 293-300.[CrossRef]
• Lehtinen, R. (1975): A Dental Health Survey in a Finnish Urban Population, Proc Finn Dent Soc 71: Suppl 1.
• Melamed, B.G. (1979): Behavior Approaches to Fear in Dental Settings. In: Progress in Behavior Modification, Hersen, M., Eisler, R., and Miller, P., Eds. New York: Academic Press, pp. 171-203.
• SAS User's Guide. Cary, North Carolina: SAS Institute, 1979. Svenska institutet for opinionsundersökningar (SIFO): Tandläkarbesok. Intervjuundersokning for tandvärnet. Stockholm, 1962.
• Wolpe, J. (1958): Psychotherapy by Reciprocal Inhibition. Stanford, California: Stanford University Press.

Journal of Dental Research, Vol. 63, No. 10, 1223-1227 (1984)
DOI: 10.1177/00220345840630101201


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Berggren, U. Articles by Linde, A. Search for Related Content PubMed PubMed Citation Articles by Berggren, U. Articles by Linde, A. Social Bookmarking                         What's this?