Dental Anxiety among Patients Visiting a Dental College in Multan: A Hospital-based Cross-Sectional Study
DOI:
https://doi.org/10.51253/pafmj.v75i2.10038Keywords:
Demography, Dental Anxiety, Modified Dental Anxiety Scale.Abstract
Objective: To evaluate the correlation between dental anxiety and different demographic factors and to determine level of dental anxiety using Modified Dental Anxiety Scale.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Multan Institute of Medical Sciences Dental College, Multan Pakistan, from Sep to Dec 2022.
Methodology: We evaluated the level of dental anxiety using the Modified Dental Anxiety Scale questionnaire. We enrolled a sample size of 290 individuals from Outpatient Department using a non-probability convenience sampling technique after obtaining relevant permission from the Ethics Review Board of our institution.
Results: We found dental anxiety to be influenced by a variety of demographic factors, including gender, age, education and prior dental experiences. As per Modified Dental Anxiety Scale scoring, 112(38.6%) individuals had low levels of anxiety, 103(35.5%) had moderate levels of anxiety while 75(25.86%) had high levels of dental anxiety. The overall Modified Dental Anxiety Scale score was 1.87. Anxiety was most frequent among young patients with males found to have higher dental anxiety than females (p <0.0001). Among the many dental treatment methods, local anesthetic injections were discovered to be associated with the highest level of anxiety. No significant association was found between education and previous dental experience.
Conclusion: Dental anxiety was influenced by multiple demographic factors, including gender, age, education and prior dental experiences.
Downloads
References
AlRatroot S, Alotaibi G, AlBishi F, et al. Dental Anxiety Amongst Pregnant Women: Relationship With Dental Attendance and Sociodemographic Factors. Int Dent J 2022; 72(2): 179-185. https://doi.org/10.1016/j.identj.2021.05.007
Al-Dhelai TA, Al-Ahmari MM, Adawi HA, et al. Dental Anxiety and Fear among Patients in Jazan, Kingdom of Saudi Arabia: A Cross-sectional Study. J Contemp Dent Pract 2021; 22(5): 549-556. https://doi.org/10.5005/jp-journals-10024-3066
Aljohani M, Ashley M, Alshammari FR, et al. Assessment of dental anxiety using modified dental anxiety scale among adults with cleft lip and/or palate. Saudi Dent J 2021; 33(8): 1078-1083.
Kassem El Hajj H, Fares Y, Abou-Abbas L. Assessment of dental anxiety and dental phobia among adults in Lebanon. BMC Oral Health 2021; 21: 1-10.
Marya CM, Grover S, Jnaneshwar A, et al. Dental anxiety among patients visiting a dental institute in Faridabad, India. West Indian Med J 2012; 61(2): 187-190.
Faisal S, Zehra N, Hussain M, et al. Dental anxiety among patients attending public and private dental hospitals of Karachi. J Pak Dent Assoc 2015; 24(1): 46-50.
Mishra P, Chowdhry R, Lamichhane A, et al. Prevalence of Dental Anxiety Among Students in A Medical Institute in India. Prog Drug Discov Biomed Sci 2022; 5(1).
Bana KF, Mazhar S, Sadia H. Attributed Factors of Dental Anxiety on MDAS Score: A Cross Sectional Study. J Liaquat Univ Med Health Sci 2021; 20(2): 127-131.
Gunjal S, Pateel DGS, Parkar S, et al. Dental Anxiety among Medical and Paramedical Undergraduate Students of Malaysia. Int J Dent 2017; 2017: 4762576.
https://doi.org/10.1155/2017/4762576
Suhani RD, Suhani MF, Badea ME, et al. Dental anxiety and fear among a young population with hearing impairment. Clujul Med 2016; 89(1): 143-147.
https://doi.org/10.15386/cjmed-556
Kaya E, Yıldırım S, et al. The Relationship of Dental Anxiety, Behaviour, Temperament and Dental Caries in Children. Arch Orofac Sci 2021; 16(2): 103-112.
Allam R, Allam Y, Al-Samhan AZ, et al. Gender differences in anxiety levels about dentistry in Saudi dental college students. EC Dent Sci 2018; 17(6): 663-667.
Muhammad UN, Rajan JS, et al. A cross-sectional study to assess the level of dental anxiety prevailing in undergraduate dental students in Riyadh Elm University. Saudi J Oral Sci 2020; 7(1): 35-40.
Abu-Ghazaleh SB, Rajab LD, Sonbol HN, et al. The Arabic version of the modified dental anxiety scale. Psychometrics and normative data for 15-16 year olds. Saudi Med J 2011; 32(7): 725-729.
Kamel AM, Al-Harbi AS, Al-Otaibi FM, et al. Dental anxiety at Riyadh Elm university clinics. Saudi J Oral Sci 2019; 6(2): 101-105.
Hakami RM, Mahfouz MS, Adawi AM, et al. Social anxiety disorder and its impact in undergraduate students at Jazan University, Saudi Arabia. Ment Illn 2017; 9(2): 7089.
https://doi.org/10.4081/mi.2017.7089
Al Jasser R, Almashaan G, Alwaalan H, et al. Dental anxiety among dental, medical, and nursing students of two major universities in Saudi Arabia: a cross-sectional study. BMC Oral Health 2019; 19: 1-5.
https://doi.org/10.1186/s12903-019-0945-8
Hage WE Al, Dascălu CG, Balcoș C, et al. Trends in Access to Oral Health Care among Adults from the N-E Region of Romania. Medicina (Kaunas) 2023; 59(1): 74.
https://doi.org/10.3390/medicina59010074
S Z, Majeed MM, A I, et al. Dental Anxiety among the Students of Public Sector Medical Universities of Karachi. J Dent Orofac Surg 2016; 1(2).
Kumar S, Bhargav P, Patel A, et al. Does dental anxiety influence oral health-related quality of life? Observations from a cross-sectional study among adults in India. J Oral Sci 2009; 51(2): 245-254. https://doi.org/10.2334/josnusd.51.245
Oosterink FMD, De Jongh A, Aartman IHA, et al. What are people afraid of during dental treatment? Anxiety-provoking capacity of 67 stimuli characteristic of the dental setting. Eur J Oral Sci 2008; 116(1): 44-51.
https://doi.org/10.1111/j.1600-0722.2007.00500.x
Ogawa M, Sago T, Furukawa H, et al. The reliability and validity of the Japanese version of the modified dental anxiety scale. Sci World J 2020; 2020: 8817573.
https://doi.org/10.1155/2020/8817573
Graziani F, Tinto M, Orsolini C, et al. Complications and treatment errors in nonsurgical periodontal therapy. Periodontol 2000 2023; 92(1): 168-181.
https://doi.org/10.1111/prd.12478
Castelo AP, Mato EG, Aneiros IV, et al. Evaluation of Intraligamentous and Intraosseous Computer-Controlled Anesthetic Delivery Systems in Pediatric Dentistry. Children 2023; 10(1): 79.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Ayesha Ahmed, Dil Rasheed

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.