Dental Anxiety Stress and Depression: A Cross-Sectional Questionnaire-based Study to Assess the Various Trigger Factors Which May Lead to Dental Anxiety

  • Srujan Magar Intern, Department of Periodontics, Rural Dental College, Pims, Loni, India.
  • Deepak Vikhe Associate Professor, Department of Periodontics, RDC, Loni, India.
  • Gowri Pendyala Associate Professor, Department of Periodontics, RDC, Loni, India.
  • Swaroopkumar Magar Professor, Department of Prosthodontics, SDDC Parbhani, India.
  • Milind Jagdale Senior Lecturer, Department of Prosthodontics, RDC, Loni, India.
Keywords: Dental Anxiety, Dental Phobia, Dental Fear, DASS21, Dentist-Patient Relations, Fear of Pain in Dental Office, Fear of RCT, Stress and Depression


Background: This study investigated the experiences of different patients visiting a dental office. The study noted the different types of stimuli and triggering factors causing dental anxiety. The sample consists of individuals of different ages, sex, occupation, and anxiety levels were examined by the procedure undergone by the patients.

Methods: A total of 220 patients participated in the study (100 Females and 120 Males). The study constituted a series of questions in a questionnaire form which was filled out during Pre-treatment and Post-treatment.

The DASS 21 study was included in the questionnaire to examine the levels of Anxiety, Depression, etc. Questions were also asked about factors that may increase (sound of drill and suction) or decrease (counselling by the doctor) the level of dental phobia.

Results: Maximum patients experienced dental anxiety before treatment plans which include RCT, Tooth Extraction, Follow-ups, etc. 52.2% of the sample experienced mild anxiety Pre-treatment. The most common reason for the elevated level of anxiety include Fear of pain, Injections, the sound of drill and suction, etc. (Aggravating factor)

The relieving factors include counselling by the doctors. A maximum percentage of the sample claim to have commenced with dental anxiety due to unknown reasons.

The physical manifestations which were experienced by the patients include Headache, Palpitations, Sweating, etc.

Conclusion: Maximum percentage of the sample experienced mild to moderate levels of dental anxiety. Various reasons for dental anxiety were given by the patients which most commonly include, Fear of pain. The step which should be undertaken to relieve dental anxiety, as suggested by the patients includes counselling by the doctors.

From the study thus conducted, it is evident that dental anxiety is prevalent amongst maximum patients visiting a dental office for the first time or even regularly. Some of the factors which should be considered to reduce dental anxiety amongst patients and also build healthy dentist-patient relations include:

Dental office environment, Communication skills, Relaxation techniques, Distraction, Masking, sounds, Counselling by the doctors.

It is very necessary to reduce the level of dental anxiety so as to build a healthy dentist-patient relationship. All the necessary steps must be undertaken to prevent/minimize dental anxiety.


Zinke, A., Hannig, C. & Berth, H. Psychological distress and anxiety compared amongst dental patients- results of a cross-sectional study in 1549 adults. BMC Oral Health 19, 27 (2019); doi:

Kinsely S. No mental health without oral health. Can J Psychiatry 2016. May;61(5):277-82.doi:

Caltabiano, M.L., Croker, F., Page, L. et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health 18, 48 (2018). doi:

Saatchi M., Abtahi M., Mohammadi G., Miramadi M., Binandeh E.S. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent. Res. J. 2015;12:248-253;

NadeemJeddy, S Nithya, T Radhika, NafisaJeddy. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. (2018);29(1):10-15; doi:

Weiner AA, Sheehan DV. Etiology of dental anxiety: psychological trauma or CNS chemical imbalance? Gen Dent. 1990; 38:39-43.

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety & Stress Scales. (2ndEd.) Sydney: Psychology Foundation.

Deva Priya Appukuttan. Strategies to manage patients with dent anxiety and dental phobia: literature review. 2016:8;35-50; doi:

How to Cite
Magar, S., Vikhe, D., Pendyala, G., Magar, S., & Jagdale, M. (2022). Dental Anxiety Stress and Depression: A Cross-Sectional Questionnaire-based Study to Assess the Various Trigger Factors Which May Lead to Dental Anxiety. International Journal Of Drug Research And Dental Science, 4(4), 17-24.