Journal of Contemporary Dentistry

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VOLUME 7 , ISSUE 2 ( May-August, 2017 ) > List of Articles


Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment

Priyanka S Machale, Vanitha U Shenoy, Kunal Phodse

Citation Information : Machale PS, U Shenoy V, Phodse K. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017; 7 (2):91-96.

DOI: 10.5005/jp-journals-10031-1192

License: CC BY 3.0

Published Online: 01-08-2017

Copyright Statement:  Copyright © 2017; The Author(s).



Dental anxiety may be defined as a state of unpleasant feeling combined with an associated feeling of impending doom or danger from within than from without. Anxious patients are difficult to manage and tend to avoid treatment.


The aim of the study is to evaluate the level of dental anxiety among patients undergoing endodontic treatment.

Materials and methods

Consent form and a pro forma of questionnaire [Modified Dental Anxiety Scale (MDAS)] in three different languages were used. The patients undergoing endodontic treatment were first explained about the study and how the study would be carried out with a sample size of 250 patients. The minimum score of 5 and the maximum score of 25 was considered for evaluation. Cut off at 19 or above indicates a highly dentally anxious patient.

Statistical analysis

Analysis was done using the Student’s t-test and Kruskal–Wallis test.


There were significant differences in the level of anxiety between male and female patients when the tooth was about to be drilled, when the teeth were about to be scaled, and when the local anesthetic was to be administered (p = 0.05, 0.02, and 0.06 respectively), except for anxiety levels a day prior to treatment and when patients were in the waiting room, which was not significant (p = 0.46 and 0.14 respectively).


In general, it was observed that patients are slightly anxious related to dental appointments and fairly anxious when related to treatments. Female patients tend to be more anxious than men, and patients in age group below 25 years are more anxious than other age groups.

How to cite this article

Phodse K, Shenoy VU, Machale PS. Assessment of Dental Anxiety Levels in Patients undergoing Endodontic Treatment. J Contemp Dent 2017;7(2):91-96.

  1. Oral health in America: a report of surgeon general. Rockville (MD): US public health Service, Department of Health and Human Services; 2000.
  2. Dental anxiety in a representative sample of residents of a large German city. Clin Oral Investig 2006 Mar;10(1):84-91.
  3. The need for sedation in conservative dentistry. Br Dent J 1970;125:18-22.
  4. Dental fear in Japan: Okayama Prefecture School of Adolescents and Adults. Anesth Prog 1993;39(6):215-220.
  5. Dental anxiety is very high in the Republic of Kiribati. South Pac Studies 2007 Mar;28(1):23-30.
  6. Historical antecedents of dental anxiety. J Am Dent Assoc 1984 Jan;108(1):42-45.
  7. Dental anxiety – an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil 2006 Aug;33(8):588-593.
  8. Dental fear in Australia: who’s afraid of dentist? Aus Dent J 2006 Mar;51(1):78-85.
  9. Dental anxiety, utilisation of dental services, DMFS status in Norwegian military recruits. Comm Dent Health 1995 Jun;12(2):100-103.
  10. Oral health related quality of life in patients with dental anxiety. Comm Dent Oral Epidemiol 2007 Oct;35(5):357-363.
  11. The prevalence and practice management consequence of dental fear in major US city. J Am Dent Assoc 1998 May;116(6):641-647.
  12. Harung eines Fragebogens zur Erkennung von Zahbehandlungsangst. Zahnarzteblatt 1999;108:104-114.
  13. Prevalence and characteristics of dental anxiety in Danish adults. Comm Dent Oral Epidemiol 1993 Oct;21(5):292-296.
  14. Dental anxiety amongst patients undergoing various dental treatments in a Nigerian teaching hospital. J Contemp Dent Pract 2005 May;6(2):91-98.
  15. Dental anxiety among patients undergoing endodontic treatment. J Endod 1998 Jun;24(6):435-437.
  16. Management of dental fear, anxiety and dental phobia. Dent Nurs 2014 Jul;10(7):378-383.
  17. Dental anxiety in Danish and Chinese adults – a cross-cultural perspective. Soc Sci Med 1998;41:123-130.
  18. Do men lie on fear surveys? Behav Res Ther 1992 Jul;30(4):415-418.
  19. A comparison of anxiety levels associated with root canal therapy and oral surgery treatment. J Endod 1991 Sep;17(9):461-465.
  20. Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol 1997 Aug;25(4):314-318.
  21. Development of a dental anxiety scale. J Dent Res 1969 Jul-Aug;48(4):596-602.
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