Triggers and Relievers of Dental Anxiety: Comparative Analysis of Patient Perceptions in Private and Public Dental Settings

Authors

  • Hammad Hassan University of Health Sciences, Lahore, Pakistan
  • Faiza Fatima Chishti Institute of Dentistry, CMH Lahore Medical College, NUMS
  • Muhammad Imran Ameer Malik de’ Montmorency College of Dentistry
  • Urooj Waseem Institute of Dentistry, CMH Lahore Medical College, NUMS
  • Asma Shakoor Institute of Dentistry CMH, Lahore Medical College, NUMS
  • Arooj ul Hassan University College of Dentistry, University of Lahore https://orcid.org/0000-0002-3041-5413

DOI:

https://doi.org/10.36283/ziun-pjmd13-4/010

Keywords:

Dental Anxiety, Public Sector, Triggers of anxiety, Waiting Room

Abstract

Background: Dental anxiety is a prevalent issue that affects a significant portion of the population, leading to avoidance of dental care. The study aimed to identify and compare the self-perceived triggering and relieving factors of dental anxiety among patients of private and public dental institutes in Punjab.

Methods: This analytical cross-sectional study was conducted between Dec 2021 and Oct 2022, on a sample of 711 physically and mentally healthy patients reporting to three private and two public dental hospitals in Punjab with a score of 11 and above on MDAS, using consecutive sampling. The former section of the questionnaire included demographics, while the latter part focused on self-reported triggers and relieving factors of dental anxiety. The data was analyzed using SPSS, and compared using the chi-square test. A p-value of ≤0.05 was taken as significant.

Results: The study included 51.3% females (n=365) and 48.7% males (n=346). Dirty instruments were a major trigger (67.1%, n=477, p=0.001), followed by stressful waiting rooms (54.4%, n=387, p=0.007) and complex procedures (49.2%, n=350, p=0.001) in public hospitals. Delayed appointments were a common trigger (41.1%, n=292) in both settings. Reassurance from the dentist (68.5%, n=487, p=0.087) and minimal waiting times (64.8%, n=461, p=0.012) were key relieving factors in both settings.

Conclusion: Dental anxiety triggers were more frequent in public settings, including dirty instruments, stressful waiting room environments, and complex procedures. In contrast, private settings showed fewer triggers. However, both public and private patients valued reassurance from the dentist and minimal waiting times as major relieving factors.

Author Biographies

  • Hammad Hassan, University of Health Sciences, Lahore, Pakistan

    Science of Dental Materials

  • Faiza Fatima Chishti, Institute of Dentistry, CMH Lahore Medical College, NUMS

    Senior Demonstrator, Community Dentistry

  • Muhammad Imran Ameer Malik, de’ Montmorency College of Dentistry

    Demonstrator, Science of Dental Materials

  • Urooj Waseem, Institute of Dentistry, CMH Lahore Medical College, NUMS

    Community Dentistry

  • Asma Shakoor, Institute of Dentistry CMH, Lahore Medical College, NUMS

    Associate Professor, Community and Preventive Dentistry Department

  • Arooj ul Hassan, University College of Dentistry, University of Lahore

    Associate Professor, Community and Preventive Dentistry

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Oct-Dec 2024

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Published

2024-10-24

How to Cite

1.
Hassan H, Chishti FF, Malik MIA, Waseem U, Shakoor A, Hassan A ul. Triggers and Relievers of Dental Anxiety: Comparative Analysis of Patient Perceptions in Private and Public Dental Settings. PJMD [Internet]. 2024 Oct. 24 [cited 2025 Jan. 25];13(4):77-84. Available from: https://ojs.zu.edu.pk/pjmd/article/view/2654

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