The Silent Burden: Prevalence and Psychological Impact of Dental Anxiety Among Students and Professionals in Pakistan

Authors

  • Asma Siddiqui Karachi Medical And Dental college ,Karachi metropolitan university
  • Samia Siraj Karachi Medical and Dental College, Karachi Metropolitan University
  • Fatima Nasir Karachi Medical and Dental College, Karachi Metropolitan University
  • Affan Ahmad Karachi Medical and Dental College, Karachi Metropolitan University
  • Syeda Arzoo Azeem Karachi Medical and Dental College, Karachi Metropolitan University
  • Muhammad Tariq Fayyaz Karachi Medical and Dental College, Karachi Metropolitan University

DOI:

https://doi.org/10.36283/ziun-pjmd14-4/072

Keywords:

Dental anxiety, Communication , fear of pain

Abstract

Background: Dental anxiety is a frequent issue that has a huge impact on dental professionals and students who aren't able to provide care as needed. The study aimed to determine the prevalence of dental anxiety in dental students and professionals, and assess the contributing factors and management options for dental anxiety.

Methods: A cross-sectional study was conducted at Karachi Medical and Dental College for six months from 1st March 2025 to 31st August 2025.  A non-probability purposive sampling technique was employed to recruit the 364 dental professionals and students. The data were collected using a structured questionnaire. Data were analyzed using SPSS v20. Descriptive statistics summarized demographic and response data. Chi-square tests assessed associations between demographics and perceptions of trauma work. Internal consistency was evaluated using Cronbach’s alpha. A p-value < 0.05 was considered statistically significant

Results: The study indicated that 231(63.5%) of participants experienced dental anxiety. Pain was the most common contributing factor reported, at 213(58.5%). 293(80.5%) of participants described that they manage anxiety by using effective communication and empathy, whilst only 56(5.4%) of them relied on relaxation techniques. There were differences in anxiety depending on gender, with females reporting higher levels of anxiety (p≤ 0.05).  

Conclusion: There is a high prevalence of dental anxiety in dental professionals and students. Pain was the main contributing factor to dental anxiety. The most frequently used management technique was effective communication.

 

Author Biographies

  • Asma Siddiqui, Karachi Medical And Dental college ,Karachi metropolitan university

    Department of Medical Education

  • Samia Siraj, Karachi Medical and Dental College, Karachi Metropolitan University

    Department of Orthodontics

  • Fatima Nasir, Karachi Medical and Dental College, Karachi Metropolitan University

    Department of Endodontics 

  • Affan Ahmad, Karachi Medical and Dental College, Karachi Metropolitan University

    Department of Sciences of Dental Materials

  • Syeda Arzoo Azeem, Karachi Medical and Dental College, Karachi Metropolitan University

    Department Of Oral And Maxillofacial Surgery

  • Muhammad Tariq Fayyaz, Karachi Medical and Dental College, Karachi Metropolitan University

    Department of Dentistry

References

1. Aardal V, Evensen KB, Willumsen T, Bull VH. The complexity of dental anxiety and its association with oral health-related quality of life: An exploratory study. Eur J Oral Sci. 2023 Feb;131(1):e12907. doi: 10.1111/eos.12907.

2. Wide U, Hakeberg M. Treatment of dental anxiety and phobia—diagnostic criteria and conceptual model of behavioural treatment. Dent J (Basel). 2021 Dec 17;9(12):153. doi: 10.3390/dj9120153.

3. Ahsan A, Singh R. Insights about dental anxiety and oral health behaviors: dentist’s perspective in a qualitative study. J Indian Assoc Public Health Dent. 2025;23(1):26-30. doi: 10.4103/jiaphd.jiaphd_256_24.

4. Bjørkvik J, Henriquez Quintero DP, Vika ME, Nielsen GH, Virtanen JI. Barriers and facilitators for dental care among patients with severe or long-term mental illness. Scand J Caring Sci. 2022 Mar;36(1):27-35. doi: 10.1111/scs.12960.

5. Zahra N, Asad SR, Khan M, Asad SA, Asad S, Syed QA. Addressing challenges of dental problems in Pakistan: a comprehensive review. Int J Biomed Res. 2024;3(1):[Epub ahead of print]. doi: 10.31579/2834-5029/042.

6. Sezer B, Sıddıkoğlu D. Relationship between work-related musculoskeletal symptoms and burnout symptoms among preclinical and clinical dental students: a cross-sectional study. BMC Musculoskelet Disord. 2025 Jun 5;26(1):561. doi: 10.1186/s12891-025-08796-5.

7. Taqi M, Zaidi SJA, Javaid J, Alam Z, Saleem A, Khan SA. Patient perceptions and experiences of dental fear of different dental specialties: a mixed-method study. BMC Oral Health. 2023 Nov 19;23(1):884. doi: 10.1186/s12903-023-03626-3.

8. Leśna M, Górna K, Kwiatek J. Managing fear and anxiety in patients undergoing dental hygiene visits with guided biofilm therapy: analysis of psychological and physiological differences between women and men—a conceptual and multivariate regression model. J Pers Med. 2025 Apr 8;15(4):147. doi: 10.3390/jpm15040147.

9. Mariño R, Delany C, Manton D, Reid K, Satur J, Crombie F, Wong R, McNally C, Lopez D, Celentano A, Lim M, Morgan M. Preparedness for practice of newly qualified dental professionals in Australia: educator, employer, and consumer perspectives. BMC Med Educ. 2022 May 23;22(1):396. doi: 10.1186/s12909-022-03476-7.

10. Ho JCY, Chai HH, Lo ECM, Huang MZ, Chu CH. Strategies for effective dentist-patient communication: a literature review. Patient Prefer Adherence. 2024 Jul 1;18:1385-1394. doi: 10.2147/PPA.S465221.

11. Fatima S, Ul Abideen MZ, Siddiqui AA, Khan FFS, Gillani SW, Hussain MW, Alam MK, Rathore HA. Perception, attitude, and preference of trainees towards workplace-based assessment in dental education at a tertiary care institute in Multan, Pakistan. Work. 2023;75(2):703-710. doi: 10.3233/WOR-220132.

12. Khan YA, Ahmad S, Muhammad G, Ahmed M, Saif I, Waqar Z, Ali MA. Cultural competency training in dental and medical education: enhancing communication and patient-centered care. Pak J Health Sci. 2024 Dec 31;5(12):372-379. doi: 10.54393/pjhs.v5i12.2644.

13. Ungar P, Schindler AK, Polujanski S, Rotthoff T. Online programs to strengthen the mental health of medical students: a systematic review of the literature. Med Educ Online. 2022 Dec;27(1):2082909. doi: 10.1080/10872981.2022.2082909.

14. Chishti F, Hassan H, Qazi SR. Dental anxiety among students of Lahore, Pakistan. Pak J Med Health Sci. 2021;15(9):2659-2661.

15. Alansaari ABO, Tawfik A, Jaber MA, Khamis AH, Elameen EM. Prevalence and socio-demographic correlates of dental anxiety among a group of adult patients attending dental outpatient clinics: a study from UAE. Int J Environ Res Public Health. 2023 Jun 13;20(12):6118. doi: 10.3390/ijerph20126118.

16. Saba Z, Katirci G. Relationship between dental anxiety levels and oral health among dental patients in Turkey: a cross-sectional study. BMC Oral Health. 2023 May 25;23(1):328. doi: 10.1186/s12903-023-03041-8.

17. Muneer MU, Ismail F, Munir N, Shakoor A, Das G, Ahmed AR, Ahmed MA. Dental anxiety and influencing factors in adults. Healthcare (Basel). 2022 Nov 23;10(12):2352. doi: 10.3390/healthcare10122352.

18. Magerfleisch LA, Cunoti N, Qorri R, Weil KM, Tröger H, Häring J, Irmscher L, Petrowski K, Berth H. Correlations between psychological anxiety symptoms and physical anxiety symptoms in dental anxiety: a cross-sectional study with 1327 patients. Front Oral Health. 2025 Aug 28;6:1612982. doi: 10.3389/froh.2025.1612982.

19. Valdes-Stauber J, Hummel K. The relationship between dental anxiety and other kinds of anxiety: a naturalistic, cross-sectional and comparative study. BMC Psychol. 2021 Nov 24;9(1):184. doi: 10.1186/s40359-021-00684-6.

20. Farhane-Medina NZ, Luque B, Tabernero C, Castillo-Mayén R. Factors associated with gender and sex differences in anxiety prevalence and comorbidity: a systematic review. Sci Prog. 2022 Oct-Dec;105(4):368504221135469. doi: 10.1177/00368504221135469.

21. Ho JCY, Chai HH, Luo BW, Lo ECM, Huang MZ, Chu CH. An overview of dentist-patient communication in quality dental care. Dent J (Basel). 2025 Jan 14;13(1):31. doi: 10.3390/dj13010031.

22. Sivrikaya EC, Yilmaz O, Sivrikaya P. Dentist-patient communication on dental anxiety using social media: a randomized controlled trial. Scand J Psychol. 2021 Dec;62(6):780-786. doi: 10.1111/sjop.12769.

23. Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, Hirsch J, Sirois F. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evid Based Complement Alternat Med. 2021 Jul 2;2021:5924040. doi: 10.1155/2021/5924040.

24. Hoffmann B, Erwood K, Ncomanzi S, Fischer V, O'Brien D, Lee A. Management strategies for adult patients with dental anxiety in the dental clinic: a systematic review. Aust Dent J. 2022 Mar;67 Suppl 1:S3-S13. doi: 10.1111/adj.12926.

25. Gardiner C, Craig R, McKenna GJ. Barriers to postgraduate education in primary dental care: a qualitative study. J Dent. 2024 Nov;150:105326. doi: 10.1016/j.jdent.2024.105326.

Downloads

Published

2025-09-29

Metrics

How to Cite

1.
Siddiqui A, Siraj S, Nasir F, Ahmad A, Azeem SA, Fayyaz MT. The Silent Burden: Prevalence and Psychological Impact of Dental Anxiety Among Students and Professionals in Pakistan. PJMD [Internet]. 2025 Sep. 29 [cited 2026 Jun. 17];14(4). Available from: https://ojs.zu.edu.pk/pjmd/article/view/3804

Similar Articles

1-10 of 353

You may also start an advanced similarity search for this article.