ArticleJournal of dentistry2019
Impact of time pressure on dentists' diagnostic performance.
Article in Journal of dentistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 41 citations in OpenAlex.
- Effects of dental noise on dentists' performance and stress responses: a randomized crossover trial.Journal of occupational health · 2026Trial
- The Effect of Time Pressure on the Quality of Fillings and Arousal Levels of Dentists.Clinical and experimental dental research · 2025Trial
- Time Pressure During Primary Care Office Visits: a Prospective Evaluation of Data from the Healthy Work Place Study.Journal of general internal medicine · 2020Trial
- Uncovering diagnostic errors in dentistry through critical incident reports: a mixed-methods analysis.BMC health services research · 2026Article
- Self-compassion as a well-being strategy against burnout among dentists: a controlled intervention study.BMC psychology · 2026Article
- Clinicians' Stress Levels During Soft Tissue Augmentation Using Autogenous Connective Tissue Grafts: A Pilot Study.Clinical implant dentistry and related research · 2026Article
- Unveiling dental diagnostic dilemmas: a national survey of US dentists.BMC oral health · 2025Article
- Identification and evaluation of radiographic interpretation errors among undergraduate dental students.Medical education online · 2025Article
- An Assessment of Deep Learning's Impact on General Dentists' Ability to Detect Alveolar Bone Loss in 2D Intraoral Radiographs.Diagnostics (Basel, Switzerland) · 2025Article
- Australian Dentists' Knowledge of the Consequences of Interpretive Errors in Dental Radiographs and Potential Mitigation Measures.Clinical and experimental dental research · 2024Article
- Radiodiagnostics of standard orthodontic radiographs-dental and extradental incidental findings : Do we see everything we should see?Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2024Article
- Australian Dentist's Knowledge and Perceptions of Factors Affecting Radiographic Interpretation.International dental journal · 2024Article
- Awareness of patients with impacted teeth about impacted teeth in Turkey: A questionnaire study.Heliyon · 2024Article
- Psychophysiological wellbeing in a class of dental students attending dental school: anxiety, burnout, post work executive performance and a 24 hours physiological investigation during a working day.Frontiers in psychology · 2024Article
- Work stress and competency among radiology residents: the mediating effect of resilience.Frontiers in public health · 2024Article
- A technical feasibility study on adaptation of a microsurgical robotic system to an intraoperative complication management in dental implantology: perforated Schneiderian membrane repair using SymaniJournal of robotic surgery · 2023Article
- Attitudes and practices of dentists treating HIV+ patients in the era of new antiretroviral therapy: A 12-year update.Heliyon · 2023Article
- Errors in clinical diagnosis: a narrative review.The Journal of international medical research · 2023Review
- Factors affecting interpretation of dental radiographs.Dento maxillo facial radiology · 2023Article
- Diagnostic errors in Dentistry, opinions of egyptian dental teaching staff, a cross-sectional study.BMC oral health · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesAlthough stress is prevalent amongst dentists, there is a paucity of data on the impact of stressors on dentists' clinical performance. To address this gap in the literature, the aim of the present study was to explore the role of time pressure, representing one common stressor, on dentists' radiographic diagnostic performance.
methodsForty dentists were randomised to examine and provide a radiographic report on two sets of radiographs (six bitewings in each set) under two conditions on a cross-over basis: time-pressure vs. no-time-pressure. The radiographic report of an experienced consultant was considered the gold standard against which participants diagnostic decisions were compared to calculate sensitivity and specificity. Participants rated their stress after each experimental condition using a 100 mm visual analogue scale (VAS).
resultsThe VAS scores for stress were significantly higher in the time pressure condition vs. no time pressure condition (mean: 55.78 versus 10.73, p < 0.0001), indicating that the time pressure acted as a source of stress. Dentists' diagnostic performance was affected; the sensitivity was significantly lower under time pressure (median: 0.50 versus 0.80, p < 0.0001), but by contrast, the median diagnostic specificity was 1.00 under both conditions.
conclusionsTime pressure negatively impacts one aspect of dentists' diagnostic performance, namely sensitivity (increased diagnostic errors and omissions of pathology), which can potentially affect patient safety and the quality of care delivered. However, time pressure was found to have less influence on diagnostic specificity. CLINICAL SIGNIFICANCE: The present study demonstrated a significant deterioration of dentists' diagnostic performance (sensitivity) under time-pressure when examining bitewing radiographs. Diagnostic errors may put patient safety at risk, with patients potentially being harmed if pathology is missed. Such errors can have medicolegal implications on the dentists' practice.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.