ArticleEuropean journal of oral sciences2022
Seeing the person before the teeth: A realist evaluation of a dental anxiety service in Norway.
Article in European journal of oral sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Exploring fulfillment of basic psychological needs in patients with dental anxiety: an investigation grounded in self-determination theory.Acta odontologica Scandinavica · 2026Article
- Behavioral and Cognitive Strategies in Pediatric Dentistry: Current Concepts in Anxiety and Fear Management.Cureus · 2026Review
- Dental Shame: A Call for Understanding and Addressing the Role of Shame in Oral Health.Community dentistry and oral epidemiology · 2026Article
- Unmasking oral health stigma: a qualitative scoping review.BMC oral health · 2025Article
- Treating dental anxiety for patients with a trauma history or severe dental anxiety: A scoping review.European journal of oral sciences · 2025Article
- Associations of adverse childhood experiences with dental fear, and the mediating role of dental fear on caries experience: the Young-HUNT4 Survey.BMC oral health · 2025Article
- Exploring dental students' attitudes toward patient-centered management of dental fear.Journal of dental education · 2024Article
- The complexity of dental anxiety and its association with oral health-related quality of life: An exploratory study.European journal of oral sciences · 2023Article
- Seeing the person before the teeth: A realist evaluation of a dental anxiety service in Norway.European journal of oral sciences · 2022Article
- Exploring the contexts, mechanisms and outcomes of a torture, abuse and dental anxiety service in Norway: a realist evaluation.BMC health services research · 2022Article
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Authors and funding
4 authors.
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Abstract
Patients with a trauma history, whether sexual abuse or torture, or dental phobia, tend to avoid dental services due to severe dental anxiety. Subsequently, they experience poor oral health, lower quality of life, and poorer general health. In Norway, a specific service (torture, abuse, and dental anxiety [TADA]) targets these patients' dental anxiety through cognitive behavioural therapy (CBT) prior to dental restoration. By exploring patients' experiences with TADA services using a realist evaluation approach, this paper aims to increase our understanding of how this type of service addresses patients' dental anxiety in terms of its mechanisms and contextual factors. Interviews with TADA patients (n = 15) were analysed through a template analysis driven by context-mechanism-outcome heuristics. The analysis revealed that patients value a dental practitioner who provides a calm and holistic approach, positive judgements and predictability elements that lean towards a person-centred care approach. Provided this, patients felt understood and cared for, their shame was reduced, self-esteem emerged, and control was gained, which led to alleviation of dental anxiety. Therefore, our findings suggest that combining CBT with a person-centred care approach helps alleviate patients' dental anxiety. This provides insights into how dental services could be executed for these patients.
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