Evidence map›Paper›PMID 35735746›Full record

SynthesisAustralian dental journal2022

Management strategies for adult patients with dental anxiety in the dental clinic: a systematic review.

B Hoffmann, K Erwood, S Ncomanzi, V Fischer, D O'Brien, A Lee

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Australian dental journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Evaluating the use of augmented reality in alleviating anxiety and pain in children during intraoral injection administration: a randomized-controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Trial
  6. Trial
  7. Trial
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  10. Advantages of remimazolam for sedation in impacted tooth extraction.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2024
    Trial
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  14. Trial
  15. Article
  16. Article
  17. Review
  18. The median effective dose (EDBMC anesthesiology · 2026
    Article
  19. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

B HoffmannCollege of Medicine & Dentistry, James Cook University, Smithfield, Queensland, Australia.
K ErwoodCollege of Medicine & Dentistry, James Cook University, Smithfield, Queensland, Australia.ORCID 0000-0003-1579-0765
S NcomanziCollege of Medicine & Dentistry, James Cook University, Smithfield, Queensland, Australia.
V FischerCollege of Medicine & Dentistry, James Cook University, Smithfield, Queensland, Australia.
D O'BrienCollege of Medicine & Dentistry, James Cook University, Smithfield, Queensland, Australia.
A LeeSpecial Needs Specialist Dentist, Westmead Centre for Oral Health, Westmead, New South Wales, Australia.
James Cook University · AUWestmead Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anxiety is an adaptive emotional response to potentially threatening or dangerous situations; moderated by the sympathetic nervous system. Dental anxiety is common and presents before, during or after dental treatment. The physiological response includes an increase in heart rate, blood pressure, respiratory rate, and cardiac output. Consequently, extensive distress leads to avoidance of dental treatment and multiple failed appointments, impacting both oral and general health. Dental anxiety can generate a variety of negative consequences for both the dentist and the patient. Evidence-based strategies are essential for mitigating and relieving anxiety in the dental clinic. Psychotherapeutic behavioural strategies can modify the patient's experience through a minimally invasive approach with nil or negligible side effects, depending on patient characteristics, anxiety level and clinical situations. These therapies involve muscle relaxation, guided imagery, physiological monitoring, utilizing biofeedback, hypnosis, acupuncture, distraction and desensitization. Pharmacological intervention utilizes either relative analgesia (nitrous oxide), conscious intravenous sedation or oral sedation, which can have undesirable side effects, risks and contraindications. These modalities increase the cost and availability of dental treatment.

Indexed as

AnesthesiaAnesthesia, DentalAdultDental AnxietyDental ClinicsHumansProcedural SedationAnxietydental clinicfearmanagementstrategies

Identifiers

PMID35735746
PMCPMC9796536
OpenAlexW4283331157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.