ArticleBMC psychiatry2024
Interdisciplinary CBT treatment for patients with odontophobia and dental anxiety related to psychological trauma experiences: a case series.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Oral health status and treatment needs among adults seeking dental anxiety treatment in general practice - a cross-sectional study.Acta odontologica Scandinavica · 2026Article
- A multi-layered barrier to oral health: a mixed methods exploration of dental anxiety.BMC oral health · 2026Article
- Behavioral and Cognitive Strategies in Pediatric Dentistry: Current Concepts in Anxiety and Fear Management.Cureus · 2026Review
- Reframing Dental Anxiety: Cognitive Behavioral Therapy and Its Role in Phobia Treatment-A Narrative Review.Diseases (Basel, Switzerland) · 2025Review
- Exploring high dental anxiety subtypes using cluster analysis approach: a cross-sectional study.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
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Authors and funding
8 authors.
Funding
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Abstract
backgroundWhile cognitive-behavioural therapy (CBT) is a well-established treatment for odontophobia, research is sparse regarding its effect on patients with dental anxiety related to psychological trauma experiences. This study aimed to evaluate changes in symptoms and acceptability of interdisciplinary Torture, Abuse, and Dental Anxiety (TADA) team treatment for patients with odontophobia or dental anxiety. We also wanted to describe the sample's oral health status. The TADA teams offer targeted anxiety treatment and adapted dental treatment using a CBT approach.
methodsThe study used a naturalistic, case series design and included 20 consecutively referred outpatients at a public TADA dental clinic. Pre- and post-treatment assessments included questionnaires related to the degree of dental anxiety, post-traumatic stress, generalized anxiety, and depression. Patients underwent a panoramic X-ray before treatment. Before dental restoration, patients underwent an oral health examination to determine the mucosal and plaque score (MPS) and the total number of decayed, missing, and filled teeth (DMFT). Patients were referred to dentist teams for further dental treatment and rehabilitation (phase 2) after completing CBT in the TADA team (Phase 1). Results from the dental treatment in phase 2 is not included in this study.
resultsAll patients completed the CBT treatment. There were significant improvements in symptoms of dental anxiety, post-traumatic stress, and depression and moderate changes in symptoms of generalized anxiety. Dental statuses were heterogeneous in terms of the severity and accumulated dental treatment needs. The TADA population represented the lower socioeconomic range; 15% of patients had higher education levels, and half received social security benefits. All patients were referred to and started adapted dental treatment (phase 2).
conclusionsTADA treatment approach appears acceptable and potentially beneficial for patients with odontophobia and dental anxiety related to psychological trauma experiences. The findings suggest that further research, including larger controlled studies, is warranted to validate these preliminary outcomes.
trial registrationThe study was approved by the regional ethical committee in Norway (REK-Midt: 488462) and by the Data Protection Board at Møre and Romsdal County Authority.
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