Evidence map›Paper›PMID 40514778›Full record

Trial reportCommunity dentistry and oral epidemiology2025

Online Cognitive-Behavioural Intervention to Manage Dental Anxiety: A 12-Month Randomised Clinical Trial.

Marisol Tellez, Eugene M Dunne, Elizabeth Konneker, Huaqing Zhao, Amid I Ismail

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03680755 (Efficacy of an Internet-based Intervention for Dental Anxiety), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT03680755 nacompletednot on this map

Efficacy of an Internet-based Intervention for Dental Anxiety

TypeinterventionalSponsorTemple UniversityRan2019 to 2024Enrolled503ConditionsDental AnxietyArmsInternet-based intervention for dental anxiety
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
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

5 authors.

Marisol TellezMaurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3407-9530
Eugene M DunneMaurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA.
Elizabeth KonnekerMaurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA.ORCID 0009-0005-6329-9999
Huaqing ZhaoSchool of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Amid I IsmailMaurice H. Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania, USA.

Funding

Efficacy of an Internet-based intervention for dental anxietyU01DE027328 · NIDCR · TEMPLE UNIV OF THE COMMONWEALTH · PI DUNNE, EUGENE M, TELLEZ MERCHAN, MARISOL · 2018 to 2022
$2.6M
Dental Anxiety Treatment among Patients in a University Clinic SettingR34DE024744 · NIDCR · TEMPLE UNIV OF THE COMMONWEALTH · PI HEIMBERG, RICHARD G, TELLEZ MERCHAN, MARISOL · 2015 to 2015
$117k
NIDCR NIH HHS R34 DE024744NIDCR NIH HHS U01 DE027328NIDCR NIH HHS U01DE027328
6 · The paper itself

Abstract

objectiveThe study aimed to test the efficacy of an online cognitive-behavioural therapy dental anxiety intervention (o-CBT) that could be easily implemented in dental healthcare settings.

methodsAn online cognitive-behavioural protocol based on psychoeducation, exposure to feared dental procedures and cognitive restructuring was developed. A randomised controlled trial was conducted (N = 499) to test its efficacy. Consenting adult dental patients (18-75 years old) who met inclusion criteria (e.g., high dental anxiety) were randomised to one of three arms, (a) intervention assisted by psychology staff (PI) (n = 162), (b) intervention assisted by dental staff (DI) (n = 167), or (c) a control condition (C) (n = 170). Primary outcome measures were the Modified Dental Anxiety Scale (MDAS) and the Anxiety and Related Disorders Interview Schedule DSM-V (ADIS) rating of fear. Generalised linear models for repeated measures based on intention to treat analyses were used to compare the three groups on dental anxiety, fear, avoidance and overall severity of dental phobia.

resultsDental anxiety was significantly lower in both PI and DI groups when compared to the control condition. Interestingly, reductions in dental anxiety favoured the DI group at 6 (p = 0.008) and 12 months only (p = 0.009). Overall, equivalency was observed between the two intervention groups (PI and DI), as there were no significant differences in dental anxiety when the dental arm was compared to the psychology arm across all time points (p > 0.05).

conclusionThe online cognitive-behavioural intervention was efficacious in reducing dental anxiety when compared to a control condition in an urban sample of patients receiving treatment in a dental school setting. Examination of its effectiveness when administered in dental offices under less controlled conditions is warranted.

trial registrationNCT03680755.

Indexed as

Cognitive Behavioral TherapyDental AnxietyAdolescentAdultAgedFemaleHumansMaleMiddle AgedTreatment OutcomeYoung Adultcognitive behavioural therapydental anxietyrandomised controlled trial

Identifiers

PMID40514778
PMCPMC12340983

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Registered trials

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.