Evidence map›Paper›PMID 40855605›Full record

ArticleJournal of dental education2026

Trust and Distrust in Dental Professionals: Patient Perceptions and Experiences.

Ken He, Joanna Sale, Sonica Singhal, Laura Dempster

Abstract read
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

  1. Article
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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

4 authors.

Ken HeFaculty of Dentistry, University of Toronto, Toronto, Canada.
Joanna SaleDepartment of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sonica SinghalFaculty of Dentistry, University of Toronto, Toronto, Canada.
Laura DempsterFaculty of Dentistry, University of Toronto, Toronto, Canada.

Funding

Green Shield CanadaUniversity of Toronto
6 · The paper itself

Abstract

purposeTo investigate factors that contribute to trust in dentists among patients with socioeconomic barriers and explore how these factors influence patient decisions to undergo dental treatment.

methodsPatients at the University of Toronto, Faculty of Dentistry, participated in one-on-one semi-structured interviews, answering open-ended questions about circumstances that led to the development and erosion of trust. Interviews were recorded, transcribed verbatim, and coded. Thematic analysis was used to organize data from transcripts and develop themes.

resultsInterviews were conducted with 25 patients (18 females, 7 males; age range 22-68 years). Four themes were developed: (1) Patients' perception of dentists' technical skills and reputation was important to building trust. Dentists perceived by patients to provide high-quality work, minimize pain, use current technology, and have positive endorsements led to trust. (2) Patients' perception of dentists' communication skills and empathy was important to building trust. Patients reported having trust in dentists who communicated treatment details, remained transparent, engaged them in decision-making, and prioritized their well-being. (3) Patients varied in how they associated trust with cost and their previous dental experience. (4) Trust influenced patient decisions to proceed with dental treatment.

conclusionsTrust is a dynamic component of the dentist-patient relationship that patients assess throughout their treatment-seeking process. Empathy and communication skills are modifiable attributes that dentists can develop to build their patients' trust. Dentists have less control over how patients perceive their competence. Patient trust in dentists fosters active engagement in treatment, while distrust can lead to switching dentists or avoiding treatment.

Indexed as

Dentist-Patient RelationsDentistsTrustAdultAgedCommunicationDecision MakingDental CareEmpathyFemaleHumansInterviews as TopicMaleMiddle AgedYoung Adultbehavioral sciencescommunication and interpersonal skillsdentist/patient relationshipqualitative researchtrust

Identifiers

PMID40855605
PMCPMC13174905

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.