Evidence map›Paper›PMID 40908064›Full record

ArticleJournal of the American Dental Association (1939)2025

A census-matched survey of dental fear and fear-treatment interest in the United States.

Richard E Heyman, Kelly A Daly, Salomi Aladia, Sarah L Harris, Nicole A Roitman, Annette C Kim, Amy M Smith Slep

Abstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Richard E Heyman
Kelly A Daly
Salomi Aladia
Sarah L Harris
Nicole A Roitman
Annette C Kim
Amy M Smith Slep

Funding

A Stepped-Care Approach to Treating Dental Fear: A Sequential, Multiple Assignment, Randomized Trial For Cognitive-Behavioral Treatment via Mobile App and Evidence-Based Collaborative CareUH3DE029453 · NIDCR · NEW YORK UNIVERSITY · PI Richard Eliot Heyman, AMY Michele Smith SLEP · 2023 to 2026
$3.1M
A Stepped-Care Approach to Treating Dental Fear: A Sequential, Multiple Assignment, Randomized Trial For Cognitive-Behavioral Treatment via Mobile App and Evidence-Based Collaborative CareUG3DE029453 · NIDCR · NEW YORK UNIVERSITY · PI HEYMAN, RICHARD ELIOT, SLEP, AMY MICHELE SMITH · 2020 to 2021
$648k
NIDCR NIH HHS UG3 DE029453NIDCR NIH HHS UH3 DE029453
6 · The paper itself

Abstract

backgroundThe authors aimed to measure dental fear prevalence via the first national census-matched US adult sample and, among fearful people, interest in evidence-based digital fear treatment (ie, computerized, mobile application, and telehealth approaches) or reasons for declining.

methodsA cross-sectional census-matched online survey (n = 1,003) was conducted (October 31-November 11, 2024) ensuring representation of US adult demographic characteristics. Dental fear was assessed using the validated Gatchel single-item scale (from 0 [no fear] through 10 [extreme fear]). People with moderate through severe fear were asked about their interest in digital treatment and, if they refused, about their reasons for declining.

resultsThe prevalence was 72.6% (95% CI, 70.9% to 74.3%), with 45.8% reporting moderate fear and 26.8% reporting severe fear. Among fearful people, 71.2% (95% CI, 69.4% to 73.0%) were interested in digital treatment. Those who declined indicated skepticism about effectiveness (31.8%), satisfaction with their coping strategies (23.4%), and time concerns (22.3%).

conclusionsDental fear remains widespread in the United States, suggesting little progress in prevalence reduction. The high interest in digital treatment indicates demand for accessible interventions. PRACTICAL IMPLICATIONS: Brief digital dental fear treatments offer potential for widespread dissemination. Public health messaging must address skepticism about treatment effectiveness and value among the fearful patients not yet interested (≈ 30%).

Indexed as

Dental AnxietyAdolescentAdultAgedCensusesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceSurveys and QuestionnairesTelemedicineUnited StatesYoung AdultDental feardigital health interventionimplementation scienceprevalencetreatment barriers

Identifiers

PMID40908064
PMCPMC12411743

What OpenQuestion holds

Textmetadata
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.