Evidence map›Paper›PMID 41062604›Full record

ArticleScientific reports2025

Dental and periodontal health, oral health-related quality of life and life satisfaction in patients with severe dental phobia.

Maria Lenk, Carolin Rose, Kerstin Weidner, Joerg Rietschel, Christian Hannig, Katrin Lorenz

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Maria LenkDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstr. 74, 01307, Dresden, Germany. maria.lenk@ukdd.de.
Carolin RoseDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstr. 74, 01307, Dresden, Germany.
Kerstin WeidnerDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstr. 74, 01307, Dresden, Germany.
Joerg RietschelPoliclinic of Operative Dentistry, Periodontology, and Paediatric Dentistry, Division of Operative Dentistry, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Christian HannigPoliclinic of Operative Dentistry, Periodontology, and Paediatric Dentistry, Division of Operative Dentistry, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Katrin LorenzPoliclinic of Operative Dentistry, Periodontology, and Paediatric Dentistry, Division of Periodontology, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As a "simple phobia", dental phobia is often dismissed as a harmless anxiety disorder and relegated to the domain of dentists, who can treat the dental diseases but not the anxiety disorder. The subjective burden of patients with dental phobia is indicated by numerous studies showing reduced oral health-related quality of life (OHRQL). We aimed to assess the biopsychosocial consequences from objective oral manifestations to the previously unknown effects on life satisfaction. In our cross-sectional study, 61 dental phobic patients and 69 age-matched non-anxious patients were recruited before treatment under endotracheal anesthesia. In addition to a higher caries burden, dental phobic patients had a higher prevalence of periodontal diseases. Their OHRQL was reduced, with shame and affective impairment due to dental problems being most prominent. They were significantly dissatisfied with almost all aspects of daily life. In particular, their dissatisfaction with themselves, their sexuality, their friendships, and their financial situation were associated with oral health-related shame. The shame-inducing fear of being stigmatized because of visible dental problems appears to contribute to discomfort and withdrawal from social and intimate contacts. The consequences of untreated dental phobia highlight the importance of early psychotherapy and a trusting, non-shaming therapeutic relationship in dental treatment.

Indexed as

Dental AnxietyOral HealthPeriodontal DiseasesPersonal SatisfactionQuality of LifeAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedCariesDental phobiaLife satisfactionOral health related quality of lifePeriodontal disease

Identifiers

PMID41062604
PMCPMC12508141

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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.