Dental Anxiety and Fear Management Resources

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Overviews – Managing dental anxiety, fear and phobia

Management of fear and anxiety in the dental clinic: a review (JM Armfield, LJ Heaton, 2013) – This paper presents a review of a number of non-pharmacological techniques that can be used to help anxious patients

Strategies to manage patients with dental anxiety and dental phobia: literature review (DP Appukuttan, 2016)

Dental Anxiety, Fear and Phobia (PDF) – Mike Gow shines some light on dental phobias – and explains how the International Society of Dental Anxiety Management can help


Local Anaesthesia

Handbook of Local Anesthesia – Book and DVD Package by Stanley Malamed – 6th Ed. / 2012. Try before you buy: Malamed’s Local Anaesthesia videos on Youtube

Successful Local Anaesthesia for Restorative Dentistry and Endodontics by Al Reader, John Nusstein and Melissa Drum (2012). This book will help you successfully anaesthetize your patients using the newest technology and drugs available. It presents the rationale, advantages, and limitations of the various anaesthetic agents and routes of administration. A special emphasis is placed on supplemental anaesthetic techniques.

How to overcome failed local anaesthesia by J.G. Meechan (PDF file)

Advanced Local Anaesthetia – What you need to know (slides) by David A. Isen (2017)

The Wand – Information for UK customers wishing to purchase the Wand/STA computer-assisted anaesthesia system


History of dental anxiety and fear management

Iatrosedation – Nathan Friedman’s classic (1967) paper on the iatrosedative process in full


Communication

The Use of Positive Language in Dentistry (PDF file) – Mike Gow describes how to use positive language and suggestion in your practice, and also provides an example of a positively framed patient leaflet following tooth removal.

Conscious sedation – the only tool in the box? (2008) – Stephen Woolley looks at some underlying assumptions made about the management of dental phobia and the ramifications of sedation as being the preferred method employed with anxious patients.

The inter-personal work of dental conscious sedation: a qualitative analysis (2017) – Stephen Woolley discusses data regarding the inter-personal work integral to effective conscious sedation provision.


Hypnosis

Keeping an Open Mind (PDF file): Mike Gow explains some of the ways hypnotherapy can be used in day-to-day practice.


Patient Forms and Research Questionnaires

Reliability and validity of the Index of Dental Anxiety and Fear (IDAF-4C+) in an Australian adult sample (Jason Armfield) – A new and improved instrument for measuring dental anxiety and fear which avoids many of the problems associated with the MDAS and Corah’s Dental Anxiety Scale, Revised (DAS-R)

Please Handle Me With Care Dental Patient Form: This patient form was developed by people with dental anxieties. It is designed to identify specific fears. Also useful for practice websites, so patients can complete the form prior to their appointment.

“How do we measure dental fear and what are we measuring anyway?” by Jason M. Armfield (2010). A review and critique of dental anxiety indices.


Miscellaneous resources

Supporting People with Dental Anxiety: A free course on supporting people with dental anxiety. Four courses are available, aimed at teenagers, parents or dental practitioners. You need to register to access the course.

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