June 2023

Volume 40, Issue 2

The role of Dental Fear, Pain anticipation and Self-efficacy in Endodontic Therapy

Authors: Noelia Santos-Puerta Cecilia Peñacoba-Puente
doi: 10.1922/CDH_00157Santos-Puerta07


Background: Cognitive-behavioural interventions may be important for the prevention and treatment of oral diseases. One cognitive factor that has generated considerable interest as a possible mediator is self-efficacy. Methods: One hundred patients diagnosed with pulpal or periapical pathology that required endodontic therapy were treated. Data were collected at baseline in the waiting room before therapy and then during treatment. Results: Positive correlations were found between dental fear, pain anticipation and dental avoidance (p<0.001). The correlation between dental fear and pain anticipation showed the largest effect sizes. Healthy participants had higher scores in self-efficacy (Mean=32.55; SD=7.15) than those with systemic diseases (n=15; Mean=29.33; SD=4.76, p=0.04). Participants who not taking medication before treatment had lower scores for pain anticipation (Mean=3.63; SD=2.85) than those taking medication. The contribution of pain anticipation to dental avoidance varied at different values of self-efficacy. The indirect effect of dental fear on dental avoidance via dental anxiety was significant in individuals with higher self-efficacy. Conclusions: Self-efficacy had an essential moderation role between pain anticipation and dental avoidance during endodontic treatment. Keywords: Self-efficacy, endodontic therapy, dental fear, dental avoidance

£10 single article

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Effectiveness of an oral health education intervention among 6–12-year-old children: A cluster randomized controlled trial 79-84 £10 single article
The role of Dental Fear, Pain anticipation and Self-efficacy in Endodontic Therapy 85-91 £10 single article
Toothbrushing practices as risk factors for dental fluorosis in an area with varying fluoride levels in drinking water 92-96 £10 single article
Dental professionals participating in a home visiting programme for first-time parents 97-102 £10 single article
Diabetes and dental caries in US adults: an analysis of data from the National Health and Nutrition Examination Survey, 2011-2018 103-108 £10 single article
The Experiences of Patients with Periodontitis and its Treatment: A Qualitative Study 109-113 £10 single article
Impact of socioeconomic status on children and adolescent’s orthodontic treatment; A Systematic Review 114-124 £10 single article
Dental care for people living with dementia: current challenges and planning for the future. The UK perspective 125-130 Download


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