The role of dental anxiety in shaping patient satisfaction with dental services among patients visiting a tertiary care hospital: a cross-sectional study

Authors

  • Taniya N. Tirpude Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India
  • Shilpa A. Warhekar Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India
  • Noopur B. Kokane Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India
  • Sachin G. Khatri Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India
  • Aniket V. Dhote Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India
  • Astha A. Jathar Public Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, IndiaPublic Health Dentistry, Government Dental College and Hospital Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20254044

Keywords:

Dental anxiety, Patient satisfaction, Dental care, Questionnaire, Dental health services

Abstract

Background: The study aimed to examine the effect of dental anxiety on patient satisfaction with dental services and whether dental anxiety influences satisfaction levels among patients visiting tertiary care hospitals. 

Methods: The method was conducted among 356 dental patients at a tertiary care hospital, Nagpur. The Modified Dental Anxiety Scale (MDAS) was used to assess anxiety levels in patients. A pre-validated questionnaire was used to measure patient satisfaction with dental services.

Results: Respondents were generally satisfied, although some internal differences were observed. Of the 356 responses, 92.1% of participants reported being satisfied, while 7.9% were unsatisfied. Satisfaction level was higher among younger age groups, though this association was not statistically significant. Males reported greater satisfaction (53.4%) compared to females (46.6%). No significant association was found between satisfaction and education level. However, satisfaction was highest among patients with education levels below graduates. Dental anxiety was more prevalent in younger patients. Females experienced higher dental anxiety (18.9%) than males (7.5%). The highest levels of dental anxiety were observed among those with education below graduation.

Conclusions: Patients with higher dental anxiety reported lower satisfaction. Respondents were generally satisfied with dental services, except for waiting times. Older patients were less satisfied compared to younger ones. Males were more satisfied than Females.

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References

Eli I. Oral psychophysiology: stress pain and behaviour in dental care. Boca Raton, FL:CRC Press. 1992.

Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms and consequences. J Am Dent Assoc. 1984;109:247-51. DOI: https://doi.org/10.14219/jada.archive.1984.0328

Coolidge T, Arapostathis KN, Emmanouil D, Dabarakis N, Patrikiou A, Economides N, et al. Psychometric properties of Greek versions of the Modified Corah Dental Anxiety Scale (MDAS) and the Dental Fear Survey (DFS). BMC Oral Health. 2008;30:29. DOI: https://doi.org/10.1186/1472-6831-8-29

Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013;58(4):390-407. DOI: https://doi.org/10.1111/adj.12118

Devaraj C, Eswar P. Reasons for use and non-use of dental services among people visiting a dental college hospital in India: A descriptive cross-sectional study. Eur J Dent. 2012;6(4):422-7. DOI: https://doi.org/10.1055/s-0039-1698982

Thakare VG, Ajith Krishnan CG, Chaware S. Parents' perceptions of factors influencing the oral health of their preschool children in Vadodara city, Gujarat: A descriptive study. European J Gen Dent. 2012;1(1):44-9. DOI: https://doi.org/10.4103/2278-9626.101359

Suresh K, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci. 2012;5(1):7-13. DOI: https://doi.org/10.4103/0974-1208.97779

Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health. 2009;26;9:20. DOI: https://doi.org/10.1186/1472-6831-9-20

Ali DA. Patient satisfaction in Dental Healthcare Centers. Eur J Dent. 2016;10(3):309-314. DOI: https://doi.org/10.4103/1305-7456.184147

Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care. 1999;11(4):319-28. DOI: https://doi.org/10.1093/intqhc/11.4.319

Skaret E, Berg E, Raadal M, Kvale G. Factors related to satisfaction with dental care among 23-year olds in Norway. Community Dent Oral Epidemiol. 2005;33(2):150-7. DOI: https://doi.org/10.1111/j.1600-0528.2004.00208.x

Armfield JM, Enkling N, Wolf CA, Ramseier CA. Dental fear and satisfaction with dental services in Switzerland. J Public Health Dent. 2014;74(1):57-63. DOI: https://doi.org/10.1111/j.1752-7325.2012.00368.x

Locker D, Mscn EW, Jokovic A. What do older adults' global self-ratings of oral health measure? J Public Health Dent. 2005;65(3):146-52. DOI: https://doi.org/10.1111/j.1752-7325.2005.tb02804.x

Weinstein P, Milgrom P, Heaton LJ. Treating fearful dental patients: a patient management handbook. Dental Behavioral Resources. 2009.

Hashim R. Patient satisfaction with dental services at Ajman University, United Arab Emirates. East Mediterr Health J. 2005;11(6):913-21.

Lixandru CI, Maniu I, Cernușcă-Mițariu MM. Patient Satisfaction with the Quality of Oral Rehabilitation Dental Services: A Comparison between the Public and Private Health System. Dent. J. 2024;12:45. DOI: https://doi.org/10.3390/dj12030045

Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007;1:78. DOI: https://doi.org/10.1186/1472-6831-7-1

Yong AJ, Mohamad N, Saddki N, Ahmad WMAW, Alam MK. Patient Satisfaction Towards Dentist-Patient Interaction Among Patients Attending Outpatient Dental Clinic Hospital Universiti Sains Malaysia. Pesqui Bras Odontopediatria Clín Integr. 2021;21:123. DOI: https://doi.org/10.1590/pboci.2021.041

Wright SM, Craig T, Campbell S, Schaefer J, Humble C. Patient satisfaction of female and male users of Veterans Health Administration services. J Gen Intern Med. 2006;21(3):26-32. DOI: https://doi.org/10.1111/j.1525-1497.2006.00371.x

Sowole AA. Patient satisfaction with care provided by a district dental clinic (Doctoral dissertation. University of the Western Cape. 2007.

Subait AA, Ali A, Alsammahi O, Aleesa M, Alkashan S, Alsalem M, et al. Perception and Level of Satisfaction of Patients Seeking Dental Care; A Cross-Sectional Study in a Major Healthcare Center in Saudi Arabia. J Dent & Oral Disord. 2016;2(4):1021.

Patel JY. A study on evaluation of patient satisfaction with dental health care services. Int J Sci Res Publ. 2014;4(8):1-4.

Zastowny TR, Roghmann KJ, Hengst A. Satisfaction with medical care: replications and theoretic reevaluation. Med Care. 1983;21(3):294-322. DOI: https://doi.org/10.1097/00005650-198303000-00004

Nagappan N, John J. Patient satisfaction with the dental services offered by a dental Hospital in India. Journal of Indian Asso Publ Health Dent. 2014;12(4):297-301. DOI: https://doi.org/10.4103/2319-5932.147669

Warhekar Shilpa, Sandesh N, Warhekar Ashish. Influence of Parental Dental Anxiety on Dental Health Outcomes and Utilization of Dental Services of their Children Act. Scient Dent Sci. 2018;2(7):7-12.

Al Ghanem EJ, AlGhanem NA, AlFaraj ZS, AlShayib LY, AlGhanem DA, AlQudaihi WS, et al. Patient satisfaction with dental services. Cureus. 2023;15(11):49223. DOI: https://doi.org/10.7759/cureus.49223

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Published

2025-11-29

How to Cite

Tirpude, T. N., Warhekar, S. A., Kokane, N. B., Khatri, S. G., Dhote, A. V., & Jathar, A. A. (2025). The role of dental anxiety in shaping patient satisfaction with dental services among patients visiting a tertiary care hospital: a cross-sectional study. International Journal Of Community Medicine And Public Health, 12(12), 5650–5656. https://doi.org/10.18203/2394-6040.ijcmph20254044

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Original Research Articles