{"id":"https://openalex.org/W7225263380","doi":"https://doi.org/10.3390/dj14110713","title":"Dental Treatment-Related Fear Distribution and Professionals\u2019 Estimates for Patients in General Versus Patients\u2019 Self-Reports: An Unpaired Cross-Sectional Study","display_name":"Dental Treatment-Related Fear Distribution and Professionals\u2019 Estimates for Patients in General Versus Patients\u2019 Self-Reports: An Unpaired Cross-Sectional Study","publication_year":2026,"publication_date":"2026-11-03","ids":{"openalex":"https://openalex.org/W7225263380","doi":"https://doi.org/10.3390/dj14110713"},"language":"en","primary_location":{"id":"doi:10.3390/dj14110713","doi":"https://doi.org/10.3390/dj14110713","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110713","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/dj14110713","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084699218","display_name":"Yukihiko Takemura","orcid":"https://orcid.org/0009-0002-2090-1554","observed_orcids":["https://orcid.org/0009-0002-2090-1554"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]},{"id":"https://openalex.org/I47951555","display_name":"Kanagawa Dental University","ror":"https://ror.org/0514c4d93","country_code":"JP","type":"education","lineage":["https://openalex.org/I47951555"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yukihiko Takemura","raw_affiliation_strings":["Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan","Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan","Department of Restorative Dentistry, Kanagawa Dental University, Yokosuka 238-8580, Japan"],"raw_orcid":"https://orcid.org/0009-0002-2090-1554","affiliations":[{"raw_affiliation_string":"Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan","institution_ids":["https://openalex.org/I35552710"]},{"raw_affiliation_string":"Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]},{"raw_affiliation_string":"Department of Restorative Dentistry, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102396774","display_name":"Yoshiharu Mukai","orcid":"https://orcid.org/0000-0003-2604-0011","observed_orcids":["https://orcid.org/0000-0003-2604-0011"]},"institutions":[{"id":"https://openalex.org/I47951555","display_name":"Kanagawa Dental University","ror":"https://ror.org/0514c4d93","country_code":"JP","type":"education","lineage":["https://openalex.org/I47951555"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshiharu Mukai","raw_affiliation_strings":["Department of Restorative Dentistry, Kanagawa Dental University, Yokosuka 238-8580, Japan"],"raw_orcid":"https://orcid.org/0000-0003-2604-0011","affiliations":[{"raw_affiliation_string":"Department of Restorative Dentistry, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090561359","display_name":"Toshiya Morozumi","orcid":"https://orcid.org/0000-0002-7151-1292","observed_orcids":["https://orcid.org/0000-0002-7151-1292"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Toshiya Morozumi","raw_affiliation_strings":["Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan"],"raw_orcid":"https://orcid.org/0000-0002-7151-1292","affiliations":[{"raw_affiliation_string":"Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122752389","display_name":"Atsushi Matsumoto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Atsushi Matsumoto","raw_affiliation_strings":["Sugita Orthodontics and Pediatric Dentistry, Yokohama 235-0036, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sugita Orthodontics and Pediatric Dentistry, Yokohama 235-0036, Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133087793","display_name":"Lee TH. Sato","orcid":"https://orcid.org/0009-0007-9080-1205","observed_orcids":["https://orcid.org/0009-0007-9080-1205"]},"institutions":[{"id":"https://openalex.org/I47951555","display_name":"Kanagawa Dental University","ror":"https://ror.org/0514c4d93","country_code":"JP","type":"education","lineage":["https://openalex.org/I47951555"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Leetaehyung Sato","raw_affiliation_strings":["Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan"],"raw_orcid":"https://orcid.org/0009-0007-9080-1205","affiliations":[{"raw_affiliation_string":"Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054296527","display_name":"Hiromasa Kawana","orcid":"https://orcid.org/0000-0003-4086-8835","observed_orcids":["https://orcid.org/0000-0003-4086-8835"]},"institutions":[{"id":"https://openalex.org/I47951555","display_name":"Kanagawa Dental University","ror":"https://ror.org/0514c4d93","country_code":"JP","type":"education","lineage":["https://openalex.org/I47951555"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiromasa Kawana","raw_affiliation_strings":["Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan","Department of Oral and Maxillofacial Implantology, Kanagawa Dental University, Yokosuka 238-8580, Japan"],"raw_orcid":"https://orcid.org/0000-0003-4086-8835","affiliations":[{"raw_affiliation_string":"Department of Oral Reconstruction, Center for Advanced Clinical Medicine, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]},{"raw_affiliation_string":"Department of Oral and Maxillofacial Implantology, Kanagawa Dental University, Yokosuka 238-8580, Japan","institution_ids":["https://openalex.org/I47951555"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047469432","display_name":"Masafumi Yarita","orcid":"https://orcid.org/0009-0009-8414-731X","observed_orcids":["https://orcid.org/0009-0009-8414-731X"]},"institutions":[{"id":"https://openalex.org/I35552710","display_name":"Nippon Dental University","ror":"https://ror.org/01s1hm369","country_code":"JP","type":"education","lineage":["https://openalex.org/I35552710"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masafumi Yarita","raw_affiliation_strings":["Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan"],"raw_orcid":"https://orcid.org/0009-0009-8414-731X","affiliations":[{"raw_affiliation_string":"Department of Endodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata 951-8580, Japan","institution_ids":["https://openalex.org/I35552710"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010535370","display_name":"Takuro Sanuki","orcid":"https://orcid.org/0000-0002-1347-2627","observed_orcids":["https://orcid.org/0000-0002-1347-2627"]},"institutions":[{"id":"https://openalex.org/I43777268","display_name":"Nagasaki University","ror":"https://ror.org/058h74p94","country_code":"JP","type":"education","lineage":["https://openalex.org/I43777268"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takuro Sanuki","raw_affiliation_strings":["Department of Clinical Physiology, Institute of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan"],"raw_orcid":"https://orcid.org/0000-0002-1347-2627","affiliations":[{"raw_affiliation_string":"Department of Clinical Physiology, Institute of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan","institution_ids":["https://openalex.org/I43777268"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5090561359"],"corresponding_institution_ids":["https://openalex.org/I35552710"],"apc_list":{"value":2000,"currency":"CHF","value_usd":2413},"apc_paid":{"value":2000,"currency":"CHF","value_usd":2413},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88067625,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"11","first_page":"713","last_page":"713"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12145","display_name":"Dental Anxiety and Anesthesia Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12145","display_name":"Dental Anxiety and Anesthesia Techniques","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dental-anxiety","display_name":"dental anxiety","score":0.968999981880188},{"id":"https://openalex.org/keywords/patient-self-report","display_name":"patient self-report","score":0.7260000109672546},{"id":"https://openalex.org/keywords/dentists","display_name":"dentists","score":0.6859999895095825},{"id":"https://openalex.org/keywords/dental-hygienists","display_name":"dental hygienists","score":1.0},{"id":"https://openalex.org/keywords/dental-treatment","display_name":"dental treatment","score":0.8619999885559082},{"id":"https://openalex.org/keywords/scaling","display_name":"scaling","score":0.902999997138977},{"id":"https://openalex.org/keywords/sensory-stimuli","display_name":"sensory stimuli","score":0.6610000133514404},{"id":"https://openalex.org/keywords/interpersonal-factors","display_name":"interpersonal factors","score":0.5090000033378601}],"concepts":[{"id":"https://openalex.org/C2779456721","wikidata":"https://www.wikidata.org/wiki/Q143472","display_name":"Dental fear","level":3,"score":0.7911999821662903},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5861999988555908},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5831999778747559},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.5266000032424927},{"id":"https://openalex.org/C164850336","wikidata":"https://www.wikidata.org/wiki/Q3685487","display_name":"Interpersonal communication","level":2,"score":0.3546000123023987},{"id":"https://openalex.org/C2776693998","wikidata":"https://www.wikidata.org/wiki/Q5259410","display_name":"Dental care","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2711000144481659},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.26989999413490295},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2596000134944916},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.25769999623298645},{"id":"https://openalex.org/C94487597","wikidata":"https://www.wikidata.org/wiki/Q11101","display_name":"Sensory system","level":2,"score":0.2558000087738037}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/dj14110713","doi":"https://doi.org/10.3390/dj14110713","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110713","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/dj14110713","doi":"https://doi.org/10.3390/dj14110713","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110713","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W1903022145","https://openalex.org/W1978998520","https://openalex.org/W1979758554","https://openalex.org/W1992151043","https://openalex.org/W2007247982","https://openalex.org/W2008691066","https://openalex.org/W2030424967","https://openalex.org/W2041927436","https://openalex.org/W2053577804","https://openalex.org/W2054815386","https://openalex.org/W2054853602","https://openalex.org/W2066121955","https://openalex.org/W2089940324","https://openalex.org/W2100255216","https://openalex.org/W2124550380","https://openalex.org/W2138290548","https://openalex.org/W2155744310","https://openalex.org/W2167983892","https://openalex.org/W2328659144","https://openalex.org/W2611613056","https://openalex.org/W2886039652","https://openalex.org/W2955798877","https://openalex.org/W2964251320","https://openalex.org/W3135695670","https://openalex.org/W4287094566","https://openalex.org/W4288844457","https://openalex.org/W4311671664","https://openalex.org/W4391514774","https://openalex.org/W4401510409","https://openalex.org/W4414453363","https://openalex.org/W4414520212","https://openalex.org/W7122654261","https://openalex.org/W7164365577"],"related_works":["https://openalex.org/W2052506441","https://openalex.org/W2229616227","https://openalex.org/W4412556387","https://openalex.org/W2618607723","https://openalex.org/W4392590669","https://openalex.org/W4206802056","https://openalex.org/W80013283","https://openalex.org/W2044072250","https://openalex.org/W199882650","https://openalex.org/W2206467948"],"abstract_inverted_index":{"Background/Objectives:":[0],"Dental":[1,61],"fear":[2,22,64,139,162,232],"and":[3,14,23,32,48,124,144,150,182,197,209,217,222,236],"anxiety":[4],"can":[5],"arise":[6],"from":[7],"dental":[8,20,46,81,148,180,183,192,195,201,243],"procedures,":[9],"sensory":[10,237],"stimuli,":[11],"environmental":[12],"factors,":[13],"interpersonal":[15],"factors.":[16],"This":[17,36],"study":[18,39],"investigated":[19],"treatment-related":[21,244],"differences":[24,213],"between":[25,207,214],"professionals\u2019":[26,215],"estimates":[27,216],"for":[28,79,91,132,146,179,189],"patients":[29,66,70],"in":[30,65,67,119,134,199],"general":[31],"patients\u2019":[33,218,231],"self-reports.":[34],"Methods:":[35],"single-center,":[37],"cross-sectional":[38],"included":[40],"219":[41],"participants:":[42],"53":[43],"dentists,":[44,147],"65":[45],"hygienists,":[47,149],"101":[49],"patients.":[50,99],"Fear":[51,89,177],"intensity":[52],"was":[53,130],"assessed":[54],"using":[55],"a":[56],"0\u2013100":[57],"visual":[58],"analog":[59],"scale.":[60],"professionals":[62],"estimated":[63],"general,":[68],"whereas":[69],"rated":[71],"their":[72],"own":[73],"fear;":[74],"assessments":[75],"were":[76,83,95,185,220],"unpaired.":[77],"Ratings":[78],"13":[80,107],"procedures":[82,108,235],"compared":[84,97],"across":[85,166],"the":[86,106,120,135,167,190,194,200],"three":[87],"groups.":[88],"ratings":[90,163,178],"six":[92,168],"dental-related":[93],"factors":[94,169],"also":[96],"within":[98],"Results:":[100],"Before":[101],"Holm":[102],"adjustment,":[103],"6":[104],"of":[105,141,230,233,242],"showed":[109],"significant":[110,115,205],"between-group":[111],"differences;":[112],"3":[113],"remained":[114],"after":[116],"adjustment:":[117],"injection":[118,133],"hand,":[121,136],"intraoral":[122],"injection,":[123],"scaling.":[125],"The":[126],"largest":[127],"effect":[128],"size":[129],"observed":[131],"with":[137,203],"median":[138],"scores":[140],"69,":[142],"74,":[143],"21":[145],"patients,":[151],"respectively":[152],"(p":[153,170],"<":[154,171],"0.001,":[155,172],"\u03b52":[156],"=":[157,175],"0.254).":[158],"Within":[159],"patient":[160],"ratings,":[161],"differed":[164],"significantly":[165],"Kendall\u2019s":[173],"W":[174],"0.25).":[176],"treatment":[181,208],"sounds":[184],"higher":[186],"than":[187],"those":[188],"dentist,":[191],"odors,":[193],"clinic,":[196],"sitting":[198],"chair,":[202],"no":[204],"difference":[206],"sounds.":[210],"Conclusions:":[211],"Group-level":[212],"self-reports":[219],"procedure-specific":[221],"cannot":[223],"establish":[224],"individual-level":[225],"estimation":[226],"accuracy.":[227],"Direct":[228],"assessment":[229],"specific":[234],"stimuli":[238],"may":[239],"improve":[240],"understanding":[241],"fear.":[245]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-11-05T00:00:00"}
