title: Fear of dental care: are we making any progress?
abstract: BACKGROUND
  Dental anxiety has been a well-studied phenomenon since the late 1960s. The purpose of this literature review was to compare self-reported levels of dental anxiety during the past 50 years.
  
  
  METHODS
  The authors reviewed more than 200 articles and examined 19 studies involving more than 10,000 adults to assess any trends in dental anxiety. They investigated mean anxiety scores for college students and general adult samples using four measures of dental anxiety. Comparisons were made across publication year and location of study.
  
  
  RESULTS
  Analyses of variance suggest stability in dental anxiety scores over time and region within both types of study samples. Regardless of assessment length (single item or multi-item), the authors found no significant trends suggesting an increase or decrease in self-reported anxiety levels.
  
  
  CONCLUSIONS
  These results suggest that despite an increase in general anxiety within the United States during the past 50 years, dental anxiety seems to have remained stable throughout the period.
  
  
  CONCLUSIONS
  The authors discuss the stable trend of self-reported dental anxiety levels in the context of increasing general anxiety in the United States and the current structure of individual dental practices.
authors.affiliation: Behavioral Science Department, College of Medicine, University of Kentucky, Lexington 40536-0086, USA. tasmit01@uky.edu
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Smith
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Heaton
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D002648:Child; D016854:Dental Anxiety / Q000453:epidemiology*; D006801:Humans; D008347:Manifest Anxiety Scale; D014481:United States / Q000453:epidemiology