title: The effects of dental anxiety and irregular attendance on referral for dental treatment under sedation within the National Health Service in London.
abstract: OBJECTIVE
  To investigate whether the relationship between dental anxiety and referral for treatment under sedation is explained by attendance patterns and oral health.
  
  
  METHODS
  Structural Equation Modeling was used on the covariance matrix of the covariates to test hypothesized inter-relationships. Subsequently, we modeled the probability of referral for treatment under sedation with a multiple logistic regression taking into account inter-relationships between the independent variables.
  
  
  RESULTS
  A direct significant association of referral with dental anxiety and attendance patterns was detected, but not with oral health status. However, oral health and anxiety were highly correlated. Also signaled were correlations between age and education and between gender and bad past experience.
  
  
  CONCLUSIONS
  Referral for treatment under sedation appears to be motivated by both fear and irregular patterns of attendance. Coupled with behavioral treatments to address dental fear and attendance, sedation can be an important part of comprehensive care where curative treatments are long or unpleasant for patients.
authors.affiliation: Dental Fears Research Clinic, University of Washington, Seattle, WA 98195-7475, USA. dfrc@u.washington.edu
authors.forename: Peter
authors.initials: P
authors.lastname: Milgrom
authors.forename: Jonathon T
authors.initials: JT
authors.lastname: Newton
authors.forename: Carole
authors.initials: C
authors.lastname: Boyle
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Heaton
authors.forename: Nora
authors.initials: N
authors.lastname: Donaldson
mesh_terms: D000328:Adult; D000367:Age Factors; D000766:Anesthesia, Dental / Q000523:psychology*; D016009:Chi-Square Distribution; D016292:Procedural Sedation; D016854:Dental Anxiety / Q000523:psychology*; D003729:Dental Care / Q000523:psychology; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D009909:Oral Health; D010349:Patient Compliance / Q000523:psychology*; D012017:Referral and Consultation; D012737:Sex Factors; D013222:State Medicine / Q000706:statistics & numerical data