University of Oulu

Halonen, H., Nissinen, J., Lehtiniemi, H., Salo, T., Riipinen, P., Miettunen, J. (2018) The Association Between Dental Anxiety And Psychiatric Disorders And Symptoms: A Systematic Review. Clinical Practice and Epidemiology in Mental Health, 14 (1), 207-222. doi:10.2174/1745017901814010207

The association between dental anxiety and psychiatric disorders and symptoms : a systematic review

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Author: Halonen, Harri1; Nissinen, Jenna2; Lehtiniemi, Heli2;
Organizations: 1Oulu University Hospital, Department of Psychiatry
2Center for Life Course Health Research, University of Oulu
3Department of Diagnostics and Oral Medicine, Institute of Dentistry
4Institute of Clinical Medicine, Department of Psychiatry, University of Oulu
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link:
Language: English
Published: Springer Nature, 2018
Publish Date: 2018-12-07


Background: A growing amount of evidence suggests that dental anxiety is associated with other psychiatric disorders and symptoms. A systematic review was conducted to critically evaluate the studies of comorbidity of dental anxiety with other specific phobias and other Axis I psychiatric disorders.

Objective: The aim of the review was to explore how dental anxiety is associated with other psychiatric disorders and to estimate the level of comorbid symptoms in dental anxiety patients.

Methods: The review was conducted and reported in accordance with the MOOSE statement. Data sources included PubMed, PsycInfo, Web of Science and Scopus.

Results: The search produced 631 hits, of which 16 unique records fulfilled the inclusion criteria. The number of eligible papers was low. Study populations were heterogeneous including 6,486 participants, and a total of 25 tests and in few cases clinical interviews were used in the evaluation processes. The results enhanced the idea about the comorbidity between dental anxiety and other psychiatric disorders. The effect was found strong in several studies.

Conclusion: Patients with a high level of dental anxiety are more prone to have a high level of comorbid phobias, depression, mood disorders and other psychiatric disorders and symptoms.

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Series: Clinical practice and epidemiology in mental health
ISSN: 1745-0179
ISSN-E: 1745-0179
ISSN-L: 1745-0179
Volume: 14
Issue: 1
Pages: 207 - 222
DOI: 10.2174/1745017901814010207
Type of Publication: A2 Review article in a scientific journal
Field of Science: 3124 Neurology and psychiatry
Copyright information: © 2018 Halonen et al. This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.