Managing dental fear and anxiety.

Fear and anxiety are primary reasons why individuals avoid visiting the dental practitioner. Dental anxiety appears to vary by type of treatment, with periodontic and endodontic patients reporting higher levels of anxiety than patients receiving restorative or prophylactic treatment. Parents who experience dental anxiety often pass along such feelings to their children. Front office employees are the first line in screening for anxiety-related behaviors while the patient is in the reception area. It is extremely important to recognize dental fear and anxiety before the patient receives oral care because the stresses can lead to exacerbation of medical problems such as angina, seizures, asthma or hyperventilation. Applying behavioral techniques helps to induce the patient's relaxation, reduce anxiety and also reduce the need for analgesics with their potential side effects.