Expectations of sensations,discomfort and fear in dental treatment

A hundred dental patients and 40 dentists were asked to describe the sensations, discomfort and fear which they associated with a number of dental treatments. A number of patients were also asked to describe their experiences immediately after routine conservation procedures. It was concluded that although patients could accurately anticipate the pattern of sensations involved in treatment (even if they had not experienced some of the procedures), they expected more intense sensations and greater discomfort and apprehension than they were likely to experience. Dentists expressed more realistic ideas about the sensations produced by dental treatment. The discrepancy in patients' expectations appears to persist in spite of many discontinuing experiences, the fear of treatment being fostered by discomfort and the intensity of sensations expected, by lack of experience and, to a modest degree, by uncertainty about the sensations anticipated. Cognitive theories of fear do not appear to explain all these influences adequately. These observations support the need for information about sensations in treatment to help not so much with the experience of dentistry but rather with its anticipation.