Open research questions in Dental Anxiety and Anesthesia Techniques
203 unresolved questions extracted from the limitations and future-work sections of 2,366 Dental Anxiety and Anesthesia Techniques papers in our library. Each links back to the study that raised it.
What the literature leaves open
The current literature on the association between dental prosthesis use and cardiovascular events is limited by methodological heterogeneity and inconsistent results. There is a need for further research to clarify the biological mechanisms underlying this association. The review identifies a gap in the literature on the quality and maintenance of dental prostheses and their impact on cardiovascular health.
Methodological heterogeneity of the included studies. The absence of independent dual screening and formal risk-of-bias assessment tool. The limited number of reviewers and the narrower scope of the systematized review.
Resin composite palatal veneers for anterior teeth: A systematized review of clinical performance · 2026 · DOIThe limited long-term and standardized evidence on resin composite palatal veneers. The need to distinguish restoration survival from clinical success, as technical and biological complications may occur without restoration loss.
Resin composite palatal veneers for anterior teeth: A systematized review of clinical performance · 2026 · DOIOne of the challenges identified is the variation in publication frequency over time, with a gradual increase in scientific output from 2018 onward. Another challenge is the presence of some domains with unclear or moderate risk of bias in the included studies. The study also notes that the findings should be interpreted with caution due to the presence of some domains with unclear or moderate risk of bias.
The presence of some domains with unclear or moderate risk of bias, - Incomplete outcome data was a common source of bias, - The findings should be interpreted with caution, - A limited number of studies presented unclear or moderate risk of bias
Further research is needed to clarify the underlying mechanisms of the association between dental prosthesis use and cardiovascular events. Studies should provide detailed information on prosthesis quality, fit, or maintenance. Research should examine the potential mediating pathways, such as nutritional status, systemic inflammation, or oral microbiota.
OBJECTIVE: Previous studies have identified an association between dental anxiety and pain perception; however, the nature of this relationship in the context of oral implant surgery, particularly with respect to pain perception across multiple time points, remains unclear.
Association Between Dental Anxiety and Pain Perception in Patients Receiving Dental Implants: An Observational Study · 2026 · DOIFuture research should focus on integrating novel therapeutic strategies and refining preventive measures to mitigate dental anxiety effectively.
Publication Performance and Trends in Dental Anxiety Research: A Comprehensive Bibliometric Analysis · 2026 · DOIThis commentary highlights dental shame as a pervasive but underexplored phenomenon with significant implications for oral health and systemic inequities.
Examination of its effectiveness when administered in dental offices under less controlled conditions is warranted.
Online Cognitive‐Behavioural Intervention to Manage Dental Anxiety: A 12‐Month Randomised Clinical Trial · 2025 · DOIThis information is important because currently, no guidelines exist to define the usage of local anesthetics in dental cases under GA.
Evaluation of the Effect of Local Anesthesia for Dental Treatment on Physiological Parameters and Recovery Outcomes in Children Undergoing Dental Treatment Under General Anesthesia · 2025 · DOIHowever, no studies have assessed patients' compliance with and understanding of post-operative instructions provided in the form of a video after tooth extraction.
Effectiveness of post-extraction instruction delivery methods on patients’ understanding and compliance: a randomized controlled trial · 2025 · DOIThe findings suggest that teaching technical skills alone is insufficient in clinical education programs; curricula should also incorporate interventions aimed at enhancing students’ psychological resilience, including stress management, mentorship, and psychosocial support.
Examination of the correlation between clinical anxiety and self-confidence among dental students undergoing clinical training in Türkiye · 2025 · DOIAIM: While the importance of gingival aesthetics is increasingly recognized, a questionnaire quantifying its psychosocial impact is still lacking.
Validation of a New Questionnaire for Assessing the Psychosocial Impact of Gingival Aesthetics (PIGAQ) · 2024 · DOIsmall sample size, - retrospective observational study, - single academic center, - exclusion of studies focusing solely on pediatric routine care without special needs, - literature search was censored at 1 September 2025
Sedation and General Anesthesia in Non-Cooperative Dental Patients: An Italian Clinical Experience · 2026 · DOIThere is a need for early interventions and preventative measures to promote well-being and career longevity in dentistry. Current research highlights the importance of addressing workplace issues and promoting self-care routines.
There is a lack of studies on the prevalence of high dental anxiety in adult Finns. There is a need to investigate the association between dental anxiety and non-habitual use of oral health care.
Level of Dental Anxiety and Its Role Among Barriers to Habitual Use of Oral Health Care in Adult Finns · 2026 · DOIThere is a need to evaluate the effectiveness of new approaches to reducing dental anxiety. The use of VR technology is a relatively new approach to reducing dental anxiety.
Effectiveness of visual distraction tool in lowering the pain perception and anxiety levels of <span style="font-size: 1rem;">patients during surgical removal of impacted teeth: A randomized controlled study</span> · 2026 · DOIThere is a lack of studies on the perspectives of dental students on Oral and Maxillofacial Surgery clinical practice. There is a need to identify areas for improvement in dental education.
Evaluation of the Perspectives of 5th-Year Dental Students on Oral and Maxillofacial Surgery Clinical Practice · 2026 · DOIGiven the limited literature on student perspectives in OMFS and the single- center focus of this study, future research involving diverse dental faculties globally is needed to provide a broader perspective.
Evaluation of the Perspectives of 5th-Year Dental Students on Oral and Maxillofacial Surgery Clinical Practice · 2026 · DOIThe study identifies a gap in the literature regarding the clinical management of supernumerary teeth in patients with generalized anxiety disorder. The study highlights the need for further research on the prevalence and etiology of supernumerary teeth.
Exodontia de dente supranumerário na mandíbula em paciente com transtorno de ansiedade generalizado: relato de caso · 2026 · DOIThe relationship between orthognathic surgery and psychological factors is not fully understood. There is a need for more research on the factors that influence patient satisfaction with orthognathic surgery. There is a need for more research on the complications and risks associated with orthognathic surgery.
Treatment outcomes, symptoms of anxiety and depression, and satisfaction with life after orthognathic surgery · 2026 · DOIThe multifactorial etiology of dental anxiety, encompassing psychological, neurobiological, environmental, and socioeconomic determinants. The need for adaptations in management strategies to address the needs of special populations. The limited understanding of the potential of emerging technologies in the management of dental anxiety.
Fear in the Dental Chair: A Narrative Review of Dental Anxiety Prevalence, Oral Health Consequences and the Evidence Behind Behavioral, Pharmacological and Sedation-Based Interventions · 2026 · DOIThe lack of consideration for special populations, such as individuals with Intellectual and Developmental Disabilities, in the development of management strategies. The limited understanding of the potential of emerging technologies in the management of dental anxiety. The need for further research on the effectiveness of different management strategies in diverse populations.
Fear in the Dental Chair: A Narrative Review of Dental Anxiety Prevalence, Oral Health Consequences and the Evidence Behind Behavioral, Pharmacological and Sedation-Based Interventions · 2026 · DOIDental anxiety is a significant concern in children. Children often experience stress and lack of cooperation during dental procedures. There is a need to develop effective behavioural management techniques to reduce anxiety and improve behaviour in children during dental procedures.
Effectiveness of virtual reality as a behavioural management method in children during dental visits: a systematic review · 2026 · DOI
Most-cited papers in Dental Anxiety and Anesthesia Techniques
- Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors · International Journal of Paediatric Dentistry · 2007 · 562 citations
- Strategies to manage patients with dental anxiety and dental phobia: literature review · Clinical Cosmetic and Investigational Dentistry · 2016 · 444 citations
- Management of fear and anxiety in the dental clinic: a review · Australian Dental Journal · 2013 · 429 citations
- The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear · BMC Oral Health · 2007 · 405 citations
- Comparison of digital and conventional impression techniques: evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes · BMC Oral Health · 2014 · 394 citations
- Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars · International Journal of Paediatric Dentistry · 2002 · 328 citations
- Perception of discomfort by patients undergoing orthodontic treatment · American Journal of Orthodontics and Dentofacial Orthopedics · 1989 · 283 citations
- Validation of a Facial Image Scale to assess child dental anxiety · International Journal of Paediatric Dentistry · 2002 · 274 citations
- The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies · European Journal of Orthodontics · 2014 · 270 citations
- Clown Doctors as a Treatment for Preoperative Anxiety in Children: A Randomized, Prospective Study · PEDIATRICS · 2005 · 266 citations
Most recent work
- Intergenerational Dental Fear and Anxiety: Children's Pattern of Dental Service Use · Community Dentistry And Oral Epidemiology · 2026
- Publication Performance and Trends in Dental Anxiety Research: A Comprehensive Bibliometric Analysis · International Journal of Dentistry · 2026
- Influence of Dental Aesthetics on Psychosocial Well-being in the North Indian Population · Pesquisa Brasileira em Odontopediatria e Clínica Integrada · 2026
- Effectiveness of Digital Versus Conventional Impression on Discomfort and Dental Anxiety in Preschool Children (Randomised Controlled Clinical Trial) · International Journal of Paediatric Dentistry · 2026
- Association Between Dental Anxiety and Pain Perception in Patients Receiving Dental Implants: An Observational Study · Clinical Implant Dentistry and Related Research · 2026
- Dental Students’ Perception and Preference to Pediatric Dentistry Training · International Journal of Dentistry · 2026
- Comparative Evaluation of Buzzy System and Conventional Masked with Camouflage Syringe for Pain Perception in 5–12-year-old Children: A Split-mouth Study · International Journal of Clinical Pediatric Dentistry · 2026
- Local anesthetic hypersensitivity: Frequently suspected, rarely proven: A retrospective study of 101 patients · Allergy and Asthma Proceedings · 2026
- Technology-enhanced behavior guidance for pediatric dental anxiety: a systematic review and meta-analysis of effectiveness and safety of virtual reality, augmented reality, biofeedback, and games · Frontiers in Dental Medicine · 2026
- Time to first void following knee arthroscopy: A randomized trial of three prilocaine doses · Anaesthesia Critical Care & Pain Medicine · 2026
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