The Fearful Dental Patient: A Guide to Understanding and Managing

311 Pages·2010·2.663 MB·English

by  Arthur A. Weiner (editor)

The Fearful
Dental Patient
A Guide to
Understanding
and Managing
Editor
Arthur A. Weiner, DMD
Professor, General Dentistry
Director, Behavioral Science II
Group Practice Coordinator, Undergraduate General Dental Clinic
Tufts University
Boston, MA
A John Wiley & Sons, Inc., Publication
(cid:176)
The Fearful
Dental Patient
A Guide to Understanding
and Managing

The Fearful
Dental Patient
A Guide to
Understanding
and Managing
Editor
Arthur A. Weiner, DMD
Professor, General Dentistry
Director, Behavioral Science II
Group Practice Coordinator, Undergraduate General Dental Clinic
Tufts University
Boston, MA
A John Wiley & Sons, Inc., Publication
Edition fi rst published 2011
© 2011 Blackwell Publishing Ltd.
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Library of Congress Cataloging-in-Publication Data
The fearful dental patient : a guide to understanding and managing / [edited by]
Arthur A. Weiner.
p.; cm .
Includes bibliographical references and index.
ISBN 978-0-8138-2084-2 (pbk. : alk. paper)
1. Fear of dentists. I. Weiner, Arthur A.
[DNLM: 1. D entalA nxiety–prevention& co ntrol. 2. D entalC are–
psychology. WU 29 F288 2011]
RK53.F432 011
616.85′225–dc22
2010023257
A catalog record for this book is available from the U.S. Library of Congress.
Set in 9.5 on 12 pt Palatino by Toppan Best-set Premedia Limited
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1 2011
Dedication
I would like to dedicate this book to:
M y father and mother, Maxwell and Tillie, and my two sisters, Ann
Charlotte and Janice Susan, whose combined sacrifi ces and love made
it possible for me to attain the education and be the fi rst in the family
to get that all important sheepskin.
U ncle Fred Weiner, MD, who was always there with whatever help
I needed, including words of encouragement and so many other little
things that helped me along the way.
M y lovely wife, Paula Sandra, to whom I truly owe everything. For 54
years of married bliss, constant encouragement, love, and support, no
man could want more. For all the times she kept me on the straight and
narrow, I could not love her any more than I already do. She is my heart
and my soul, the most precious jewel any man could hope to fi nd.
T o my three children, Randy, Rickie, and Robyne, for all the joy and
pride that they fi ll my days with, and for the wonderful grandchildren
that they and their awesome spouses have blessed our days with. They
have enriched our lives and truly made it all worthwhile.
L ast, the wonderful young men and women, past and present, who
make up the student body of the Tufts University School of Dental
Medicine. For their kindness, support, and patience and their help with
my many clinical research studies that have led up to this book, words
of thanks are inadequate. As I have taught them, I also have learned
much from them. They will always hold a special place in my heart.

Contents
Foreword xi
Preface xv
Acknowledgments xvii
About the Author xix
Contributor List xxi
1 The basic principles of fear, anxiety, and phobia:
past and present 3
Arthur A. Weiner
Introduction 3
Major etiological models to explain anxiety 6

Behavioral indicators of anxiety 7
Nature of dental anxiety 9
Echelons of expression 9
Timing of dental anxiety 11
Severity 13
Differentiating psychological (exogenous) anxiety from medical
(endogenous) anxiety 13

Natural history of endogenous anxiety 14
Phobias 20

Causes of phobias 21
Summary 24
Note 25
References 25
vii