Psychology

Dental students worldwide face high levels of clinical anxiety

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Medical educationClinical anxiety

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A cross-sectional study of 153 undergraduate dental students found that 61.3% experienced moderate to severe clinical anxiety during their transition from laboratory work to treating real patients. The highest anxiety levels were associated with fear of extracting the wrong tooth (78.4%), difficulty meeting clinical requirements (78.4%), performing endodontic procedures (61.4%), and providing incorrect treatment (65.4%). The prevalence of anxiety was comparable to findings from Oman (57.4%) and fell between rates reported in Pakistan (67.1%) and Malaysia (52.3%).


The findings highlight a widespread mental health concern in dental education that could affect both student wellbeing and patient care quality. The study recommends implementing simulation-based training, mentorship programs, and psychological preparedness modules to help students manage clinical stress more effectively.


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BackgroundClinical dentistry represents the point at which students move from simulated laboratory work to treating real patients, and this transition is often accompanied by increased psychological stress.ObjectivesThe present study examined the prevalence, causes, and contributing factors of clinical anxiety among undergraduate dental students and compared the findings with international data, including reports from Oman Dental College and other countries.MethodsA cross-sectional study was conducted among 222 undergraduate dental students comprising Bachelor of Dental Surgery (BDS) III (n = 90), BDS IV (n = 74), and BDS V (n = 58) year students. A questionnaire-based survey was administered to students from BDS III to BDS V. Of the 222 students approached, 153 participants (response rate 68.9%) completed the modified 34-item clinical anxiety scale with a four-point Likert scale questionnaire adapted from Moss and McManus. Descriptive and comparative statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) version 27.ResultsModerate to severe levels of anxiety were reported by 61.3% of the students. The highest anxiety levels were associated with difficulty in meeting clinical requirements (78.4%), fear of extracting the wrong tooth (78.4%), performing endodontic procedures (61.4%), and providing incorrect treatment (65.4%). Lower levels of anxiety were observed in relation to routine examination procedures. The overall prevalence of anxiety was comparable to that reported by Oman Dental College (57.4%) and lower than figures from Pakistan (67.1%), but higher than those reported from Malaysia (52.3%).ConclusionClinical anxiety among dental students is common and comparable to international findings. The integration of simulation-based mastery learning, mentorship programs, and structured psychological preparedness modules is recommended to help students cope more effectively with clinical responsibilities and improve their overall performance.

Source: Clinical anxiety in undergraduate dental students: a cross-sectional study and global comparison