Dental anxiety during dental treatment among patients attending dental clinics in Albania

Background: Dental anxiety is a common psychological condition that affects individuals of all ages and represents a significant barrier to seeking and receiving dental care. Anxiety related to dental treatment may lead to delayed appointments, avoidance of preventive care, increased treatment complexity, and poorer oral health outcomes. Factors such as previous negative dental experiences, fear of pain, invasive procedures, and lack of information can contribute to the development of dental anxiety. Understanding the prevalence and determinants of dental anxiety among patients in Albania is important for improving patient-centered dental care and enhancing treatment experiences.

Aim: This study aims to assess the level of dental anxiety among patients attending dental clinics in Albania and to identify factors associated with anxiety during dental treatment.

Methods: A cross-sectional study was conducted among patients attending dental clinics in different regions of Albania. Data were collected using a standardized dental anxiety questionnaire designed to assess participants’ levels of dental anxiety and their experiences related to dental treatment. Descriptive and inferential statistical analyses were performed to examine the prevalence of dental anxiety and its association with demographic and behavioral factors.

Results: The findings revealed that a considerable proportion of participants experienced varying levels of dental anxiety during treatment. Higher anxiety levels were commonly associated with invasive procedures, particularly local anesthesia injections, tooth extractions, and the sound of dental instruments. Female participants and individuals with previous negative dental experiences reported higher levels of anxiety compared to other groups. Patients with elevated anxiety were more likely to postpone or avoid routine dental visits, seeking care primarily when experiencing pain or discomfort. Regular attendance at dental check-ups and positive communication with dental professionals were associated with lower levels of anxiety.