A census-matched survey of dental fear and fear-treatment interest in the United States

Abstract

Background: The authors aimed to measure dental fear prevalence via the first national census-matched US adult sample and, among fearful people, interest in evidence-based digital fear treatment (ie, computerized, mobile application, and telehealth approaches) or reasons for declining. Methods: A cross-sectional census-matched online survey (n = 1,003) was conducted (October 31-November 11, 2024) ensuring representation of US adult demographic characteristics. Dental fear was assessed using the validated Gatchel single-item scale (from 0 [no fear] through 10 [extreme fear]). People with moderate through severe fear were asked about their interest in digital treatment and, if they refused, about their reasons for declining. Results: The prevalence was 72.6% (95% CI, 70.9% to 74.3%), with 45.8% reporting moderate fear and 26.8% reporting severe fear. Among fearful people, 71.2% (95% CI, 69.4% to 73.0%) were interested in digital treatment. Those who declined indicated skepticism about effectiveness (31.8%), satisfaction with their coping strategies (23.4%), and time concerns (22.3%). Conclusions: Dental fear remains widespread in the United States, suggesting little progress in prevalence reduction. The high interest in digital treatment indicates demand for accessible interventions. Practical Implications: Brief digital dental fear treatments offer potential for widespread dissemination. Public health messaging must address skepticism about treatment effectiveness and value among the fearful patients not yet interested (≈ 30%).