Outcome measures
Anxiety, anxiety
The change in dental anxiety from pre- to one-year after-treatment was used as a measure of treatment efficiency. Dental anxiety was measured before, after and one year after treatment with the Modified Dental Anxiety Scale (MDAS) and the Index of Dental Anxiety and Fear (IDAF-4C). MDAS mentions 5 potentially frightening stimuli which are scored on a five-point-scale. A sum score (range 5–25) of 15 plus/19 plus indicate high/extremely high dental anxiety [To measure possible negative psychological effects of treatment, the changes in psychometric measures (HADS described above) from pre- to one-year after-treatment were calculated. PTSD-symptoms were compared between start and end of intervention.The patient-dentist relationship was mapped with the Working Alliance Inventory for clients (WAI) which consists of 12 statements to be evaluated on a 7-item scale. It measures the following dimensions: 1. The relationship 2. The agreement on goals and 3. The agreement on tasks between the therapist and the patient [Ten aspects believed to be of importance to treatment success were defined by the authors in collaboration with 2 professors of psychology (Table Aspects of treatment considered to be of importance to treatment effectThe table describes the aspects of treatment included in the questionnaire “The Patient Evaluation”