Community Dental Health

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Cover Date:
March 2018
Print ISSN:
0265 539X
Electronic ISSN:

Impact of stress on dentists’ clinical performance. A systematic review

Introduction: Dentistry is recognised as a stressful profession and dentists perceive their profession to be more stressful than other healthcare professions. While earlier studies have shown a link between stress and well-being among dentists, whether stress negatively impacts their clinical performance is an important and open question. We do know, however, that stress is associated with reduced performance in other health (and non-health) related professions. Objectives: This systematic review aimed to answer the question: how does stress impact on dentists’ clinical performance? Methods: This systematic review was registered in PROSPERO (CRD42016045756). The CINHAL, Embase, Medline, PsycINFO, EThOS and OpenGrey electronic databases were searched according to PRISMA guidelines. Two reviewers
independently screened the citations for relevance. The citation list of potentially eligible papers was also searched. Prospective empirical studies were considered for inclusion. The inclusion criteria were applied at the full-text stage by the two same reviewers independently. Results: The search yielded 3535 titles and abstracts. Twelve publications were considered potentially eligible, eleven of which were excluded as they did not meet the predefined inclusion criteria. Conclusions: This systematic review identified a gap in the literature as it found no empirical evidence quantifying the impact of stress on dentists’ clinical performance. Prospective well-designed experimental
simulation studies, comparing stress with non-stress situations on clinical performance and decision making, as well studies evaluating prospectively real-life dentists’ performance under stress are warranted.

Key Words: Stress, dentistry, work performance, clinical decision-making, systematic review


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Anastasios Plessas, Maria Bernardes Delgado, Mona Nasser, Yaniv Hanoch, David R Moles

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Logos, Ethos and Pathos: Whither academia and public health in a post-truth world?
  2. 3
  3. 4

  1. Review and action plan for oral health improvement in Sheffield special schools
  2. 5
  3. 8

  1. Impact of stress on dentists’ clinical performance. A systematic review
  2. 9
  3. 15

  1. Illness perceptions amongst individuals with dental caries
  2. 16
  3. 22

  1. The relationship between depression and periodontal diseases
  2. 23
  3. 29

  1. The use of cost-utility analysis for the evaluation of caries prevention: an exploratory case study of two community-based public health interventions in a high-risk population in the UK
  2. 30
  3. 36

  1. A systematic review of interventions using cue-automaticity to improve the uptake of preventive healthcare in adults: applications to dental visiting
  2. 37
  3. 46

  1. Turkish Adaptation of Dentine Hypersensitivity ExperienceQuestionnaire (DHEQ)
  2. 47
  3. 51

  1. Recall intervals and time used for examination and prevention by dentists in child dental care in Denmark, Iceland, Norway and Sweden in 1996 and 2014
  2. 52
  3. 57

  1. Obesity and dental caries in young children in Plymouth,United Kingdom: A Spatial Analysis
  2. 58
  3. 64