COMPARATIVE EFFICACY OF NON-PHARMACOLOGICAL AND PHARMACOLOGICAL TECHNIQUES FOR ANXIETY CONTROL IN DENTISTRY

Abstract

This article sought to compare the effectiveness of pharmacological and nonpharmacological techniques in managing dental anxiety. This is an exploratory literature review with a qualitative approach, conducted in the PubMed/MEDLINE, SciELO, Web of Science, and LILACS databases, considering publications from 2015 to 2021. After applying the inclusion and exclusion criteria, 21 studies were selected for analysis. The results revealed different strategies for managing anxiety, including behavioral techniques, therapeutic communication, psychological interventions, digital resources, and pharmacological methods, such as sedation. The effectiveness of these approaches may vary depending on the level of anxiety, the patient’s individual characteristics, and the complexity of the dental procedure. Nonpharmacological strategies contribute to patient comfort and the development of trust, while pharmacological strategies may be indicated in situations requiring greater control of anxiety, as determined by clinical assessment. It is concluded that the choice of approach should consider the individual needs of each patient and may involve either standalone or combined strategies. Careful selection of interventions is essential to promote comfort, safety, and a better experience during dental care.