Evaluation of anxiety-producing factors in the context of dental care using Delphi-AHP neutrosophic methods

Abstract

The present study addresses a crucial problem in the field of dental care: the anxiety that patients experience during dental procedures. This worry is crucial considering that anxiety may impair both the patient experience and the efficacy of therapy. Despite the extensive literature on techniques for managing anxiety in medical contexts, there is a notable gap in the integration of systematic approaches that consider both technical and psychological factors. This paper addresses that gap by employing the neutrosophic Delphi-AHP technique, a novel methodology that allows for full evaluation and prioritization of treatments to decrease anxiety. Using a technique that combines rounds of questionnaires and neutrosophic analysis, the research highlights the key elements that lead to anxiety during dental treatment, such as invasive procedures and pain management. The results highlight that improving pain control, simplifying procedures, creating a more comfortable clinical environment, and improving patient communication are effective strategies to mitigate anxiety. The implications of the study are important both theoretically and practically, as it provides new perspective and tools to address a common problem in dentistry, offering concrete recommendations to improve the patient experience and optimize clinical practices. © 2025 Elsevier B.V., All rights reserved.