Flooding and coping skills training in the management of dental fear

The effects of flooding and coping skills training in reducing fear and avoidance of dental treatment were examined by using a crossover design. Results showed that flooding and coping skills training were equally effective in increasing approach behavior, reducing subjective anxiety, and increasing level and strength of perceived self-efficacy. The combination of these treatments resulted in further clinical improvement which was maintained at 4-month follow-up. It was observed that dental appointments were more effectively promoted when coping skills training preceded rather than followed exposure to dental stimuli. The possibility that perceived self-efficacy could be a useful predictor of making and keeping dental appointments is raised.