A patient presents anxious about dental treatment. Which approach should the dentist take FIRST?

Correct answer: C. Ask the patient what specifically causes their anxiety

• A. Psychological referral may be needed for severe dental phobia but is not the first step for a new anxious patient.
• B. Nitrous oxide may eventually be used but should come after establishing the specific anxiety triggers.
• C. Correct. The first step in managing dental anxiety is to establish communication and rapport by asking the patient to describe what specifically causes their anxiety. This identifies triggers (needle, drill, loss of control, prior trauma) and allows the dentist to tailor the management approach.
• D. Prescribing medication before understanding the specific anxiety is premature and not patient-centered.