{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:02:46Z","timestamp":1787018566238,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","issue":"7_suppl","license":[{"start":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T00:00:00Z","timestamp":1369008000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>One in four adults reports a clinically significant fear of dental injections, leading many to avoid dental care. While systematic desensitization is the most common therapeutic method for treating specific phobias such as fear of dental injections, lack of access to trained therapists, as well as dentists\u2019 lack of training and time in providing such a therapy, means that most fearful individuals are not able to receive the therapy needed to be able to receive necessary dental treatment. Computer Assisted Relaxation Learning (CARL) is a self-paced computerized treatment based on systematic desensitization for dental injection fear. This multicenter, block-randomized, dentist-blind, parallel-group study conducted in 8 sites in the United States compared CARL with an informational pamphlet in reducing fear of dental injections. Participants completing CARL reported significantly greater reduction in self-reported general and injection-specific dental anxiety measures compared with control individuals ( p &lt; .001). Twice as many CARL participants (35.3%) as controls (17.6%) opted to receive a dental injection after the intervention, although this was not statistically significant. CARL, therefore, led to significant changes in self-reported fear in study participants, but no significant differences in the proportion of participants having a dental injection (ClinicalTrials.gov, NCT00609648).<\/jats:p>","DOI":"10.1177\/0022034513484330","type":"journal-article","created":{"date-parts":[[2013,5,21]],"date-time":"2013-05-21T00:57:07Z","timestamp":1369097827000},"page":"S37-S42","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Computerized Dental Injection Fear Treatment"],"prefix":"10.1177","volume":"92","author":[{"given":"L.J.","family":"Heaton","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, WA, USA"},{"name":"Northwest\/Alaska Center to Reduce Oral Health Disparities"},{"name":"Northwest PRECEDENT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.G.","family":"Leroux","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, WA, USA"},{"name":"Northwest PRECEDENT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.A.","family":"Ruff","sequence":"additional","affiliation":[{"name":"Northwest PRECEDENT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.E.","family":"Coldwell","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, WA, USA"},{"name":"Northwest\/Alaska Center to Reduce Oral Health Disparities"},{"name":"Northwest PRECEDENT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,5,20]]},"reference":[{"key":"bibr1-0022034513484330","doi-asserted-by":"publisher","DOI":"10.3109\/00016350903512792"},{"key":"bibr2-0022034513484330","volume-title":"Anxiety disorders and phobias: A cognitive perspective","author":"Beck A","year":"1985"},{"key":"bibr3-0022034513484330","first-page":"8","volume":"26","author":"Boyle CA","year":"2010","journal-title":"SAAD Dig"},{"key":"bibr4-0022034513484330","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(97)10038-9"},{"key":"bibr5-0022034513484330","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2007.01.001"},{"key":"bibr6-0022034513484330","unstructured":"Coldwell SE, Heaton LJ, Ruff PA (2011). 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