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Trust and Distrust in Dental Professionals: Patient Perceptions and Experiences.

Ken He1, Joanna Sale2,3,4,5, Sonica Singhal1

  • 1Faculty of Dentistry, University of Toronto, Toronto, Canada.

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|August 26, 2025
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Summary

Patient trust in dentists is built on perceived technical skill, communication, and empathy. These factors significantly influence treatment decisions, especially for patients facing socioeconomic barriers.

Keywords:
behavioral sciencescommunication and interpersonal skillsdentist/patient relationshipqualitative researchtrust

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Area of Science:

  • Dental Public Health
  • Health Services Research
  • Patient-Provider Relationships

Background:

  • Socioeconomic barriers can significantly impact patient trust in dental care providers.
  • Understanding the dynamics of trust is crucial for improving dental treatment adherence.

Purpose of the Study:

  • To investigate factors influencing patient trust in dentists, particularly among those with socioeconomic barriers.
  • To explore how trust impacts patients' decisions regarding dental treatment.

Main Methods:

  • Semi-structured interviews were conducted with 25 patients experiencing socioeconomic barriers.
  • Thematic analysis was employed to identify key themes related to trust development and erosion.

Main Results:

  • Patient trust is influenced by perceptions of dentists' technical skills, communication, and empathy.
  • Positive experiences, clear communication, and shared decision-making enhance trust.
  • Cost and prior dental history also play a role in trust formation.

Conclusions:

  • Trust is a dynamic element in the dentist-patient relationship, evolving throughout the treatment process.
  • Dentists can cultivate trust by developing communication and empathy skills.
  • Enhanced patient trust promotes treatment engagement and reduces avoidance.