Ballestero-Pérez A, Martínez-Mayoral I, de-la-Rosa-Gay C, García-García M, Aguilera M, Figueiredo R, Valmaseda-Castellón E, Sánchez-Torres A. Emotional regulation, empathy and surgical performance in undergraduate dental students: A prospective cohort study. Med Oral Patol Oral Cir Bucal. 2026 Jul 1;31 (4):e561-8.

doi:10.4317/medoral.27960

https://dx.doi.org/doi:10.4317/medoral.27960


1. Elani HW, Allison PJ, Kumar RA, Mancini L, Lambrou A, Bedos C. A systematic review of stress in dental students. J Dent Educ. 2014;78(2):226-242.
https://doi.org/10.1002/j.0022-0337.2014.78.2.tb05673.x
PMid:24489030


 

2. Polychronopoulou A, Divaris K. Dental students' perceived sources of stress: A multi-country study. J Dent Educ. 2009;73(5):631-639.
https://doi.org/10.1002/j.0022-0337.2009.73.5.tb04738.x
PMid:19433538


 

3. Alamoush RA, Al-Sawaeir S, Baker DA, Aljamani SA, Alomoush SA, Al-Omiri MK. Stress experienced by dental students performing clinical training in different dental disciplines: A cross-sectional study. J Occup Health. 2024;66(1):uiae006.
https://doi.org/10.1093/joccuh/uiae006
PMid:38348494 PMCid:PMC10899752


 

4. Shoaib LA, Safii SH, Naimie Z, Ahmad NA, Sukumaran P, Yunus RM. Dental students' perceptions on the contribution and impact role of a clinical teacher. Eur J Dent Educ. 2018;22(1):e26-34.
https://doi.org/10.1111/eje.12252
PMid:27995730


 

5. Lee C, Asher SR, Chutinan S, Gallucci GO, Dent M, Ohyama H. The relationship between dental students' assessment ability and preclinical and academic performance in operative dentistry. J Dent Educ. 2017;81:310-317.
https://doi.org/10.1002/j.0022-0337.2017.81.3.tb06276.x
PMid:28250037


 

6. Martinez-Bernal D, Vidovich C, Keenan C, Correll L, Laserna A, Hasselberg M, et al. The use of virtual reality to reduce pain and anxiety in surgical procedures of the oral cavity: A scoping review. J Oral Maxillofac Surg. 2023;81:467-482.
https://doi.org/10.1016/j.joms.2022.11.011
PMid:36572388


 

7. Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, et al. Dental anxiety in patients attending a student dental clinic. BMC Oral Health. 2018;18(1):48.
https://doi.org/10.1186/s12903-018-0507-5
PMid:29558935 PMCid:PMC5859659


 

8. Guivarc'h M, Saliba-Serre B, Jacquot B, Le Coz P, Bukiet F. Dental students' attitudes towards management of pain and anxiety during a dental emergency: Educational issues. Int Dent J. 2017;67(6):384-390.
https://doi.org/10.1111/idj.12323
PMid:28758201 PMCid:PMC9378887


 

9. Lermen C, Wetzel W, Britz V, Sterz J, Bechstein WO, Schreckenbach T. Empathy, personality traits, and emotional management in 2nd and 4th-year dentistry students: A single-center study. BMC Med Educ. 2022;22(1):2.
https://doi.org/10.1186/s12909-021-03080-1
PMid:34980112 PMCid:PMC8722276


 

10. Mejía-Rubalcava C, Alanís-Tavira J, Mendieta-Zerón H, Sánchez-Pérez L. Changes induced by music therapy to physiologic parameters in patients with dental anxiety. Complement Ther Clin Pract. 2015;21(4):282-286.
https://doi.org/10.1016/j.ctcp.2015.10.005
PMid:26573456


 

11. Reeck C, Ames DR, Ochsner KN. The social regulation of emotion: An integrative, cross-disciplinary model. Trends Cogn Sci. 2016;20(1):47-63
https://doi.org/10.1016/j.tics.2015.09.003
PMid:26564248 PMCid:PMC5937233


 

12. Wetzel CM, Kneebone RL, Woloshynowych M, Nestel D, Moorthy K, Kidd J, et al. The effects of stress on surgical performance. Am J Surg. 2006;191(1):5-10.
https://doi.org/10.1016/j.amjsurg.2005.08.034
PMid:16399098


 

13. Omezli MM, Torul D, Kahveci K. Does watching videos increase the perioperative anxiety in patients undergoing third molar surgery? A randomized trial. J Oral Maxillofac Surg. 2020;78(2):216.e1-9.
https://doi.org/10.1016/j.joms.2019.09.027
PMid:31705869


 

14. Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13:S31-34.
https://doi.org/10.4103/sja.SJA_543_18
PMid:30930717 PMCid:PMC6398292


 

15. World Medical Association. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ. 2001;79(4):373-374.
https://doi.org/10.4414/smf.2001.04031
PMid:11357217


 

16. Gómez-Simón I, Penelo E, de la Osa N. Factor structure and measurement invariance of the Difficulties Emotion Regulation Scale (DERS) in Spanish adolescents. Psicothema. 2014;26(3):401-408.
https://doi.org/10.7334/psicothema2013.324
PMid:25069562


 

17. Coolidge T, Chambers MA, Garcia LJ, Heaton LJ, Coldwell SE. Psychometric properties of Spanish-language adult dental fear measures. BMC Oral Health. 2008;8:15.
https://doi.org/10.1186/1472-6831-8-15
PMid:18474102 PMCid:PMC2391155


 

18. Sánchez-Torres A, Camps-Font O, Figueiredo R, Valmaseda-Castellón E. Validity and reliability of the Spanish version of the consultation and relational empathy measure in dental students (Sp-Dent-CARE): A cross-sectional study. Eur J Dent Educ. 2024;28(1):267-274.
https://doi.org/10.1111/eje.12944
PMid:37649221


 

19. Anton NE, Lebares CC, Karipidis T, Stefanidis D. Mastering stress: Mental skills and emotional regulation for surgical performance and life. J Surg Res. 2021;263:A1-12.
https://doi.org/10.1016/j.jss.2021.01.009
PMid:33678414


 

20. Hussein VM. Comparative study of emotional intelligence and perceived stress among dental postgraduate students. Cureus. 2025;17(2):e79392.
https://doi.org/10.7759/cureus.79392


 

21. Fteiha M, Awwad N. Emotional intelligence and its relationship with stress coping style. Health Psychol Open. 2020;7(2):2055102920970416.
https://doi.org/10.1177/2055102920970416
PMid:33224513 PMCid:PMC76568784


 

22. Pau AKH, Croucher R. Emotional intelligence and perceived stress in dental undergraduates. J Dent Educ. 2003;67(9):1023-1028.
https://doi.org/10.1002/j.0022-0337.2003.67.9.tb03685.x
PMid:14518831


 

23. Nash DA. Ethics, empathy, and the education of dentists. J Dent Educ. 2010;74(6):567-578.
https://doi.org/10.1002/j.0022-0337.2010.74.6.tb04902.x
PMid:20516296

 

24. de la Rosa-Gay C, Camps-Font O, Sánchez-Torres A, Figueiredo R, Valmaseda-Castellón E. Improving evaluation of dentistry students in an oral surgery and implantology subject: The PIETA rubric. Eur J Dent Educ. 2025, in press.
https://doi.org/10.1111/eje.13121
PMid:40371664 PMCid:PMC13090430

 

25. Corah NL, O'Shea RM, Bissell GD, Thines TJ, Mendola P. The dentist-patient relationship: Perceived dentist behaviors that reduce patient anxiety and increase satisfaction. J Am Dent Assoc. 1988;116(1):73-76.
https://doi.org/10.14219/jada.archive.1988.0162
PMid:3422668

 

26. Jones LM, Huggins TJ. Empathy in the dentist-patient relationship: Review and application. N Z Dent J. 2014;110(3):98-104.
PMid:25265785

 

27. Song YH, Luzzi L, Brennan DS. Trust in dentist-patient relationships: Mapping the relevant concepts. Eur J Oral Sci. 2020;128(2):110-119.
https://doi.org/10.1111/eos.12686
PMid:32154607

 

28. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz C, Gonnella JS. Physicians' empathy and clinical outcomes for diabetic patients. Acad Med. 2011;86(3):359-364.
https://doi.org/10.1097/ACM.0b013e3182086fe1
PMid:21248604

 

29. Smith MK, Dundes L. The implications of gender stereotypes for the dentist-patient relationship. J Dent Educ. 2008;72(5):562-570.
https://doi.org/10.1002/j.0022-0337.2008.72.5.tb04520.x
PMid:18463391

 

30. Yule S, Flin R, Maran N, Rowley D, Youngson G, Paterson-Brown S. Surgeons' non-technical skills in the operating room: Reliability testing of the NOTSS behavior rating system. World J Surg. 2008;32(4):548-556.
https://doi.org/10.1007/s00268-007-9320-z
PMid:18259809