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A survey of stress, burnout and well-being in UK dentists

Key Points

  • Shows that high levels of self-reported stress and burnout were found in UK dentists.

  • Highlights that the top stressors reported by UK dentists relate to regulation, with fear of litigation reported as the most stressful aspect of practising dentistry.

  • Suggests future interventions should not solely focus on individual solutions such as stress management, but also look at global solutions such as changing aspects of the working environment.

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Figure 6: Mean well-being scores for all dentists and the UK general population.
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  1. Kay E J, Lowe J C . A survey of stress levels, self-perceived health and health-related behaviours of UK dental practitioners in 2005. Br Dent J 2008; 204: 19–23.

    Article  Google Scholar 

  2. Myers H L, Myers L B . 'It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J 2004; 197: 89–93.

    Article  Google Scholar 

  3. Maslach C, Leiter M, Schaufeli W B . Measuring burnout. In Cooper, C L, Cartwright S. (editors) The Oxford Handbook of Organizational Well-being. pp. 86–108. Oxford: Oxford University Press, 2008.

    Google Scholar 

  4. Peterson U, Demerouti E, Bergstrom G, Asberg M, Nygren A . Work characteristics and sickness absence in burnout and nonburnout groups: A study of Swedish healthcare workers. Int J Stress Manag 2008; 15: 153–172.

    Article  Google Scholar 

  5. Denton D A, Newton J T, Bower E J . Occupational burnout and work engagement: a national survey of dentists in the United Kingdom. Br Dent J 2008; 205: 382–383.

    Article  Google Scholar 

  6. Baldwin P, Dodd M, Rennie J . Young dentists-work, wealth and happiness. Br Dent J 1999; 186: 42–46.

    Article  Google Scholar 

  7. Imo U O . Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors. B J Psych Bulletin 2016; 41: 197–204.

    Google Scholar 

  8. Kemp M, Edwards H . Is there a well-being gap among UK dentists? British Dental Association. 2015. Available at (accessed June 2018).

  9. Health and Safety Executive. Work-related Stress, Depression or Anxiety Statistics in Great Britain 2017.

  10. Health and Safety Executive. Supplementary analysis to costs for Britain for Britain data: using existing ill-health appraisal values to estimate illustrative costs of work-related musculoskeletal disorders and stress. 2016. Available at (accessed July 2018).

  11. Gorter R C, Eijkman M A, Hoogstraten J . Burnout and health among Dutch dentists. Eur J Oral Sci 2000; 108: 261–267.

    Article  Google Scholar 

  12. Cooper C L, Watts J, Baglioni Jr A. J, Kelly M . Occupational stress among general practice dentists. J Occup Psychol 1988; 61: 163–174.

    Article  Google Scholar 

  13. Harris R, Burnside G, Ashcroft A, Grieveson B . Job satisfaction of dental practitioners before and after a change in incentives and governance: a longitudinal study. Br Dent J 2009; 207: 74–75.

    Article  Google Scholar 

  14. Hancocks S . Defensive Dentistry. Br Dent J 2014; 217: 327.

    Article  Google Scholar 

  15. Larbie J, Kemp M, Whitehead P . The mental health and well-being of UK dentists: A qualitative study. British Dental Association. 2017. Available at (accessed May 2018).

  16. General Dental Council. Annual Registrant Survey 2013. Available at (accessed June 2018).

  17. Houdmont J, Cox T, Griffiths A . Work-related stress case definitions and prevalence rates in national surveys. Occup Med 2010; 60: 658–661.

    Article  Google Scholar 

  18. Shirom A, Melamed S . A comparison of the construct validity of two burnout measures in two groups of professionals. Int J Stress Manag 2006; 13: 176–200.

    Article  Google Scholar 

  19. Demerouti E, Mostert K, Bakker A B . Burnout and work engagement: A thorough investigation of the independency of both constructs. J Occup Health Psychol 2010; 15: 209–222.

    Article  Google Scholar 

  20. Taris T W, Van Horn J E, Schaufeli W B, Schreurs P J . Inequity, burnout and psychological withdrawal among teachers: A dynamic exchange model. Anxiety Stress Coping 2004; 17: 103–122.

    Article  Google Scholar 

  21. Barkham M, Mellor-Clark J, Connell J, Cahill J . A core approach to practice-based evidence: A brief history of the origins and applications of the CORE-OM and CORE system. Couns Psychother Res 2006; 6: 3–15.

    Article  Google Scholar 

  22. Office of National Statistics. Personal Well-being User Guidance. 2016. Available at (accessed June 2018).

  23. Braun V, Clarke V . Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.

    Article  Google Scholar 

  24. Sinclair A, Barkham M, Evans C, Connell J, Audin K . Rationale and development of a general population well-being measure: Psychometric status of the GP-CORE in a student sample. Br J Guid Counc 2005; 33: 153–179.

    Article  Google Scholar 

  25. Fritschi L, Morrison D, Sirangi A, Day L . Psychological well-being of Australian veterinarians. Aust Vet J 2009; 87: 76–81.

    Article  Google Scholar 

  26. Office of National Statistics. Statistical Bulletin: Personal Well-being in the UK: January to December 2017. Available at (accessed May 2018).

  27. Office of National Statistics. Statistical Bulletin: Adult drinking habits in Great Britain 2017. Available at (accessed July 2018).

  28. Kay E J, Scarrott D M . A survey of dental professionals' health and well-being. Br Dent J 1997; 193: 340–345.

    Article  Google Scholar 

  29. McManus S, Bebbington P, Jenkins R, Brugha T . Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital, 2016.

  30. Nock M K, Borges G, Bromet E, Cha C B, Kessler R C, Lee S . Suicide and suicidal behaviour. Epidemio Rev 2008; 30: 133–154.

    Article  Google Scholar 

  31. Kessler R C, Borges G, Walters E . Prevalence of and risk factors for lifetime suicide attempts on the national comorbidity survey. Arch Gen Psychiatry 1999; 56: 617–626.

    Article  Google Scholar 

  32. Sareen J, Cox B J, Afif, T O et al. Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults. Arch Gen Psychiatry 2005; 62: 1249–1257.

    Article  Google Scholar 

  33. van der Heijden F, Dillingh, G, Bakker A, Prins J . Suicidal thought among medical residents with burnout. Arch Suicide Res 2008; 12: 344–346.

    Article  Google Scholar 

  34. Nock M K, Borges G, Bromet E J et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 2008; 192: 98–105.

    Article  Google Scholar 

  35. DiMatteo M A, Shugars D A, Hays R D . Occupational stress, life stress and mental health among dentists. J Occup Organ Psychol 1993; 66: 153–162.

    Article  Google Scholar 

  36. Smith A, Johal S, Wadsworth E, Davey Smith G, Peters T . The Scale of Occupational Stress: The Bristol Stress and Health at Work Study. Health and Safety Executive, 2000. Contract Research Report 265/2000.

  37. Zucoloto M L, Maroco J, Campos J A D B . Dentistry teachers and the burnout syndrome. Braz Dent Sci 2012; 15: 61–67.

    Google Scholar 

  38. Dodu N . Is employment good for well-being? a literature review. J Occup Psychol Employ Dis 2005; 7: 17–33.

    Google Scholar 

  39. Murray M, Murray L, Donnelley M . Systematic review of interventions to improve the psychological well-being of general practitioners. BMC Fam Prac 2016; 17: 1–14.

  40. Shanafelt T D, Noseworthy J H . Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017; 92: 129–146.

    Article  Google Scholar 

  41. Massey D S, Tourangeau R . Where do we go from here? Nonresponse and social measurement. Ann Am Acad Politic Soc Sci 2013; 645: 222–236.

    Article  Google Scholar 

  42. Singh P, Aulak D S, Mangat S S, Aulak M S . Systematic review: factors contributing to burnout in dentistry. Occup Med 2016; 66: 27–31.

    Article  Google Scholar 

  43. Cheung K L, ten Klooster P M, Smit C, de Vries H, Pierterse M E . The impact of non-response bias due to sampling in public health studies: A comparison of mandatory recruitment in a Dutch national survey on adolescent health. BMC Pub Health 2017; 17: 276.

    Article  Google Scholar 

  44. Creedy, DK, Sidebotham M, Gamble J, Pallant J, Fewick J . Prevalence of burnout, depression, anxiety and stress in Australian midwives: a cross-sectional survey. BMC Pregnancy Childbirth 2017; 17: 13.

    Article  Google Scholar 

  45. Kerr R, McHugh M, McCrory M . HSE Managements and standards and stress-related stress outcomes. Occup Med 2009; 59: 574–579.

    Article  Google Scholar 

  46. General Dental Council. Annual Report and Accounts 2017. Available at (accessed June 2018).

  47. Demerouti E, Bakker A B, Vardakou I, Kantas A . The convergent validity of two burnout instruments. Eur J Psychol Assess 2003; 19: 12–23.

    Article  Google Scholar 

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Thank you to the BDA Trust and the Shirley Glasstone Hughes Trust for funding this research, and all of those who participated.

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Correspondence to V. Collin.

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Collin, V., Toon, M., O'Selmo, E. et al. A survey of stress, burnout and well-being in UK dentists. Br Dent J 226, 40–49 (2019).

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