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Original Research

Open Access Special Issue

Stress perception among dental practitioners in Saudi Arabia during the COVID-19 pandemic: a cross-sectional survey

  • Saquib Ahmed Shaikh1
  • Sami Aldhuwayhi1
  • Sreekanth Kumar Mallineni2,*,
  • Vinutha Kumari Varadharaju1
  • Amar Ashok Thakare1
  • Mohammed Ziauddeen Mustafa1

1Department of Prosthodontics, College of Dentistry, Majmaah University, 11952 Almajmaah, Saudi Arabia

2Department of Preventive Dentistry, College of Dentistry, Majmaah University, 11952 Almajmaah, Saudi Arabia

DOI: 10.22514/sv.2022.042

Submitted: 28 October 2021 Accepted: 29 December 2021

Online publish date: 19 May 2022

(This article belongs to the Special Issue Impact of COVID-19 on Dentistry)

*Corresponding Author(s): Sreekanth Kumar Mallineni E-mail:;


The coronavirus outbreak (COVID-19) significantly impacted dental health practition-ers. Dentists are exposed to uncertain fears affecting them mentally and financially, leading to a multi-fold increase in anxiety and stress. To assess the stress levels among the dental practitioners during the COVID-19 pandemic and evaluate perceptions of dental practitioners after a pandemic outbreak. A well-self-administered questionnaire was designed, and Google forms were sent to participants. The questionnaire involves demographic details (section 1), Cohen’s stress levels (section 2), and perceptions of dental practice after pandemic (section 3). The comparisons were made based on sex, age group, qualification, and occupation. Descriptive statistics were performed using SPSS (version 17.0, Chicago, IL, USA). Overall, 376 participants in the survey, 66.2% (249) were males, and 33.8% (127) were females. The most common age group of respondents was 31–40 years (44.7%). Occupation wise 44.4% were private practitioners, while postgraduates were 49.5% among the study population. The comparison of stress mean scores among the sexes showed non-significant (p > 0.05) while there was evidence of significance among the age group, qualifications, and occupations of the participants (p < 0.05). The overall mean stress score level was 19.95, whereas males (20 ± 7.7), private dental practitioners (21.9 ± 7.9), and participants of more than 50 years of age (26.1 ± 7.8) got high-stress scores, respectively. The dentists with graduates in the study showed (17.5 ± 7.5) had the least stress scores. Overall dental practitioners are at moderate stress levels; among them, males, private practitioners, and dentists above 50 years of age exhibited more stress, whereas graduates had the least stress scores.


Stress; Dental practitioners; COVID-19; Pandemic

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Saquib Ahmed Shaikh,Sami Aldhuwayhi,Sreekanth Kumar Mallineni,Vinutha Kumari Varadharaju,Amar Ashok Thakare,Mohammed Ziauddeen Mustafa. Stress perception among dental practitioners in Saudi Arabia during the COVID-19 pandemic: a cross-sectional survey. Signa Vitae. 2022.doi:10.22514/sv.2022.042.


[1] Ahmed MA, Johar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and practice management among dentists to combat novel coronavirus disease (COVID-19) outbreak. International Journal of Environmental Research and Public Health. 2020; 17: 2821.

[2] Bhumireddy J, Mallineni SK, Nuvvula S. Challenges and possible solutions in dental practice during and post COVID-19. Environmental Science and Pollution Research. 2021; 28: 1275-1277.

[3] Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. Journal of Dental Research. 2020; 99: 481–487.

[4] Mallineni SK, Innes NP, Raggio DP, Araujo MP, Robertson MD, Jayaraman J. Coronavirus disease (COVID‐19): characteristics in children and considerations for dentists providing their care. International Journal of Paediatric Dentistry. 2020; 30: 245–250.

[5] Sun W. The virus of fear and anxiety: China, COVID-19, and the Australian media. Global Media and China. 2021; 6: 24–39.

[6] Al-Khalifa KS, AlSheikh R, Al-Swuailem AS, Alkhalifa MS, Al-Johani MH, Al-Moumen SA, et al. Pandemic preparedness of dentists against coronavirus disease: a Saudi Arabian experience. PLoS One. 2020; 15: e0237630.

[7] Kamal AT, Sukhia RH, Ghandhi D, Sukhia HR. Stress and anxiety among dental practitioners during the COVID-19 pandemic: a cross-sectional survey. Dental and Medical Problems. 2021; 58: 139–146.

[8] Myers HL, Myers LB. ‘It’s difficult being a dentist’: stress and health in general dentist practitioner. British dental journal. 2004; 197: 89–93.

[9] Mahgoub IM, Abdelrahman A, Abdallah TA, Mohamed Ahmed KAH, Omer MEA, Abdelrahman E, et al. Psychological effects of the COVID‐19 pandemic: perceived stress, anxiety, work-family imbalance, and coping strategies among healthcare professionals in Khartoum state hospitals, Sudan, 2021. Brain and Behavior. 2021; 11: e2318.

[10] Antonijevic J, Binic I, Zikic O, Manojlovic S, Tosic-Golubovic S, Popovic N. Mental health of medical personnel during the COVID-19 pandemic. Brain and Behavior. 2020; 10: e01881.

[11] Perceived stress scale. 2020. Available at: (Accessed: 24 June 2020)

[12] Lydeard S. The questionnaire as a research tool. Family Practice. 1991; 8: 84–91.

[13] Tam CW, Pang EP, Lam LC, Chiu HF. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychological Medicine. 2004; 34: 1197–1204.

[14] McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. The Canadian Journal of Psychiatry. 2007; 52: 241–247.

[15] Kim SY, Shin DW, Oh KS, Kim EJ, Park YR, Shin YC, et al. Gender differences of occupational stress associated with suicidal ideation among South Korean employees: the kangbuk Samsung health study. Psychiatry Investigation. 2018; 15: 156–163.

[16] Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020; 3: e203976.

[17] Vahia IV, Jeste DV, Reynolds CF 3rd. Older adults and the mental health effects of COVID-19. JAMA. 2020; 324: 2253–2254.

[18] Ge ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. Journal of Zheijang University SCIENCE B-Biomedicine & Biotechnology. 2020; 21: 361–368.

[19] Person B, Sy F, Holton K, Govert B, Liang A, National Center for Inectious Diseases/SARS Community Outreach Team. Fear and stigma: the epidemic within the SARS outbreak. Emerging Infectious Diseases. 2004; 10: 358–363.

[20] Aldhuwayhi S, Mallineni SK, Sakhamuri S, Thakare AA, Mallineni S, Sajja R, et al. COVID-19 knowledge and perceptions among dental specialists: a cross-sectional online questionnaire survey. Risk Management Healthcare Policy. 2021; 14: 2851–2861.

[21] van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1. New England Journal of Medicine. 2020; 382: 1564–1567.

[22] Fazel M, Hoagwood K, Stephan S, Ford T. Mental health interventions in schools 1: mental health interventions in schools in high-income countries. The Lancet Psychiatry. 2014; 1: 377–387.

[23] Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. International Journal of Environmental Research and Public Health. 2020; 17: 2821.

[24] Alkhamees AA, Alrashed SA, Alzunaydi AA, Almohimeed AS, Aljohani MS. The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Comprehensive Psychiatry. 2020; 102: 152192.

[25] Park CL, Russell BS, Fendrich M, Finkelstein-Fox L, Hutchison M, Becker J. Americans’ COVID-19 stress, coping, and adherence to CDC guidelines. Journal of General Internal Medicine. 2020; 35: 2296–2303.

[26] Collin V, O Selmo E, Whitehead P. Psychological distress and the perceived impact of the COVID-19 pandemic on UK dentists during a national lockdown. British Dental Journal. 2021: 1–8.

[27] Mallineni SK, Nuvvula S, Bhumireddy JC, Ismail AF, Verma P, Sajja R, et al. Knowledge and perceptions regarding coronavirus (COVID-19) among pediatric dentists during lockdown period. International Journal of Environmental Research and Public Health. 2022; 19: 209.

[28] Ali SH, Foreman J, Tozan Y, Capasso A, Jones AM, DiClemente RJ. Trends and predictors of COVID-19 information sources and their relationship with knowledge and beliefs related to the pandemic: Nationwide cross-sectional study. JMIR Public Health and Surveillance. 2020; 6: e21071.

[29] Aldhuwayhi S, Shaikh SA, Thakare AA, Mustafa MZ, Mallineni SK. Remote management of prosthodontic emergencies in the geriatric population during the pandemic outbreak of COVID-19. Frontiers in Medicine. 2021; 8: 648675.

[30] Nuvvula S, Mallineni SK. Remote management of dental problems in children during and post the COVID-19 pandemic outbreak: a teledentistry approach. Dental and Medical Problems. 2021; 58: 237–241.

[31] Jampani ND, Nutalapati R, Dontula BS, Boyapati R. Applications of teledentistry: a literature review and update. Journal of International Society of Preventive and Community Dentistry. 2011; 1: 37–44.

[32] Aldhuwayhi S, Shaikh SA, Mallineni SK, Kumari VV, Thakare AA, Ahmed Khan AR, et al. Occupational stress and stress busters used among Saudi dental practitioners during the COVID-19 pandemic outbreak. Disaster Medicine and Public Health Preparedness. 2021; 6: e21071.

[33] Alassaf A, Almulhim B, Alghamdi SA, Mallineni SK. Perceptions and preventive practices regarding COVID-19 pandemic outbreak and oral health care perceptions during the lockdown: a cross-sectional survey from Saudi Arabia. Healthcare. 2021; 9: 959.

[34] Gupta B, Sharma V, Kumar N, Mahajan A. Anxiety and sleep disturbances among health care workers during the COVID-19 pandemic in India: cross-sectional online survey. JMIR Public Health and Surveillance. 2020; 6: e24206.

[35] Arca M, Dönmezdil S, Durmaz ED. The effect of the COVID-19 Pandemic on anxiety, depression, and musculoskeletal system complaints in healthcare workers. Work. 2021; 69: 47–54.

[36] Emodi-Perlman A, Eli I, Smardz J, Uziel N, Wieckiewicz G, Gilon E, et al. Temporomandibular disorders and bruxism outbreak as a possible factor of orofacial pain worsening during the COVID-19 pandemic-concomitant research in two countries. Journal of Clinical Medicine. 2020; 9: 3250.

[37] Cagetti MG, Cairoli JL, Senna A, Campus G. COVID-19 outbreak in north Italy: an overview on dentistry. A questionnaire survey. International Journal of Environmental Research and Public health. 2020; 17: 3835.

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