Objective: The objective of this exploratory study was to identify and examine the factors contributing to dental anxiety and fear in dental procedures.
 Methods: A sample of 284 patients were recruited from patients attending a dental college and Hospital. Data were collected using self-report measures, including questionnaires and interviews, to assess dental anxiety levels and explore the factors influencing anxiety and fear in dental procedures. The collected data were analyzed using SPSS 25.0 version
 Results: The results revealed several factors contributing to dental anxiety and fear. Patients had a Modified dental anxiety scale (MDAS) score of 14.93 + 2.047 suggesting high anxiety levels. Previous negative dental experiences emerged as a prominent factor, with 73.64 % participants reporting traumatic or painful encounters with dental procedures as influential in their anxiety levels. Fear of pain or discomfort during dental procedures was also identified as a significant contributing factor. Participants expressed apprehension towards injections, drills, and other dental instruments, highlighting their impact on anxiety and fear.
 Conclusion: This exploratory study identified multiple factors contributing to dental anxiety and fear in dental procedures. The findings underscore the importance of addressing these factors to provide patient-centered care and enhance treatment outcomes. Dental professionals can utilize these insights to develop tailored strategies, including effective communication, pain management techniques, and creating a supportive environment, to mitigate dental anxiety and improve the overall dental experience. Further research is needed to validate and expand upon these findings in larger and more diverse populations.