International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE 6 ( November-December, 2022 ) > List of Articles


Anxiety Rating Scale for Speech and Hearing-impaired Children

Jaikiran Kaur, Sanguida Adimoulame

Keywords : Anxiety assessment scale, Dental anxiety, Hearing-impairment, Pediatric dentistry, Speech impairment

Citation Information : Kaur J, Adimoulame S. Anxiety Rating Scale for Speech and Hearing-impaired Children. Int J Clin Pediatr Dent 2022; 15 (6):704-706.

DOI: 10.5005/jp-journals-10005-2459

License: CC BY-NC 4.0

Published Online: 14-02-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Background: It has been observed that children with special healthcare needs exhibit higher dental anxiety levels because of various barriers. In the literature, there is no anxiety assessment scale for speech and hearing-impaired children. A new concept of pictorial representation of common emotions observed during dental treatment was used to design an innovative scale, thereby helping to improve communication and in bringing out positive behavior among the children. This study aimed to assess and validate the efficacy of an anxiety rating scale for speech and hearing-impaired children. Materials and methods: A total of 36–12-year-old children with speech and hearing impairments from a special school were selected for this study. The pretreatment anxiety score among the children was assessed using the pictorial anxiety rating scale. Results: The anxiety rating scale was well accepted by speech and hearing-impaired children. It was well-supported by expert opinions and equal distribution of anxiety scores. Conclusion: The pictorial scale is a valid anxiety assessment scale for measuring dental anxiety among speech and hearing-impaired children. It can be used independently to assess dental anxiety in clinical settings and epidemiological studies as well.

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  1. Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc 1978;97(5):816–819. DOI: 10.14219/jada.archive.1978.0394
  2. Allen KD, Stark LJ, Rigney BA, et al. Reinforced practice of children's cooperative behavior during restorative dental treatment. ASDC J Dent Child 1988;55(4):273–277.
  3. Klingberg G, Berggren U, Carlsson SG, et al. Child dental fear: Cause-related factors and clinical effects. Eur J Oral Sci 1995;103(6):405–412. DOI: 10.1111/j.1600-0722.1995.tb01865.x
  4. Shetty RM, Khandelwal M, Rath S. RMS Pictorial Scale (RMS-PS): An innovative scale for the assessment of child's dental anxiety. J Indian Soc Pedod Prev Dent 2015;33(1):48–52. DOI: 10.4103/0970-4388.149006
  5. Jain M, Mathur A, Kumar S, et al. Dentition status and treatment needs among children with impaired hearing attending a special school for the deaf and mute in Udaipur, India. J Oral Sci 2008;50(2):161–165. DOI: 10.2334/josnusd.50.161
  6. Wilon S, Cody WE. An analysis of behavior management papers published in the pediatric dental literature. Pediatr Dent 2005;27(4):331–338.
  7. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. Pediatr Dent 2020;39(6):362–324.
  8. American Academy of Pediatric Dentistry. Management of dental patients with special health care needs. Chicago: American Academy of Pediatric Dentistry. 2016.
  9. Alsmark SS, García J, Martínez MR, et al. How to improve communication with deaf children in the dental clinic. Med Oral Patol Oral Cir Bucal 2007;12(8):E576–E581.
  10. Al-Namankany A, de Souza M, Ashley P. Evidence-based dentistry: analysis of dental anxiety scales for children. Br Dent J 2012;212(5): 219–222. DOI: 10.1038/sj.bdj.2012.174
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