Citation Information :
Chakraborty S, Jana S, Dey B, Chakraborty A, Chakraborty Y. Jeet Wheel Scale: A Novel Tool for Evaluation of Dental Anxiety in Children. Int J Clin Pediatr Dent 2024; 17 (8):898-902.
Background: One of the major concerns of the current era is dental anxiety in Pediatric Dentistry. Kids are very well adapted to emojis or emoticons nowadays, and they represent emotions or moods better than a cartoon picture. Therefore, this study was conducted to evaluate a newly designed anxiety rating scale. The Jeet Wheel Scale (JWS) uses emoticons and colors to assess the anxiety or mood of the child during the first visit of the child.
Aim: The aim was to establish the novel anxiety rating scale and compare it with the Venham Picture Test (VPT) and Facial Image Scale (FIS).
Materials and methods: The study included 100 healthy children aged 4–8 years, and their dental anxiety was assessed using the JWS, VPT, and FIS at their first dental appointment, along with their scale preference.
Results: The mean and standard deviation of anxiety scores measured using the FIS, VPT, and JWS were 1.67 ± 0.88, 1.99 ± 1.17, and 2.79 ± 1.35, respectively. Among the scales used, a significant difference was observed. A strong correlation was observed with the Pearson correlation test. The results indicated a strong correlation (0.863) between the JWS and VPT, and a strong correlation (0.802) between the JWS and the FIS. Based on the above observations, it could be confirmed that the JWS has high validity. Children preferred the JWS over the other two established scales.
Conclusion: The JWS was found to be more efficient for assessing dental anxiety in children.
Sullivan C, Schneider PE, Musselman RJ, et al. The effect of virtual reality during dental treatment on child anxiety and behaviour. ASDC J Dent Child 2000;67(3):193–161.
Annamarie K, Prathima GS, Sajeev R, et al. Colour preference to emotions in relation to the anxiety level among school children in Puducherry – a cross-sectional study. J Clin Diagn Res 2016;10(7):ZC26–ZC30. DOI: 10.7860/JCDR/2016/18506.8128
Khandelwal D, Kalra N, Tyagi R, et al. Control of anxiety in pediatric patients using “Tell Show Do” method and audio-visual distraction. J Contemp Dent Pract 2018;19:1058–1064. DOI: 10.5005/jp-journals-10024-2381
Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48(4):596. DOI: 10.1177/00220345690480041801
Venham LL, Gaulin-Kremer E. A self-report measure of situational anxiety for young children. Pediatr Dent 1979;1:91–96.
Chhabra N, Chhabra A, Walia G. Prevalence of dental anxiety and fear among five to ten year old children: a behaviour based cross sectional study. Minerva Stomatol 2012;61(3):83–89.
Sadana G, Grover R, Mehra M, et al. A novel Chotta Bheem–Chutki scale for dental anxiety animated emoji scale determination in children. J Int Soc Prev Community Dent 2016;6:200–205.
Setty JV, Srinivasan I, Radhakrishna S, et al. Use of an animated emoji scale as a novel tool for anxiety assessment in children. J Dent Anesth Pain Med 2019;19(4):227–233. DOI: 10.17245/jdapm.2019.19.4.227
Bubna K, Hegde S, Rao D. Role of colors in pediatric dental practices. J Clin Pediatr Dent 2017;41(3):193–198. DOI: 10.17796/1053-4628-41.3.193
Terwogt MM, Hoeksma JB. Colors and emotions: preferences and combinations. J Genet Psychol 1995;122:5–7.
Uma Maheshwari N, Asokan S, Kumaran TS. Child friendly colors in a pediatric dental practice. J Indian Soc Pedod Prev Dent 2013;31(4):225–228. DOI: 10.4103/0970-4388.121817
Park JG. Color perception in pediatric patient room design: Healthy children vs. pediatric patients. HERD 2009;2:6–28.
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;33:48–52.
Locker D, Thomson WM, Poulton R. Onset of and patterns of change in dental anxiety in adolescence and early adulthood: a birth cohort study. Community Dent Health 2001;18:99–104.
Locker D, Liddell A, Dempster L, et al. Age of onset of dental anxiety. J Dent Res 1999;78:790–796.
Taani DQ, El-Qaderi SS, Abu Alhaija ES. Dental anxiety in children and its relationship to dental caries and gingival condition. Int J Dent Hyg 2005;3:83–87.
Buchanan H, Niven N. Validation of a facial image scale to assess child dental anxiety. Int J Paediatr Dent 2002;12:47–52.
Dogan MC, Seydaoglu G, Uguz S, et al. The effect of age, gender and socio-economic factors on perceived dental anxiety determined by a modified scale in children. Oral Health Prev Dent 2006;4:235–241.
Bhardwaj SS, Atram AA, Aldhuwayhi S. The effect of age, gender, and socio-economic status on perceived dental anxiety of 4 to 8 year old children. Rev Argent Clín Psicol 2021;XXX(1):525–530. DOI: 10.24205/03276716.2020.2048
Alwin NP, Murray JJ, Britton PG. An assessment of dental anxiety in children. Br Dent J 1991;171(7):201–207. DOI: 10.1038/SJ.bdj.4807661
