Estimation of dental anxiety levels before and after dental visit in children with visual impairment using Modified Dental Anxiety Scale in braille text
Veena Shivanna1, Yash Jain2, Rathna Valluri2, Vinod Birra3, Vinod Kumar4, Kranti Kiran Reddy Ealla5
1 Department of Pedodontics and Preventive Dentistry, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India
2 Department of General Dentistry, Malla Reddy Institute of Dental Sciences, Hyderabad, Telangana, India
3 Department of Dentistry, Government Medical College, Srikakulam, Andhra Pradesh, India
4 Department of Pedodontics and Preventive Dentistry, Navodaya Dental College & Hospital, Raichur, Karnataka, India
5 Department of Oral Maxillofacial Pathology, Malla Reddy Institute of Dental Sciences, Hyderabad, Telangana, India
Kranti Kiran Reddy Ealla,
Department of Oral Maxillofacial Pathology, Malla Reddy Institute of Dental Sciences, Suraram, Hyderabad 500055, Telangana.
Source of Support: None, Conflict of Interest: None
Objective: Dental anxiety and fear of dental treatment in special children has been recognized as a public health dilemma. Dental anxiety (being the fear of unknown in a dental setting) would definitely have a substantial effect on the children with visual impairment. Assessment of the dental anxiety makes it possible to design intervention programs aimed at reducing the anxiety levels in children with visual impairment. Thus, the aim of this study was to assess the dental anxiety levels before and after dental visit in children with visual impairment using Modified Dental Anxiety Scale (MDAS) printed in braille. Materials and Methods: A total of 144 institutionalized children with visual impairment in the age group of 6–13 years, residing at an institutionalized blind school, participated in the study. Dental anxiety was assessed pre- and post-dental-screening visit using MDAS printed in braille. Statistical analysis was performed using the Wilcoxon matched-pairs signed rank test. Results: Of 144 children, just before dental screening visit, 78 (54.1%) had severe dental anxiety, 52 (36.11%) had mild anxiety, and 14(9.72%) reported no anxiety, whereas after dental education, only 28 (19.44%) had severe anxiety, 22 (16.66%) had mild anxiety, and 94 (63.88%) reported no anxiety. Conclusion: In our study, there was a significant decrease in dental anxiety after dental screening and education. Therefore, proper behavior management techniques and dental health education programs would decrease dental anxiety in children with visual impairment.