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A Novel Chotta Bheem-Chutki Scale for Dental Anxiety Determination in Children

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Date 2016 Jul 7
PMID 27382534
Citations 10
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Abstract

Objective: A potential problem in patient management in pediatric dentistry is dental anxiety among children. It is of paramount importance for pediatric dentists to identify an anxious child and review potential management options specific to every child. The aim of this study is to validate a newly devised Chotta Bheem-Chutki (CBC) pictorial scale and to compare this with Venham's pictorial scale (VPS) and facial image scale (FIS) to measure dental anxiety in young children during their first dental visit.

Materials And Methods: One hundred children aged 4-12 years were randomly selected from our hospital outpatient department. Child's anxiety levels were measured using three different scales; the VPS, FIS, and the newly devised CBC pictorial scale. The scores were recorded by asking the children to choose the figure they identified with at that instant. The scores obtained from all the three scales were compared using student's t-test. Pearson correlation test was used to obtain correlation among the scales used in the study.

Results: A strong correlation (0.778) was found between FIS and CBC scale. Moreover, a strong correlation (0.811) was found between VPS and CBC scale, indicating good validity of the CBC scale. Seventy five percent of the children found CBC scale to be the easiest among the three scales.

Conclusion: The findings of this study suggest that CBC scale can be used as a new tool for dental anxiety assessment in children.

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References
1.
Assuncao C, Losso E, Andreatini R, Menezes J . The relationship between dental anxiety in children, adolescents and their parents at dental environment. J Indian Soc Pedod Prev Dent. 2013; 31(3):175-9. DOI: 10.4103/0970-4388.117977. View

2.
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):83-9. View

3.
Shetty R, 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. View

4.
Cuthbert M, Melamed B . A screening device: children at risk for dental fears and management problems. ASDC J Dent Child. 1982; 49(6):432-6. View

5.
Kaur R, Jindal R, Dua R, Mahajan S, Sethi K, Garg S . Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent. 2015; 33(3):192-203. DOI: 10.4103/0970-4388.160357. View