Abstract
BACKGROUND: Intellectual and developmental disabilities (IDDs), including autism spectrum disorder (ASD), often lead to sensory challenges and dental anxiety, complicating oral healthcare. Sensory adapted dental environment (SADE) can alleviate anxiety and enhance cooperation during dental procedures, but awareness and implementation among dentists remain limited. OBJECTIVE: To assess general dentists' knowledge, attitudes, and practices regarding SADE and identify gaps for targeted educational programs. METHODS: A survey of 500 dentists in Tamil Nadu, India, collected data on demographics, SADE knowledge, attitudes, and practices. Analysis included descriptive statistics and significance tests. RESULTS: Most respondents were female (68.6%), aged 21-30 (90.9%), with a BDS degree (76.0%), and having 1-10 years of experience (94.8%). Primary fears for children in dental settings were injections (45.7%) and white coats (41.8%). Nonpharmacologic techniques were preferred by 86.8% of dentists. While 49.5% were aware of SADE, only 30.3% had implemented it. Most recognized its benefits (78.7%) and believed it reduces anxiety (81.9%). Despite interest (84.7%), concerns about costs (53.0%) hindered implementation. CONCLUSION: Strong interest and perceived benefits of SADE exist among dentists, but cost concerns and limited understanding hinder its implementation. Enhanced education and resources are vital for broader SADE adoption, potentially improving dental care for individuals with IDDs.