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17% and 94.66%, respectively. A reduction in treatment time was also perceived by the students but was not statistically significant. Use of hand signals during dental treatment can be an option in reducing anxiety and fear for the patients. They can also help in effective communication during the treatment procedure and may help in reducing treatment time. Use of hand signals during dental treatment can be an option in reducing anxiety and fear for the patients. They can also help in effective communication during the trea