Are Technology-Based Interventions Effective in Reducing Dental Anxiety in Children and Adults? A Systematic Review

Gujjar, Kumar Raghav; Wijk, Arjen van; Kumar, Ratika; Jongh, Ad de

doi:10.1016/j.jebdp.2019.01.009

Cited by 28 publications

(19 citation statements)

References 47 publications

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“…Fear and anxiety were the main feelings generated by the procedure as a whole and not by the use of technology. The latter, as suggested by a recent review, could have an added benefit in the provision of oral care, particularly in odontophobic subjects [43]. Other negative feedback could be addressed to the lack of immediate response on the examination and the resistance from some nurses who questioned the effectiveness of Teledentistry in the context of residential aged care facilities [23].…”

Section: Discussionmentioning

confidence: 99%

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Aquilanti

Santarelli

Mascitti

et al. 2020

IJERPH

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A high level of unmet oral health needs is very common among elderly people. In a society that is getting older and that has been hit so hard by the coronavirus pandemic, the development of new strategies aimed at enhancing general and oral health status should be crucial in order to promote healthy aging. The aim of this systematic review is to assess the feasibility of Teledentistry in communities or in a domiciliary setting where elderly people live. A structured and systematic research was performed on the major electronic databases for studies published in English until 30 June 2020: the PubMed, Cochrane Library, Web of Science, Scopus, and CINAHL databases. A total of 13 articles were identified through database searching using combinations of keywords. Out of 13 papers, eight abstracts were reviewed to assess if they were coherent with the aim of the study, and full texts were retrieved. After abstract reviews, seven articles were selected for closer inspection. Of these, six were assessed for eligibility. Four papers were aimed at assessing patients and health practitioners experiences about Teledentistry, three studies reported a cost analysis and cost description of Teledentistry in residential aged care facilities, and two studies investigated the feasibility and accuracy of Teledentistry for diagnosis dental pathology. The implementation of Teledentistry in residential aged care facilities and in home-assistance programs could be a viable tool for the management of oral care in people who cannot access dental care.

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Section: Discussionmentioning

confidence: 99%

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Aquilanti

Santarelli

Mascitti

et al. 2020

IJERPH

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“…Although VR has many advantages in the fields of dentistry and medicine [7,8,11,15,17,21,[25][26][27][28][29], limited research attention has been devoted to the investigation of the effectiveness of VR in reducing anxiety and pain during dental treatment in children. There is also a lack of VR use in randomised, controlled, clinical trials in dentistry.…”

Section: Introductionmentioning

confidence: 99%

Does Virtual Reality Affect Children’s Dental Anxiety, Pain, And Behaviour? A Randomised, Placebo-Controlled, Cross-Over Trial

Buldur

Candan

2021

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To evaluate the effect of virtual reality (VR) on dental anxiety, pain, and behaviour at different time points among children undergoing dental treatment under local anaesthesia. Material and Methods: This randomised, two-armed, within-subject, cross-over, placebo-controlled trial included 76 children. Eligible participants were treated in two dental visits using the following methods: with protective glasses only, without distraction (attention placebo-controlled -APC); and with the treatment condition (i.e., VR). Primary outcomes were dental anxiety and pain; secondary outcome was dental visit behaviour. Heart rate scores were recorded as an objective measure to evaluate dental anxiety and pain. Subjective measurements for each variable were also performed. Results: Significant reduction in dental pain and anxiety was observed in the VR group, according to the heart rate scores; however, no statistical differences were observed according to the self-reported measures. Decreased dental anxiety and pain were associated with the first visit sequence with VR. Dental pain and anxiety scores were lower during local anaesthesia in the VR group than in the APC group. Conclusion: Virtual reality significantly reduced pain and anxiety during local anaesthesia in children undergoing dental treatment; therefore, it may be recommended during dental treatment in school-age children.

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“…Technologies based on virtual reality have also been developed for managing dental anxiety. A systematic review concluded that they have potential, though more rigorous studies are needed (Gujjar et al 2019a). Many of them are based on distraction during normal or simulated treatment or exposure before treatment and used, for example, natural scenery, games, or information on treatment (Frere et al 2001;Asl Aminabadi et al 2012;Tanja-Dijkstra et al 2014;Kazancioglu et al 2015;Padrino-Barrios et al 2015;Atzori et al 2018;Niharika et al 2018;Shetty et al 2019), while others are based on psychologist-delivered cognitive behavioral therapy (Raghav et al 2016;Gujjar et al 2017;Gujjar et al 2019b).…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality Relaxation to Decrease Dental Anxiety: Immediate Effect Randomized Clinical Trial

Lahti

Suominen

Freeman

et al. 2020

JDR Clinical & Translational Research

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Introduction: Dental anxiety is common and causes symptomatic use of oral health services. Objectives: The aim was to study if a short-term virtual reality intervention reduced preoperative dental anxiety. Methods: A randomized controlled single-center trial was conducted with 2 parallel arms in a public oral health care unit: virtual reality relaxation (VRR) and treatment as usual (TAU). The VRR group received a 1- to 3.5-min 360° immersion video of a peaceful virtual landscape with audio features and sound supporting the experience. TAU groups remained seated for 3 min. Of the powered sample of 280 participants, 255 consented and had complete data. Total and secondary sex-specific mixed effects linear regression models were completed for posttest dental anxiety (Modified Dental Anxiety Scale [MDAS] total score) and its 2 factors (anticipatory and treatment-related dental anxiety) adjusted for baseline (pretest) MDAS total and factor scores and age, taking into account the effect of blocking. Results: Total and anticipatory dental anxiety decreased more in the VRR group than the TAU group (β = −0.75, P < .001, for MDAS total score; β = −0.43, P < .001, for anticipatory anxiety score) in patients of a primary dental care clinic. In women, dental anxiety decreased more in VRR than TAU for total MDAS score (β = −1.08, P < .001) and treatment-related dental anxiety (β = −0.597, P = .011). Anticipatory dental anxiety decreased more in VRR than TAU in both men (β = −0.217, P < .026) and women (β = −0.498, P < .001). Conclusion: Short application of VRR is both feasible and effective to reduce preoperative dental anxiety in public dental care settings (ClinicalTrials.gov NCT03993080). Knowledge Transfer Statement: Dental anxiety, which is a common problem, can be reduced with short application of virtual reality relaxation applied preoperatively in the waiting room. Findings of this study indicate that it is a feasible and effective procedure to help patients with dental anxiety in normal public dental care settings.

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Are Technology-Based Interventions Effective in Reducing Dental Anxiety in Children and Adults? A Systematic Review

Cited by 28 publications

References 47 publications

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review

Does Virtual Reality Affect Children’s Dental Anxiety, Pain, And Behaviour? A Randomised, Placebo-Controlled, Cross-Over Trial

Virtual Reality Relaxation to Decrease Dental Anxiety: Immediate Effect Randomized Clinical Trial

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