Effect of Virtual Reality Distraction on Pain Perception during Dental Treatment in Children

Panda, Anup Kumar

doi:10.5005/jp-journals-10051-0115

Cited by 19 publications

(28 citation statements)

References 16 publications

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“…The study by Zink looked at a population of slightly older children/adolescents (9–15 years) with autism spectrum disorder (ASD). Three of the studies features the use of virtual reality in dentistry as a distraction technique [ 33 – 35 ], and the remaining study featured a smartphone app, also using imagery, similar to having a PECS embedded in a smartphone application for on-demand use (but without VR) [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety

et al. 2021

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Background Virtual reality (VR) has been used successfully in medicine both as a distraction tool during procedures, and as an acclimatisation tool to prepare for a procedure or experience. It has not yet become widely used in dentistry, but could theoretically have a role in exposure-based acclimatisation for dental experiences. Methods To examine the use of VR or bespoke dental smartphone applications pre- or perioperatively in dentistry, to decrease anxiety in a paediatric population attending for dental examination or treatment, compared with children/adolescents who receive no intervention, or more conventional behavioural management techniques. Searches were made of eight electronic databases: the Cochrane Oral Health Group’s Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE(PubMed), EMBASE, PsycINFO, CINAHL, Scopus and Web of Science. Further searches reference cross‐checks were performed to identify studies that were not discovered online. Results Systematic reviews and randomised control trials have demonstrated the successful use of VR to both distract patients perioperatively during medical procedures, and also preoperatively to prepare them for these interventions. However, to date, VR has only been applied to dentistry in a very limited number of studies. Three studies using virtual reality in a dental setting demonstrated decreased pain and anxiety compared with no intervention. All three of these studies were carried out in the perioperative period. A fourth study used a bespoke dental app and imagery to prepare patients with Autism Spectrum Disorder (ASD) for dental treatment, finding statistically significant decreases in both the number of appointments and number of attempts required to carry out a procedure. Conclusion VR is a promising tool which to date has been under-utilised in dentistry. High quality, clinical studies are required to assess the use of preoperative VR and smartphone applications to prepare patients for dental examination and procedures under local or general anaesthetic.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety

et al. 2021

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“…VR distraction involves multiple senses such as sight, sound, and kinesthetics to distract from the dental environment socially and emotionally [3132]. Studies by Niharika et al [33], Panda [34], and Agarwal et al [35] demonstrated that VR distraction could be a better distraction strategy for children with elevated dental fear and anxiety. Based on these studies, CS and VR distraction are potential tools for pain and anxiety alleviation.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of virtual reality distraction and counter-stimulation on dental anxiety and pain perception in children

Nunna

Dasaraju²,

Kamatham

et al. 2019

J Dent Anesth Pain Med

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Background: This study evaluated the efficacy of virtual reality (VR) distraction and counter-stimulation (CS) on dental anxiety and pain perception to local anesthesia in children. Methods: A prospective, randomized, single-blinded interventional clinical trial with a parallel design was used. Seventy children 7-11 years old who required local anesthesia (LA) for pulp therapy or tooth extraction were recruited and allocated to two groups with equal distribution based on the intervention. Group CS (n = 35) received CS and Group VR (n = 35) received VR distraction with ANTVR glasses. Anxiety levels (using pulse rate) were evaluated before, during, and after administration of local anesthesia, while pain perception was assessed immediately after the injection. Wong-Baker faces pain-rating scale (WBFPS), visual analog scale (VAS), and Venham's clinical anxiety rating scale (VCARS) were used for pain evaluation. Student's t-test was used to test the mean difference between groups, and repeated measures ANOVA was used to test the mean difference of pulse rates. Results: Significant differences in mean pulse rates were observed in both groups, while children in the VR group had a higher reduction (P < 0.05), and the mean VCARS scores were significant in the VR group (P < 0.05). Mean WBFPS scores showed less pain perception to LA needle prick in the CS group while the same change was observed in the VR group with VAS scores. Conclusions: VR distraction is better than CS for reducing anxiety to injection in children undergoing extraction and pulpectomy.

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“…Aynı zamanda endişe seviyesi yüksek olan çocukların dental tedavi sırasında ağrı ve anksiyeteyi yüksek düzeyde algıladığı; dikkat dağıtma tekniklerine cevap vermediği belirtilmiştir. 14,17 Çalışmamızda, Frankl davranış skalasına göre 3 (pozitif) veya 4 (kesinlikle pozitif) olarak belirlenen çocuklar seçilerek uyum gösterme kabiliyetlerinin yüksek olması tercih edilmiştir.…”

Section: Discussionunclassified

“…Bu sonuçlar, sırasıyla 6-8 ve 4-8 yaş arası çocukların süt molar dişlerine yapılan pulpa tedavileri sırasında 3D video gözlük kullanılmasının algılanan ağrıyı azalttığını gösteren çalışmalarla uyumludur. 14,22 El-Sharkawi ve ark. 23 yaptığı çalışmada 3D video gözlük kullanımının lokal anestezi sırasında ve sonrasında yapılan ağrı değerlendirmelerinde kontrol grubuna göre anlamlı derecede düşük bulunmuştur.…”

Section: Discussionunclassified

Süt molar diş çekimi sırasında 3D video gözlük kullanımının çocuklarda ağrı ve anksiyete üzerine etkisi

Palaz

Akal

2020

Acta Odontologica Turcica

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AMAÇ: Çocuk diş hekimleri, dental tedaviler sırasında hastalarının ağrı ve anksiyetesini kontrol altına almak için pek çok yöntem kullanmaktadır. Dikkat dağıtma yöntemi, çocuk hastalarda bu amaçla sık kullanılan davranış yönlendirme tekniklerinden biridir. Bu çalışmanın amacı, görsel ve işitsel dikkat dağıtma sağlayan 3D video gözlüğün 6-10 yaş arası çocuklarda süt molar dişlerin çekimi sırasında kullanımının anksiyete ve ağrı üzerine olan etkinliğinin değerlendirilmesidir.

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Effect of Virtual Reality Distraction on Pain Perception during Dental Treatment in Children

Cited by 19 publications

References 16 publications

A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety

A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety

Comparative evaluation of virtual reality distraction and counter-stimulation on dental anxiety and pain perception in children

Süt molar diş çekimi sırasında 3D video gözlük kullanımının çocuklarda ağrı ve anksiyete üzerine etkisi

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