Virtual Reality Distraction for Pain Control During Periodontal Scaling and Root Planing Procedures

Furman, Elena; Jasinevicius, T. Roma; Bissada, Nabil F.; Victoroff, Kristin Zakariasen; Skillicorn, Robert; Buchner, Marc

doi:10.14219/jada.archive.2009.0102

Cited by 144 publications

(134 citation statements)

References 29 publications

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“…Consistent with this notion, preliminary case studies have found that VR reduced pain during physical therapy in a non-burn blunt force trauma injury (a pedestrian who was hit by a semi truck, undergoing physical therapy in the trauma unit) [46]. VR reduced pain and fear in two patients during dental/periodontal procedures in patients with dental fears [47, 48], and VR reduced fear/anxiety in a claustrophobic patient during a brain scan [49]. VR has reduced pain during a urological procedure in an older man receiving endoscopic transurethral microwave thermotherapy ablation of the prostate [50], and in pediatric cerebral palsy patients during painful physical therapy rehabilitation after single event multilevel surgery to increase ambulation [51].…”

Section: Studies Exploring the Use Of Vr Analgesia For Blunt Force Trmentioning

confidence: 88%

Virtual Reality as an Adjunctive Non-pharmacologic Analgesic for Acute Burn Pain During Medical Procedures

et al. 2011

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Introduction Excessive pain during medical procedures is a widespread problem but is especially problematic during daily wound care of patients with severe burn injuries. Methods Burn patients report 35–50% reductions in procedural pain while in a distracting immersive virtual reality, and fMRI brain scans show associated reductions in pain-related brain activity during VR. VR distraction appears to be most effective for patients with the highest pain intensity levels. VR is thought to reduce pain by directing patients’ attention into the virtual world, leaving less attention available to process incoming neural signals from pain receptors. Conclusions We review evidence from clinical and laboratory research studies exploring Virtual Reality analgesia, concentrating primarily on the work ongoing within our group. We briefly describe how VR pain distraction systems have been tailored to the unique needs of burn patients to date, and speculate about how VR systems could be tailored to the needs of other patient populations in the future.

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Section: Studies Exploring the Use Of Vr Analgesia For Blunt Force Trmentioning

confidence: 88%

Virtual Reality as an Adjunctive Non-pharmacologic Analgesic for Acute Burn Pain During Medical Procedures

et al. 2011

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“…While immersive virtual reality goggles have been found to reduce blood pressure, pulse rate and pain ratings in patients undergoing periodontal scaling and root planing procedures, 80,81 another series of studies by Benson and colleagues found that video glasses did not alter perceived pain intensity of either restorative dental treatment 82 or dental scaling. 83 More research is required to explore whether the effectiveness of this type of distraction is perhaps dependent on patientrelated factors, such as personality attributes related to desire for predictability or control.…”

Section: Distractionmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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“…For example, VR coupled with medication is effective in decreasing pain during bandage changes for severe burns [7,11,14,15]. Similarly, VR reduces pain and provides positive distraction during routine procedures such as intravenous line placements [10] and dental procedures [8,16]. Other studies reveal that VR helps manage chronic pain conditions such as complex regional pain syndrome [17] and chronic neck pain [18].…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial

et al. 2017

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BackgroundImprovements in software and design and reduction in cost have made virtual reality (VR) a practical tool for immersive, three-dimensional (3D), multisensory experiences that distract patients from painful stimuli.ObjectiveThe objective of the study was to measure the impact of a onetime 3D VR intervention versus a two-dimensional (2D) distraction video for pain in hospitalized patients.MethodsWe conducted a comparative cohort study in a large, urban teaching hospital in medical inpatients with an average pain score of ≥3/10 from any cause. Patients with nausea, vomiting, dementia, motion sickness, stroke, seizure, and epilepsy and those placed in isolation were excluded. Patients in the intervention cohort viewed a 3D VR experience designed to reduce pain using the Samsung Gear Oculus VR headset; control patients viewed a high-definition, 2D nature video on a 14-inch bedside screen. Pre- and postintervention pain scores were recorded. Difference-in-difference scores and the proportion achieving a half standard deviation pain response were compared between groups.ResultsThere were 50 subjects per cohort (N=100). The mean pain reduction in the VR cohort was greater than in controls (−1.3 vs −0.6 points, respectively; P=.008). A total of 35 (65%) patients in the VR cohort achieved a pain response versus 40% of controls (P=.01; number needed to treat=4). No adverse events were reported from VR.ConclusionsUse of VR in hospitalized patients significantly reduces pain versus a control distraction condition. These results indicate that VR is an effective and safe adjunctive therapy for pain management in the acute inpatient setting; future randomized trials should confirm benefit with different visualizations and exposure periods.Trial RegistrationClinicaltrials.gov NCT02456987; https://clinicaltrials.gov/ct2/show/NCT02456987 (Archived by WebCite at http://www.webcitation.org/6pJ1P644S)

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Virtual Reality Distraction for Pain Control During Periodontal Scaling and Root Planing Procedures

Cited by 144 publications

References 29 publications

Virtual Reality as an Adjunctive Non-pharmacologic Analgesic for Acute Burn Pain During Medical Procedures

Virtual Reality as an Adjunctive Non-pharmacologic Analgesic for Acute Burn Pain During Medical Procedures

Management of fear and anxiety in the dental clinic: a review

Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial

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