Assessment of Virtual Reality Distraction Techniques on Dental Anxiety in Children During Tooth Extractions
DOI:
https://doi.org/10.52783/jns.v14.1832Keywords:
Virtual Reality, Dental Anxiety, Pediatric Dentistry, Distraction TechniquesAbstract
Background: Managing dental anxiety in children is a significant challenge in pediatric dentistry. Virtual Reality (VR) distraction techniques have emerged as a potential method to alleviate anxiety and improve cooperation during procedures.
Aim: To evaluate the effectiveness of VR distraction techniques in reducing dental anxiety among children undergoing tooth extractions.
Materials and Methods: A total of 30 children (15 in the test group using VR distraction and 15 in the control group without VR distraction) participated in the study. Anxiety levels were assessed using the Modified Venham Anxiety Scale (MVAS) before and after treatment. The study analyzed anxiety reduction, cooperation levels, and procedural success rates.
Results: The test group (VR distraction) showed a significant reduction in anxiety scores, with the mean MVAS score decreasing from 6.2 ± 1.5 preoperatively to 2.8 ± 1.2 postoperatively (p < 0.05). In contrast, the control group showed a less pronounced reduction, from 6.1 ± 1.6 to 5.0 ± 1.3 (p > 0.05). Additionally, 80% of children in the test group exhibited good cooperation compared to 40% in the control group.
Conclusion: VR distraction significantly reduces dental anxiety and improves patient cooperation in pediatric tooth extractions, making it a promising non-pharmacological intervention.
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Bankole OO, Denloye OO, Aderinokun GA. The effect of mothers past dental experience on the behaviour of some Nigerian children during dental treatment [Internet]. Vol. 7, African Journal of Biomedical Research. 2010. Available from: http://dx.doi.org/10.4314/ajbr.v7i3.54150
Bankole OO, Denloye OO, Aderinokun GA, Jeboda SO. The relationship of children predicted behaviour to their observed behaviour during dental precedures [Internet]. Vol. 5, African Journal of Biomedical Research. 2010. Available from: http://dx.doi.org/10.4314/ajbr.v5i3.53996
Shrikrishna S, Balasubramanian S, Shenoy R, Rao A. Association of Maternal and Child Dental Anxiety With Dental Caries Experience and Dental Attendance Pattern of the Child [Internet]. Vol. 10, Journal of Orofacial Sciences. 2018. p. 75. Available from: http://dx.doi.org/10.4103/jofs.jofs_7_18
Glover V, O’Connor T, Golding J. Links between antenatal maternal stress or anxiety and child behaviour [Internet]. PsycEXTRA Dataset. 2002. Available from: http://dx.doi.org/10.1037/e552582012-020
Zhou Y, Cameron E, Forbes G, Humphris G. Systematic review of the effect of dental staff behaviour on child dental patient anxiety and behaviour [Internet]. Vol. 85, Patient Education and Counseling. 2011. p. 4–13. Available from: http://dx.doi.org/10.1016/j.pec.2010.08.002
Syam S, Maheswari TU. Knowledge, Attitude & Practice assessment regarding Oral Care in Palliative patients among Dental Graduates. Journal of Pharmaceutical Sciences and Research. 2019 May 1;11(5):1870-3.
Vignesh P, Shyam S. ASSESSMENT OF ORAL HEALTH STATUS IN ELDERLY PATIENTS ON POLYPHARMACY. InObstetrics and Gynaecology Forum 2024 May 14 (Vol. 34, No. 3s, pp. 763-768).
Folayan MO, Fatusi A. Effect of psychological management techniques on specific item score change during the management of dental fear in children [Internet]. Vol. 29, Journal of Clinical Pediatric Dentistry. 2005. p. 335–40. Available from: http://dx.doi.org/10.17796/jcpd.29.4.d431t7024u4037u6
Folayan M, Ufomata D, Adekoya-Sofowora C, Otuyemi O, Idehen E. The effect of psychological management on dental anxiety in children [Internet]. Vol. 27, Journal of Clinical Pediatric Dentistry. 2003. p. 365–70. Available from: http://dx.doi.org/10.17796/jcpd.27.4.m97882243p3474hn
Ramesh R, Nandan S, Krishnamoorthy SH, Antony A, Geetha R. Dental home. International Journal of Community Dentistry. 2021 Jan 1;9(1):6.
Ramesh R, Sathyaprasad S, Nandan S, Havaldar KS, Antony A. Assessment of Preappointment Parental Counseling on Dental Fear and Anxiety in Children in Pedodontic Dental Operatory: A Randomized Controlled Trial. Int J Clin Pediatr Dent. 2024 Mar;17(3):346–51.
Thanalakshme PS, Ramesh R. Comparative evaluation of the effectiveness of manual and electric toothbrushes in blind children: A randomized controlled trial. J Clin Diagn Res. 2025;19(2):ZC10–ZC14.
Subramanyam D, Gurunathan D, Gaayathri R, Vishnu Priya V. Comparative evaluation of salivary malondialdehyde levels as a marker of lipid peroxidation in early childhood caries. Eur J Dent. 2018 Jan;12(1):67–70.
Ramadurai N, Gurunathan D, Samuel AV, Subramanian E, Rodrigues SJL. Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial. Clin Oral Investig. 2019 Sep;23(9):3543–50.
Ramakrishnan M, Dhanalakshmi R, Subramanian EMG. Survival rate of different fixed posterior space maintainers used in Paediatric Dentistry – A systematic review [Internet]. Vol. 31, The Saudi Dental Journal. 2019. p. 165–72. Available from: http://dx.doi.org/10.1016/j.sdentj.2019.02.037
Jeevanandan G, Thomas E. Volumetric analysis of hand, reciprocating and rotary instrumentation techniques in primary molars using spiral computed tomography: An in vitro comparative study. Eur J Dent. 2018 Jan;12(1):21–6.
Princeton B, Santhakumar P, Prathap L. Awareness on Preventive Measures taken by Health Care Professionals Attending COVID-19 Patients among Dental Students. Eur J Dent. 2020 Dec;14(S 01):S105–9.
Saravanakumar K, Park S, Mariadoss AVA, Sathiyaseelan A, Veeraraghavan VP, Kim S, et al. Chemical composition, antioxidant, and anti-diabetic activities of ethyl acetate fraction of Stachys riederi var. japonica (Miq.) in streptozotocin-induced type 2 diabetic mice. Food Chem Toxicol. 2021 Jun 26;155:112374.
Trisha Sasikumar, Dr Ramesh R. (2025). Comparison of Insulin and Safety Syringes for Pain and Anxiety Reduction in Pediatric Dental Anesthesia: A Randomized Controlled Trial . Cuestiones De Fisioterapia, 54(3), 2548-2561.
Fathima A, Ravikumar R, Chellappa LR. Development of Cartoon-based Dental Anxiety Scale for Children: Validation and Reliability. Int J Clin Pediatr Dent. 2024 Jul;17(7):796-801. doi: 10.5005/jp-journals-10005-2894. PMID: 39372523; PMCID: PMC11451918.
Su P, Veeraraghavan VP, Krishna Mohan S, Lu W. A ginger derivative, zingerone-a phenolic compound-induces ROS-mediated apoptosis in colon cancer cells (HCT-116). J Biochem Mol Toxicol. 2019 Dec;33(12):e22403.
Mathew MG, Samuel SR, Soni AJ, Roopa KB. Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: randomized controlled trial [Internet]. Vol. 24, Clinical Oral Investigations. 2020. p. 3275–80. Available from: http://dx.doi.org/10.1007/s00784-020-03204-9
Sekar D, Johnson J, Biruntha M, Lakhmanan G, Gurunathan D, Ross K. Biological and Clinical Relevance of microRNAs in Mitochondrial Diseases/Dysfunctions. DNA Cell Biol. 2020 Aug;39(8):1379–84.
Velusamy R, Sakthinathan G, Vignesh R, Kumarasamy A, Sathishkumar D, Nithya Priya K, et al. Tribological and thermal characterization of electron beam physical vapor deposited single layer thin film for TBC application. Surf Topogr: Metrol Prop. 2021 Jun 24;9(2):025043.
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