Shetty Vabitha, Suresh Lekshmi R, Hegde Amitha M
J Clin Pediatr Dent. 2019;43(2):97-102. doi: 10.17796/1053-4625-43.2.5. Epub 2019 Feb 7.
This study was aimed at assessing the impact of Virtual Reality (VR) distraction technique on pain and anxiety in 5-8-year-old children, during short invasive dental procedures.
120 children, aged 5-8 years, scoring less than 25 on the SCARED questionnaire, scheduled to undergo short invasive dental procedures, were randomly divided into a control (without VR distraction) and study group (with VR distraction) of 60 each. State anxiety levels were assessed in the children from both groups using revised version of Modified Child Dental Anxiety Scale, before and after dental treatment. Pain perceived during treatment was assessed using Wong Baker Faces pain rating scale at the end of treatment. Salivary cortisol levels were also assessed before, during and after the dental procedure, in all children.
We observed a significant reduction in pain perception and state anxiety in children, using VR distraction (p<0.001, p=0.002). The decrease in salivary cortisol levels was significantly greater in children using VR distraction (p<0.001).
Virtual Reality distraction can be used as a successful behavior modification method in children undergoing short invasive dental treatments.
本研究旨在评估虚拟现实(VR)分心技术对5至8岁儿童在短期侵入性牙科治疗过程中疼痛和焦虑的影响。
120名年龄在5至8岁、在SCARED问卷上得分低于25分、计划接受短期侵入性牙科治疗的儿童被随机分为对照组(无VR分心)和研究组(有VR分心),每组60名。在牙科治疗前后,使用修订版的改良儿童牙科焦虑量表评估两组儿童的状态焦虑水平。治疗结束时,使用面部表情疼痛评分量表评估治疗期间感受到的疼痛。还对所有儿童在牙科治疗前、治疗期间和治疗后的唾液皮质醇水平进行了评估。
我们观察到,使用VR分心技术后,儿童的疼痛感知和状态焦虑显著降低(p<0.001,p=0.002)。使用VR分心技术的儿童唾液皮质醇水平的下降幅度显著更大(p<0.001)。
虚拟现实分心技术可作为接受短期侵入性牙科治疗的儿童的一种成功的行为改变方法。