Heena Ansari, Malik Manvi, Chauhan Prabhav, Arora Prachi, Singh Kopal, Moniya Mudang
MDS (P.G. 3rd Year Student), Department of Pediatric and Preventive Dentistry, Shree Bankey Bihari Dental College, Ghaziabad, Uttar Pradesh.
MDS, Professor and Head, Department of Pediatric and Preventive Dentistry, Shree Bankey Bihari Dental College, Ghaziabad, Uttar Pradesh.
J Clin Exp Dent. 2024 Aug 1;16(8):e1021-e1026. doi: 10.4317/jced.61736. eCollection 2024 Aug.
Dental anxiety is a frequent reason for reluctance in young children, leading to challenges in delivering effective dental treatment due to their uncooperative behavior. Aim: The aim of this study was to evaluate and compare the efficacy of different behaviour management techniques while administrating injectable LA with minimum pain perception and anxiety in children.
One hundred and twenty children, aged 4 to 10 years, were equally and randomly assigned to four groups. In Group I, local anesthesia was administered while using wireless headphones. For Group II, local anesthesia was administered using a mobile phone with earpieces. Group III received local anesthesia while incorporating the 3D virtual reality eyewear method and Group IV received local anesthesia while utilizing the stress ball technique. Pain and anxiety assessments were conducted using various scales and Physiological parameters such as pulse rate and oxygen saturation levels were recorded and the resultant data were systematically tabulated for subsequent statistical analysis.
Virtual reality group showed highly significant result in terms of lowering anxiety and pain scores compared to audio, audio visual, stress ball groups (<0.001). Virtual group (5.10) also displays significantly highest behavior scores than the audio (1.70), audio visual group (3.96) and Stress Ball groups (2.66).
The virtual reality group emerged as the most effective method in alleviating anxiety and pain experienced by pediatric dental patients. Pain management, Anxiety, Distraction, Virtual reality device, Stress ball, Audiovisual, Audio.
牙科焦虑是幼儿不愿接受治疗的常见原因，由于他们不合作的行为，给提供有效的牙科治疗带来了挑战。目的：本研究的目的是评估和比较不同行为管理技术在给儿童注射局部麻醉剂时，使疼痛感知和焦虑降至最低的效果。
120名4至10岁的儿童被平均随机分为四组。第一组在使用无线耳机时给予局部麻醉。第二组使用带耳塞的手机给予局部麻醉。第三组在采用3D虚拟现实眼镜方法时接受局部麻醉，第四组在使用压力球技术时接受局部麻醉。使用各种量表进行疼痛和焦虑评估，并记录诸如脉搏率和血氧饱和度水平等生理参数，所得数据被系统列表以便后续进行统计分析。
与音频、视听、压力球组相比，虚拟现实组在降低焦虑和疼痛评分方面显示出高度显著的结果（<0.001）。虚拟现实组（5.10）的行为评分也显著高于音频组（1.70）、视听组（3.96）和压力球组（2.66）。
虚拟现实组成为减轻儿童牙科患者焦虑和疼痛的最有效方法。疼痛管理、焦虑、分散注意力、虚拟现实设备、压力球、视听、音频。
