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Virtual Reality Distraction in Pediatric Patients.

T

Tanta University

Status and phase

Not yet enrolling
Phase 4

Conditions

Distraction
Pediatric Patients
Virtual Reality
Infiltration Anesthesia

Treatments

Device: Virtual reality goggles (VR )
Device: regular screen

Study type

Interventional

Funder types

Other

Identifiers

NCT06355492
2090/10/30

Details and patient eligibility

About

The aim of this study is to evaluate the effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients.

Full description

Proper pain control and discomfort reduction during dental treatment, especially among children, can maximize a child's cooperation, overall satisfaction, build a good dentist-patient relationship, and enhance patient compliance. Psychological and pharmaceutical methods, and their combinations have tried to address this pain. Pharmaceutical approaches include the application of topical anesthetics. Psychological and behavioral modification methods including active distractions, deep breathing, Witaul and eye movement distractions. Passive distraction methods, such as audiovisual glasses and video distraction. Other methods, such as precooling the injection site, warming the local anesthesia, and camouflaging the syringe, have also been suggested.

A range of fear management techniques have been described in the literature and American Academy of Pediatric Dentistry (AAPD) has described some concepts as basic behavior guidance such as communication, tell show do, voice control, nonverbal communication, positive reinforcement, distraction and parental absence/presence, and advanced behavior guidance such as protective stabilization, sedation and general anesthesia.

Distraction as a behavior guidance technique is defined by the American Academy of Pediatric Dentistry (AAPD) as the technique of diverting the patient's attention from what may be perceived as an unpleasant procedure.

Audiovisual distraction techniques are used in dental clinics and have shown great results in managing anxious pediatric patients.

Virtual reality (VR) distraction, defined as a human-computer interface that enables the user to interact dynamically with the computer- generated environment is a new method in the medical field with the aim of aiding in patient behavior management. It offers the advantage of an immersive virtual experience blocking out external stimuli that may provoke a negative attitude, especially in young patients.

Distraction using VR provided favorable outcomes for adult and pediatric patients during various dental procedures, ranging from simple anesthesia to periodontal, restorative, and pulpal therapy .

Enrollment

150 estimated patients

Sex

All

Ages

6 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Healthy children with no systemic illness.
  2. Cooperative child with frankels behavior rating scale positive or definitely positive.
  3. Patient requiring infiltration LA for dental treatment.
  4. Children with proper parental consent.
  5. Patients who needed non-urgent dental treatment.

Exclusion criteria

  1. Medical disability such as history of seizures, convulsion disorder, vertigo, eye problems and autism.
  2. Children below 5 years of age.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Double Blind

150 participants in 2 patient groups, including a placebo group

Control group
Placebo Comparator group
Description:
Patients will take buccal infiltration anesthesia using (regular screen).
Treatment:
Device: regular screen
VR group
Experimental group
Description:
Patients will take buccal infiltration anesthesia using (Virtual reality goggles).
Treatment:
Device: Virtual reality goggles (VR )

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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