International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE S2 ( Special Issue (Behaviour Management), 2021 ) > List of Articles

RESEARCH ARTICLE

Effectiveness of Virtual Reality Glasses Digital Screens and Verbal Command as a Method to Distract Young Patients during Administration of Local Anesthesia

Yogita Sharma

Keywords : Audiovisual distraction, Dental anxiety, Pain, Verbal command

Citation Information :

DOI: 10.5005/jp-journals-10005-2094

License: CC BY-NC 4.0

Published Online: 01-02-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim and objective: The study investigates the effect and compares three techniques-video-eyeglasses earphone system, Digital screens and verbal methods as distracting technique to assess dental pain reaction in children during administration of local anesthesia (LA). Materials and methods: Pain or its anticipation can cause fear and anxiety in a child which could complicate further dental treatment. This cross-sectional study consists of 97 children of age-group 4–8 years who required local anesthesia for their dental treatment were selected. Children were randomly allocated into three groups namely- Verbal method (group A), video eyeglass/earphone system (group B) and digital screens (group C). In group A, instructions were given to the patient by the dentist while administering local anesthesia. In group B, VR box was used to show age appropriate videos according to subjects’ choice. In group C, digital screens were placed on dental chair for patient to watch while nerve block was administered. Pain was measured using face, legs, activity, cry, consolability (FLACC) scale behavioral anxiety/pain assessment scale. Results: FLACC score was found to be significantly different among three groups. The mean FLACC scale score for pain was less in video eyeglass/earphone (1.94) than digital screens (3.67) and highest in Verbal group (6.88). Conclusion: Video eyeglasses/earphone method proved to be most effective as a distraction method in children and helped in reducing children's disruptive behavior in the dental setting. Clinical significance: This study was conducted to find a better distraction technique among video eyeglasses/earphone system, digital screens and Verbal command that will make child less apprehensive during administration of local anesthesia.


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  1. Subramaniam SD, Doss B, Chanderasekar LD, et al. Scope of physiological and behavioural pain assessment techniques in children – a review. Health Technol Lett 2018;5(4):124-129. DOI: 10.1049/htl.2017.0108
  2. Nuvvula S, Alahari S, Kamatham R, et al. Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial. Eur Arch Paediatr Dent 2015;16(1):43–50. DOI: 10.1007/s40368-014-0145-9
  3. Kaur R, Jindal R, Dua R, et al. Comparative evaluation of the effectiveness of audio and audiovisual distraction aids in the management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2015;33(3):192–203. DOI: 10.4103/0970-4388.160357
  4. Cianetti S, Lombardo G, Lupatelli E, et al. Dental fear/anxiety among children and adolescents. A systematic review. Eur J Paediatr Dent 2017;18(2):121–130. DOI: 10.23804/ejpd.2017.18.02.07
  5. Topaloglu-Ak A, Eden E, Frencken JE. Perceived dental anxiety among school children treated through three caries removal approaches. J Appl Oral Sci 2007;15(3):235–240. DOI: 10.1590/S1678- 77572007000300015
  6. Shetty V, Suresh LR, Hegde AM. Effect of virtual reality distraction on pain and anxiety during dental treatment in 5 to 8 year old children. J Clin Pediatr Dent 2019;43(2):97–102. DOI: 10.17796/1053-4625-43.2.5
  7. Venham LL, Goldstein M, Gaulin-Kremer E, et al. Effectiveness of a distraction technique in managing young dental patients. Pediatr Dent 1981;3(1):7–11. DOI: 10.5005/jp-journals-10005-1582
  8. Attar RH, Baghdadi ZD. Comparative efficacy of active and passive distraction during restorative treatment in children using an iPad versus audiovisual eyeglasses: a randomised controlled trial. Eur Arch Paediatr Dent 2015;16(1):1–8. DOI: 10.1007/s40368-014-0136-x
  9. Panda A. Effect of virtual reality distraction on pain perception during dental treatment in children. J Pediatr Dent 2017;5(3):1–4. DOI: 10.5005/jp-journals-10051-0115
  10. Manworren RC, Hynan LS. Clinical validation of FLACC: preverbal patient pain scale. Pediatr Nurs 2003;29(2):140–146. DOI: 12723828
  11. Ram D, Shapira J, Holan G, et al. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int 2010;41(8) :673-679. DOI: 20657857
  12. Jimeno FG, Bellido MM, Fernández CC, et al. Effect of audiovisual distraction on children's behaviour, anxiety and pain in the dental setting. Eur J Paediatr Dent 2014;15(3):297–302. DOI: 10.30476/IJVLMS.2021.88748.1063
  13. Tanja-Dijkstra K, Pahl S, White MP, et al. Can virtual nature improve patient experiences and memories of dental treatment? A study protocol for a randomized controlled trial. Trials 2014;15(1):90. DOI: 10.1186/1745-6215-15-90
  14. Gangwal RR, Badjatia SR, Dave BH. Effect of exposure to positive images of dentistry on dental anxiety among 7 to 12 years old children. Int J Clin Pediatr Dent 2014;7(3):176–179. DOI: 10.5005/jp-journals-10005-1260
  15. Greenbaum PE, Turner C, Cook EW, et al. Dentists’ voice control: effects on children's disruptive and affective behavior. Health Psychol 1990;9(5):546–558. DOI: 10.1037//0278-6133.9.5.546
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