International Journal of Clinical Pediatric Dentistry

Register      Login

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

RESEARCH ARTICLE

Effectiveness of Visual Distraction with and without Virtual Reality Glasses in Reducing Dental Anxiety among Children with Hearing and Speech Disability: A Pilot Study

Jaikiran Kaur, Prathima Gajula Shivashankarappa, A Sanguida

Keywords : Behavior management, Dental anxiety, Distraction, Hearing impairment, Virtual reality

Citation Information : Kaur J, Shivashankarappa PG, Sanguida A. Effectiveness of Visual Distraction with and without Virtual Reality Glasses in Reducing Dental Anxiety among Children with Hearing and Speech Disability: A Pilot Study. Int J Clin Pediatr Dent 2021; 14 (S2):S162-S166.

DOI: 10.5005/jp-journals-10005-2100

License: CC BY-NC 4.0

Published Online: 01-02-2022

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


Abstract

Aim and objective: To assess the effectiveness of visual distraction with and without virtual reality glasses in reducing dental anxiety among children with hearing and speech disabilities undergoing dental treatment. Materials and methods: Twenty-four children with hearing and speech disabilities aged 6–12 years were selected and were randomly divided into three groups (N = 8). Children in group A received no distraction, group B received visual distraction using virtual reality (VR) glasses and group C received visual distraction without VR glasses during dental treatment. The anxiety levels were measured using PJS- Pictorial Scale and physiological parameters - before, during, and after a dental procedure. Then intragroup and intergroup comparison was done. Results: Intragroup comparison showed that \"During\" and \"Post\" treatment anxiety scores were significantly (p < 0.05) lower than that of \"baseline\" in group B. Intergroup comparison of anxiety scores in the three groups, at all three intervals, showed a statistically significant difference in the “during treatment” anxiety score (p = 0.049) with least score in group B. Conclusion: Visual distraction using VR glasses can be recommended as an effective distraction technique in reducing dental anxiety among children with speech and hearing disabilities.


PDF Share
  1. Brown JP, Schodel DR. A review of controlled surveys of dental disease in handicapped persons. ASDC J Dent Child1976;43(5):313–320. PMID:135006.
  2. James AW, Brian JS, James EJ. et al. Dental problems of children with special healthcare needs. In: Jeffery A. Dean, James E. Jones (Eds.) McDonald and Avery's Dentistry for the Child and Adolescent (10th Ed.) St. Louis, Missouri. Elsevier Health Sciences; 2016.pp. 513–539.
  3. San Bernardino-Alsmark S, de Nova-García J, Mourelle-Martínez MR, et al. How to improve communication with deaf children in the dental clinic. Med Oral Patol Oral Cir Bucal 2007;12(8):E576–E581.
  4. Davies S. Can your patients hear you? Dent Nurs 2015;11(2):95–98. DOI: 10.12968/denn.2015.11.2.95
  5. Singh RK, Murawat K, Agrawal R. Dental care for the deaf pediatric patient.Indian J Otol 2012;18:171–173. DOI: 10.4103/0971-7749.104791
  6. Jnaneswar A, Subramaniya GB, Pathi J, et al. Assessment of dental caries and periodontal status in institutionalized hearing impaired children in Khordha district of Odisha. J Indian Soc Pedod Prev Dent 2017;35(3):203–208. DOI: 10.4103/JISPPD.JISPPD_11_17
  7. Bellieni CV, Cordelli DM, Raffaelli M, et al. Analgesic effect of watching TV during venipuncture. Arch Dis Child 2006;91(12):1015–1017.DOI: 10.1136/adc.2006.097246
  8. Hoffman HG, Chambers GT, Meyer WJ 3rd, et al. Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med 2011;41(2):183–191.DOI: 10.1007/s12160-010-9248-7
  9. Cassidy KL, Reid GJ, McGrath PJ, et al. Watch needle, watch TV: audiovisual distraction in preschool immunization. Pain Med 2002;3(2):108–118.
  10. Adamo-Villani N, Wilbur R. Two novel technologies for accessible math and science education. IEEE Multi Media. 2008;15(4):38–46. DOI: 10.1109/mmul.2008.97
  11. Passig D, Eden S. Enhancing the induction skill of deaf and hard-of-hearing children with virtual reality technology. J Deaf Stud Deaf Educ 2000;5(3):277–285. DOI: 10.1093/deafed/5.3.277
  12. Chandrasekhar S, Madu GP, Ambati NR, et al. Pioneering strategies for relieving dental anxiety in hearing impaired children: a randomized controlled clinical study. J Dent (Shiraz). 2017;18(2):112–117. PMID: 28620635.
  13. Sandeep V, Vinay C, Madhuri V, et al. Impact of visual instruction on oral hygiene status of children with hearing impairment. J Indian Soc Pedod Prev Dent 2014;32:39–43. DOI: 10.4103/0970-4388.127053
  14. Jain M, Mathur A, Kumar S, et al. Dentition status and treatment needs among children with impaired hearing attending a special school for the deaf and mute in Udaipur, India. J Oral Sci. 2008;50(2):161–165. DOI: 10.2334/josnusd.50.161. PMID: 18587205.
  15. Renahan N, Varma RB, Kumaran P, et al. Unique approach to dental management of children with hearing impairment. Int J Clin Pediatr Dent 2017;10(1):107–110. DOI: 10.5005/jp-journals-10005-1417
  16. Arunakul M, Kuphasuk Y, Boonyathanasit R. Effectiveness of oral hygiene instruction media on periodontal health among hearing impaired children. Southeast Asian J Trop Med Public Health 2012;43(5):1297–303. PMID: 23431840.
  17. Ashwini K, Kushali S, Midhuna M, et al. Assessment of oral hygiene of children with speech and hearing impairment using Tailor-madeeducation toolsoral health. J Dent Orofac Res 2019;15(1):15–21.
  18. Fakhruddin KS, Gorduysus MO, El Batawi H. Effectiveness of behavioral modification techniques with visual distraction using intrasulcular local anesthesia in hearing disabled children during pulp therapy. Eur J Dent 2016;10(4):551–555. DOI: 10.4103/1305-7456.195159
  19. Champion J, Holt R. Dental care for children and young people who have a hearing impairment. Br Dent J 2000;189(3):155–159. DOI: 10.1038/sj.bdj.4800710
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.