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:: Volume 4, Issue 1 (Journal of Research in Dental & Maxillofacial Sciences Winter 2019) ::
J Res Dentomaxillofac Sci 2019, 4(1): 9-15 Back to browse issues page
Effect of Virtual Reality During Periodontal Treatment of Patients with Anxiety
E Birang1, J Yaghini2, R Birang3, M Zohary * 4
1- Periodontist, Implant fellowship,department of periodontology, school of dentistry, Shahid beheshti medical science university, Tehran, Iran
2- Associated professor, dental implants research center, department of periodontology, School of dentistry, isfahan medical science university, Isfahan, iran.
3- Professor of Dental Research Center, Dept.of periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
4- Resident of periodontics, department of periodontology,school of dentistry , maryamzohary@yahoo.com
Abstract:   (1270 Views)
Background and Aim: Various methods have been used to reduce the patient's anxiety during dental treatment. In recent years, there has been an increase in behavioral research regarding virtual reality (VR) and virtual world as it offers more immersive images and works by blocking out real-world stimuli (visual, auditory or both). This study aimed at assessing the impact of VR on working conditions and pain during scaling and root planing (SRP) in anxious patients.
Materials and Methods: In this clinical trial, 14 eligible patients were randomly divided into two groups. Participants of one of the groups were wearing eyeglasses during SRP of the first quadrant, while in the other group, SRP was performed without any intervention. The intervention group was reversed for SRP of the second quadrant. The patients’ anxiety (dental anxiety scale-revised, DAS-R), pain score (visual analog scale, VAS), blood pressure (BP), and pulse rate (PR) were recorded before and after SRP. Data were analyzed using Mann-Whitney-U test.
Results: There was a significant difference in the patients’ PR and stress during SRP between the test and control groups (P<0.001). Moreover, the patients’ anxiety was significantly reduced by using eyeglasses during SRP.
Conclusion: Video eyeglasses are a useful tool for improving the quality of dental care by enhancing the patients’ satisfaction and reducing the patients’ pain and anxiety.
Keywords: Visual Analog Scale, Dental Anxiety, Virtual Reality
Full-Text [PDF 265 kb]   (463 Downloads) |   |   Full-Text (HTML)  (352 Views)  
Type of Study: Original article |
* Corresponding Author Address: Guilan university of medical science
1. Arane K, Behboudi A, Goldman RD. Virtual reality for pain and anxiety management in children. Can Fam Physician. 2017 Dec;63(12):932-4.
2. Bradt J, Teague A. Music interventions for dental anxiety. Oral Dis. 2018;24(3):300-6. [DOI:10.1111/odi.12615] [PMID]
3. Maulina T, Djustiana N, Shahib MN. The Effect of Music Intervention on Dental Anxiety During Dental Extraction Procedure. Open Dent J. 2017;11:565-72. [DOI:10.2174/1874210601711010565] [PMID] [PMCID]
4. Zhang C, Qin D, Shen L, Ji P, Wang J. Does audiovisual distraction reduce dental anxiety in children under local anesthesia? A systematic review and meta-analysis. Oral Dis. 2019 Mar;25(2):416-4. [DOI:10.1111/odi.12849] [PMID]
5. Burghardt S, Koranyi S, Magnucki G, Strauss B, Rosendahl J. Non-pharmacological interventions for reducing mental distress in patients undergoing dental procedures: Systematic review and meta-analysis. J Dent. 2018;69:22-31. [DOI:10.1016/j.jdent.2017.11.005] [PMID]
6. Hoffman HG, Patterson DR, Carrougher GJ. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. Clin J Pain. 2000;16(3):244-50. [DOI:10.1097/00002508-200009000-00010] [PMID]
7. Gazerani P. Virtual Reality for Pain Control - Virtual or Real? US Neurol. 2016;12(2):82-3. [DOI:10.17925/USN.2016.12.02.82]
8. Singh D, Samadi F, Jaiswal J, Tripathi AM. Stress Reduction through Audio Distraction in Anxious Pediatric Dental Patients: An Adjunctive Clinical Study. Int J Clin Pediatr Dent. 2014;7(3):149-52. [DOI:10.5005/jp-journals-10005-1254] [PMID] [PMCID]
9. Hoffman HG, Patterson DR, Carrougher GJ, Nakamura D, Moore M, Garcia-Palacios A, et al. The Effectiveness of Virtual Reality Pain Control With Multiple Treatments of Longer Durations: A Case Study. Int J Hum Comput Interact. 2001;13(1):1-12. [DOI:10.1207/S15327590IJHC1301_1]
10. Hoffman HG, Patterson DR, Magula J, Carrougher GJ, Zeltzer K, Dagadakis S, et al. Water-friendly virtual reality pain control during wound care. J Clin Psychol. 2004;60(2):189-95. [DOI:10.1002/jclp.10244] [PMID]
11. Zimmer P, Buttlar B, Halbeisen G, Walther E, Domes G. Virtually stressed? A refined virtual reality adaptation of the Trier Social Stress Test (TSST) induces robust endocrine responses. Psychoneuroendocrinology. 2019 Mar;101:186-192. [DOI:10.1016/j.psyneuen.2018.11.010] [PMID]
12. Hoffman HG, Garcia-Palacios A, Patterson DR, Jensen M, Furness T 3rd, Ammons WF Jr. The effectiveness of virtual reality for dental pain control: a case study. Cyberpsychol Behav. 2001 Aug;4(4):527-35. [DOI:10.1089/109493101750527088] [PMID]
13. Hoffman HG, Doctor JN, Patterson DR, Carrougher GJ, Furness TA 3rd. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000;85(1-2):305-9. [DOI:10.1016/S0304-3959(99)00275-4]
14. Triberti S, Repetto C, Riva G. Psychological Factors Influencing the Effectiveness of Virtual Reality-Based Analgesia: A Systematic Review. Cyberpsychol Behav Soc Netw. 2014 Jun;17(6):335-45. [DOI:10.1089/cyber.2014.0054] [PMID]
15. Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc of Pedod Prev Dent. 2007;25(4):177-82. [DOI:10.4103/0970-4388.37014] [PMID]
16. Ronis DL, Hansen CH, Antonakos CL. Equivalence of the original and revised dental anxiety scales. J Dent Hyg. 1995;69(6):270-2.
17. Berghmans JM, Poley MJ, van der Ende J, Weber F, Van de Velde M, Adriaenssens P, et al. A Visual Analog Scale to assess anxiety in children during anesthesia induction (VAS-I): Results supporting its validity in a sample of day care surgery patients. Paediatr Anaesth. 2017;27(9):955-61. [DOI:10.1111/pan.13206] [PMID]
18. Choi SC, Yang Y, Yoo S, Kim J, Jeong T, Shin TJ. Development of a Web-Based Nationwide Korean Pediatric Dental Sedation Registry. J Clin Pediatr Dent. 2017;41(6):478-81. [DOI:10.17796/1053-4628-41.6.11] [PMID]
19. Hakeberg M, Cunha L. Dental anxiety and pain related to dental hygienist treatment. Acta Odontol Scand. 2008;66(6):374-9. [DOI:10.1080/00016350802415175] [PMID]
20. Huang D, Wun E, Stern A. Current treatments and advances in pain and anxiety management. Dent Clin North Am. 2011 Jul;55(3):609-18, x. [DOI:10.1016/j.cden.2011.02.014] [PMID]
21. Guzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol. 2008;79(12):2247-55. [DOI:10.1902/jop.2008.080152] [PMID]
22. Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006;33(8):588-93. [DOI:10.1111/j.1365-2842.2005.01589.x] [PMID]
23. DeDonno MA. Dental anxiety, dental visits and oral hygiene practices. Oral Health Prev Dent. 2012;10(2):129-33.
24. Goulart JCF, Pinheiro MD, Rodrigues RV, Santos FdSAd, Martins AT, Scannavino FLF. Influence of anxiety on blood pressure and heart rate during dental treatment. J Revista Odonto Ciência. 2012;27:31-5. [DOI:10.1590/S1980-65232012000100006]
25. Dunn J, Yeo E, Moghaddampour P, Chau B, Humbert S. Virtual and augmented reality in the treatment of phantom limb pain: A literature review. NeuroRehabilitation. 2017;40(4):595-601. [DOI:10.3233/NRE-171447] [PMID]
26. Bioulac S, de Sevin E, Sagaspe P, Claret A, Philip P, Micoulaud-Franchi JA, et al. [What do virtual reality tools bring to child and adolescent psychiatry?]. Encephale. 2018 Jun;44(3):280-5. [DOI:10.1016/j.encep.2017.06.005] [PMID]
27. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965 Nov 19;150(3699):971-9. [DOI:10.1126/science.150.3699.971] [PMID]
28. Gold JI, Belmont KA, Thomas DA. The neurobiology of virtual reality pain attenuation. Cyberpsychol Behav. 2007 Aug;10(4):536-44. [DOI:10.1089/cpb.2007.9993] [PMID]
29. Rutter CE, Dahlquist LM, Weiss KE. Sustained efficacy of virtual reality distraction. J Pain. 2009 Apr; 10(4): 391-7. [DOI:10.1016/j.jpain.2008.09.016] [PMID] [PMCID]
30. Dahlquist LM, Weiss KE, Clendaniel LD, Law EF, Ackerman CS, McKenna KD. Effects of videogame distraction using a virtual reality type head-mounted display helmet on cold pressor pain in children. J Pediatric Psychol. 2009;34(5):574-84. [DOI:10.1093/jpepsy/jsn023] [PMID] [PMCID]
31. Furman E, Jasinevicius TR, Bissada NF, Victoroff KZ, Skillicorn R, Buchner M. Virtual reality distraction for pain control during periodontal scaling and root planing procedures. J Am Dent Assoc. 2009;140(12):1508-16. [DOI:10.14219/jada.archive.2009.0102] [PMID]
32. Frere CL, Crout R, Yorty J, McNeil DW. Effects of audiovisual distraction during dental prophylaxis. J Am Dent Assoc. 2001;132(7):1031-8. [DOI:10.14219/jada.archive.2001.0309] [PMID]
33. Asl Aminabadi N, Erfanparast L, Sohrabi A, Ghertasi Oskouei S, Naghili A. The Impact of Virtual Reality Distraction on Pain and Anxiety during Dental Treatment in 4-6 Year-Old Children: a Randomized Controlled Clinical Trial. J Dent Res Dent Clin Dent Prospects. 2012;6(4):117-24.
34. Indovina P, Barone D, Gallo L, Chirico A, De Pietro G, Giordano A. Virtual Reality as a Distraction Intervention to Relieve Pain and Distress During Medical Procedures: A Comprehensive Literature Review. Clin J Pain. 2018 Sep;34(9):858-77. [DOI:10.1097/AJP.0000000000000599] [PMID]
35. Niharika P, Reddy NV, Srujana P, Srikanth K, Daneswari V, Geetha KS. Effects of distraction using virtual reality technology on pain perception and anxiety levels in children during pulp therapy of primary molars. J Indian Soc Pedod Prev Dent. 2018;36(4):364-9. [DOI:10.4103/JISPPD.JISPPD_1158_17] [PMID]
36. Wismeijer AA, Vingerhoets AJ. The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: A review of the literature. Ann Behav Med. 2005 Dec;30(3):268-78. [DOI:10.1207/s15324796abm3003_11] [PMID]
37. Shariatmadarahmadi R, Avadi MR, Dastani A. Evaluating the Effect of EMLA Anesthetic Gel on the Level of Pain upon Probing in Patients with Chronic Periodontitis. J Res Dentomaxillofac Sci. 2016;1(4):26-31. [DOI:10.29252/jrdms.1.4.26]
38. Morris L, Louw Q, Grimmer-Somers K. The Effectiveness of Virtual Reality on Reducing Pain and Anxiety in Burn Injury Patients A Systematic Review. Clin J Pain. 2009 Nov-Dec;25(9):815-26. [DOI:10.1097/AJP.0b013e3181aaa909] [PMID]
39. Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clin Psychol Rev. 2010 Dec;30(8):1011-8. [DOI:10.1016/j.cpr.2010.07.001] [PMID]
40. Kozarek RA, Raltz SL, Neal L, Wilbur P, Stewart S, Ragsdale J. Prospective trial using Virtual Vision as distraction technique in patients undergoing gastric laboratory procedures. Gastroenterol Nurs. 1997 Jan-Feb;20(1):12-4. [DOI:10.1097/00001610-199701000-00004] [PMID]
41. Padrino-Barrios C, McCombs G, Diawara N, De Leo G. The Use of Immersive Visualization for the Control of Dental Anxiety During Oral Debridement. J Dent Hyg. 2015;89(6):372-7.
42. Parsons TD, Rizzo AA. Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. J Behav Ther Exp Psychiatry. 2008 Sep;39(3):250-61. [DOI:10.1016/j.jbtep.2007.07.007] [PMID]
43. Ram D, Shapira J, Holan G, Magora F, Cohen S, Davidovich E. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int. 2010 Sep;41(8):673-9.
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Birang E, Yaghini J, Birang R, Zohary M. Effect of Virtual Reality During Periodontal Treatment of Patients with Anxiety. J Res Dentomaxillofac Sci. 2019; 4 (1) :9-15
URL: http://jrdms.dentaliau.ac.ir/article-1-225-en.html

Volume 4, Issue 1 (Journal of Research in Dental & Maxillofacial Sciences Winter 2019) Back to browse issues page
Journal of Research in Dental and Maxillofacial Sciences
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