Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial

Aim: The aim of this study was to examine whether screening content through virtual reality (VR) goggles can diminish pain perception during local anaesthesia administered using the inferior alveolar nerve block technique and rubber dam placement in routine paediatric dental treatment. Materials and...

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Main Authors: Lior Zaidman, Gal Lusky, Aviv Shmueli, Elinor Halperson, Moti Moskovitz, Diana Ram, Avia Fux-Noy
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653922001150
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author Lior Zaidman
Gal Lusky
Aviv Shmueli
Elinor Halperson
Moti Moskovitz
Diana Ram
Avia Fux-Noy
author_facet Lior Zaidman
Gal Lusky
Aviv Shmueli
Elinor Halperson
Moti Moskovitz
Diana Ram
Avia Fux-Noy
author_sort Lior Zaidman
collection DOAJ
description Aim: The aim of this study was to examine whether screening content through virtual reality (VR) goggles can diminish pain perception during local anaesthesia administered using the inferior alveolar nerve block technique and rubber dam placement in routine paediatric dental treatment. Materials and methods: This is a crossover study of healthy 4- to 12-year-old children who were scheduled to receive local anaesthesia administered using the inferior alveolar nerve block technique and rubber dam placement in 2 visits. The participants were randomly assigned to undergo 1 treatment performed with Oculus GO VR goggles and the other treatment without. Pain was evaluated using the Wong-Baker FACES Pain Rating Scale and the Modified Behavioral Pain Scale (MBPS). Results: The study group included 29 children with a mean age of 8.29 years (SD, 1.96). Whilst administering local anaesthesia, no significant difference was observed in the Wong-Baker FACES Pain Rating Scale and in MBPS movements between visits with and without the VR goggles. However, significantly lower pain perception was observed in the other parameters of MBPS when using the VR goggles: Face (P = .007) and Cry (P = .046). During placement of a rubber dam, significantly less pain was reported by the patients (P = .005) and observed by the assessor (Face [P = .005], Cry [P = .029], and Movement [P = 0.028]) when the VR goggles were used. Conclusions: VR can decrease pain perception during rubber dam placement in children, but it has limited benefit during administration of local anaesthesia.
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spelling doaj.art-adbb2effe8154428afc4c03d2bb2051a2023-01-18T04:29:43ZengElsevierInternational Dental Journal0020-65392023-02-01731108113Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled TrialLior Zaidman0Gal Lusky1Aviv Shmueli2Elinor Halperson3Moti Moskovitz4Diana Ram5Avia Fux-Noy6Faculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelFaculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelFaculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelFaculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelFaculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelFaculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelCorresponding author. Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O. Box 12272, Jerusalem 9112102, Israel.; Faculty of Dental Medicine, Hebrew University of Jerusalem, Israel; Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, IsraelAim: The aim of this study was to examine whether screening content through virtual reality (VR) goggles can diminish pain perception during local anaesthesia administered using the inferior alveolar nerve block technique and rubber dam placement in routine paediatric dental treatment. Materials and methods: This is a crossover study of healthy 4- to 12-year-old children who were scheduled to receive local anaesthesia administered using the inferior alveolar nerve block technique and rubber dam placement in 2 visits. The participants were randomly assigned to undergo 1 treatment performed with Oculus GO VR goggles and the other treatment without. Pain was evaluated using the Wong-Baker FACES Pain Rating Scale and the Modified Behavioral Pain Scale (MBPS). Results: The study group included 29 children with a mean age of 8.29 years (SD, 1.96). Whilst administering local anaesthesia, no significant difference was observed in the Wong-Baker FACES Pain Rating Scale and in MBPS movements between visits with and without the VR goggles. However, significantly lower pain perception was observed in the other parameters of MBPS when using the VR goggles: Face (P = .007) and Cry (P = .046). During placement of a rubber dam, significantly less pain was reported by the patients (P = .005) and observed by the assessor (Face [P = .005], Cry [P = .029], and Movement [P = 0.028]) when the VR goggles were used. Conclusions: VR can decrease pain perception during rubber dam placement in children, but it has limited benefit during administration of local anaesthesia.http://www.sciencedirect.com/science/article/pii/S0020653922001150Virtual realityPaediatric dental careLocal anaesthesiaRubber damPain
spellingShingle Lior Zaidman
Gal Lusky
Aviv Shmueli
Elinor Halperson
Moti Moskovitz
Diana Ram
Avia Fux-Noy
Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
International Dental Journal
Virtual reality
Paediatric dental care
Local anaesthesia
Rubber dam
Pain
title Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
title_full Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
title_fullStr Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
title_full_unstemmed Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
title_short Distraction With Virtual Reality Goggles in Paediatric Dental Treatment: A Randomised Controlled Trial
title_sort distraction with virtual reality goggles in paediatric dental treatment a randomised controlled trial
topic Virtual reality
Paediatric dental care
Local anaesthesia
Rubber dam
Pain
url http://www.sciencedirect.com/science/article/pii/S0020653922001150
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