scholarly journals Effectiveness of virtual reality eyeglasses as a distraction technique in managing anxious paediatric patients undergoing dental treatment- A cross-sectional study

2021 ◽  
Vol 7 (2) ◽  
pp. 131-137
Author(s):  
Arya Devan ◽  
Sundeep Hegde K ◽  
Sham S Bhat ◽  
Raksha Ballal ◽  
Ajay Rao H T

To evaluate the effect of virtual reality eyeglasses as a distraction technique in management of anxious paediatric patients undergoing dental treatment.: It is an in-vivo study which was performed on 148 patients with 37 in each four different groups. Children’s dental anxiety was measured using Modified Dental Anxiety Scale (MDAS) and Pulse oximeter which measures the pulse rate, oxygen saturation. After assessing the anxiety levels of the children, children who are found to be anxious were taken for the study. includes children who have to undergo extraction without virtual reality eyeglasses. includes children who have to undergo extraction with virtual reality eyeglasses. includes children who have to undergo restoration without virtual reality eye glasses. includes children who have to undergo restoration with virtual reality eye glasses. Children’s anxiety was again evaluated using the Modified Dental Anxiety Scale (MDAS) and Pulse oximeter during dental treatment. The results obtained were then compared. The data was collected, tabulated, Descriptive statistics and paired t test was used for statistical analysis. Group A: There were statistically significant changes in pulse rate, oxygen saturation (SPO) and modified anxiety scale (p<0.05). Group B: There were statistically significant changes in pulse rate and modified anxiety scale (p<0.05), but there were no statistically significant changes in the oxygen saturation (SPO)level (p>0.05). Group C: There were statistically significant changes in pulse rate and modified anxiety scale (p<0.05), but there were no statistically significant changes in the oxygen saturation (SPO) level (p>0.05). Group D: There were statistically significant changes in pulse rate and modified anxiety scale (p<0.05), but there were no statistically significant changes in the oxygen saturation (SPO)level (p>0.05)Within the limitations of this study we conclude that virtual reality eyeglasses used in the present study is an effective distraction technique in management of pediatric patients undergoing dental treatment.

2020 ◽  
Vol 4 (1) ◽  
pp. 19-25
Author(s):  
Ankita Yadav ◽  
Shalini Garg ◽  
Ankita Srivastava ◽  
Anil Gupta ◽  
Shikha Dogra ◽  
...  

INTRODUCTION: Assessment of child’s anxiety is important in order to determine the success of dental treatment. Drawing, a nonverbal, self-report, projective and non-invasive technique may prove be helpful and needs to be explored in order to access anxiety in children requiring dental treatment.AIM: To investigate the applicability of children’s drawings as an indicator to measure their level of anxiety.MATERIALS & METHOD: A cross-sectional study was conducted in a total of hundred children between age group of 4-6 years. Children were asked to draw dental operatory on A4 sheet and colour it with basic set of 12 colours. The drawing was scored using Child Drawing: Hospital (projective scale) scale and the results were compared with pulse oximeter readings (physiological parameter) and Venham Picture Test scorings.RESULTS: Child Drawing: Hospital scale scoring had a positive correlation with pulse oximeter reading (involuntary) (p-value = 0.125) and a negative correlation with Venham picture test (p-value = 0.140).CONCLUSION: Drawing may be statistically significant projective tool significant to assess child anxiety in dental setting.


e-GIGI ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Uswatun Khasanah ◽  
Paulina Gunawan ◽  
Herdy Munayang

Abstract: One of the most chronic dental diseases suffered by children is caries. Child anxiety during dental care often becomes a hindrance for dentists in order to give the best or optimum care or treatment. Therefore, it is important for the dentists to have a good relationship with patients, especially children. Childern who have a positive interaction with their dentists could overcome their anxiety, so they will not be afraid to go to the dentist. This study was aimed to analyze the relationship between child anxiety during dental care and DMF-T index among children aged 10–12 years old at SDN 27 Manado (elementary school). Subjects were children aged 10–12 years old who had experienced tooth treatment. This was an analytical descriptive study with a cross-sectional design. Data were obtained by using Dental Anxiety Scale (DAS) questionnaire and DMF-T examination. The data were analyzed with the Pearson simple correlation test. The results showed that of 40 subjects, 7 children (17.5%) were not anxious for dental care, 24 children (60%) were slightly anxious, 7 children (17.5%) were anxious, and 2 children (5.0%) were very anxious. The DMF-T score 3-5 was the most common, each of 6 children (15%), meanwhile the most rare was the DMF-T scores of 10 and 15, each of 1 child (2.5%). The Pearson test of the correlation between anxiety during dental treatment and DMF-T index showed a P of 0.472. Conclusion: There was no significant correlation between child anxiety for dental care and DMF-T index.Keywords: feeling of anxiety, dental care, DMF-T index Abstrak: Salah satu penyakit kronis yang paling sering diderita anak ialah karies. Kecemasan anak saat menjalani perawatan gigi sering menjadi penghalang bagi dokter gigi untuk memberikan perawatan yang optimal. Oleh karena itu, penting bagi dokter gigi menjalin hubungan yang baik dengan pasien khususnya pasien anak. Anak yang memiliki interaksi positif terhadap dokter gigi dapat mengatasi rasa cemasnya, sehingga mereka tidak akan takut ke dokter gigi dan memiliki kesehatan gigi dan mulut yang baik. Penelitian ini bertujuan untuk menganalisis hubungan kecemasan terhadap perawatan gigi dengan indeks DMF-T pada anak usia 10–12 tahun di SDN 27 Manado. Subyek penelitian yaitu anak berusia 10-12 tahun yang sudah pernah menerima perawatan gigi sebelumnya. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Pengumpulan data menggunakan pengisian kuesioner Dental Anxiety Scale (DAS) dan pemeriksaan DMF-T. Analisis data menggunakan uji korelasi sederhana Pearson. Hasil penelitian menunjukkan dari 40 responden, 7 anak (17,5%) tidak cemas terhadap perawatan gigi, 24 anak (60%) cemas ringan terhadap perawatan gigi, 7 anak (17,5%) cemas sedang terhadap perawatan gigi, 2 anak (5,0%) cemas berat terhadap perawatan gigi. Skor DMF-T 3-5 merupakan jumlah terbanyak masing-masing 6 anak (15%), paling sedikit pada skor DMF-T 10 dan 15 masing-masing sebanyak 1 anak (2,5%). Uji Pearson terhadap hubungan antara perasaan cemas anak terhadap perawatan gigi dengan indeks DMF-T mendapatkan nilai P=0,472. Simpulan: Tidak terdapat korelasi antara perasaan cemas anak terhadap perawatan gigi dengan indeks DMF-T.Kata kunci: perasaan cemas, perawatan gigi, indeks DMF-T


Author(s):  
Jalison Jacob Cheruvatoor ◽  
Lim Kaini ◽  
Mohamad Adib Bin Mohd Ali Hanafiah ◽  
Muhammad Azizuddin Bin Sihabubdin ◽  
Vinay Marla

Aims: Dental anxiety is a relatively common problem and it leads to undesirable distresses, such as postponement or avoidance of dental treatment thereby resulting in poorer quality of treatment and reduced oral health related quality of life. Dental anxiety is especially seen in patients undergoing dental injections. To evaluate the effectiveness of audiovisual distraction in the reduction of dental anxiety during la injection. Study design:  Cross-sectional study. Place and duration of study: Patients visiting Penang International Dental College, Malaysia, between June 2017 and July 2018. Methodology: A total of 176 patients (88 female and 88 male) requiring endodontic therapy or tooth extraction were recruited for this study. A 14-question long questionnaire using Hamilton anxiety rating scale; and a separate feedback questionnaire was used to evaluate patients’ anxiety level and the severity of anxiety symptoms. Paired t-test was used to analyze the data. Results: There was a significant reduction in the anxiety scores (p<0.001) of the patients following the use of VR distraction during the la procedure. On an average, the pre-test scores were 1.932 points higher than post-test scores. Conclusion: Virtual reality could be used as a possible non-pharmacologic means of reducing dental anxiety in patients receiving local anesthesia.


Author(s):  
Rushda Kazi ◽  
Waseem Khan ◽  
Amit Kumar ◽  
Bhumika badiyani

Abstract Dental anxiety and dental fear are major factors causing much trouble for the people attending to their own personal health. Statistics show that young individuals experience higher dental anxiety than others. This can be accounted for by the diverse, intense effects of a number of psychological factors in this age range that can cause dental fear and dental anxiety. Aim: To assess the prevalence and level of dental anxiety among dental undergraduate students and interns in Mumbai. Materials and Methods: The self-reported assessment scale developed by N. Corah, the Dental Anxiety Scale (DAS) which was later modified with the inclusion of a question over anaesthetic injection was used in the study; it was applied in the form of a questionnaire containing data on name, college, year of study and was used to measure the dental anxiety among the study population. Results and Discussion: Three hundred and eight subjects were recruited into the study. Anxiety-free students were the most numerous group in the sample (184, 59.74%), which were followed by students showing moderate anxiety. Twelve (3.89%) students experienced severe anxiety.. About 14.2% of the study population has scored 15 or more in the MDAS questionnaire. The students were anxious mostly while waiting for their turn at the dental office and anaesthetic injections. Conclusion: Dental anxiety is a common difficulty encountered among dental students who represent future healthcare professionals. Also, a high level of dental anxiety leads to turning away from dental treatment. Key Words: Dental anxiety, Dental students, Dental Anxiety Scales


2019 ◽  
Vol 70 (2) ◽  
pp. 689-692
Author(s):  
Gheorghe Raftu ◽  
Elena-Claudia Sin ◽  
Aureliana Caraiane ◽  
Steliana Gabriela Bustiuc ◽  
Raluca Briceag

The study aims at identifying and highlighting dental anxiety in a group of young adults, analyzing patients� concerns about the main dental treatment procedures, and establishing statistical relationships between anxiety and gender, the background, level of education, socio-economic status and knowledge of habits of care and hygiene of oral cavity characteristic of the studied group. The study group consists of 150 female (50%) and male (50%) patients , aged between 20 and 40 years. The inclusion criteria in the batch were those related to the age range of 20 to 40 years.Two respondents (Corah�s Dental Anxiety Scale, Revised (DAS-R)) were given two questionnaires ( Corah�s Dental Anxiety Scale, DAS-R), and the second questionnaire contained 7 questions about the habits dental care). Most patients� concerns about the main procedures of dental treatment / other concerns are: dental extraction, material expenses, possibility of treatments and shame she felt oppressed health of the oral cavity. Regardless of the level of dental anxiety, the oral cavity hygiene habits are not properly performed by patients, with an increased tendency for them to be disregarded by patients with severe dental anxiety.


2021 ◽  
Vol 10 (14) ◽  
pp. 3019
Author(s):  
Cristina Gómez-Polo ◽  
Ana-Aida Vilches ◽  
David Ribas ◽  
Antonio Castaño-Séiquer ◽  
Javier Montero

Clinicians should appreciate the effectiveness of virtual reality (VR) headsets for managing both the anxiety and the behaviour of non-cooperative paediatric patients who require treatment over several dental appointments. The aim of this study was to assess the effectiveness of using a VR headset as a distraction for managing the anxiety and behaviour of paediatric patients during their dental treatment. Eighty patients, aged between five and ten years old and who required dental treatment over three or more appointments, were randomly allocated into two groups. One group used a VR headset during all their appointments, and the other one did not use any distraction technique. The patients were asked to take a Facial Image Scale Test during their first and last appointments to assess their level of anxiety. Additionally, the dentist completed the Frankl Test to quantify the child’s behaviour at the beginning and the end of their treatment. The results obtained, both from the group using the VR headset and from the control group, were compared using the chi-square test. The use of a VR headset during dental treatment significantly reduced anxiety (95% of the children were happy) and improved behaviour (100% positive behaviour) as compared with the control group (40% and 57.5%, respectively). A VR headset can effectively distract a paediatric patient, helping to reduce anxiety and manage behaviour during dental treatment


1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Burkay YAKAR ◽  
Türkkan Öztürk KAYGUSUZ ◽  
Edibe PİRİNÇCİ

Background: Dental anxiety and fear make the dental operation and the treatment difficult. Beside that it causes the delays or absence in the dental appointments so it leads to problems for oral and dental health. The aim of this study was to investigate the frequency of dental anxiety, the factors affecting dental anxiety and the effects of dental anxiety on oral dental health of the participants.Methodology: We conducted a hospital-based, cross-sectional study among 342 patients attending the outpatient clinic of a tertiary dentistry hospital. Dental anxiety and trait anxiety levels of the participants measured using MDAS and STAI scales. Weconducted the student t-test, One-way Anova and Tukey’s post hoc for the analysis of our data. The Pearson’s correlation analysis has been used for the analysis of two different quantitative data obtain from MDAS and STAI scales.Results: The age average of 342 participant of our research was 34,41±11,78. 59,1% of our participants was women. (n=202) Dental anxiety was existing in the 42,1% of the participants (n=144). 56,4% of the participants have had a hard and painful dental treatment experiences. 15,2% of our participants (n=52) had MDAS 19 point or more.Conclusions: High and statistically significant dental anxiety scores have been detected for the patients who are women, housewives, who had uneasy and painful dental treatment stories who have personel inclinations to the anxiety. Examinations directed to the factors which would increase the dental anxiety, may prevent possible complications and also the risk carried by the patients related to the dental health may be estimated with the help of this kind of examinations. 


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Muhammad Nazir ◽  
Muhanad Alhareky

Objective. To report the prevalence of dental phobia and associated factors among pregnant women. Materials and Methods. This cross-sectional study included pregnant women visiting hospitals in Dhahran, Khobar, and Dammam in Saudi Arabia. The Modified Dental Anxiety Scale (MDAS) was used to assess dental anxiety and phobia. The score of MDAS ranges from 5 to 25, and a cutoff value of 19 was used to identify participants with dental phobia. Results. The study analyzed data of 825 participants with mean age of 29.08 ± 5.18 years. The prevalence of dental phobia was 16.1%. About 46.9% of the sample believed that dental treatment should be avoided during pregnancy, and the importance of regular dental checkup was recognized by 16.4% of the participants. Dental phobia was associated with the perception of the health of teeth (P 0.004) and gums (P 0.016). Multiple logistic regression showed that being under the age of 30 years (OR 0.63, P 0.019) and updating knowledge about oral health (OR 0.49, P 0.006) were significantly associated with reduced likelihood of dental phobia. However, having bad dental experience (OR 2.13, P 0.001) and being in first trimester of pregnancy (OR 1.57, P 0.033) were significantly associated with increased odds of dental phobia. Conclusions. A considerable proportion of pregnant women reported dental phobia. The bad dental experience was associated with increased dental phobia. However, reduced likelihood of dental phobia was associated with updating oral health knowledge. Healthcare professionals may consider these factors to reduce dental phobia and improve oral health of pregnant women.


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