Effect of immersive virtual reality on pain in different dental procedures in children: A pilot study
Effect of immersive virtual reality on pain in different dental procedures in children: A pilot study
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DOI：
10.1111/ipd.12851
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发表时间：
2021-07-05
影响因子：
3.8
通讯作者：
Al-Omari, Wael Mousa
中科院分区：
文献类型：
--
作者：
Alshatrat, Sabha Mahmoud;Sabarini, Jumana M.;Al-Omari, Wael Mousa
背景实施有效的疼痛管理对于提高儿科牙科手术患者的依从性非常重要。目的评价虚拟现实技术对儿童牙科手术疼痛感知的影响。材料与方法54例5 ~ 12岁儿童。计划接受不需要局部麻醉的牙科手术（例如，氟化物治疗）的患者被分配到A组，计划接受需要局部麻醉的疼痛牙科手术（例如，牙髓治疗、拔牙）的患者被分配到B组。每组的患者被随机分配，并且在牙科手术期间接受VR或常规治疗（不接受VR）的可能性相同。采用视觉模拟量表（VAS）、Wong-Baker FACES评分量表和“面部、腿部、活动、哭泣、可安慰性”量表（FLACC量表）评估牙科手术期间的疼痛水平。结果接受需要局部麻醉的疼痛牙科手术的患者报告使用VR牵引技术后，在牙科手术期间疼痛强度/最严重疼痛的所有主观和行为疼痛测量值均显著降低（P <0.05）。接受无痛牙科手术的患者显示了预测的模式，但在VR期间最严重的疼痛没有显著减少。结论VR的使用被认为是一种有效的分散工具，以减轻疼痛和焦虑的测试牙科程序，为儿童接受痛苦的牙科程序。
Background Implementing effective pain management is important to increase patient compliance in paediatric dental procedures. Aim This pilot study was conducted to evaluate the effectiveness of virtual reality (VR) on pain perception in dental procedures in children. Material and Methods Fifty-four children aged between 5 and 12 years were included. Patients scheduled to receive dental procedures not requiring local anesthesia (eg, fluoride therapy) were assigned to Group A, and patients scheduled to receive painful dental procedures requiring local anesthesia (eg, pulp therapy, teeth extraction) were assigned to Group B. Patients in each group were randomly assigned and were equally likely to either receive VR during their dental procedure, or treatment as usual (without VR). Visual analog scale (VAS), Wong-Baker FACES rating scale, and the 'Face, Legs, Activity, Cry, Consolability' scale (FLACC scale) were used to assess the pain levels during dental procedures. Results Patients receiving painful dental procedures requiring local anesthesia reported significant reductions in pain intensity/worst pain during the dental procedure on all subjective and behavioral pain measures of pain intensity with the use of VR distraction technique (P < .05 on each). Patients receiving non-painful dental procedures showed the predicted pattern but no significant reduction in worst pain during VR. Conclusion The use of VR was found to be an effective distraction tool to ease pain and anxiety in the tested dental procedures, for children receiving painful dental procedures.