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Clinical use of virtual reality distraction system during periodontal treatment modalities- A randomised clinical trial

Author: 
Umme Salma Durbar, Dr. Asha Ramesh and Dr. Abhinav
Subject Area: 
Health Sciences
Abstract: 

Background: Dental anxiety and anxiety-related avoidance of dental care create significant problems for patients and the dental profession. Distraction interventions are used in daily dental practice to help patients cope with unpleasant procedures. Patients with dental fear tend only go to the dentist when they experience pain, thereby increasing the chance that their visit to the dentist will involve pain and exacerbating their anxiety. Dentists themselves suffer from heightened discomfort when treating such anxious patients. Materials and Method: 50 patients were recruited from the outpatient department of Saveetha Dental College. They were divided into two groups- group 1 is control group (n=25) and group 2 is study group (n=25). All the study subjectswere asked to fill the dental anxiety questionnaire (5 point Likert scale) and dental concern assessment form. The study group subjects were treated using the virtual reality distraction system. The VAS scale was employed pre and post operatively to assess the patients pain and pulse rate with oxygen saturation was recorded using pulse oximeter. Results: The results showed that majority of the patients were anxious and concerned about a variety of parameters like sound of drill, injection, scraping of teeth while cleaning etc. Data analysis indicated statistically significant difference between control and study group, with regard to the VAS levels, with a p-value of 0.000. Conclusion: The study concludes that use of immersive VR distraction can be an effective method of pain control during ultrasonic scaling procedure.

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