Journal of South Asian Association of Pediatric Dentistry

Register      Login

VOLUME 4 , ISSUE 1 ( January-June, 2021 ) > List of Articles


Comparison of Virtual Reality Glasses vs On-screen Distraction Technique in Reduction of Pediatric Dental Anxiety: An In Vivo Study

Brijesh Tailor, Seema Bargale, Bhavna H Dave, Anshula N Deshpande, Princy S Thomas, Aishwarya Jain

Citation Information : Tailor B, Bargale S, Dave BH, Deshpande AN, Thomas PS, Jain A. Comparison of Virtual Reality Glasses vs On-screen Distraction Technique in Reduction of Pediatric Dental Anxiety: An In Vivo Study. J South Asian Assoc Pediatr Dent 2021; 4 (1):22-26.

DOI: 10.5005/jp-journals-10077-3071

License: CC BY-NC 4.0

Published Online: 01-06-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aims and objectives: To evaluate and compare virtual reality (VR) glasses vs on-screen audiovisual distraction techniques in managing anxious pediatric patients during dental procedures at sequential dental visits. Materials and methods: This study was conducted in the age group of 4–8 years anxious children who reported to the department. The informed written consent from the parents was taken. The 40 children were divided into two groups: group I—on-screen distraction aid and group II—audiovisual distraction aid (VR glasses) with 20 patients in each group. Each child in all the subgroups had gone through three dental visits. Child anxiety level at each visit was assessed by using a combination of anxiety measuring parameters. Results: Chi-square and Student's t-test (two-tailed, independent) analyses were used to find the significance of study parameters on a categorical scale and continuous scale between two groups (intergroup analysis) on metric parameters. It revealed that VR glasses audiovisual aid group showed a statistically highly significant difference from the on-screen method. Conclusion: Audiovisual distraction aid was found to be a more effective mode of distraction in the management of anxious children when compared to the on-screen distraction method.

  1. Chadwick B, Hosey M. Child taming: How to manage children in dental practice. London: Quintessence Publishing; 2003.
  2. Wright G. Behavior management in dentistry for children. Philadelphia: WB Saunders Company; 1975.
  3. Florella M, Sarale C, Ram RD. Audiovisual iatrosedation with video eyeglasses distraction method in pediatric dentistry: case history. J Int Dent Med Res 2010;3(3):133–136.
  4. 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;30(3):268–278. DOI: 10.1207/s15324796abm3003_11.
  5. Cohen L, Blount R, Cohen R, et al. Comparative study of distraction versus topical anesthesia for pediatric pain management during immunizations. Health Psychol 1999;18:591–598. DOI: 10.1037//0278-6133.18.6.591.
  6. Blount RL, Powers SW, Cotter MW, et al. Making the system work. Training pediatric oncology patients to cope and their parents to coach them during BMA/LP procedures. Behav Modif 1994;18:6–31. DOI: 10.1177/01454455940181002.
  7. Singh H, Rehman R, Kadtane S, et al. Techniques for the behavior management in pediatric dentistry. Int J Sci Stud 2014;2(7):269–272.
  8. Venham L, Bengston D, Cipes M. Children's response to sequential dental visits. J Dent Res 1977;56:454–459. DOI: 10.1177/00220345770560050101.
  9. Folayan MO, Idehen EE, Ojo OO. The modulating effect of culture on the expression of dental anxiety in children: a literature review. Int J Paediatr Dent 2004;14:241–245. DOI: 10.1111/j.1365-263X.2004.00563.x.
  10. Abrahamsson KH, Berggren U, Hakeberg M, et al. The importance of dental beliefs for the outcome of dental-fear treatment. Eur J Oral Sci 2003;111:99–105. DOI: 10.1034/j.1600-0722.2003.00016.x.
  11. Ram D, Shapira J, Holan G, et al. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int 2010;41:673–679.
  12. Bellieni CV, Cordelli DM, Raffaelli M, et al. Analgesic effect of watching TV during venipuncture. Arch Dis Child 2006;91:1015–1017. DOI: 10.1136/adc.2006.097246.
  13. Slifer KJ, Tucker CL, Dahlquist LM. Helping children and caregivers cope with repeated invasive procedures: How are we doing? J Clin Psychol Med Sett 2002;9(2):131–152.
  14. Leventhal H. I know distraction works even though it doesn't. Health Psychol 1992;11:208–209.
  15. Yamini V, Bailwad SA, Nirmala SV, et al. Effectiveness of music distraction in the management of anxious pediatric dental patients. Ann Essences Dent 2010;II:1–5.
  16. Mccarthy FM. A clinical study of blood pressure responses to epinephrine-containing local anesthetic solutions. J Dent Res 1957;36:132–141. DOI: 10.1177/00220345570360010901.
  17. Venham LL, Gaulin-Kremer E, Munster E, et al. Interval rating scales for children's dental anxiety and uncooperative behavior. Pediatr Dent 1980;2:195–202.
  18. Corah NL, Gale EN, Illig SJ. Psychological stress reduction during dental procedures. J Dent Res 1979;58:1347–1351. DOI: 10.1177/00220345790580040801.
  19. Prabhakar AR, Marwah N, Raju OS. A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients. J Indian Soc Pedod Prev Dent 2007;25:177–182. DOI: 10.4103/0970-4388.37014.
  20. Pande P, Rana V, Srivastava N, et al. Effectiveness of different behavior guidance techniques in managing children with negative behavior in a dental setting: a randomized control study. J Indian Soc Pedod Prevent Dent 2020;38(3):259. DOI: 10.4103/JISPPD.JISPPD_342_20.
  21. Al-Halabi MN, Bshara N, AlNerabieah Z. Effectiveness of audio visual distraction using virtual reality eyeglasses versus tablet device in child behavioral management during inferior alveolar nerve block. Anaesth, Pain Intens Care 2018. 55–61.
  22. Fakhruddin KS, Hisham El Batawi MO. Effectiveness of audiovisual distraction with computerized delivery of anesthesia during the placement of stainless steel crowns in children with Down syndrome. Eur J Dent 2017;11(1):1. DOI: 10.4103/ejd.ejd_288_16.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.