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. 2024 Oct;17(10):1087-1092.
doi: 10.5005/jp-journals-10005-2960.

Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative In Vivo Study

Maheshkumar Karuppiah  1 , Suba Ranjana Balamurugan  2 , Subhathira Rajashekaran  1 , Nagalakshmi Chowdhary  1 , Rajashekar Reddy Vundala  1 , Nikhitha Elsa Shaji  1
Affiliations

Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative In Vivo Study

Maheshkumar Karuppiah et al. Int J Clin Pediatr Dent. 2024 Oct.

Abstract

Introduction: Dental pain and dental anxiety are the most common determinants of negative dental experience, the reason for broken appointments and ignored oral health care affecting the quality of life.

Aim: To evaluate the effects of distraction techniques using virtual reality and eight-dimension (8D) audio analgesia method on pain perception and anxiety levels in children during restorative procedures.

Materials and methods: A total of 120 children between the ages of 4 and 10 years old who visited for the first time to a pediatric dental department were grouped equally between three interventional groups. Group I was treated with conventional tell-show-do (TSD) method; patients selected for group II (8D audio analgesia) and group III (virtual reality method) underwent two-step procedure that initially involved the TSD technique, by explaining the distraction techniques method conditioned for restoration treatment. Clinical evaluation of anxiety levels was measured by using the Chotta Bheem-Chutki (CBC), face, legs, activity, cry, consolability (FLACC) scale, and recording pulse and oxygen saturation rate. One-way analysis of variance (ANOVA) followed by post hoc Tukey's test was done to compare all the parameters between the three groups.

Results: In comparison to the conventional TSD method, both 8D audio analgesia and virtual reality method showed statistically better results. One-way ANOVA followed by post hoc Tukey's test showed no significant difference between the virtual reality group and 8D audio analgesic group.

Conclusion: Both 8D audio analgesia and virtual reality box distraction techniques can be used as an efficient distraction technique for TSD during dental procedures in children.

How to cite this article: Karuppiah M, Balamurugan SR, Rajashekaran S, et al. Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative In Vivo Study. Int J Clin Pediatr Dent 2024;17(10):1087-1092.

Keywords: 8D audio analgesia; Anxiety; Behavior management techniques; Virtual reality.

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Conflict of interest statement

Source of support: Nil Conflict of interest: NoneConflict of interest: None

Figures

Fig. 1
Fig. 1
Consolidated Standards of Reporting Trails (CONSORT) diagram
Fig. 2
Fig. 2
Distraction using 8D audio analgesia earphones
Fig. 3
Fig. 3
Distraction using VR box and mobile phone
Fig. 4
Fig. 4
Comparison of O2 saturation before and after intervention among the three groups
Fig. 5
Fig. 5
Comparison of pulse rate before and after intervention among the three groups
See this image and copyright information in PMC

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References

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