- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05167331
Comparative Clinical Study Between Virtual Reality Hypnosis and Nitrous Oxide Inhalation for Dental Anxie (HYPNOSEDENT)
Efficacy of Virtual Reality Hypnosis Versus Nitrous Oxide Inhalation on Children's Anxiety During a Dental Treatment : a Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The working hypothesis of this study is that hypnosis through virtual reality can reduce children's anxiety as well as their pain level during dental care with an efficiency and tolerance at least similar to nitrous oxide inhalation. Specifically, the statistical analyses will be based on an assumption of non-inferiority of VR compared to the pharmacological technique of nitrous oxide sedation.
Each patient (aged from 6 to 10) attended for two visits in order to benefit of 2 similar conservative dental treatments on primary molars.
Everyone was randomly allocated to receive hypnosis through virtual reality or nitrous oxide/oxygen titrated to 50%/50% at the first visit, the alternative being used at the second visit. This randomization helps avoid any experimental bias related to a first positive or negative experience, each patient being its own control.
Vital signs and a video of the child's behavior are recorded for an external examinator. The video shows the child's body response as an indicator for his anxiety level through the procedures. The child's face doesn't appear on the video in order to reduce risks of bias.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: François CLAUSS
- Phone Number: +33 3 88 11 69 56
- Email: francois.clauss@chru-strasbourg.fr
Study Locations
-
-
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Strasbourg, France, 67091
- Recruiting
- Les Hôpitaux Universitaires de Strasbourg
-
Principal Investigator:
- François CLAUSS
-
Contact:
- François CLAUSS
- Phone Number: +33 3 88 11 69 56
- Email: francois.clauss@chru-strasbourg.fr
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Sub-Investigator:
- Marie-Cécile MANIERE
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Sub-Investigator:
- Nhat Minh DO
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Sub-Investigator:
- Sophie JUNG
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Patients aged between 7 and 10 years
- With an indication for conservative and/or endodontic care of at least 2 temporary molars belonging to the same dental arch, unilateral or bilateral, and equivalent in terms of caries and symptoms
- With dental anxiety
- ASA I patients
Exclusion criteria:
- Patient with a history of MEOPA or virtual reality sedation for dental treatment
- Patient refusing to do preoperative intra-oral x-rays
- Patient with one of the MEOPA contraindications
- Patient with a history of post-operative nausea vomiting or motion sickness
- Patient with visual or hearing disorders
- Patient presenting with a psychiatric pathology or having taken psychotropic drugs in the 8 weeks preceding the 1st visit and during the duration of the study
- Patient with claustrophobia
- Patient without French Social Security coverage
- Lack of consent from the holders of parental authority to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Virtual Reality
|
use of Virtual Reality on children's anxiety during a dental treatment
|
Active Comparator: Nitrous oxide sedation
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use of Nitrous Oxide inhalation on children's anxiety during a dental treatment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiolysis assessed by a standardized hetero-assessment scale (Venham Modified Scale)
Time Frame: 5 weeks
|
Child behavior can be assessed using the Veerkamp Modified Venham Scale (VMS). This is a scale from 0 (completely calm and relaxed patient) to 5 (distressed patient, completely disconnected). Several parameters are taken into account in this scale such as: the child's movements, crying or screaming, the possibility or not of performing the treatment. The authors have found this scale to be a reliable, easy-to-use and reproducible instrument when it comes to assessing children's behavior. This outcome measure is assessed by an external examinator with the video recording the procedures. |
5 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of analgesia with VR
Time Frame: 5 weeks
|
Assessment of analgesia using self-assessed pain levels on standardized age-appropriate scales (VAS: Visual Analogue Scale)
|
5 weeks
|
Assessment of children's tolerance levels to VR and pharmacological technique.
Time Frame: 5 weeks
|
Assessment of tolerance and response to VR-MEOPA using the number and proportion of patients intolerant to VR and to pharmacological techniques.
Evaluate the proportion of VR or MEOPA sessions interrupted (lack of therapeutic continuity).
Any patient who has interrupted VR more than once or who refused VR during the procedure is considered intolerant of VR.
|
5 weeks
|
Assessment of the impact of the child's temperament on his acceptance of nitrous oxide and RV sedations using a questionnaire and a temperament scale
Time Frame: The parents answer to the questionnaire on the first visit during inclusion.
|
To assess the child's temperament dimensions, parents answer to an Emotionality, Activity and Sociability questionnaire with the help of an investigator before the treatment session.
The AES questionnaire had already been validated in France in children aged from 6 to 12 years-old in 2002.
The AES questionnaire is a questionnaire containing 25 items based on a model of three main dimensions: Emotionality, Activity and Sociability.
Each item has a Likert-type scale ranging from 1 (extremely false, not at all corresponding to my child) to 5 (extremely fair, corresponding to my child).
|
The parents answer to the questionnaire on the first visit during inclusion.
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 8113
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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