- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT07693764
Evaluation of Virtual Reality Based Distraction on Anxiety and Pain Perception in Paediatric Dental Extraction (VR-PED)
"Evaluation of Virtual Reality Based Distraction on Anxiety and Pain Perception in Paediatric Dental Extraction: A Randomized Controlled Trial"
The goal of this clinical trial is to learn if virtual reality distraction can reduce dental anxiety and pain perception in children aged 6-10 years undergoing simple dental extraction. The main questions it aims to answer are:
Does virtual reality distraction lower dental anxiety compared to audio-visual distraction and conventional tell-show-do techniques?
Does virtual reality distraction reduce pain perception during dental extraction?
Researchers will compare virtual reality distraction, audio-visual distraction (2D cartoons with headset), and conventional tell-show-do with verbal distraction to see which method is most effective in improving child cooperation and reducing anxiety and pain.
Participants will:
Wear VR glasses to watch immersive 3D cartoons, or
Watch 2D cartoons with headset, or
Receive the conventional tell-show-do technique with verbal distraction.
Outcome measures will include child dental anxiety (CFSS-DS, VCARS), pain perception (Wong-Baker FACES), physiological parameters (pulse rate, SpO₂), and behavioral cooperation (Frankl scale).
Přehled studie
Postavení
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: Dr.Zamzam AlQulhati Ali AlQulhati, BDS, MFD ( RSCI)
- Telefonní číslo: +96895573313
- E-mail: zalqulhati@gmail.com
Studijní záloha kontaktů
- Jméno: Azza AlShidhani Khalid AlShidhani, DclinDent (Ed), MPaeds (RCSEd)
- Telefonní číslo: +96895692669
- E-mail: azzak@squ.edu.om
Studijní místa
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Muscat, Omán
- Sultan Qaboos University Hospital - Dental & Maxillofacial Department
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Kontakt:
- Azza Khalid AlShidhani, DclinDent (Ed), MPaeds (RCSEd)
- Telefonní číslo: +96895692669
- E-mail: Azzak@squ.edu.om
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Kontakt:
- Mohammed AlAzki, DSA
- Telefonní číslo: +968-97674606
- E-mail: m.alazki@squ.edu.om
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Dílčí vyšetřovatel:
- Mohammed AlAzki, Diploma in Dental Surgery Assi
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Muscat, Omán
- The Medical City of Military and Security Service (Dental Center-AlKhoudh )
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Kontakt:
- Dr.Khalifa AlAzri, DclinDent (Ed), MPaeds (RCSEd)
- Telefonní číslo: +968-98199877
- E-mail: Khalifaazri_omsb@outlook.com
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Kontakt:
- Majid AlFori, DSA
- Telefonní číslo: 00968-99668984
- E-mail: Superhero-9w8@gmail.com
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Dílčí vyšetřovatel:
- Majid AlFori, Diploma in Dental Surgery Assi
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dítě
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Children aged 6 to 10 years
- Classified as ASA class 1 or 2 (healthy or with mild systemic disease)
- Those who demonstrated Frankl behavior rating 2 and 3 toward dental procedures
- Children with NO previous exposure to invasive dental procedure
- No prior experience using VR glasses
- Requiring extraction of mandibular deciduous molar under local anesthesia
Exclusion Criteria:
- ASA 3 and above
- Those who demonstrated Frankl behavior rating 1 and 4 toward dental procedures
- Special needs ( intellectual and developmental)
- Children on psychotropic medication
- Children wearing glasses
- Presence of intra-oral swelling
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Podpůrná péče
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Arm 1: Virtual Reality Distraction
Children wear VR glasses to watch immersive 3D cartoons during dental extraction.
Anxiety, pain, and cooperation are assessed using CFSS-DS, Wong-Baker FACES, VCARS, Frankl scale, and physiological parameters
|
Children wear a virtual reality headset to watch immersive 3D cartoons during dental extraction.
This device provides distraction to reduce dental anxiety and pain perception.
|
|
Aktivní komparátor: Arm 2: Audio-Visual Distraction
Children watch 2D cartoons with headset during dental extraction.
Anxiety, pain, and cooperation are measured using the same scales and physiological parameters as the VR group.
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Children watch 2D cartoons with headset during dental extraction.
This behavioral technique provides distraction to reduce dental anxiety and pain perception.
|
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Aktivní komparátor: Arm 3: Conventional Tell-Show-Do
Children receive the standard tell-show-do technique with verbal distraction during dental extraction.
Anxiety, pain, and cooperation are assessed using CFSS-DS, Wong-Baker FACES, VCARS, Frankl scale, and physiological parameters.
|
Children receive the standard tell-show-do technique with verbal distraction during dental extraction.
This behavioral method is used to reduce dental anxiety and improve cooperation.
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Child Dental Anxiety (Self-Report)
Časové okno: Time Points: Baseline (before starting the procedure) and post-operative assessments ( after finishing the extraction)
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Change in child dental anxiety will be measured using the Children's Fear Survey Schedule - Dental Subscale (CFSS-DS, Arabic version).
The CFSS-DS consists of 15 items, each scored from 1 (not afraid) to 5 (very afraid), yielding a total score range of 15 to 75.
Higher scores indicate greater dental anxiety (worse outcome).
The unit of measure is the CFSS-DS score.
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Time Points: Baseline (before starting the procedure) and post-operative assessments ( after finishing the extraction)
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Child Dental Anxiety (Observation-based Assessment)
Časové okno: Time points: This scale will be measured at 4 time points during the procedure: T0(baseline)= 15 min before starting the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 mins after the extraction
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Change in child dental anxiety will also be assessed using Venham's Clinical Anxiety Rating Scale (VCARS).
This observational scale is scored from 0 (relaxed) to 5 (out of control), with a total score range of 0 to 5. Higher scores indicate greater observed anxiety (worse outcome).
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Time points: This scale will be measured at 4 time points during the procedure: T0(baseline)= 15 min before starting the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 mins after the extraction
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3a: Physiological Monitoring - Pulse Rate
Časové okno: Will be measured at 4 time points: T0 ( Baseline)= 15 minutes before the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 minutes after extraction
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Pulse rate will be monitored using a pulse oximeter. The unit of measure is beats per minute (bpm). In children, the normal resting pulse rate varies by age: Preschool children (3-5 years): ~80-120 bpm School-aged children (6-12 years): ~70-118 bpm Adolescents (13-18 years): ~60-100 bpm Higher values during the dental procedure indicate greater physiological arousal (worse outcome). |
Will be measured at 4 time points: T0 ( Baseline)= 15 minutes before the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 minutes after extraction
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3b: Physiological Monitoring - Oxygen Saturation (SpO₂)
Časové okno: Will be measured at 4 time points: T0 ( Baseline)= 15 minutes before the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 minutes after extraction
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Oxygen saturation will be monitored using a pulse oximeter.
The unit of measure is percentage (%).
In healthy children, normal SpO₂ values are typically 95-100% at rest.
Lower values indicate poorer physiological status (i.e., worse outcomes).
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Will be measured at 4 time points: T0 ( Baseline)= 15 minutes before the procedure T1= Time of needle penetration T2= Time of extracting the tooth T3= 5 minutes after extraction
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Pain Perception (Self-Report)
Časové okno: at the end of the procedure
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Self-reported pain perception will be measured using the Wong-Baker FACES Pain Rating Scale (Arabic version).
This scale ranges from 0 (no pain) to 10 (worst pain), represented by facial expressions.
Higher scores indicate greater pain intensity (worse outcome), and lower scores indicate less pain intensity (better outcome)
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at the end of the procedure
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Child Behavior (Observation)
Časové okno: Time Points: Baseline (before the dental extraction procedure) and follow-up assessment at 1 month post-procedure
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Child behavior will be assessed using the Frankl Behavior Rating Scale. This scale has four degrees:
The total score range is 1 to 4. Higher scores indicate more cooperative behavior (better outcome). |
Time Points: Baseline (before the dental extraction procedure) and follow-up assessment at 1 month post-procedure
|
Spolupracovníci a vyšetřovatelé
Sponzor
Vyšetřovatelé
- Ředitel studie: Dr. Azza Khalid AlSHidhani, DclinDent (Ed), MPaeds (RCSEd), Pediatric dental clinic , Dental and maxillofacial department (SQUH), University Medical City,
- Ředitel studie: Dr. Khalifa Mohammed AlAzri, DclinDent (Ed), MPaeds (RCSEd), Pediatric dental clinic, Dental Center (Alkhoudh), The Medical City of Military and Security Services
- Vrchní vyšetřovatel: Dr. Zamzam Ali Alqulhati, BDS, MFD(RCSI), Oman Medical Specialty Boaered
Publikace a užitečné odkazy
Obecné publikace
- Barros Padilha DX, Veiga NJ, Mello-Moura ACV, Nunes Correia P. Virtual reality and behaviour management in paediatric dentistry: a systematic review. BMC Oral Health. 2023 Dec 12;23(1):995. doi: 10.1186/s12903-023-03595-7.
- Kasimoglu Y, Alpaycetin E, Ince G, Tuna Ince EB. Reduction of Dental Anxiety in Children Using Virtual Reality: A Randomised Controlled Trial. Eur J Paediatr Dent. 2025 Sep 1;26(3):185-191. doi: 10.23804/ejpd.2024.2109. Epub 2024 Oct 1.
- Gomez-Polo C, Vilches AA, Ribas D, Castano-Seiquer A, Montero J. Behaviour and Anxiety Management of Paediatric Dental Patients through Virtual Reality: A Randomised Clinical Trial. J Clin Med. 2021 Jul 7;10(14):3019. doi: 10.3390/jcm10143019.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další identifikační čísla studie
- PED-VR-2026-A
- OMSBoard-2026 (Jiné číslo grantu/financování: Oman Medical Specialty Board)
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