Virtual Reality During Periodontal Frenectomy (VRFren)
Evaluation of the Effects of Virtual Reality Application on Anxiety, Pain, and Physiological Stress Responses During Periodontal Frenectomy
The goal of this clinical trial is to learn whether virtual reality can reduce anxiety, pain, and physiological stress responses during periodontal frenectomy in adults who need this surgical procedure.
The main questions it aims to answer are:
Does virtual reality reduce anxiety before and after periodontal frenectomy? Does virtual reality reduce pain during and after the procedure? Does virtual reality have a favorable effect on physiological stress responses such as blood pressure, heart rate, and oxygen saturation? Does virtual reality affect surgical process-related outcomes and early wound healing?
Researchers will compare adults who receive standard periodontal frenectomy with virtual reality-based audiovisual distraction to adults who receive standard periodontal frenectomy without virtual reality.
Participants will:
Complete anxiety and pain questionnaires before the procedure. Undergo periodontal frenectomy under local anesthesia. Be randomly assigned to either the virtual reality group or the control group. Have blood pressure, heart rate, oxygen saturation, and pain levels recorded at defined time points during the procedure.
Record daily pain levels and analgesic use for 7 days after surgery. Return for a 7-day follow-up visit for suture removal and early wound healing assessment.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Muhammed Emin Kalender, PhD
- Número de teléfono: 902282141746
- Correo electrónico: emin.kalender@bilecik.edu.tr
Ubicaciones de estudio
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Bilecik
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Bilecik, Bilecik, Turquía (Türkiye), 11100
- Bilecik Seyh Edebali University Faculty of Dentistry
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Contacto:
- Muhammed Emin Kalender, DDS, PhD
- Número de teléfono: +902282141746
- Correo electrónico: emin.kalender@bilecik.edu.tr
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Adults aged 18 to 65 years
- Classified as American Society of Anesthesiologists physical status I or II
- Presence of a clinical indication for periodontal frenectomy
- No previous periodontal surgery experience
- No previous virtual reality experience
Exclusion Criteria:
- Pregnancy or breastfeeding
- Visual or hearing impairment that may prevent the use of the virtual reality headset
- History of claustrophobia
- History of vertigo
- Use of analgesic or sedative medication within the last 24 hours
- Current substance dependence
- Presence of active infection in the surgical area
- Current regular use of antidepressants, anxiolytics, antipsychotics, mood stabilizers, sedatives/hypnotics, or other psychotropic medications
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: Virtual Reality Group
Participants in this group will receive standard periodontal frenectomy under local anesthesia with virtual reality-based audiovisual distraction during the procedure.
After baseline assessments and randomization, a Meta Quest 3 head-mounted virtual reality device will be placed before local anesthesia.
Participants will passively watch a standardized nature video with calming audio until the surgical procedure is completed.
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Participants assigned to the virtual reality group will use a Meta Quest 3 head-mounted device during periodontal frenectomy.
A standardized nature video with calming audio will be presented from before local anesthesia until completion of the surgical procedure.
The content will be shown from the same starting point with the same brightness and volume settings for all participants.
Participants will watch the content passively without interaction.
All participants will undergo clinically indicated periodontal frenectomy under local anesthesia using a standardized surgical protocol.
The procedure will be performed by the same surgeon under standardized clinical conditions.
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Comparador activo: Control Group
Participants in this group will receive standard periodontal frenectomy under local anesthesia without virtual reality or any other audiovisual distraction method.
The surgical protocol, surgeon, local anesthesia protocol, and clinical environment will be the same as in the virtual reality group.
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All participants will undergo clinically indicated periodontal frenectomy under local anesthesia using a standardized surgical protocol.
The procedure will be performed by the same surgeon under standardized clinical conditions.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Pain Intensity Assessed by Visual Analog Scale During and Immediately After Surgery
Periodo de tiempo: After local anesthesia, during the middle phase of surgery, and 10 minutes after completion of surgery
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Pain intensity will be assessed using a 0 to 10 visual analog scale (VAS), where 0 indicates no pain and 10 indicates the worst pain imaginable.
Pain will be recorded after local anesthesia, during the middle phase of surgery, and 10 minutes after completion of surgery.
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After local anesthesia, during the middle phase of surgery, and 10 minutes after completion of surgery
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State Anxiety Score Assessed by the State-Trait Anxiety Inventory-State Form
Periodo de tiempo: Baseline before randomization and virtual reality application, and 10 minutes after completion of surgery
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State anxiety will be assessed using the State-Trait Anxiety Inventory-State Form (STAI-S).
The STAI-S consists of 20 items scored from 1 to 4, with a total score ranging from 20 to 80. Higher scores indicate higher state anxiety.
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Baseline before randomization and virtual reality application, and 10 minutes after completion of surgery
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Blood Pressure During Periodontal Frenectomy
Periodo de tiempo: Before virtual reality application, after local anesthesia, during the middle phase of surgery, and immediately after surgery
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Systolic and diastolic blood pressure will be measured in millimeters of mercury (mmHg) as physiological indicators of stress response.
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Before virtual reality application, after local anesthesia, during the middle phase of surgery, and immediately after surgery
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Heart Rate During Periodontal Frenectomy
Periodo de tiempo: Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery
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Heart rate will be measured as beats per minute using pulse oximetry.
Heart rate will be used as a physiological indicator of stress response.
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Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery
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Peripheral Oxygen Saturation During Periodontal Frenectomy
Periodo de tiempo: Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery
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Peripheral oxygen saturation will be measured as percentage using pulse oximetry.
Peripheral oxygen saturation will be used as a physiological indicator of stress response.
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Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Postoperative Pain Intensity Assessed by Visual Analog Scale
Periodo de tiempo: Postoperative days 1 to 7
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Postoperative pain intensity will be assessed daily using a 0 to 10 visual analog scale (VAS), where 0 indicates no pain and 10 indicates the worst pain imaginable.
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Postoperative days 1 to 7
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
Otros números de identificación del estudio
- 2026-18
- GAP-2026-750 (Otro identificador: Bilecik Şeyh Edebali University Scientific Research Projects Coordination Unit)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
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