- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus 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).
Tutkimuksen yleiskatsaus
Tila
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Dr.Zamzam AlQulhati Ali AlQulhati, BDS, MFD ( RSCI)
- Puhelinnumero: +96895573313
- Sähköposti: zalqulhati@gmail.com
Tutki yhteystietojen varmuuskopiointi
- Nimi: Azza AlShidhani Khalid AlShidhani, DclinDent (Ed), MPaeds (RCSEd)
- Puhelinnumero: +96895692669
- Sähköposti: azzak@squ.edu.om
Opiskelupaikat
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Muscat, Oman
- Sultan Qaboos University Hospital - Dental & Maxillofacial Department
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Ottaa yhteyttä:
- Azza Khalid AlShidhani, DclinDent (Ed), MPaeds (RCSEd)
- Puhelinnumero: +96895692669
- Sähköposti: Azzak@squ.edu.om
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Ottaa yhteyttä:
- Mohammed AlAzki, DSA
- Puhelinnumero: +968-97674606
- Sähköposti: m.alazki@squ.edu.om
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Alatutkija:
- Mohammed AlAzki, Diploma in Dental Surgery Assi
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Muscat, Oman
- The Medical City of Military and Security Service (Dental Center-AlKhoudh )
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Ottaa yhteyttä:
- Dr.Khalifa AlAzri, DclinDent (Ed), MPaeds (RCSEd)
- Puhelinnumero: +968-98199877
- Sähköposti: Khalifaazri_omsb@outlook.com
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Ottaa yhteyttä:
- Majid AlFori, DSA
- Puhelinnumero: 00968-99668984
- Sähköposti: Superhero-9w8@gmail.com
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Alatutkija:
- Majid AlFori, Diploma in Dental Surgery Assi
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Lapsi
Hyväksyy terveitä vapaaehtoisia
Kuvaus
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
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Tukevaa hoitoa
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: 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.
|
|
Active Comparator: 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.
|
Children watch 2D cartoons with headset during dental extraction.
This behavioral technique provides distraction to reduce dental anxiety and pain perception.
|
|
Active Comparator: 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.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Child Dental Anxiety (Self-Report)
Aikaikkuna: Time Points: Baseline (before starting the procedure) and post-operative assessments ( after finishing the extraction)
|
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.
|
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)
Aikaikkuna: 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
Aikaikkuna: 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)
Aikaikkuna: 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).
|
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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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Pain Perception (Self-Report)
Aikaikkuna: 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)
Aikaikkuna: 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
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Dr. Azza Khalid AlSHidhani, DclinDent (Ed), MPaeds (RCSEd), Pediatric dental clinic , Dental and maxillofacial department (SQUH), University Medical City,
- Opintojohtaja: Dr. Khalifa Mohammed AlAzri, DclinDent (Ed), MPaeds (RCSEd), Pediatric dental clinic, Dental Center (Alkhoudh), The Medical City of Military and Security Services
- Päätutkija: Dr. Zamzam Ali Alqulhati, BDS, MFD(RCSI), Oman Medical Specialty Boaered
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- 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.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muut tutkimustunnusnumerot
- PED-VR-2026-A
- OMSBoard-2026 (Muu apuraha/rahoitusnumero: Oman Medical Specialty Board)
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