Dr. Pema Tshering Lepcha, Dr Abhay Agarwal, Dr Neeraj Kant Panwar, Dr Neeraj Solanki, Dr Himanshu Tomar, Dr Shakir Hussain Rather
Abstract: Aim: The aim of this study was to evaluate the effectiveness of VR Box as distraction techniques in the management of anxious pediatric patients during dental treatment. Study design: A randomized clinical trial carried out on 30 children aged between 5 and 12 years to investigate the effect of VR Box in reducing the dental anxiety of children in three dental visit. Methodology: 30 children were randomly divided into two groups; Group A (Control group): dental treatment carried out with basic behavior guidance techniques and without using any type of distraction aids. Group B: dental treatment carried out with using VR Box and wire headphone. The participants were selected from children attending the department of Pedodontic and Preventive Dentistry, Kalka Dental College And Hospital, Meerut. All of the children who experienced an dental treatment in 3 visit with/without distraction were assessed by using a combination of measures: VPT, VARS, Pulse rate and BP. Results: In Intragroup comparison visit wise, the Sbp, Dbp, PR, VPT and VAS found to be statistical significant (p=0.001). In inter group comparison between Control and AV group there was a statistical significant difference during 1st visit with a significant value of p = 0.001 for Sbp, Dbp, and VAS where as p=0.018 for VPT and for PR P= 0.046. At second visit of intergroup comparison between Control, AV group there is statistical significant with p = 0.001 for Sbp, Dbp VAS and VPT except for PR = 0.032. At third visit of inter group comparison between Control and AV group there is statistical significant different with p= 0.001 for Sbp, Dbp, PR, VAS and VPT. Conclusions: Audio-visual with VR Box distraction technique is an effective means for the management of anxious pediatric patients.
Keywords: Distraction, Behavior management, Children's dental anxiety