Effectiveness of virtual reality glasses versus white noise on dental anxiety in children with attention-deficit hyperactivity disorder: A randomised controlled clinical trial.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-09-08 DOI:10.1111/ipd.13264
Nahla A Aly, Amina M Abdelrahman, Tarek E I Omar, Karin Ml Dowidar
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Abstract

Background: Management of children with attention-deficit hyperactivity disorder (ADHD) can be challenging due to their disruptive behaviour. Basic behaviour management techniques (BMTs) may not be sufficient, and adjunctive strategies such as virtual reality (VR) glasses or white noise can be employed.

Aim: To assess and compare the effectiveness of VR, white noise and basic BMTs on dental anxiety and behaviour of children with ADHD.

Design: Forty-eight children with ADHD were recruited for this parallel, three-armed randomised controlled clinical trial, which involved three visits at one-week intervals, including examination, preventive measures and restorations. Children were randomly divided into three groups: VR, white noise and basic BMTs. Outcome measures were Faces Image Scale (FIS), Heart Rate (HR) and Venham's Behaviour Rating Scale (VBRS).

Results: No significant difference was found between the groups in FIS scores. White noise group had a significantly lower mean HR than control group in all visits. Scores of VBRS in VR and white noise groups were significantly lower than those in the control group during the restorative visit.

Conclusions: VR and white noise could be beneficial in managing dental anxiety and improving behaviour in children with ADHD and could be used as adjunctive strategies to basic BMTs.

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虚拟现实眼镜与白噪声对注意力缺陷多动障碍儿童牙科焦虑症的疗效对比:随机对照临床试验
背景:由于注意力缺陷多动障碍(ADHD)儿童的破坏性行为,对他们的管理具有挑战性。目的:评估并比较虚拟现实、白噪音和基本行为管理技术对多动症儿童牙科焦虑和行为的影响:这项平行、三军随机对照临床试验招募了 48 名患有多动症的儿童,每隔一周进行三次就诊,包括检查、预防措施和修复。儿童被随机分为三组:VR组、白噪声组和基本BMT组。结果测量指标为面孔形象量表(FIS)、心率(HR)和文翰行为量表(VBRS):结果:各组之间的 FIS 分数无明显差异。白噪声组的平均心率明显低于对照组。在恢复性就诊期间,VR 组和白噪声组的 VBRS 评分明显低于对照组:VR和白噪音有助于控制多动症儿童的牙科焦虑并改善其行为,可作为基本BMT的辅助策略。
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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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