Virtual reality in specialized dentistry: employing virtual reality for the alleviation of pain and anxiety in hereditary angioedema patients.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Minerva dental and oral science Pub Date : 2024-10-29 DOI:10.23736/S2724-6329.24.04961-1
Alessio Rosa, Riccardo DE Angelis, Alberto M Pujia, Pierluigi Cardelli, Claudio Arcuri
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Abstract

Background: Following an episode of hereditary angioedema (HAE), dental anxiety commonly arises, and many patients find it challenging to access proper care. While the use of virtual reality (VR) for pain and anxiety management in dentistry is on the rise, its application in individuals with angioedema remains largely unexplored. In a case series conducted at a specialized dental clinic, three patients with a history of acute angioedema attacks and dental anxiety engaged with 360° VR videos while seated in the dental chair, utilizing a virtual reality device.

Methods: Three patients with hereditary angioedema were treated by subjecting them to virtual immersion using VR glasses. Intraoperative reactions were analyzed using VAS scales in order to report the patients' level of anxiety and pain.

Results: The outcomes, evaluated through a standard observation tool, surveys, and interviews, encompass the assessment of patient anxiety and pain, responses to VR, and the evaluation of system usability along with its impact on the dental team's workflow Three individuals underwent examination, from which three reliable questionnaires were obtained, demonstrating a success rate of 99.9%. The group included one male and two females, with their ages spanning from 6 to 58 years. The findings revealed an average anxiety score of 1.80 with a standard deviation of 0.6 points, and an average pain score of 1.98 with a standard deviation of 0.3, thus validating full immersion in distraction. Statistical analysis using independent-sample t-tests and ANOVA indicated no significant differences in anxiety levels among the patients based on gender. Both patients wore the VR device throughout the procedure, expressing that it was comfortable, diverting, and held the potential to alleviate anxiety and pain. The dentist noted a positive influence on patient anxiety levels and procedure completion times, expressing an intention to continue employing VR with other angioedema patients and across diverse clinical populations.

Conclusions: Virtual reality can be an excellent distraction tool in patients with hereditary angioedema who present at least one acute attack per year.

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专业牙科中的虚拟现实技术:利用虚拟现实技术减轻遗传性血管性水肿患者的疼痛和焦虑。
背景:遗传性血管性水肿(HAE)发作后,通常会产生牙科焦虑症,许多患者发现获得适当的护理具有挑战性。虽然虚拟现实(VR)在牙科疼痛和焦虑管理方面的应用呈上升趋势,但其在血管性水肿患者中的应用在很大程度上仍未得到探索。在一家专业牙科诊所进行的系列病例研究中,三名有急性血管性水肿发作史和牙科焦虑症的患者坐在牙科椅上,利用虚拟现实设备观看 360° VR 视频:三名遗传性血管性水肿患者通过使用 VR 眼镜进行虚拟沉浸式治疗。使用 VAS 量表对术中反应进行分析,以报告患者的焦虑和疼痛程度:通过标准观察工具、调查和访谈对结果进行了评估,包括对患者焦虑和疼痛程度的评估、对 VR 的反应、系统可用性的评估及其对牙科团队工作流程的影响 三人接受了检查,从中获得了三份可靠的问卷,成功率高达 99.9%。其中包括一名男性和两名女性,年龄从 6 岁到 58 岁不等。结果显示,焦虑平均分为 1.80 分,标准差为 0.6 分;疼痛平均分为 1.98 分,标准差为 0.3 分。使用独立样本 t 检验和方差分析进行的统计分析显示,患者的焦虑水平没有明显的性别差异。两名患者在整个治疗过程中都佩戴了 VR 设备,并表示该设备舒适、转移注意力,并有可能减轻焦虑和疼痛。牙医注意到虚拟现实技术对患者的焦虑水平和手术完成时间产生了积极影响,并表示将继续为其他血管性水肿患者和不同的临床人群使用虚拟现实技术:对于每年至少急性发作一次的遗传性血管性水肿患者来说,虚拟现实技术是一种很好的分散注意力的工具。
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来源期刊
Minerva dental and oral science
Minerva dental and oral science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.50
自引率
5.00%
发文量
61
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