None listed
Conditions
Brief summary
Children anxiety during induction of anesthesia may lead to multiple complications that might interrupt treatment session. Furthermore, anxiety is also related with postoperative maladaptive behavior changes. stress situation that is associated with operative anxiety will increase cortisol levels in blood which might increase the risk of infection and delay healing postoperatively. In this context, the use of pharmacological and non-pharmacological methods has been reported to be effective in reducing anxiety during preoperative period. However, the anxiolytic methods are heading in the favor of the non-pharmacological interventions instead of the pharmacological ones due to their superior or equal effect. Distraction, one of the non-pharmacological methods, has been researched in a diversity of medical and dental procedures as an easy intervention to achieve, economical, and simple approach that reduce anxiety and upsetting behavior in children patients. Thus, the aim of this study was to evaluate the effectiveness of VR eyeglasses compared to anaglyph 3D glasses on children behavior and compliance during intra-oral anesthesia,
Interventions
66 Eligible Children aged 4-9 years will be randomly enrolled into three groups: Group A: Using virtual reality (VR) eyeglasses as a distraction aid Group B: Using anaglyph 3D glasses as a distraction aid Group C: Control group (No distraction aid will be provided) Children will be informed of the group assignment after randomization to minimize patient expectations and/or disappointment. Children and parents will remain in private unit before being transferred into the dental clinic. Parents will be given a written and verbal description of what to expect when they enter the clinic. All Cartoons will be rated ‘E’ for ‘everyone’ and will be self-selected by children from a variety of 10 Cartoon shows. Parents and patient will be escorted into the clinic where standard pre-anesthesia procedures will be carried out prior to inferior alveolar nerve block (IANB) in all three groups. Then, Pulse-oximeter will be placed on children's index before the induction of dental anesthesia and the reading will be recorded. Before the administration of anesthesia, children in group A and group B will be given VR eyeglasses and anaglyph 3D glasses to wear respectively while children in group C will act as a control group. After that, 1.7ml of 2% lidocaine with epinephrine 1:100000 will be administered as an inferior alveolar nerve block by pediatric dentistry residents. During anesthesia period, readings of the pulse oximeter will be recorded. Houpt and FLACC scale will be scored by an external investigator. Children who received IANB will be asked to evaluate their experience using Wong-Baker faces pain scale. The maximum possible duration of the intervention will be at least 5 minutes up to 15 minutes. A research investigator will monitor VR eyeglasses and anaglyph glasses adherence until the cartoon show is over then both devices will be taken off.
Sponsors
Study design
Eligibility
Inclusion criteria
1) children requiring Inferior alveolar nerve (IAN) Block 2) aged between 4-9 years 3) American Society of Anesthesiologists (ASA) physical status I
Exclusion criteria
Children with developmental disabilities or chronic illnesses, those on psychoactive medications or children having repeated surgery.