A Comparative Study of Distraction Techniques to Reduce Pain and Anxiety in Children During Dental Treatment

Comparative Evaluation of Effect of Distraction Techniques using Virtual Reality, Binaural Beats and Cartoon Assisted Visual/Audio Analgesia Methods on Pain Perception and Anxiety Levels in 6 10-year-old Children - NIL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/02/103273

Enrollment

Registered

2026-02-09

Start date

Unknown

Completion date

Unknown

Last updated

2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K038- Other specified diseases of hard tissues of teeth Health Condition 2: K088- Other specified disorders of teethand supporting structures

Interventions

Intervention1: Virtual reality distraction technique: Group A (VR): Children use a virtual reality headset with immersive video and audio during administration of the inferior alveolar nerve block. In

Eligibility

Inclusion criteria

Inclusion criteria: Children aged 6 10 years, healthy, positive Frankl rating Undergoing routine dental procedures with consent or assent will be included Patient undergoing first dental visit

Exclusion criteria

Exclusion criteria: Medical or developmental conditions which prevent behavior guidance Sensory impairments Prior use of distraction methods Medication affecting anxiety/behavior

Design outcomes

Primary

Measure	Time frame
Comparison Among Techniques: VR may show the greatest reduction in both pain and anxiety due to its immersive nature. Binaural beats may help with anxiety reduction more than pain. Cartoon-assisted methods may be moderately effective in both dimensions. Improved Child Cooperation: Children exposed to these distraction techniques may demonstrate better behavioral compliance during dental treatment.Timepoint: Objective for assessment of anxiety will be evaluated by pulse oximeter at T0 before treatment, T1 during treatment, and T2 after treatment. Subjective assessment of anxiety will be evaluated by using Modified Yale Anxiety Scale at T0 before treatment and T1 during treatment. Subjective assessment of pain will be evaluated by an observer during the procedure by FLACC Scale and after the procedure by the participants using Wong-Baker FACES scale.	—

Measure

Time frame

Comparison Among Techniques: VR may show the greatest reduction in both pain and anxiety due to its immersive nature. Binaural beats may help with anxiety reduction more than pain. Cartoon-assisted methods may be moderately effective in both dimensions. Improved Child Cooperation: Children exposed to these distraction techniques may demonstrate better behavioral compliance during dental treatment.Timepoint: Objective for assessment of anxiety will be evaluated by pulse oximeter at T0 before treatment, T1 during treatment, and T2 after treatment. Subjective assessment of anxiety will be evaluated by using Modified Yale Anxiety Scale at T0 before treatment and T1 during treatment. Subjective assessment of pain will be evaluated by an observer during the procedure by FLACC Scale and after the procedure by the participants using Wong-Baker FACES scale.

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Secondary

Measure	Time frame
NILTimepoint: NIL	—

Countries

India

Contacts

Public ContactDr Vinaya Kumar Kulkarni

SMBT Dental College and Hospital, Sangamner

vinayakumar53@gmail.com8830483436

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026