Dental Anxiety, Oral Surgery, Third Molar Extraction
Conditions
Brief summary
Dental anxiety is common during third molar extractions and may exacerbate pain perception. Local anesthesia does not prevent exposure to stress-inducing stimuli. Virtual reality (VR) combined with hypnotic scripts (HypnoVR®) provides immersive multisensory distraction. This study tests whether VR reduces perioperative anxiety and postoperative pain compared to local anesthesia alone.
Interventions
DEVICEVirtual reality HypnoVR® (VR headset + hypnotic software)
CE-marked class I device combining VR immersion with hypnotic text and music therapy to reduce anxiety and pain during oral surgery.
OTHERControl Group (No VR)
local anesthesia alone (no VR)
Sponsors
University Hospital, Strasbourg, France
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-65 * Indication for extraction of 4 wisdom teeth or ≥2 mandibular wisdom teeth * ASA I-II * Written informed consent.
Exclusion criteria
* Visual/hearing impairment * Psychiatric disorders or psychotropics (\<8 weeks) * Claustrophobia * Heavy smoking \>10 cig/day * Previous radiotherapy (jaw) * ASA III-IV * Pregnancy * Antithrombotic therapy * Chemotherapy * Bisphosphonates * Uncontrolled diabetes * Severe anxiety requiring GA or pharmacological sedation * No health insurance affiliation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety reduction (MDAS questionnaire) | Day 1 | 5-item validated scale, score range 5-25 |
Countries
France
Outcome results
None listed