Evidence map›Paper›PMID 31962052›Full record

Trial reportJDR clinical and translational research2020

Virtual Reality Relaxation to Decrease Dental Anxiety: Immediate Effect Randomized Clinical Trial.

S Lahti, A Suominen, R Freeman, T Lähteenoja, G Humphris

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JDR clinical and translational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03993080 nacompletednot on this map

Virtual Reality Relaxation to Decrease Dental Anxiety in Primary Dental Care

TypeinterventionalSponsorUniversity of TurkuRan2018 to 2019Enrolled277ConditionsDental AnxietyArmsVirtual reality relaxation
NCT05585905 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Virtual Reality on the Behavior of Pediatric Dental Patients During Dental Sealant Application.

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2023 to 2024Enrolled20ConditionsBehavior, Child, Anxiety, DentalArmsVirtual Reality, Basic Behavior Guidance Techniques
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

S LahtiDepartment of Community Dentistry, University of Turku, Turku, Finland.ORCID 0000-0003-3457-4611
A SuominenDepartment of Community Dentistry, University of Turku, Turku, Finland.
R FreemanDental Health Services Research Unit, School of Dentistry, University of Dundee, Dundee, UK.
T LähteenojaDepartment of Community Dentistry, University of Turku, Turku, Finland.
G HumphrisDivision of Populations and Behavioural Science, School of Medicine, University of St Andrews, St Andrews, UK.
University of Turku · FIUniversity of Dundee · GBUniversity of St Andrews · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDental anxiety is common and causes symptomatic use of oral health services.

objectivesThe aim was to study if a short-term virtual reality intervention reduced preoperative dental anxiety.

methodsA randomized controlled single-center trial was conducted with 2 parallel arms in a public oral health care unit: virtual reality relaxation (VRR) and treatment as usual (TAU). The VRR group received a 1- to 3.5-min 360° immersion video of a peaceful virtual landscape with audio features and sound supporting the experience. TAU groups remained seated for 3 min. Of the powered sample of 280 participants, 255 consented and had complete data. Total and secondary sex-specific mixed effects linear regression models were completed for posttest dental anxiety (Modified Dental Anxiety Scale [MDAS] total score) and its 2 factors (anticipatory and treatment-related dental anxiety) adjusted for baseline (pretest) MDAS total and factor scores and age, taking into account the effect of blocking.

resultsTotal and anticipatory dental anxiety decreased more in the VRR group than the TAU group (β = -0.75, P < .001, for MDAS total score; β = -0.43, P < .001, for anticipatory anxiety score) in patients of a primary dental care clinic. In women, dental anxiety decreased more in VRR than TAU for total MDAS score (β = -1.08, P < .001) and treatment-related dental anxiety (β = -0.597, P = .011). Anticipatory dental anxiety decreased more in VRR than TAU in both men (β = -0.217, P < .026) and women (β = -0.498, P < .001).

conclusionShort application of VRR is both feasible and effective to reduce preoperative dental anxiety in public dental care settings (ClinicalTrials.gov NCT03993080). KNOWLEDGE TRANSFER STATEMENT: Dental anxiety, which is a common problem, can be reduced with short application of virtual reality relaxation applied preoperatively in the waiting room. Findings of this study indicate that it is a feasible and effective procedure to help patients with dental anxiety in normal public dental care settings.

Indexed as

Virtual RealityDental AnxietyFemaleHumansMaleRelaxationclinical studies/trialsdental caredental fearpublic sectorrelaxation technicsvirtual reality immersion

Identifiers

PMID31962052
PMCPMC7495687
OpenAlexW3000869872

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.