Evidence map›Paper›PMID 40490788›Full record

ArticleTrials2025

Efficacy of virtual reality hypnosis versus conscious sedation with nitrous oxide in the management of dental anxiety in pediatric dentistry: protocol for a prospective randomized controlled trial.

Nhat Minh Do, Marie-Cécile Manière, François Lefebvre, François Clauss

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05167331 (Efficacy of Virtual Reality Hypnosis Versus Nitrous Oxide Inhalation on Children's Anxiety During a Dental Treatment), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05167331 naterminatednot on this map

Efficacy of Virtual Reality Hypnosis Versus Nitrous Oxide Inhalation on Children's Anxiety During a Dental Treatment : a Randomized Clinical Trial

TypeinterventionalSponsorUniversity Hospital, Strasbourg, FranceRan2022 to 2024Enrolled30ConditionsDental AnxietyArmsNitrous Oxide inhalation, Dispositif de RV - HYPNO VR
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

4 authors.

Nhat Minh DoDepartment of Pediatric Dentistry, Université de Strasbourg, Faculté de Chirurgie-Dentaire, Strasbourg, France. NhatMinh.DO@chru-strasbourg.fr.ORCID http://orcid.org/0000-0003-1539-747X
Marie-Cécile ManièreDepartment of Pediatric Dentistry, Université de Strasbourg, Faculté de Chirurgie-Dentaire, Strasbourg, France.
François LefebvreGroupe Méthodes en Recherche Clinique, Hôpitaux Universitaires de Strasbourg, Service de Santé Publique, Strasbourg, France.
François ClaussDepartment of Pediatric Dentistry, Université de Strasbourg, Faculté de Chirurgie-Dentaire, Strasbourg, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental anxiety is defined as a persistent and excessive fear of dental treatment. It often leads to interruptions during procedures and, frequently, avoidance of dental care. For patients over the age of 7, nitrous oxide-oxygen inhaled sedation (NOIS) represents one of the most effective and well-established pharmacological approaches to reducing anxiety and pain during dental treatment. Meanwhile, medical hypnosis offers an interesting non-pharmacological alternative by inducing a hypnotic state, potentially serving as a means of sedation to alleviate anxiety or pain. The advancement of virtual reality (VR) technology makes medical hypnosis more accessible to dental practitioners, yielding promising outcomes. To our knowledge, no clinical trial has evaluated the efficacy of medical hypnosis associated with 3D immersive virtual reality devices for pediatric dental procedures.

methodsThis prospective, controlled, single-blind clinical study including anxious patients aged 7 to 10 years old aims to demonstrate non-inferiority of virtual reality approach. Using a split-mouth design, each patient will attend two separate visits for two comparable conservative dental procedures. At the first procedure, they will randomly be assigned to receive either hypnosis via VR or NOIS. The alternative method will be administered during the second visit. The primary outcome is the sedation success based on the completion of the dental procedure. A score of 3 or higher on the Modified Venham Scale noted more than twice ends the session and qualifies as a sedation failure. The secondary outcomes involve assessing children's tolerance and the temperament influence on sedation success. DISCUSSION: This study will evaluate the efficacy of a novel non-pharmacological sedation for the management of anxious children in a dental setting. The results may help practitioners choose the appropriate anxiolytic therapeutic option, based on different psychometric and temperament parameters.

trial registrationClinicalTrials.gov NCT05167331. Registered on December 22, 2021.

Indexed as

Dental AnxietyDental Care for ChildrenHypnosis, DentalNitrous OxideProcedural SedationVirtual RealityVirtual Reality Exposure TherapyAnesthetics, InhalationChildChild BehaviorEquivalence Trials as TopicFemaleHumansHypnosisMaleProspective StudiesAnesthetics, InhalationNitrous OxideChild behaviorConscious sedationDental anxietyHypnosisNitrous oxideVirtual reality

Identifiers

PMID40490788
PMCPMC12150511

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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.