Evidence map›Paper›PMID 40750865›Full record

Trial reportBMC pediatrics2025

Comparative efficacy of virtual reality headset and auditory distraction for reducing anxiety and pain during inferior alveolar nerve block in 7-10-year-old children: a clinical trial.

Zahra Bahrololoomi, Kazem Vaez, Amene Hosseini Yekani, Maryam Irannezhad, Zahra Parvizi

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Zahra BahrololoomiDepartment of Pediatric Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Kazem VaezDepartment of Pediatric Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. vaez.kazem@yahoo.com.
Amene Hosseini YekaniDepartment of Community-Based Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Maryam IrannezhadDepartment of Pediatric Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Zahra ParviziDepartment of Pediatric Dentistry, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPain and anxiety are not limited to a certain age group; however, their thresholds are closely correlated with age, and they can cause irreversible mental disorders in children. This study compared the efficacy of a virtual reality (VR) headset and auditory distraction for reducing anxiety and pain in 7- to 10-year-old children during inferior alveolar nerve block (IANB) injection. MATERIALS AND

methodsThis randomized clinical trial included 45 patients who required an IANB. The children were randomly assigned to 3 groups (n = 15) to use a VR headset, headphones, or no distraction (control) during the IANB. The pain experienced by the children during the injection was quantified subjectively using the Wong-Baker FACES pain rating scale (WBFPS) and objectively using the Face Leg Activity Cry Consolability (FLACC) scale. Anxiety was quantified subjectively using the Facial Image Scale (FIS) and objectively by measuring changes in heart rate (HR) and blood pressure (BP). The data were analyzed using SPSS 19 (alpha = 0.05).

resultsThe mean age of the patients was 8.31 ± 1.07 years. There were no significant differences in age or sex distribution among the three groups (P > 0.05). Significant differences were found in the FLACC (P = 0.000), WBFPS (P = 0.011), and FIS (P = 0.020) scores after the injection among the three groups; the headphone group had the highest scores, and the VR group had the lowest scores. The mean change in systolic BP was significantly different among the three groups (P = 0.00), and the VR headset group experienced the smallest increase in BP. The differences in diastolic BP (P = 0.291) and HR changes were not significant among the groups (P = 0.062).

conclusionUsing a VR headset significantly decreased anxiety and pain during the IANB, while using headphones had no particular advantage. TRAIL REGISTRATION: This trial has been approved by the ethics committee of the university (IR.SSU.DENTISTRY.REC.1401.072) and then prospectively registered on The Iranian Registry of Clinical Trials (IRCT20230614058486N1) on 24 June 2023.

Indexed as

Acoustic StimulationAnxietyMandibular NerveNerve BlockPainPain ManagementVirtual RealityChildFemaleHeart RateHumansMalePain MeasurementChildrenDental anxietyDistractionPainVirtual reality

Identifiers

PMID40750865
PMCPMC12315401

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Registered trials

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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.