The effect of virtual reality for anxiety and pain in dentistry: A systematic review and meta-analysis.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2024-11-11 DOI:10.1922/CDH_00160Nezhad08

H M Nezhad, A Ashourioun, A Sadeghdaghighi

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引用次数: 0

Abstract

Objectives: This study aimed to assess the impact of virtual reality (VR) on reducing anxiety and pain in dental patients across all age groups and dental procedures.

Methods: Systematic review with comprehensive search of PubMed and Cochrane Library databases for randomized controlled trials (RCTs) comparing VR interventions with non-VR methods in dental settings up to April 2024. The selection followed the PRISMA-P guidelines. Inclusion criteria were based on the PICOS framework, focusing on studies involving dental patients of any age, utilizing VR during dental treatments, and reporting outcomes on anxiety and pain. Data extraction and quality appraisal were performed independently by two reviewers using the ROB-2 tool and GRADE methodology. Meta-analyses used a random-effects model.

Results: Twenty-seven studies met the inclusion criteria, encompassing several dental treatments. In meta-analysis VR reduced anxiety in children (SMD -1.44, 95% CI -2.24 to -0.63) but not adults (SMD -0.35, 95% CI -1.11 to 0.4). For pain reduction, VR was effective in both children (SMD -1.11, 95% CI -1.65 to -0.57) and adults (SMD -0.59, 95% CI -1.187 to -0.001). Heterogeneity was high across studies, and evidence quality ranged from low to moderate.

Conclusions: VR is a promising intervention for reducing anxiety and pain in children during dental procedures. Its effectiveness in adults is limited to pain reduction. High heterogeneity and risk of bias suggest that findings should be interpreted with caution. Further research is needed to standardize VR content and explore its varying impacts across different age groups and dental procedures.

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虚拟现实对牙科焦虑和疼痛的影响：系统回顾与荟萃分析。

研究目的本研究旨在评估虚拟现实（VR）对减轻各年龄段牙科患者的焦虑和疼痛以及牙科手术的影响：系统综述：在 PubMed 和 Cochrane Library 数据库中全面检索截至 2024 年 4 月的随机对照试验 (RCT)，比较牙科环境中的 VR 干预与非 VR 方法。筛选遵循 PRISMA-P 指南。纳入标准以 PICOS 框架为基础，重点关注涉及任何年龄段牙科患者、在牙科治疗过程中使用 VR 以及报告焦虑和疼痛结果的研究。数据提取和质量评估由两名审稿人使用 ROB-2 工具和 GRADE 方法独立完成。元分析采用随机效应模型：结果：27 项研究符合纳入标准，包括多种牙科治疗方法。在荟萃分析中，VR能减轻儿童的焦虑（SMD-1.44，95% CI -2.24至-0.63），但不能减轻成人的焦虑（SMD-0.35，95% CI-1.11至0.4）。在减轻疼痛方面，VR 对儿童（SMD -1.11，95% CI -1.65 至 -0.57）和成人（SMD -0.59，95% CI -1.187 至 -0.001）均有效。各项研究的异质性很高，证据质量从低到中等不等：VR是一种很有前景的干预措施，可减轻儿童在牙科治疗过程中的焦虑和疼痛。结论：VR 是一种很有前途的干预措施，可以减轻儿童在牙科手术过程中的焦虑和疼痛，但对成人的效果仅限于减轻疼痛。高度异质性和偏倚风险表明，应谨慎解释研究结果。还需要进一步的研究来规范 VR 内容，并探索其对不同年龄组和牙科手术的不同影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.