牙科焦虑症患者的虚拟现实：范围审查。

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-06-10 DOI:10.1016/j.jdent.2025.105905

Seppe Bleyen , Kelly Mooens , Luka Jancic , Paul Lambrechts , Nastaran Meschi , Mariano S. Pedano

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引用次数: 0

摘要

目的：本综述旨在研究有关使用虚拟现实（VR）在牙科手术前或手术期间减轻疼痛和焦虑的文献。方法：使用PubMed和Embase数据库对2000年至2024年间发表的研究进行综述。符合条件的研究涉及健康患者（ASA I和ASA II），他们患有牙科焦虑症，并使用VR进行牙科手术。结果：共纳入46项研究，涵盖儿科牙科、口腔外科、牙周学和牙髓学。31项研究发现，VR眼镜可以显著减少牙科治疗期间的疼痛和焦虑。虚拟现实对于管理儿童在牙科手术中的行为是有用的。一些研究报告了血压和心率的改善。虽然大多数研究发现焦虑和疼痛显著减少，但少数研究显示无显著变化。VR普遍受到患者的欢迎，只有轻微的不良反应，如恶心或幽闭恐惧症。结论：虚拟现实似乎是治疗牙科焦虑的有效工具，但在各个牙科领域的研究仍然有限，特别是在成人中。大多数涉及儿童的研究都显示出在减少焦虑、疼痛、时间感知、血压、脉搏率和唾液皮质醇水平方面的积极效果。然而，还需要进一步的研究来充分评价VR在成年患者牙髓治疗中的作用以及VR治疗的有效性。

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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Virtual reality for patients with dental anxiety: A scoping review

Objective

This scoping review aimed to examine the literature regarding the use of virtual reality (VR) to reduce pain and anxiety before or during dental procedures.

Methods

A review of studies published between 2000 and 2024 was conducted, using PubMed and Embase databases. Eligible studies involved healthy patients (ASA I and II) with dental anxiety undergoing dental procedures using VR.

Results

A total of 46 studies were included, covering pediatric dentistry, oral surgery, periodontics and endodontics. 31 studies found that VR glasses significantly reduced pain and anxiety during dental treatment. VR was useful for managing children's behavior during dental procedures. Some studies reported improvements in blood pressure and heart rate. While most studies found a significant reduction in anxiety and pain, a few showed non-significant changes. VR was generally well-received by patients, with mild adverse effects such as nausea or claustrophobia.

Conclusion

VR appears to be an effective tool for managing dental anxiety in various dental fields, but research is still limited, particularly in adults. Most studies involved children, showing positive results in reducing anxiety, pain, time perception, blood pressure, pulse rate, and salivary cortisol levels. However, further research is needed to fully evaluate the role of VR in endodontic treatments and the effectiveness of VR treatment in adult patients.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.