EFFECTIVENESS OF VIRTUAL REALITY GLASSES VERSUS WHITE NOISE ON DENTAL ANXIETY IN CHILDREN WITH ATTENTION DEFICIT/ HYPERACTIVITY DISORDER(A RANDOMIZED CONTROLLED CLINICAL TRIAL)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dental Anxiety
- Sponsor
- Alexandria University
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Pulse rate
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The present study aims to assess and compare the effectiveness of distraction technique using virtual reality glasses and white noise with basic behavior guidance techniques on dental anxiety in children with Attention Deficit/ Hyperactivity Disorder.
Investigators
Nahla Aly
clinical instructor at pediatric dentistry department
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •Children diagnosed with ADHD according to the DSM-V criteria and diagnosis confirmed by a pediatric neurologist.
- •All children should be on stimulant medication.
- •No previous dental experience.
- •Written consent of the legal guardian.
Exclusion Criteria
- •Children with physical disabilities or other psychiatric disorders.
- •Children with visual or hearing disabilities.
- •Patients requiring emergency treatment
Outcomes
Primary Outcomes
Pulse rate
Time Frame: up to one week
The pulse rate will be measured using a pulse oximeter. Normal range is considered from 70-110.
Level of cooperation
Time Frame: up to one week
Venham's Behavior rating scale (VBRS) will be used to evaluate the overall child's behavior. The changes will be recorded to assess the change in the child's cooperation during the procedure. Venham's Behavior rating scale classifies the child's behavior into 6 categories with scores ranging from 0 to 5. A score of 0 means total cooperation and a score of 5 refers to complete absence of compliance and cooperation and the requirement of physical restraint. The operator will assign a score to each child based on the child's behavior by analysis of the recorded videotape.
Dental anxiety assessment
Time Frame: up to one week
This will be assessed using Facial Image Scale (FIS). The FIS comprises one item with a response set of five faces (ranging from a very sad to a very smiley face). Children will be asked to indicate which of the faces they feel most like at that moment, it is a 'state' measure of anxiety that provides an immediate reflection of how the child is feeling.