Virtual reality among dental patients – cross-sectional, questionnaire, pilot study
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Department of Dental Propedeutics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
Center of Online Education and Educational Effects Analysis, Medical University of Silesia, Katowice, Poland
Corresponding author
Anna Ledwoń   

Zakład Propedeutyki Stomatologii, Wydział Nauk Medycznych w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach, Pl. Akademicki 17, 41-902 Bytom
Ann. Acad. Med. Siles. 2024;78:41-48
Anxiety preceding dental appointment is a common problem among both children and adult patients. It is frequently the reason of avoiding visits what often results in poor oral health and deterioration of general well-being. There is a number of methods regarding patients’ relaxation as well prior the appointment as amid one, virtual reality among them.

Material and methods:
The study was carried out among 100 adult dental patients while they waited for their appointment in the waiting room. Interviewees completed the multiple-choice, uncompelled questionnaire containing four questions.

The results show that the most frequently chosen answer was projection of landscapes (40%) or an interactive journey like beach walk or mountain trekking (35%). No differences were observed between men and woman, in both groups projection of landscapes was the most common answer. The vast majority of interviewees (87%) was willing to try virtual reality during dental treatment while the remaining 13% did not want to experience virtual reality at all.

Most of the participants were eager to try virtual reality amid dental appointment and they rather chose calm and relaxing contend instead of interactive quizzes or games. It is promising that dental patients are willing to be ready to try out innovative technologies in the fight against dental anxiety.

This research received no external funding.
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Saatchi M., Abtahi M., Mohammadi G., Mirdamadi M., Binandeh E.S. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent. Res. J. 2015; 12(3): 248–253.
Stein Duker L.I., Grager M., Giffin W., Hikita N., Polido J.C. The relationship between dental fear and anxiety, general anxiety/fear, sensory over-responsivity, and oral health behaviors and outcomes: a conceptual model. Int. J. Environ. Res. Public Health 2022; 19(4): 2380, doi: 10.3390/ijerph19042380.
Jeddy N., Nithya S., Radhika T., Jeddy N. Dental anxiety and influencing factors: A cross-sectional questionnaire-based survey. Indian J. Dent. Res. 2018; 29(1): 10–15, doi: 10.4103/ijdr.IJDR_33_17.
Sohn W., Ismail A.I. Regular dental visits and dental anxiety in an adult dentate population. J. Am. Dent. Assoc. 2005; 136(1): 58–66, doi: 10.14219/jada.archive.2005.0027.
Nomura R., Matayoshi S., Otsugu M., Kitamura T., Teramoto N., Nakano K. Contribution of severe dental caries induced by Streptococcus mutans to the pathogenicity of infective endocarditis. Infect. Immun. 2020; 88(7): e00897-19, doi: 10.1128/IAI.00897-19.
Lemos J.A., Palmer S.R., Zeng L., Wen Z.T., Kajfasz J.K., Freires I.A. et al. The biology of Streptococcus mutans. Microbiol. Spectr. 2019; 7(1), doi: 10.1128/microbiolspec.GPP3-0051-2018.
Arweiler N.B., Netuschil L. The oral microbiota. In: Microbiota of the human body: implications in health and disease. A. Schwiertz [ed.]. Springer 2016, p. 45–60, doi: 10.1007/978-3-319-31248-4_4.
Grigalauskienė R., Slabšinskienė E., Vasiliauskienė I. Biological approach of dental caries management. Stomatologija 2015; 17(4): 107–112.
Gennaro P., Chisci G., Aboh I.V., Gabriele G., Cascino F., Iannetti G. Comparative study in orthognathic surgery between Dolphin Imaging software and manual prediction. J. Craniofac. Surg. 2014; 25(4): 1577–1578, doi: 10.1097/SCS.0000000000000820.
Klein S.A., Winkelstein M.L. Enhancing pediatric health care with music. J. Pediatr. Health Care 1996; 10(2): 74–81, doi: 10.1016/S0891-5245(96)90030-9.
Mejía-Rubalcava C., Alanís-Tavira J., Mendieta-Zerón H., Sánchez-Pérez L. Changes induced by music therapy to physiologic parameters in patients with dental anxiety. Complement. Ther. Clin. Pract. 2015; 21(4): 282–286, doi: 10.1016/j.ctcp.2015.10.005.
Packyanathan J.S., Lakshmanan R., Jayashri P. Effect of music therapy on anxiety levels on patient undergoing dental extractions. J. Family Med. Prim. Care 2019; 8(12): 3854–3860, doi: 10.4103/jfmpc.jfmpc_789_19.
Kim Y.K., Kim S.M., Myoung H. Musical intervention reduces patients’ anxiety in surgical extraction of an impacted mandibular third molar. J. Oral Maxillofac. Surg. 2011; 69(4): 1036–1045, doi: 10.1016/j.joms.2010.02.045.
Ram D., Shapira J., Holan G., Magora F., Cohen S., Davidovich E. Audiovisual video eyeglass distraction during dental treatment in children. Quintessence Int. 2010; 41(8): 673–679.
Gujjar K.R., van Wijk A., Kumar R., de Jongh A. Efficacy of virtual reality exposure therapy for the treatment of dental phobia in adults: A randomized controlled trial. J. Anxiety Disord. 2019; 62: 100–108, doi: 10.1016/j.janxdis.2018.12.001.
Aminabadi N.A., Erfanparast L., Sohrabi A., Ghertasi Oskouei S., Naghili A. The impact of virtual reality distraction on pain and anxiety during dental treatment in 4–6 year-old children: a randomized controlled clinical trial. J. Dent. Res. Dent. Clin. Dent. Prospects 2012; 6(4): 117–124, doi: 10.5681/joddd.2012.025.
Freina L., Ott M. A literature review on immersive virtual reality in education: state of the art and perspectives. In: Proceedings of eLearning and Software for Education (eLSE) 2015, p. 8.
Kamińska D., Zwoliński G. Wykorzystanie wirtualnej rzeczywistości w medycynie i służbie zdrowia. Collegium of Economic Analysis Annals 2019; 56: 275–289.
Frey D.P., Bauer M.E., Bell C.L., Low L.K., Hassett A.L., Cassidy R.B. et al. Virtual reality analgesia in labor: the VRAIL pilot study – a preliminary randomized controlled trial suggesting benefit of immersive virtual reality analgesia in unmedicated laboring women. Anesth. Analg. 2019; 128(6): e93–e96, doi: 10.1213/ANE.0000000000003649.
Hoffman H.G., Patterson D.R., Carrougher G.J. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. Clin. J. Pain 2000; 16(3): 244–250, doi: 10.1097/00002508-200009000-00010.
Johnson S., Coxon M. Sound can enhance the analgesic effect of virtual reality. R. Soc. Open Sci. 2016; 3(3): 150567, doi: 10.1098/rsos.150567.
Schneider S.M., Hood L.E. Virtual reality: a distraction intervention for chemotherapy. Oncol. Nurs. Forum 2007; 34(1): 39–46, doi: 10.1188/07.ONF.39-46.
Sharar S.R., Alamdari A., Hoffer C., Hoffman H.G., Jensen M.P., Patterson D.R. Circumplex model of affect: a measure of pleasure and arousal during virtual reality distraction analgesia. Games Health J. 2016; 5(3): 197–202, doi: 10.1089/g4h.2015.0046.
Riboli E., Hunt K.J., Slimani N., Ferrari P., Norat T., Fahey M. et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr. 2002; 5(6B): 1113–1124, doi: 10.1079/PHN2002394.
Gami M., Howe A. Experience adds up! Questionnaire study: attitudes of medical students towards a career in general practice. Educ. Prim. Care 2020; 31(2): 89–97, doi: 10.1080/14739879.2020.1713026.
Choi M., Lee M., Lee M.J., Jung D. Physical activity, quality of life and successful ageing among community-dwelling older adults. Int. Nurs. Rev. 2017; 64(3): 396–404, doi: 10.1111/inr.12397.
Schuller A.A., Willumsen T., Holst D. Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent. Oral Epidemiol. 2003; 31(2): 116–121, doi: 10.1034/j.1600-0528.2003.00026.x.
Walsh R. Lifestyle and mental health. Am. Psychol. 2011; 66(7): 579–592, doi: 10.1037/a0021769.
Atzori B., Grotto R.L., Giugni A., Calabrò M., Alhalabi W., Hoffman H.G. Virtual reality analgesia for pediatric dental patients. Front. Psychol. 2018; 9: 2265, doi: 10.3389/fpsyg.2018.02265.
Nuvvula S., Alahari S., Kamatham R., Challa R.R. Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial. Eur. Arch. Paediatr. Dent. 2015; 16(1): 43–50, doi: 10.1007/s40368-014-0145-9.
Felemban O.M., Alshamrani R.M., Aljeddawi D.H., Bagher S.M. Effect of virtual reality distraction on pain and anxiety during infiltration anesthesia in pediatric patients: a randomized clinical trial. BMC Oral Health 2021; 21(1): 321, doi: 10.1186/s12903-021-01678-x.
Koticha P., Katge F., Shetty S., Patil D.P. Effectiveness of virtual reality eyeglasses as a distraction aid to reduce anxiety among 6–10-year-old children undergoing dental extraction procedure. Int. J. Clin. Pediatr. Dent. 2019; 12(4): 297–302, doi: 10.5005/jp-journals-10005-1640.
Rao D.G., Havale R., Nagaraj M., Karobari N.M., Latha A.M., Tharay N. et al. Assessment of efficacy of virtual reality distraction in reducing pain perception and anxiety in children aged 6–10 years: a behavioral interventional study. Int. J. Clin. Pediatr. Dent. 2019; 12(6): 510–513, doi: 10.5005/jp-journals-10005-1694.
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