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Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis

Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of V...

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Autores principales: López-Valverde, Nansi, Muriel Fernández, Jorge, López-Valverde, Antonio, Valero Juan, Luis F., Ramírez, Juan Manuel, Flores Fraile, Javier, Herrero Payo, Julio, Blanco Antona, Leticia A., Macedo de Sousa, Bruno, Bravo, Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231096/
https://www.ncbi.nlm.nih.gov/pubmed/32260538
http://dx.doi.org/10.3390/jcm9041025
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author López-Valverde, Nansi
Muriel Fernández, Jorge
López-Valverde, Antonio
Valero Juan, Luis F.
Ramírez, Juan Manuel
Flores Fraile, Javier
Herrero Payo, Julio
Blanco Antona, Leticia A.
Macedo de Sousa, Bruno
Bravo, Manuel
author_facet López-Valverde, Nansi
Muriel Fernández, Jorge
López-Valverde, Antonio
Valero Juan, Luis F.
Ramírez, Juan Manuel
Flores Fraile, Javier
Herrero Payo, Julio
Blanco Antona, Leticia A.
Macedo de Sousa, Bruno
Bravo, Manuel
author_sort López-Valverde, Nansi
collection PubMed
description Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used, and in standard care situations. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area.
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spelling pubmed-72310962020-05-22 Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis López-Valverde, Nansi Muriel Fernández, Jorge López-Valverde, Antonio Valero Juan, Luis F. Ramírez, Juan Manuel Flores Fraile, Javier Herrero Payo, Julio Blanco Antona, Leticia A. Macedo de Sousa, Bruno Bravo, Manuel J Clin Med Review Background: Dental treatments often cause pain and anxiety in patients. Virtual reality (VR) is a novel procedure that can provide distraction during dental procedures or prepare patients to receive such type of treatments. This meta-analysis is the first to gather evidence on the effectiveness of VR on the reduction of pain (P) and dental anxiety (DA) in patients undergoing dental treatment, regardless of age. Methods: MEDLINE, CENTRAL, PubMed, EMBASE, Wiley Library and Web of Science were searched for scientific articles in November 2019. The keywords used were: “virtual reality”, “distraction systems”, “dental anxiety” and “pain”. Studies where VR was used for children and adults as a measure against anxiety and pain during dental treatments were included. VR was defined as a three-dimensional environment that provides patients with a sense of immersion, transporting them to appealing and interactive settings. Anxiety and pain results were assessed during dental treatments where VR was used, and in standard care situations. Results: 31 studies were identified, of which 14 met the inclusion criteria. Pain levels were evaluated in four studies (n = 4), anxiety levels in three (n = 3) and anxiety and pain together in seven (n = 7). Our meta-analysis was based on ten studies (n = 10). The effect of VR was studied mainly in the pediatric population (for pain SMD = −0.82). In the adult population, only two studies (not significant) were considered. Conclusions: The findings of the meta-analysis show that VR is an effective distraction method to reduce pain and anxiety in patients undergoing a variety of dental treatments; however, further research on VR as a tool to prepare patients for dental treatment is required because of the scarcity of studies in this area. MDPI 2020-04-05 /pmc/articles/PMC7231096/ /pubmed/32260538 http://dx.doi.org/10.3390/jcm9041025 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
López-Valverde, Nansi
Muriel Fernández, Jorge
López-Valverde, Antonio
Valero Juan, Luis F.
Ramírez, Juan Manuel
Flores Fraile, Javier
Herrero Payo, Julio
Blanco Antona, Leticia A.
Macedo de Sousa, Bruno
Bravo, Manuel
Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title_full Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title_fullStr Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title_full_unstemmed Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title_short Use of Virtual Reality for the Management of Anxiety and Pain in Dental Treatments: Systematic Review and Meta-Analysis
title_sort use of virtual reality for the management of anxiety and pain in dental treatments: systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231096/
https://www.ncbi.nlm.nih.gov/pubmed/32260538
http://dx.doi.org/10.3390/jcm9041025
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