Abstract：
OBJECTIVE: This clinical study aimed to evaluate the effect of virtual reality (VR) technology on anxiety and pain levels in patients undergoing gingivectomy and gingivoplasty procedures.
METHODS: The patients were randomized into test (surgery with VR glasses) and control (surgery without VR glasses) groups. Before the surgery, the anxiety level was measured using the modified dental anxiety scale (MDAS), and anticipated pain (AP) was measured by a visual analog scale (VAS). Immediately after the surgery, the pain and discomfort associated with the surgery (VASP), procedure time (T), and time perception (TP) were evaluated. The patients in the test group were requested to assess the immersion (VASI), satisfaction (VASS), perception of reduced anxiety (VASA), and perceived control (VASC). One week after surgery, MDAS was applied to all patients.
RESULTS: This trial was conducted with 41 female and 17 male subjects with a mean age of 29.69 ± 12.32. There were no significant differences between the groups in terms of age, sex, preoperative MDAS, or AP. After surgery, MDAS, VASP, T, and TP failed to differ significantly between the groups. The subject age was positively correlated with VASI, VASS, VASA, and VASC (r = 0.60, p = 0.00; r = 0.44, p = 0.02; r = 0.46, p = 0.02; r = 0.50, p = 0.01, respectively) and negatively correlated with VASP (r = 0.47, p = 0.04).
CONCLUSIONS: VR application did not affect anxiety and pain levels in patients undergoing periodontal surgery. More studies are needed to evaluate VR distraction in periodontal surgeries with diverse age samples and video options.
CONCLUSIONS: VR does not affect anxiety and pain levels during gingivectomy and gingivoplasty surgeries in the young adult population. It should be evaluated in older age groups. Trial registration ClinicalTrials.gov Identifier: NCT06092177.
METHODS: The patients were randomized into test (surgery with VR glasses) and control (surgery without VR glasses) groups. Before the surgery, the anxiety level was measured using the modified dental anxiety scale (MDAS), and anticipated pain (AP) was measured by a visual analog scale (VAS). Immediately after the surgery, the pain and discomfort associated with the surgery (VASP), procedure time (T), and time perception (TP) were evaluated. The patients in the test group were requested to assess the immersion (VASI), satisfaction (VASS), perception of reduced anxiety (VASA), and perceived control (VASC). One week after surgery, MDAS was applied to all patients.
RESULTS: This trial was conducted with 41 female and 17 male subjects with a mean age of 29.69 ± 12.32. There were no significant differences between the groups in terms of age, sex, preoperative MDAS, or AP. After surgery, MDAS, VASP, T, and TP failed to differ significantly between the groups. The subject age was positively correlated with VASI, VASS, VASA, and VASC (r = 0.60, p = 0.00; r = 0.44, p = 0.02; r = 0.46, p = 0.02; r = 0.50, p = 0.01, respectively) and negatively correlated with VASP (r = 0.47, p = 0.04).
CONCLUSIONS: VR application did not affect anxiety and pain levels in patients undergoing periodontal surgery. More studies are needed to evaluate VR distraction in periodontal surgeries with diverse age samples and video options.
CONCLUSIONS: VR does not affect anxiety and pain levels during gingivectomy and gingivoplasty surgeries in the young adult population. It should be evaluated in older age groups. Trial registration ClinicalTrials.gov Identifier: NCT06092177.
摘要：
目的：这项临床研究旨在评估虚拟现实（VR）技术对进行牙龈切除术和牙龈成形术的患者的焦虑和疼痛水平的影响。
方法：将患者随机分为试验组（带VR眼镜的手术）和对照组（不带VR眼镜的手术）。手术前,使用改良的牙科焦虑量表(MDAS)测量焦虑水平，和预期疼痛（AP）通过视觉模拟量表（VAS）测量。手术后,与手术相关的疼痛和不适（VASP），手术时间（T），和时间感知（TP）进行评估。测试组的患者被要求评估浸没(VASI)，满意度(VASS)，减少焦虑的感知（VASA），和感知控制(VASC)。手术后一周,MDAS应用于所有患者。
结果：该试验对41名女性和17名男性受试者进行，平均年龄为29.69±12.32。两组之间在年龄方面没有显着差异，性别,术前MDAS,或AP。手术后,MDAS,VASP,T,和TP未能在组间显著差异。受试者年龄与VASI呈正相关,VASS,VASA,和VASC（r=0.60，p=0.00；r=0.44，p=0.02；r=0.46，p=0.02；r=0.50，p=0.01），与VASP呈负相关（r=0.47，p=0.04）。
结论：VR应用不会影响牙周手术患者的焦虑和疼痛水平。需要更多的研究来评估具有不同年龄样本和视频选项的牙周手术中的VR分散。
结论：VR不影响年轻成人进行牙龈切除术和牙龈成形术时的焦虑和疼痛水平。应该在老年群体中进行评估。试验注册ClinicalTrials.gov标识符：NCT06092177。
方法：将患者随机分为试验组（带VR眼镜的手术）和对照组（不带VR眼镜的手术）。手术前,使用改良的牙科焦虑量表(MDAS)测量焦虑水平，和预期疼痛（AP）通过视觉模拟量表（VAS）测量。手术后,与手术相关的疼痛和不适（VASP），手术时间（T），和时间感知（TP）进行评估。测试组的患者被要求评估浸没(VASI)，满意度(VASS)，减少焦虑的感知（VASA），和感知控制(VASC)。手术后一周,MDAS应用于所有患者。
结果：该试验对41名女性和17名男性受试者进行，平均年龄为29.69±12.32。两组之间在年龄方面没有显着差异，性别,术前MDAS,或AP。手术后,MDAS,VASP,T,和TP未能在组间显著差异。受试者年龄与VASI呈正相关,VASS,VASA,和VASC（r=0.60，p=0.00；r=0.44，p=0.02；r=0.46，p=0.02；r=0.50，p=0.01），与VASP呈负相关（r=0.47，p=0.04）。
结论：VR应用不会影响牙周手术患者的焦虑和疼痛水平。需要更多的研究来评估具有不同年龄样本和视频选项的牙周手术中的VR分散。
结论：VR不影响年轻成人进行牙龈切除术和牙龈成形术时的焦虑和疼痛水平。应该在老年群体中进行评估。试验注册ClinicalTrials.gov标识符：NCT06092177。
