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dc.contributor.authorLahti, S
dc.contributor.authorSuominen, A
dc.contributor.authorFreeman, R
dc.contributor.authorLähteenoja, T
dc.contributor.authorHumphris, G.
dc.date.accessioned2020-11-02T16:30:02Z
dc.date.available2020-11-02T16:30:02Z
dc.date.issued2020-10-01
dc.identifier.citationLahti , S , Suominen , A , Freeman , R , Lähteenoja , T & Humphris , G 2020 , ' Virtual reality relaxation to decrease dental anxiety : immediate effect randomized clinical trial ' , JDR Clinical & Translational Research , vol. 5 , no. 4 , pp. 312-318 . https://doi.org/10.1177/2380084420901679en
dc.identifier.issn2380-0844
dc.identifier.otherPURE: 265421481
dc.identifier.otherPURE UUID: de80402b-6423-4c8a-b55a-4691d41961de
dc.identifier.otherORCID: /0000-0002-4601-8834/work/68281414
dc.identifier.otherScopus: 85078153325
dc.identifier.otherWOS: 000508863100001
dc.identifier.otherPubMed: 31962052
dc.identifier.urihttp://hdl.handle.net/10023/20884
dc.description.abstractIntroduction: Dental anxiety is common and causes symptomatic use of oral health services. Objectives: The aim was to study if a short-term virtual reality intervention reduced preoperative dental anxiety. Methods: A randomized controlled single-center trial was conducted with 2 parallel arms in a public oral health care unit: virtual reality relaxation (VRR) and treatment as usual (TAU). The VRR group received a 1- to 3.5-min 360° immersion video of a peaceful virtual landscape with audio features and sound supporting the experience. TAU groups remained seated for 3 min. Of the powered sample of 280 participants, 255 consented and had complete data. Total and secondary sex-specific mixed effects linear regression models were completed for posttest dental anxiety (Modified Dental Anxiety Scale [MDAS] total score) and its 2 factors (anticipatory and treatment-related dental anxiety) adjusted for baseline (pretest) MDAS total and factor scores and age, taking into account the effect of blocking. Results: Total and anticipatory dental anxiety decreased more in the VRR group than the TAU group (β = −0.75, P < .001, for MDAS total score; β = −0.43, P < .001, for anticipatory anxiety score) in patients of a primary dental care clinic. In women, dental anxiety decreased more in VRR than TAU for total MDAS score (β = −1.08, P < .001) and treatment-related dental anxiety (β = −0.597, P = .011). Anticipatory dental anxiety decreased more in VRR than TAU in both men (β = −0.217, P < .026) and women (β = −0.498, P < .001). Conclusion: Short application of VRR is both feasible and effective to reduce preoperative dental anxiety in public dental care settings (ClinicalTrials.gov NCT03993080). Knowledge Transfer Statement: Dental anxiety, which is a common problem, can be reduced with short application of virtual reality relaxation applied preoperatively in the waiting room. Findings of this study indicate that it is a feasible and effective procedure to help patients with dental anxiety in normal public dental care settings.
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofJDR Clinical & Translational Researchen
dc.rightsCopyright © International & American Associations for Dental Research 2020. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).en
dc.subjectDental fearen
dc.subjectClinical studies/trialsen
dc.subjectRelaxation technicsen
dc.subjectVirtual reality immersionen
dc.subjectDental careen
dc.subjectPublic sectoren
dc.subjectRK Dentistryen
dc.subjectRM Therapeutics. Pharmacologyen
dc.subjectT Technologyen
dc.subjectNDASen
dc.subject.lccRKen
dc.subject.lccRMen
dc.subject.lccTen
dc.titleVirtual reality relaxation to decrease dental anxiety : immediate effect randomized clinical trialen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.identifier.doihttps://doi.org/10.1177/2380084420901679
dc.description.statusPeer revieweden


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