The Use of Virtual Reality to Reduce Pain and Anxiety in Surgical Procedures of the Oral Cavity: A Scoping Review

Martinez-Bernal, Daniela; Vidovich, Courtney; Keenan, Christopher; Correll, Lynnie; Laserna, Andrés; Hasselberg, Michael J.; Cross, Wendi; Kolokytas, Antonia

doi:10.1016/j.joms.2022.11.011

Cited by 16 publications

(9 citation statements)

References 42 publications

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“…Good preoperative information of the patients and gradual coping with the upcoming intervention led to a subconscious reduction of feelings of restlessness, anxiety and fear of the operative procedure, and this can be accepted as an explanation for the decrease in postoperative general and immediate anxiety. Sorribes and associates, Souza and associates, Monteiro and associates, Martinez-Bernal and associates, are just some of the authors from a large body of research that considers ways to alleviate preoperative anxiety in patients through various prepara-tions of patients for the upcoming treatment, which ultimately leads to increased satisfaction, both the patient and the surgeon [27][28][29][30]. While the results of some studies indicate a significant increase in systolic and diastolic blood pressure before extraction, and a slight increase in heart rate, some studies show a significant increase in preoperative heart rate values [31][32][33].…”

Section: Discussionmentioning

confidence: 99%

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Selimović,

Bečulić,

Begagić

et al. 2024

Arch. Psychiatry Res.

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Aim: To examine whether there is a correlation between blood pressure, heart rate, and pain with the level of preoperative and postoperative anxiety in surgery of impacted third molars under local anesthesia. Subjects and Methods: In the study, which included adult patients of both sexes with an indication for surgical extraction of impacted third molars, research parameters were measured as follows: 1st measurement (day of examination) - blood pressure, heart rate, preoperative anxiety with Spielberger’s State-Trait Anxiety Inventory (STAI); 2nd measurement (immediately before the intervention) - blood pressure, heart rate, preoperative anxiety with STAI; 3rd measurement (day after intervention) - blood pressure, heart rate, postoperative anxiety with STAI, postoperative pain with visual analog scale. Results: The values of preoperative and postoperative anxiety and the measured parameters of blood pressure, heart rate, and postoperative pain were statistically significantly positively correlated with each other during all measurements. Conclusion: In order to increase the satisfaction of both the patient and the ordinarius, and to prevent possible complications in this type of oral surgical intervention, it would be useful to consider adequate therapy in order to prevent the development of anxiety, considering the confirmed correlation with the measured parameters.

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Section: Discussionmentioning

confidence: 99%

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Selimović,

Bečulić,

Begagić

et al. 2024

Arch. Psychiatry Res.

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“…Bailey E. et al [36], Monteiro et al [37], and Martinez-Bernal D et al in their research deal with factors that cause fear of oral-surgical intervention and ways to overcome the mentioned problem [38].…”

Section: Discussionmentioning

confidence: 99%

Instruments for anxiety analysis and the utility of its assessment in oral surgical interventions under local anesthesia in patients undergoing four operative procedures

Selimović,

Bečulić,

Begagić

et al. 2023

Sestrin. glas. (Online)

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Introduction: Fear of intervention in the oral cavity is declared as dental fear and is defined as a specific form of anxiety. The reaction to oral-surgical intervention will also depend on the feeling the patient acquires about the operator, but the positive experience also plays an important role.Aim: The aim is to evaluate differences between the sexes and the influence of experience from a previous oral surgical intervention on a similar subsequent intervention.Material and methods: In the research, anxiety was assessed using Corah's Dental Anxiety Scale (DASR) and Spielberger's State-Trait Anxiety Inventory (X1 and X2). The study included adult patients of both sexes with an indication for surgical extraction of impacted third permanent molars. Preoperative and postoperative anxiety was assessed: 1st measurement (day of examination) - DASR, and STAI (X1 and X2); 2nd measurement (immediately before the intervention) – STAI (X1 and X2); 3rd measurement (day after the intervention) – STAI (X1 and X2).Results: Preoperatively determined high levels of general, immediate, and dental anxiety decreased before the surgical procedure itself and were significantly reduced in the postoperative period. The downward trend continued in line with the positive experience. Women had higher anxiety scores than men for all monitored parameters. The use of the STAI scales to assess anxiety by dental practitioners is on par with other well-known anxiety assessment instruments, such as the DASR. Conclusion: In order to increase patient satisfaction and to prevent possible complications in such oral-surgical procedures, it would be useful to consider adequate therapy for high anxiety.

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“…1 Even among the VR technologies used clinically, we observe a huge variety in the type of VR being applied, not only for different health conditions, but also within a specific area of health need. A majority of acute pain studies (Table ) have highlighted that VR is an effective tool associated with modest to moderate reduction in pain intensity for minor painful procedures (dental procedures, pediatric venipuncture, pediatric port access, wound debridement or wound dressing changes for burns), [6][7][8][9] rehabilitation-induced pain after orthopedic surgery, 10 and labor-induced pain. 11 Significant reduction in anxiety and improvement in patient satisfaction were also observed with VR application for acute pain in some studies.…”

Section: Summarizing the Published Evidence On The Use Of Vr For Acut...mentioning

confidence: 99%

How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

Shanthanna,

D’Souza,

Johnson

et al. 2024

Anesthesia &Amp; Analgesia

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GLOSSARYHSS = Hospital for Special Surgery Knee Score; LOS = length of stay; MAC = monitored anesthesia care; OMS = oral and maxillofacial surgery; PACU = postanesthesia care unit; PCA = patientcontrolled analgesia; RCT = randomized controlled trial; SA = spinal anesthesia; THA = total hip arthroplasty; TKA = total knee arthroplasty; USPSTF = United States Preventive Services Task Force; VAS = visual analog scale; VR = virtual reality; WOMAC = Western Ontario and McMaster Universities Arthritis Index

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The Use of Virtual Reality to Reduce Pain and Anxiety in Surgical Procedures of the Oral Cavity: A Scoping Review

Cited by 16 publications

References 42 publications

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Instruments for anxiety analysis and the utility of its assessment in oral surgical interventions under local anesthesia in patients undergoing four operative procedures

How Real Are the Effects of Virtual Reality in Decreasing Acute Pain?

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