Virtual Reality for Hypertension in Tooth Extraction: A Randomized Trial

Qin, Zeman; Zhou, Chuzhi; Zhu, Yiping; Wang, Y; Cao, H; Li, W; Huang, Zhuowei

doi:10.1177/00220345211049393

Cited by 11 publications

(6 citation statements)

References 40 publications

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“…They hypothesized that virtual reality headset can control the elevation of blood pressure and heart rate in patients with hypertension. In the present case, the patient's blood pressure and pulse rate were high before extraction but soon after extraction, it was back to normal which was in line with the study conducted by Qin et al [10].…”

Section: Discussionsupporting

confidence: 92%

“…Hence virtual reality headset was tried. Virtual reality headset is a powerful distraction tool for pain as well as anxiety [9][10][11]. Virtual reality provides a 3D environment (including both computer graphics and 360-degree video) that surrounds a user and responds to an individual's actions in a natural way.…”

Section: Discussionmentioning

confidence: 99%

“…Various techniques have been mentioned in the literature to manage dental anxiety which can be broadly divided into pharmacological [3] and non-pharmacological management [6][7][8][9][10][11]. Non-pharmacological management includes communication skills, rapport and trust building, systemic desensitization, acupressure, laser acupuncture, hypnosis, music, audio-visual aid, guided imagery, meditation, relaxation, breathing, and virtual reality headset.…”

Section: Introductionmentioning

confidence: 99%

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A Simple Technique to Manage Anxiety During Tooth Extraction

Kunusoth¹,

Colvenkar²,

Alwala³

et al. 2022

Cureus

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Pain-free dental treatment is important for reducing anxiety, treatment completion, and enhancing acceptance of future dental treatment. Injectable local anesthesia assists this pain-free approach but can cause anxiety in few patients. Achieving proper anesthesia is important to complete the procedure successfully, thereby adding to patient's care and comfort. This article describes a simple technique to manage dental anxiety using virtual reality headset. Audio visual aid helped the patient to relax and eliminate the phobia of local anesthesia injection during surgical tooth extraction. The simple technique enhanced the patient's ability to continue the dental procedure.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Simple Technique to Manage Anxiety During Tooth Extraction

Kunusoth¹,

Colvenkar²,

Alwala³

et al. 2022

Cureus

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“…Virtual reality did not increase the incidence of adverse events. Therefore, the virtual reality technique was effective in controlling BP and HR within an acceptable range and can help in managing BP and HR during tooth extraction in patients with hypertension [10].…”

Section: Major Findingsmentioning

confidence: 99%

Major evidence of the relationship of cardiovascular disease and tooth extraction: a systematic review

Tognolo,

Pianesso,

Gomes

et al. 2024

MedNEXT

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Introduction: Cardiovascular diseases can present a congenital origin, that is present from birth, such as interatrial and interventricular communication, defects of the artery, coronary arteries, or acquired coronary artery anomalies that involve several risk factors such as smoking, alcohol, old age, and sedentary lifestyle. Thus, the acquired ones are the most frequent in the routine of a dental practice, so the dentist should be able to attend to those patients who need special care, regarding the correct use of medications due to the risk of drug interactions, the type of local anesthetic to be used and the management of patients who use anticoagulant therapy. Objective: It was to develop a concise systematic review to highlight the main clinical outcomes of the relationship between cardiovascular diseases and tooth extraction. Methods: The research and development of the work were carried out from December 2023 to February 2024 in the databases Scopus, PubMed, Science Direct, and Scielo, following the PRISMA rules. The quality of the studies was based on the GRADE instrument and the risk of bias was based on the Cochrane instrument (Funnel Plot). Results and Conclusion: A total of 112 studies were found that were subjected to eligibility analysis. The final sample had 36 eligible studies and 21 studies were described in the systematic review. Most studies showed homogeneity in their results, with X2 =63.9% >50%, with p<0.05. It was concluded that the virtual reality technique was effective in controlling blood pressure and heart rate within an acceptable range and can help in the management of blood pressure and heart rate during tooth extraction in patients with hypertension. It is necessary for the dental treatment of these patients with heart disease a good knowledge of the subject and requires medical and dental coordination. Dental surgeons need to be prepared to identify possible medical and dental emergencies and take steps to prevent or treat them effectively and quickly.

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“…Tooth extraction is a very basic and widely used operation in dental surgery, and it is also a common treatment for some dental diseases. However, it can cause local tissue damage, bleeding, swelling, pain and other reactions, and can lead to fluctuations in heart rate, blood pressure, and body temperature [ 11 , 12 ]. Tooth extraction, as an invasive procedure in dental practice, is known to be among the top five most frightening dental procedures [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

Zhang,

Li,

Zhang

2024

BMC Oral Health

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Background Anxiety is common preceding tooth extraction; hence, it is crucial to identify patients with dental anxiety (DA) and to manage DA. This study assessed the level of DA and influencing factors in tooth extraction patients in a dental hospital in China and changes in their blood pressure (BP) and heart rate (HR) during the tooth-extraction procedure. Methods The study was a cohort study. The Dental Anxiety Scale (DAS) was used to assess the level of DA of 120 patients before tooth extraction. A Demographics and Oral Health Self-Assessment Form was used to assess factors influencing DA. The correlations of DAS scores with HR and BP were measured. The effects of local anesthesia and general anesthesia on HR and BP were also compared using a Datex-Ohmeda anesthesia monitor to detect HR and BP continuously before and after anesthesia. Independent sample t-tests, OLS multiple regression model and one-way analysis of variance were applied to analysis the results. Results Based on the DAS score, 12.5% of the participants were identified as suffering from DA. DA was related to age, gender, and the self-assessment of oral health. The DAS score was correlated with increased BP (P < 0.05). BP showed an overall upward trend after local anesthesia, while it was generally stable after general anesthesia. The systolic BP at 4 and 5 min and the HR at 2 and 4 min increased remarkably (P < 0.05) after local anesthesia compared with those before anesthesia. The HR and BP of patients under local anesthesia were generally higher than those of patients under general anesthesia were during the operation. Conclusions The prevalence of DA in adults was 12.5% in this study population. DA was related to gender, age, and the self-assessment of oral health. The score of DAS was correlated with BP. Compare to local anesthesia, general anesthesia can make the vital signs of tooth extraction patients more stable.

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Virtual Reality for Hypertension in Tooth Extraction: A Randomized Trial

Cited by 11 publications

References 40 publications

A Simple Technique to Manage Anxiety During Tooth Extraction

A Simple Technique to Manage Anxiety During Tooth Extraction

Major evidence of the relationship of cardiovascular disease and tooth extraction: a systematic review

Effects of dental anxiety and anesthesia on vital signs during tooth extraction

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