Evaluation of the success of distraction through virtual reality using the Child Drawing Hospital Scale

Ayça Hande Sari¹ image, Elif Deniz2 image, Esra Ceren Tuğutlu3 image


The success of distraction with VR on anxiety and pain perception during dental restorative procedures in children was evaluated in comparison with tell-show-do technique.

There was no superiority of distraction with VR glasses over tell-show-do technique in reducing anxiety.

There was no statistically significant difference between the groups in terms of pain perception after local anesthesia applications and dental procedures.


Aim: The aim of this study was to compare the effect of three-dimensional audio-visual distraction on reducing dental anxiety and pain perception in children with tell-show-do technique. Methods: 52 children aged 6-11 years were randomly divided into two groups (n=26). During restorative dental treatment, distraction was given to the study group by letting them watch cartoons with 3D virtual reality (VR) glasses, while tell-show-do technique was used in the control group. The anxiety levels of the children in both groups after dental treatment were measured with the Child Drawing: Hospital Scale (CD:H) and the Children`s Fear Survey Schedule-Dental Subscale (CFSS-DS). Pulse rate measurements were made with pulse oximetry before, during and after the dental procedures. In addition, perception of pain was evaluated with the Wong-Baker FACES Pain Rating Scale. Results: There was no statistically significant difference between the study and control groups in terms of anxiety levels, CFSS-DS scores, CD:H scores and pulse rate (P>0.05). Also, there was no statistically significant difference between the groups in terms of Wong Baker scores (P>0.05). Conclusions: Watching cartoons with 3D VR glasses did not show any superiority over tell-show-do technique in reducing anxiety and pain levels in children during dental restorative procedures.

Keywords: Anxiety; Child Behavior; Drawing; Pain Perception; Virtual Reality

Author Affiliations

  1. Research Assistant, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Türkiye
  2. Pyschological Counselor, Prof.Dr. Fuat Sezgin Secondary School, Adana, Türkiye
  3. Assistant Professor, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Türkiye (Correspondence: cerentatli88@gmail.com)
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Article Info

Contemp Pediatr Dent 2023:4(2):76-87

Received: 28 April 2023

Accepted: 10 August 2023

Online First: 11 August 2023


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					Ayça Hande Sari, Elif Deniz Esra Ceren Tuğutlu. Evaluation of the success of distraction through virtual reality using the Child Drawing Hospital Scale. Contemp Pediatr Dent 2023:4(2):76-87.

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