This randomized controlled clinical trial aims to compare the effectiveness of virtual reality (VR) eyewear used as a distraction method in combination with the Show-Do (SD) technique versus the traditional Show-Do technique alone in managing dental anxiety and improving behavioral responses among Egyptian children with different levels of hearing impairment during a dental prophylaxis procedure. The study will evaluate dental anxiety using pulse rate and the PJS-Pictorial Scale, while behavior will be assessed using the Frankl Behavior Rating Scale. The trial seeks to provide evidence-based guidance on the implementation of VR technology as an adjunctive non-pharmacological tool for children with communication barriers in pediatric dentistry.
Children with moderate to severe Hearing impairment.
Children require dental prophylaxis.
Apparently, Health Children.
Children with severe cognitive impairment or developmental disorders.
Children who are unable or unwilling to cooperate with the study protocol or assessment.
Children with complicated systemic diseases.
Parallel
virtual reality distraction
Devicechildren wear virtual reality glasses during dental prophylaxis procedure to reduce dental anxiety and enhance patient's behavior.
show-do technique
Behavioralconventional behavioral technique where the dentist shows and then perform the procedure to reduce anxiety and build cooperation.
anxiety level (objective)
tool: pulse oximeter unit: beats per minute
anxiety level (subjective)
tool: Pictorial Judgement Scale for Anxiety Assessment (PJS-pictorial scale) unit: score 1-5, (1: means very happy, 5: means very anxious.)
behavior assessment
tool: Frankel rating scale unit: score 1-4 (1: means definitely negative and 4: means definitely positive)
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