The goal of this clinical trial is to learn if virtual reality distraction can reduce dental anxiety and pain perception in children aged 6-10 years undergoing simple dental extraction. The main questions it aims to answer are:
Does virtual reality distraction lower dental anxiety compared to audio-visual distraction and conventional tell-show-do techniques?
Does virtual reality distraction reduce pain perception during dental extraction?
Researchers will compare virtual reality distraction, audio-visual distraction (2D cartoons with headset), and conventional tell-show-do with verbal distraction to see which method is most effective in improving child cooperation and reducing anxiety and pain.
Participants will:
Wear VR glasses to watch immersive 3D cartoons, or
Watch 2D cartoons with headset, or
Receive the conventional tell-show-do technique with verbal distraction.
Outcome measures will include child dental anxiety (CFSS-DS, VCARS), pain perception (Wong-Baker FACES), physiological parameters (pulse rate, SpO₂), and behavioral cooperation (Frankl scale).
Children aged 6 to 10 years
Classified as ASA class 1 or 2 (healthy or with mild systemic disease)
Those who demonstrated Frankl behavior rating 2 and 3 toward dental procedures
Children with NO previous exposure to invasive dental procedure
ASA 3 and above
Those who demonstrated Frankl behavior rating 1 and 4 toward dental procedures
Special needs ( intellectual and developmental)
Children on psychotropic medication