Effectiveness of Virtual Reality vs Show-Do Technique on Dental Anxiety in Children With Hearing Impairment

NCT07245030 | Recruiting DMC

• 1 other identifier: Tamara MSA University
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Dental Anxiety of Hearing Impairment

Keywords

dental prophylaxis procedure; scaling; polishing; oral hygiene instructions; virtual reality; Anxiety; behavioral; hearing impairment

Outcome Measures

Primary Outcomes (1)

• anxiety level (objective)

  tool: pulse oximeter unit: beats per minute

  baseline (5 minutes before session), during treatment (real-time), and immediately post-treatment (within 5 minutes)

Secondary Outcomes (2)

• anxiety level (subjective)

  immediately before treatment (baseline), during treatment (real-time), and immediately after treatment (post-procedure)

• behavior assessment

  immediately before treatment (baseline), during treatment (real-time), and immediately after treatment (post-procedure)

Study Arms (2)

Children with different levels of hearing impairment, using Show-Do Technique in combined with VR ey

EXPERIMENTAL

A- Show-Do Technique: Description: This technique will be integrated with the VR eyewear intervention to enhance understanding and comfort. The show-do technique involves: * Show: The child will be shown the dental tools and explain their purpose, possibly using visual aids or models. * Do: The procedure will be Performed as explained with continuous reassurance and support. B- Virtual Reality Component: Participants in this group will experience a virtual reality (VR) eyewear in an environment designed to distract them during dental prophylaxis procedure. The VR content will be age-appropriate and engaging, and featuring interactive (e.g., Fun animations, and Cartoons). Implementation: Before the dental treatment and after the implementation with show-do, children will be fitted with VR eyewear, where the aim is to immerse the child in the VR experience to reduce their focus on the dental treatment. Duration: • The VR eyewear experience will last for the duration of t

Device: virtual reality distraction

Children with different levels of hearing impairment, using Show-Do Technique:

ACTIVE COMPARATOR

Participants in this group will receive the standard show-do technique without the VR eyewear distraction. The same steps (Show, Do) will be employed to prepare the child for the dental procedure, but without the use of VR technology.

Behavioral: show-do technique

Interventions

virtual reality distraction DEVICE

children wear virtual reality glasses during dental prophylaxis procedure to reduce dental anxiety and enhance patient's behavior.

Children with different levels of hearing impairment, using Show-Do Technique in combined with VR ey

show-do technique BEHAVIORAL

conventional behavioral technique where the dentist shows and then perform the procedure to reduce anxiety and build cooperation.

Children with different levels of hearing impairment, using Show-Do Technique:

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with moderate to severe Hearing impairment.
• Children require dental prophylaxis.
• Apparently, Health Children.

You may not qualify if:

• 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.

Sponsors & Collaborators

• October University for Modern Sciences and Arts: lead

Study Sites (2)

October University for Modern Sciences and Arts

Giza, Giza Governorate, 12611, Egypt

RECRUITING

October University for Modern Sciences and Arts

Giza, Egypt

NOT YET RECRUITING

MeSH Terms

Conditions

Anxiety Disorders; Behavior; Hearing Loss

Condition Hierarchy (Ancestors)

Mental Disorders; Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: general practitioner

Study Record Dates

• First Submitted: November 16, 2025
• First Posted: November 24, 2025
• Study Start: November 20, 2025
• Primary Completion: December 1, 2025
• Study Completion: February 1, 2026
• Last Updated: November 24, 2025

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will share

Locations

EG (2)