Abstract
Currently, oral health issues are increasingly been addressed and virtual reality (VR) is being used as an aid in health areas. However, there is little evidence of VR being used in preventing oral health problems. To evaluate the effectiveness of VR in oral hygiene education. Three hundred pupils, aged between 9 and 12 years, received instructions in oral hygiene by immersion VR and they gave their opinions about the performed activities. Chi-square and Fisher's exact tests were applied, with a significance level of 5%. Part perception of oral hygiene showed no statistically significant difference (P>0.550). There was an increase in the use of dental floss (P<0.001), tongue brushing (P<0.001), and tooth brushing (P<0.001). Both drawings and comments made by participants related to oral hygiene were positive regarding the project. Conclusions: The use of VR in oral hygiene instruction was effective. Most participants increased brushing and flossing frequency and produced drawings related to oral hygiene. VR is effective and should be used in dentistry for teaching and prevention , especially with children, as it presents an interactive instructional space that can be approached in a playful way. This study presents dentists with a promising alternative for changing oral hygiene habits.
References
Huang T.K., Yang C.H., Hsieh Y.H., Wang J.C., Hung C.C. Augmented reality (AR) and virtual reality (VR) applied in dentistry. Kaohsiung J Med Sci. 2018; 34 (4), 243-48. doi: 10.1016/j.kjms.2018.01.009
Bezerra T.F. & de Souza V.L.V. The use of Virtual Reality as an occupational therapeutic resource in the neurological rehabilitation of children and adolescents. Rev Interinst Bras Ter Ocup. 2018; 2 (2), 272-91. doi: 10.47222/2526-3544.rbto12739
O’Connor S. Virtual Reality and Avatars in Health care. Clin Nurs Res. 2019; 28 (5), 523-28. doi: 10.1177/1054773819845824
Aminabadi N.A., Erfanparast L., Sohrabi A., Oskouei S.G., Naghili A. The impact of virtual reality distraction on pain and anxiety during dental treatment in 4-6-year-old children: a randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospectspects. 2012; 6 (4), 117. doi: 10.5681/joddd.2012.025
Paiva P.V.F., dos Santos Machado L., dos Santos S.R., Romero R.O.G. Health Education capabilities Based on Virtual Reality. Rev Elet Com, Infor e Inov em Saúde. 2013; 7 (3). doi: 10.3395/reciis.v7i3.540
Moro C., Stromberga Z., Raikos A., Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anat Sci Educ. 2017; 10 (6), 549-59. doi: 10.1002/ase.1696
Burrai F., Othman S., Brioni E., Silingardi M., Micheluzzi V., Luppi M., La Manna G. Virtual reality in dialysis: a new perspective on care. J Ren Care. 2018; 44 (4), 195-96. doi: 10.1111/jorc.12264
Ke F., Moon J., Sokolikj Z. Virtual reality-based social skills training for children with autism spectrum disorder. J Spec Educ Tech. 2020. doi: 10.1177/0162643420945603
Walsh E., Holloway J., McCoy A., Lydon H. Technology-aided interventions for employment skills in adults with autism spectrum disorder: A systematic review. J Autism Dev Disord. 2017; 4 (1), 12-25. doi: 10.1007/s40489-016-0093-x
Bellani M., Fornasari L., Chittaro L., Brambilla P. Virtual reality in autism: State of the art. Epidemiol Psychiatr Sci. 2011; 20 (3), 235-38. doi: 10.1017/S204579601 1000448
Parsons S. Authenticity in virtual reality for assessment and intervention in autism: A conceptual review. Educ Res Rev. 2016; 19, 138-157. doi: 10.1016/j.edurev .2016.08.001
Bailey J.O. & Bailenson J.N. Immersive virtual reality and the developing child. In Cognitive development in digital contexts. Academic Press. 2017, 181-200. doi: 10.1016/B978-0-12-809481-5.00009-2
Kim S. & Kim E. The use of virtual reality in psychiatry: a review. J Korean Acad Child Adolesc Psychiatry. 2020; 31 (1), 26. doi: 10.5765/jkacap.190037
Madeira M.C.; Rizzolo R.J.C. Anatomia do Dente. 8 ed. São Paulo: Sarvier. 2016.
Mills A.C. Creating Web-based, multimedia, and interactive courses for distance learning. Comput Nurs. 2000; 18 (3): 125-31. doi: 10835811
Wiederhold MD, Gao K, Wiederhold BK. Clinical use of virtual reality distraction system to reduce anxiety and pain in dental procedures. Cyberpsychol Behav Soc Netw. 2014; 17:359-65. doi: 10.1089/cyber.2014.0203
Raghav K., Van Wijk A.J., Abdullah F., Islam M.N., Bernatchez M, De Jongh A. Efficacy of virtual reality exposure therapy for treatment of dental phobia: A randomized control trial. BMC Oral Health. 2016; 27: 25. doi: 10.1186/s12903-016-0186-z
Eijlers R., Utens E., Staals L.M., de Nijs P.F.A., Berghmans J.M., Wijnen R.M.H., Hillegers M.H.J., Dierckx B., Legerstee J.S. Systematic Review and Meta-analysis of Virtual Reality in Pediatrics: Effects on Pain and Anxiety. Anesth Analg. 2019; 129:1344-53. doi: 10.1213/ANE.0000000000004165
Gujjar K.R., van Wijk A., Kumar R., de Jongh A. Efficacy of virtual reality exposure therapy for the treatment of dental phobia in adults: A randomized controlled trial. J Anxiety Disord. 2019; 62:100-108. doi: 10.1016/j.janxdis.2018.12.001
Ahmadpour N., Keep M., Janssen A., Rouf A.S., Marthick M. Design strategies for virtual reality interventions for managing pain and anxiety in children and adolescents: scoping review. JMIR serious games. 2020; 8 (1). doi: 10.2196/14565
López-Valverde N., Muriel Fernández J., López-Valverde A., Valero Juan L.F., Ramírez J.M., Flores Fraile J., & Bravo M. (2020). Use of virtual reality for the Management of anxiety and pain in dental treatments: Systematic review and meta-analysis. J Clin Med, 9 (4), 1025. doi: 10.3390/jcm9041025
Marques I.R., Marin H.D.F. Nursing on the web: the creation and validation process of a coronary heart disease web site. Rev Lat Am Enfermagem. 2002; 10 (3): 298-07. doi: 10.1590/S0104-11692002000300005
Amantini S.N.S.R., Montilha A.A.P., Antonelli B.C., Leite K.T.M., Rios D., Cruvinel T., Machado M.A.A.M. Using Augmented Reality to Motivate Oral Hygiene Practice in Children: Protocol for the Development of a Serious Game. JMIR Research Protocols. 2020; 9 (1). doi: 10.2196/10987
Rizzo A., Hartholt A., Grimani M., Leeds A., Liewer M. Virtual reality expo- sure therapy for combat-related posttraumatic stress disorder. Computer. 2014; 47: 31-7. doi: 10.1109/MC.2014.199
Messier E., Wilcox J., Dawson-Elli A., Diaz G., Linte C.A. An interactive 3D virtual anatomy puzzle for learning and simulation - Initial demonstration and evaluation. Stud Health Technol Inform. 2016; 220: 233-40. doi: 10.3233/978-1-61499-625-5-233
Ayoub A., Pulijala Y. The application of virtual reality and augmented reality in Oral & Maxillofacial Surgery. BMC Oral Health. 2019; 19 (1) 238. doi: 10.1186/s12903-019-0937-8
Bartella A.K., Kamal M., Scholl I., Schiffer S., Steegmann J., Ketelsen D., Lethaus B. Virtual reality in preoperative imaging in maxillofacial surgery: implementation of “the next level”?. Br J Oral Maxillofac Surg. 2019; 57 (7), 644-48. doi: 10.1016/j.bjoms.2019.02.014
Koticha P., Katge F., Shetty S., Patil D.P. Effectiveness of Virtual Reality Eyeglasses as a Distraction Aid to Reduce Anxiety among 6-10-year-old Children Undergoing Dental Extraction Procedure. J Clin Pediatr Dent. 2019; 12 (4), 297. doi: 10.5005/jp-journals-10005-1640
Hotwani K., Sharma K., Nagpal D., Lamba G., Chaudhari P. Smartphones and tooth brushing: content analysis of the current available mobile health apps for motivation and training. Eur Arch Paediatr Dent. 2020; 21(1), 103-08. doi: 10.1007/s40368-019-00457-1
Zotti F., Pietrobelli A., Malchiodi L., Nocini P.F., Albanese M. Apps for oral hygiene in children 4 to 7 years: Fun and effectiveness. J Clin Exp Dent. 2019; 11 (9), 795. doi: 10.4317/jced.55686
Markeviciute G & Narbutaite J. Effectiveness of a motivation and practical skills development methods on the oral hygiene of orphans children in Kaunas, Lithuania. J Oral Maxillofac Surg. 2015; 6 (3). doi: 10.5037/jomr.2015.6302
Ciancio S. Improving oral health: current considerations. J Clin Periodontol. 2003; 30:4-6. doi: 10.1034/j.1600-051X.30.s5.2.x
Kubo F.M.M., Mialhe F.L. Dental floss: from difficulty to success in the removal of interproximal biofilms. Arq Odontol. 2011; 47 (1), 51-5. doi: 725232.
Blake H., Dawett B., Leighton P., Rose-Brady L., Deery C. School-based educational intervention to improve children’s oral health-related knowledge. Health Promot Pract. 2015; 16 (4), 571-82. doi: 10.1177/1524839914560568
Baliga S., Deshpande M.A., Thosar N., Rathi N., Bane S., Deulkar P. Comparison of impact of oral hygiene instructions given via sign language and validated customized oral health education skit video on oral hygiene status of children with hearing impairment. J Indian Soc Pedod Prev Dent. 2020; 38 (1), 20. doi: 10.4103/JISPPD.JISPPD_37_20