Comparative Analysis of Effectiveness of Audio-Visual Distraction Using Virtual Reality Glasses along with WAND Injection System vs Conventional Injection Technique in Reducing Dental Anxiety in Children Using Salivary Cortisol as an Anxiety Marker: An invivo Study

Abstract

Objectives: To compare and assess the levels of dental anxiety in children before and after administration of local anesthesia using audiovisual distraction, WAND injection system, and Audiovisual distraction along with WAND injection system compared to the conventional injection technique using salivary cortisol as a marker of dental anxiety and SEM and VAS as Anxiety assessment tools. Methods: The study was conducted in the Department of Pediatric and Preventive Dentistry, Krishnadevaraya College of Dental Sciences & Hospital, Bengaluru, with a sample of 48 children aged 6-12 years who required local infiltration anesthesia for various dental procedures. They were randomly divided into 4 main groups viz Conventional LA with Audiovisual distraction, Conventional LA without Audiovisual distraction, WAND LA with Audiovisual Distraction, and WAND LA without distraction, they were then subdivided into 4 sub-groups according to their