Volume 23 Issue 6
Jun.  2025
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JIANG Aijun, WANG Xiaodan, XU Dongdong. Effect of preoperative virtual reality technology on anxiety in patients undergoing mandibular impacted wisdom tooth extraction[J]. Chinese Journal of General Practice, 2025, 23(6): 992-995. doi: 10.16766/j.cnki.issn.1674-4152.004050
Citation: JIANG Aijun, WANG Xiaodan, XU Dongdong. Effect of preoperative virtual reality technology on anxiety in patients undergoing mandibular impacted wisdom tooth extraction[J]. Chinese Journal of General Practice, 2025, 23(6): 992-995. doi: 10.16766/j.cnki.issn.1674-4152.004050
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Effect of preoperative virtual reality technology on anxiety in patients undergoing mandibular impacted wisdom tooth extraction

doi: 10.16766/j.cnki.issn.1674-4152.004050

  • Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2023KY155

 LBQ20H140001

 Y20220385

  • Received Date: 2025-01-03
    Available Online: 2025-09-04
    Abstract
  •   Objective  With the advancement of medical technology, virtual reality technology is gradually being applied in the medical field. This study aims to evaluate the effect of preoperative application of virtual reality technology on alleviating anxiety in patients undergoing mandibular impacted wisdom tooth extraction, and explore its application value in clinical practice, providing scientific basis for optimizing preoperative psychological intervention.  Methods  Convenience sampling was used to select 111 patients who underwent extraction of impacted mandibular third molars at the Affiliated Stomatological Hospital of Wenzhou Medical University from October 2024 to December as the study subjects. They were randomly divided into a control group (n=55) and an observation group (n=56). The control group received routine nursing care, while the observation group received virtual reality technology on the basis of the control group. The preoperative anxiety level, intraoperative pain level, blood pressure, heart rate and satisfaction with nursing care of two groups of patients were compared.  Results  After the intervention, the preoperative Spielberg state trait anxiety inventory and dental anxiety scale scores of the observation group were lower than those of the control group, and the difference was statistically significant (P < 0.05). At the beginning of tooth extraction, during bone removal and tooth separation, and during suturing, the HR, SBP, and DBP of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). During the operation, the VAS of pain in the observation group was lower than that in the control group [(2.75±0.46) points vs. (3.84±1.01) points, t=7.339, P < 0.001]. After surgery, the nursing satisfaction rate of the observation group was 98.2% (55/56), while that of the control group was 96.4% (53/55), with no statistically significant difference (P>0.05).  Conclusion  Preoperative virtual reality technology can effectively reduce anxiety in patients undergoing obstructed wisdom tooth extraction on the basis of routine care, and is also beneficial for stabilizing the surgical center rate and blood pressure, as well as reducing intraoperative pain in patients.

     

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