Year 2025,
Volume: 42 Issue: 4, 466 - 472, 31.12.2025
Yesoda Aniyan
,
Anuradha Ganesan
,
Krithika Cl
,
Arul Jothi Murugan
References
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Addab S, Hamdy R, Thorstad K, Le May S, Tsimicalis A. Use of virtual reality in managing paediatric procedural pain and anxiety: an integrative literature review. J Clin Nurs.2022; 31:3032–3059.
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Amandine E, Christelle GR, Laurent D. Does immersive virtual reality reduce pain and anxiety in pediatric
dentistry? A systematic review and meta-analysis. J Oral Med Oral Surg.2024;30(2):2-14.
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De Ramón S LA, Ferrández M A F, García C A R, Espín G F, Alarcón R R. Effect of Virtual Reality and Music Therapy on
Anxiety and Perioperative Pain in Surgical Extraction of Impacted Third Molars. J. Am. Dent. Assoc. 2023;154:206–
214.
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Alshatrat SM, Sabarini JM, Hammouri HM, Al-Bakri IA, Al-Omari WM. Effect of immersive virtual reality on pain in
different dental procedures in children: A pilot study. Int J Paediatr Dent. 2022;32(2):264-272.
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Du Q, Ma X, Wang S, Zhou S, Luo C, Tian K, Fei W, Liu X. A digital intervention using virtual reality helmets to reduce
dental anxiety of children under local anesthesia and primary teeth extraction: A randomized clinical trial. Brain
Behav. 2022;12(6):2600.
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Moher D, Liberati A, Tetzlaff J, Altman DG.Preferred reporting items for systematic reviews and meta-analyses: the
PRISMA statement. PLoS Med.2009; 6(7):10000-97
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Guideline for the pharmacological treatment of hypertension in adults [Internet]. Geneva: World Health
Organization; 2021. Annex 4, PICO questions. Available from: https://www.ncbi.nlm.nih.gov/books/NBK573624/
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Shetty V, Suresh LR, Hegde AM. Effect of Virtual Reality Distraction on Pain and Anxiety During Dental Treatment in 5
to 8 Year Old Children. J Clin Pediatr Dent. 2019;43(2):97-102.
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Niharika P, Reddy NV, Srujana P, Srikanth K, Daneswari V, Geetha KS. Effects of distraction using virtual reality
technology on pain perception and anxiety levels in children during pulp therapy of primary molars. J Indian Soc
Pedod Prev Dent 2018;36:364-9.
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Hu X, Beard K, Sherbel M, Nascimento T, Petty S, Pantzlaff E, Schwitzer D, Kaciroti N, Maslowski E, Ashman L, Feinberg
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Goudman L, Jansen J, Billot M, Vets N, De Smedt A, Roulaud M, Rigoard P, Moens M. Virtual Reality Applications in
Chronic Pain Management: Systematic Review and Meta-analysis. JMIR Serious Games. 2022 May 10;10(2):344-02
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El Mathari S, Shehadeh S, Zwaan WP, Boulidam N, Kuitert L, Twisk JWR, Klautz RJM, de Lind van Wijngaarden R, Veen
K, Kluin J. The effect of virtual reality on postoperative anxiety and pain in patients following cardiac surgery: a
randomized controlled trial. Eur J Cardiothorac Surg. 2024 Nov 28;66(6):44-50.
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International Association for the Study of Pain (IASP). (2020). Pain terms: A list with definitions and notes on usage.
Retrieved March 16, 2025, from https://www.iasp-pain.org/resources/terminology/.
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Shahiri T S, Gélinas P C. The Validity of Vital Signs for Pain Assessment in Critically Ill Adults: A Narrative Review.
Pain Management Nursing.2023; 24(3):318 – 328.
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Arbour C, Choinière M, Topolovec-Vranic J, Loiselle CG, Gélinas C. Can fluctuations in vital signs be used for pain
assessment in critically ill patients with a traumatic brain injury? Pain Res Treat. 2014; 2014:1757-94
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Ceko M, Baeuerle T, Webster L, Wager TD, Lumley MA. The effects of virtual reality neuroscience-based therapy on
clinical and neuroimaging outcomes in patients with chronic back pain: a randomized clinical trial. Pain.
2024;165(8):1860-1874.
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Papandreou M, Philippou A, Taso O, Koutsilieris M, Kaperda A.The effect of treatment regimens on salivary cortisol
levels in patients with chronic musculoskeletal disorders.Journal of Bodywork and Movement
Therapies.2020;24(1):100-108.
-
Kredlow MA, Eichenbaum H, Otto MW. Memory creation and modification: Enhancing the treatment of
psychological disorders. Am Psychol. 2018 Apr;73(3):269-285.
-
Anuradha G, Gautham K N,Natarajan P M. Solanum trilobatum leaf extract-derived silver nanoparticles
downregulate the PI3K/AKT/mTOR signaling pathway and attenuate oral squamous cell carcinoma cell
proliferation. J Herbmed Pharmacol.2024;13(2):300-307.
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Yesoda A K, Krithika C L, Anuradha G. Nanotheranostics: A Light at the End of a Tunnel: A Review. Texila
International Journal of Public Health.20
Virtually reducing pain: A systematic and meta-analysis on the efficiency of virtual reality in orofacial pain management
Year 2025,
Volume: 42 Issue: 4, 466 - 472, 31.12.2025
Yesoda Aniyan
,
Anuradha Ganesan
,
Krithika Cl
,
Arul Jothi Murugan
Abstract
Virtual Reality (VR), a computer technology that simulates a three-dimensional artificial environment and acts on the perception of pain through the effect on attention, emotion, concentration and/or memory. The purpose of this study was to conduct a systematic review of literature comparing the effectiveness and analyse the efficacy of VR as a method for reducing pain levels in orofacial pain management. To evaluate the efficacy of Virtual Reality in Orofacial Pain Management as therapeutic alternative in Randomized Controlled Trials. A systematic review and meta-analysis was conducted according to PRISMA 2020 guidelines, to quantify the association between orofacial pain and VR effectiveness as management. MEDLINE, EMBASE, Cochrane, Scopus, Web of Science, CINAHL, Google Scholar and manual search was systematically searched till 9th February 2025. Five studies were selected and evaluated in depth. The statistical evaluation was done with a Forest plot with overall effect size at 0.25. The test for overall effect as represented by z-score was 0.25, thus 0.25 standard deviations above the mean with a P-value of 0.81 at 95% confidence interval. The heterogeneity measured as τ2 was 0.87 and thus minimal. Virtual Reality as a part of pain management is about tricking the eyes and ears to change the working of the brain. From an enhanced treatment experience to a better psychological profile of the treatment after procedure, this add on to therapeutic protocol has a high potential on the utility front. The positive potential in the use of virtual reality in the management of orofacial pain has added backing from the data review and meta-analysis.
Ethical Statement
This manuscript is a systematic review and meta-analysis. Therefore, it uses data from published sources.
Supporting Institution
SRM Dental College
References
-
Addab S, Hamdy R, Thorstad K, Le May S, Tsimicalis A. Use of virtual reality in managing paediatric procedural pain and anxiety: an integrative literature review. J Clin Nurs.2022; 31:3032–3059.
-
Amandine E, Christelle GR, Laurent D. Does immersive virtual reality reduce pain and anxiety in pediatric
dentistry? A systematic review and meta-analysis. J Oral Med Oral Surg.2024;30(2):2-14.
-
De Ramón S LA, Ferrández M A F, García C A R, Espín G F, Alarcón R R. Effect of Virtual Reality and Music Therapy on
Anxiety and Perioperative Pain in Surgical Extraction of Impacted Third Molars. J. Am. Dent. Assoc. 2023;154:206–
214.
-
Alshatrat SM, Sabarini JM, Hammouri HM, Al-Bakri IA, Al-Omari WM. Effect of immersive virtual reality on pain in
different dental procedures in children: A pilot study. Int J Paediatr Dent. 2022;32(2):264-272.
-
Du Q, Ma X, Wang S, Zhou S, Luo C, Tian K, Fei W, Liu X. A digital intervention using virtual reality helmets to reduce
dental anxiety of children under local anesthesia and primary teeth extraction: A randomized clinical trial. Brain
Behav. 2022;12(6):2600.
-
Moher D, Liberati A, Tetzlaff J, Altman DG.Preferred reporting items for systematic reviews and meta-analyses: the
PRISMA statement. PLoS Med.2009; 6(7):10000-97
-
Guideline for the pharmacological treatment of hypertension in adults [Internet]. Geneva: World Health
Organization; 2021. Annex 4, PICO questions. Available from: https://www.ncbi.nlm.nih.gov/books/NBK573624/
-
Shetty V, Suresh LR, Hegde AM. Effect of Virtual Reality Distraction on Pain and Anxiety During Dental Treatment in 5
to 8 Year Old Children. J Clin Pediatr Dent. 2019;43(2):97-102.
-
Niharika P, Reddy NV, Srujana P, Srikanth K, Daneswari V, Geetha KS. Effects of distraction using virtual reality
technology on pain perception and anxiety levels in children during pulp therapy of primary molars. J Indian Soc
Pedod Prev Dent 2018;36:364-9.
-
Hu X, Beard K, Sherbel M, Nascimento T, Petty S, Pantzlaff E, Schwitzer D, Kaciroti N, Maslowski E, Ashman L, Feinberg
S, DaSilva A. Brain Mechanisms of Virtual Reality Breathing Versus Traditional Mindful Breathing in Pain Modulation:
Observational Functional Near-infrared Spectroscopy Study. J Med Internet Res 2021;23(10):272-98.
-
Oral and Dental Health. Centers for Disease Control and Prevention. Accessed 5/21/2024.
-
Goudman L, Jansen J, Billot M, Vets N, De Smedt A, Roulaud M, Rigoard P, Moens M. Virtual Reality Applications in
Chronic Pain Management: Systematic Review and Meta-analysis. JMIR Serious Games. 2022 May 10;10(2):344-02
-
El Mathari S, Shehadeh S, Zwaan WP, Boulidam N, Kuitert L, Twisk JWR, Klautz RJM, de Lind van Wijngaarden R, Veen
K, Kluin J. The effect of virtual reality on postoperative anxiety and pain in patients following cardiac surgery: a
randomized controlled trial. Eur J Cardiothorac Surg. 2024 Nov 28;66(6):44-50.
-
International Association for the Study of Pain (IASP). (2020). Pain terms: A list with definitions and notes on usage.
Retrieved March 16, 2025, from https://www.iasp-pain.org/resources/terminology/.
-
Shahiri T S, Gélinas P C. The Validity of Vital Signs for Pain Assessment in Critically Ill Adults: A Narrative Review.
Pain Management Nursing.2023; 24(3):318 – 328.
-
Arbour C, Choinière M, Topolovec-Vranic J, Loiselle CG, Gélinas C. Can fluctuations in vital signs be used for pain
assessment in critically ill patients with a traumatic brain injury? Pain Res Treat. 2014; 2014:1757-94
-
Ceko M, Baeuerle T, Webster L, Wager TD, Lumley MA. The effects of virtual reality neuroscience-based therapy on
clinical and neuroimaging outcomes in patients with chronic back pain: a randomized clinical trial. Pain.
2024;165(8):1860-1874.
-
Papandreou M, Philippou A, Taso O, Koutsilieris M, Kaperda A.The effect of treatment regimens on salivary cortisol
levels in patients with chronic musculoskeletal disorders.Journal of Bodywork and Movement
Therapies.2020;24(1):100-108.
-
Kredlow MA, Eichenbaum H, Otto MW. Memory creation and modification: Enhancing the treatment of
psychological disorders. Am Psychol. 2018 Apr;73(3):269-285.
-
Anuradha G, Gautham K N,Natarajan P M. Solanum trilobatum leaf extract-derived silver nanoparticles
downregulate the PI3K/AKT/mTOR signaling pathway and attenuate oral squamous cell carcinoma cell
proliferation. J Herbmed Pharmacol.2024;13(2):300-307.
-
Yesoda A K, Krithika C L, Anuradha G. Nanotheranostics: A Light at the End of a Tunnel: A Review. Texila
International Journal of Public Health.20