Comparative Clinical Study Between Virtual Reality Hypnosis and Nitrous Oxide Inhalation for Dental Anxie (HYPNOSEDENT)
Dental Anxiety
About this trial
This is an interventional supportive care trial for Dental Anxiety focused on measuring virtual reality, hypnosis, nitrous oxide, dental anxiety, child
Eligibility Criteria
Inclusion criteria:
- Patients aged between 7 and 10 years
- With an indication for conservative and/or endodontic care of at least 2 temporary molars belonging to the same dental arch, unilateral or bilateral, and equivalent in terms of caries and symptoms
- With dental anxiety
- ASA I patients
Exclusion criteria:
- Patient with a history of MEOPA or virtual reality sedation for dental treatment
- Patient refusing to do preoperative intra-oral x-rays
- Patient with one of the MEOPA contraindications
- Patient with a history of post-operative nausea vomiting or motion sickness
- Patient with visual or hearing disorders
- Patient presenting with a psychiatric pathology or having taken psychotropic drugs in the 8 weeks preceding the 1st visit and during the duration of the study
- Patient with claustrophobia
- Patient without French Social Security coverage
- Lack of consent from the holders of parental authority to participate in the study
Sites / Locations
- Les Hôpitaux Universitaires de StrasbourgRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Virtual Reality
Nitrous oxide sedation
(T1) after fitting the headset to the child's face, the assistant starts the VR program chosen by the child. (T2) Five minutes after induction, local anesthesia with the QUICKSLEEPER device is performed. The injection of a cartridge of anesthetic Articaïne SEPTANEST 1/200 000 is administered intraosseously. (T3) After placing the rubber dam, the investigator performs restorative +/- endodontic care of the selected temporary molar. (T4) Once the treatment is finished, the sedation is stopped and the patient rests in the chair for 5 minutes. (T5) As soon as the investigator considers that the child is back to normal state, he can leave the office with his parents.
(T1) With the nitrous oxide/oxygen inhalation system titrated to 50%/50% whose flow rate is adapted to the child's respiratory flow. The assistant is responsible for controlling the sedation. Verbal encouragement is always present to reassure the child. (T2) Five minutes after induction, local anesthesia with the QUICKSLEEPER device is performed. The injection of a cartridge of anesthetic Articaïne SEPTANEST 1/200 000 is administered intraosseously. (T3) After placing the rubber dam, the investigator performs restorative +/- endodontic care of the selected temporary molar. (T4) Once the treatment is finished, the sedation is stopped and the patient rests in the chair for 5 minutes. (T5) As soon as the investigator considers that the child is back to normal state, he can leave the office with his parents.