a randomized clinical trial with parallel-group and allocation ratio (1:1). intervention group: audiovisual distraction using virtual reality glasses control group :audio distraction using music. in children aged 5-8 years who need dental extraction for primary molars.~For both groups:~Taking personal data, medical and dental history.~Diagnosis and determination of the required treatment.~Measuring preoperative anxiety (expressed by heart rate) using a pulse oximeter.~Using the behavior guidance technique:~Intervention group: The Child is introduced to the virtual reality glasses device, and was given instructions on how to use it and was allowed to choose one of previously chosen cartoons to be played during the procedure.~Control group: The child is introduced to the headphones and was given instructions on how to use it, and a relaxing music is played during the procedure.~Administration of topical anesthesia.~Administration of local anesthesia.~Check the effectiveness of local anesthesia using dental probe.~Extraction of the affected tooth.~Measuring postoperative anxiety (expressed by heart rate) using the pulse oximeter.~Evaluate the objective pain using Face, Legs, Cry, Consolabiliy scale .~Self-reporting of subjective pain using Visual analogue scale.~Post extraction instructions are given to the patient.
The aim of the study is to evaluate and compare the effect of virtual reality glasses (VR) as an audiovisual distraction method to audio distraction using music on child's dental anxiety during dental treatment.