Evaluation of Virtual Reality Based Distraction on Anxiety and Pain Perception in Paediatric Dental Extraction

The goal of this clinical trial is to learn if virtual reality distraction can reduce dental anxiety and pain perception in children aged 6-10 years undergoing simple dental extraction. The main questions it aims to answer are: Does virtual reality distraction lower dental anxiety compared to audio-visual distraction and conventional tell-show-do techniques? Does virtual reality distraction reduce pain perception during dental extraction? Researchers will compare virtual reality distraction, audio-visual distraction (2D cartoons with headset), and conventional tell-show-do with verbal distraction to see which method is most effective in improving child cooperation and reducing anxiety and pain. Participants will: Wear VR glasses to watch immersive 3D cartoons, or Watch 2D cartoons with headset, or Receive the conventional tell-show-do technique with verbal distraction. Outcome measures will include child dental anxiety (CFSS-DS, VCARS), pain perception (Wong-Baker FACES), physiological parameters (pulse rate, SpO₂), and behavioral cooperation (Frankl scale).

Inclusion Criteria: * Children aged 6 to 10 years * Classified as ASA class 1 or 2 (healthy or with mild systemic disease) * Those who demonstrated Frankl behavior rating 2 and 3 toward dental procedures * Children with NO previous exposure to invasive dental procedure * No prior experience using VR glasses * Requiring extraction of mandibular deciduous molar under local anesthesia Exclusion Criteria: * ASA 3 and above * Those who demonstrated Frankl behavior rating 1 and 4 toward dental procedures * Special needs ( intellectual and developmental) * Children on psychotropic medication * Children wearing glasses * Presence of intra-oral swelling