The goal of this clinical trial is to learn whether virtual reality can reduce anxiety, pain, and physiological stress responses during periodontal frenectomy in adults who need this surgical procedure. The main questions it aims to answer are: Does virtual reality reduce anxiety before and after periodontal frenectomy? Does virtual reality reduce pain during and after the procedure? Does virtual reality have a favorable effect on physiological stress responses such as blood pressure, heart rate, and oxygen saturation? Does virtual reality affect surgical process-related outcomes and early wound healing? Researchers will compare adults who receive standard periodontal frenectomy with virtual reality-based audiovisual distraction to adults who receive standard periodontal frenectomy without virtual reality. Participants will: Complete anxiety and pain questionnaires before the procedure. Undergo periodontal frenectomy under local anesthesia. Be randomly assigned to either the virtual reality group or the control group. Have blood pressure, heart rate, oxygen saturation, and pain levels recorded at defined time points during the procedure. Record daily pain levels and analgesic use for 7 days after surgery. Return for a 7-day follow-up visit for suture removal and early wound healing assessment.
Age range
18 Years – 65 Years
Sex
ALL
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Pain Intensity Assessed by Visual Analog Scale During and Immediately After Surgery
Timeframe: After local anesthesia, during the middle phase of surgery, and 10 minutes after completion of surgery
State Anxiety Score Assessed by the State-Trait Anxiety Inventory-State Form
Timeframe: Baseline before randomization and virtual reality application, and 10 minutes after completion of surgery
Blood Pressure During Periodontal Frenectomy
Timeframe: Before virtual reality application, after local anesthesia, during the middle phase of surgery, and immediately after surgery
Heart Rate During Periodontal Frenectomy
Timeframe: Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery
Peripheral Oxygen Saturation During Periodontal Frenectomy
Timeframe: Baseline before randomization and virtual reality application, after local anesthesia, during the middle phase of surgery, and at completion of surgery