الفهرس 
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Abstract
Pain and anxiety are unpleasant emotional experiences, which are associated with real or possible trauma to tissues. Management strategies have been proposed to reduce distress during dental treatment in children and are mainly divided into two categories. The first module consists of behavioral techniques including the tell-show-do technique, distraction, modeling and hypnotism. The second category consists of pharmacologic techniques such as sedation and general anesthesia.
Distraction appears to be safe and inexpensive and gives rise to an effective relaxed experience in short painful dental procedure. It is based on the assumption that an individual should concentrate on the painful stimuli in order to perceive pain; therefore, perception of pain decreases when a person’s attention is distracted away from the stimulus.
Accordingly, the aim of this study was to assess the effect of using virtual reality distraction goggles on the behavior of uncooperative children during dental treatment using Frankl Scale for Behavior and pulse oximeter, which measures the pulse rate and oxygen saturation.
A total of 60 uncooperative children (males and females) aged from 3-5 years old were randomly selected and divided into two groups; (Study group A) consists of 30 children who received the dental treatment wearing the virtual reality goggles. (Control group B) consists of 30 children who received the dental treatment without the virtual reality goggles. The study was conducted in two visits for each child in both groups.
The Frankl Behavioral Rating Scale, pulse rate and oxygen saturation levels were assessed at the beginning and at the end of each visit for every child to evaluate the anxiety level during dental treatment.
Results were tabulated showing that children using virtual reality distraction goggles during restorative treatment (Study group A) reported less distress during the procedure than those without the VR goggles (Control group B) and showed a more positive response after injection with local anesthesia. Therefore, virtual reality distraction seems to be a beneficial tool to reduce the distress and anxiety during dental treatment.