Dental anxiety is common during third molar extractions and may exacerbate pain perception. Local anesthesia does not prevent exposure to stress-inducing stimuli. Virtual reality (VR) combined with hypnotic scripts (HypnoVR®) provides immersive multisensory distraction. This study tests whether VR reduces perioperative anxiety and postoperative pain compared to local anesthesia alone.
Inclusion Criteria
- Age 18-65
- Indication for extraction of 4 wisdom teeth or ≥2 mandibular wisdom teeth
- ASA I-II
- Written informed consent.
Exclusion Criteria
- Visual/hearing impairment
- Psychiatric disorders or psychotropics (\<8 weeks)
- Claustrophobia
- Heavy smoking \>10 cig/day
- Previous radiotherapy (jaw)
- ASA III-IV
- Pregnancy
- Antithrombotic therapy
- Chemotherapy
- Bisphosphonates
- Uncontrolled diabetes
- Severe anxiety requiring GA or pharmacological sedation
- No health insurance affiliation.