Evaluating the effect of virtual reality distraction techniques on pain and anxiety in pediatric dental patients during local anesthesia administration.

INTERVENTION: The Virtual reality (VR) distraction technique uses VR goggles distraction (showing a 3D children's cartoon show) versus the ordinary screen during infiltration Local Anesthesia Administration in children aged 6‐12 years old in The Dental clinics of the College of Dentistry at Qassim University, Saudi Arabia. the treated children will be randomly divided into two equal groups: the study group (using the VR distraction technique) and the control group (using an ordinary screen show ). The VR goggles will be applied 10 minutes before the local anesthesia administration and removed 5 minutes after the local anesthesia injection is complete. A General dentist will perform all the procedures. CONDITION: Anaesthesiology ‐ Other anaesthesiology Pain in Children's Dental Patients ;Anxiety in Pediatric Dental Patient; ; Pain in Children's Dental Patients ; Anxiety in Pediatric Dental Patient PRIMARY OUTCOME: 1‐Dental Pain (a composite primary outcome); [1‐ the face, legs, activity, cry, consolability (FLACC) behavioral pain assessment scale ; 2‐ Wong–Baker FACES pain rating scale.; Participants will be randomly assigned to a VR goggles distraction or screen group. ; 1‐ FLACC: will be measured for both groups of Participants exactly at the time of the Local Anesthesia administration.; 2‐ The wong‐Baker FACES pain rating scale will be measured for both groups of Participants immediately after finishing the local anesthesia procedure.; ] SECONDARY OUTCOME: Dental Anxiety (this will be assessed as a composite outcome’)[1‐Heart rates (HR) using a pulse oximeter. ; 2‐a faces version of the Modified Child Dental Anxiety Scale (MCDAS(f)) ; 1‐Heart rates (HR) using a pulse oximeter will be will be measured for both groups of Participants in three‐time intervals: ; a‐ At baseline measurement, before the dental procedure, the participant will be given a pulse oximeter to record their heart rate and obtain baseline pain and anxiety levels. ; b‐ exactly the time of the Local Anesthesia administration for the participant. ; c. immediately after finishing the local anesthesia procedure for the participant'. ; 2‐ MCDAS(f): will be used in a Follow‐up measurement. The participant will fill out the Modified Child Dental Anxiety Scale (MCDAS(f)) after 24 hours and again after a week to assess long‐term pain and anxiety levels ; ] INCLUSION CRITERIA: 1. Children aged 6 to 12 years old 2. .Scheduled to undergo dental treatment involving local infiltration anesthesia 3. Able to understand and communicate using the Arabic language 4. .Have no history of neurological or psychological disorders