01706nas a2200229   4500000000100000008004100001260007600042653002300118653002400141653001400165653001800179653002000197100002200217700002000239700001700259245009400276300001200370490000700382520105900389022001401448020001401462       2014                            d  c07/2014bSociedad Española para el Estudio de la Ansiedad y el Estrés10aactive distraction10aanxiety dental fear10aimmersion10aserious games10avirtual reality1 aUnai Díaz-Orueta1 aFIavio Banterla1 aGema Climent00aIsla Calma: virtual reality for pain and anxiety distraction when coping with dental fear  a127-1410 v203 aDental fear represents a problem for both clinicians and patients. The goal of the current study was to evaluate the efficacy of a virtual reality tool called "Isla Calma" (Calm Island) to reduce self-reported anxiety in a series of patients undergoing dental interventions. Ninety four patients from 3 clinics were randomly assigned to an experimental group (dental treatment using Isla Calma) and a control group (treatment without distractions). Patients were evaluated with the STAl. a questionnaire about dental concerns, before and after the intervention, a subjective pain scale, as well as with an ad-hoc questionnaire about the intervention experience. Results showed that, although dental concerns diminished significantly in both groups, the experimental group showed a more significant reduction in self-reported anxiety, especially in the information provided in the ad-hoc questionnaire. In conclusion, Isla Calma constitutes an efficient support in clinical interventions that benefit from distraction to manage anxiety and/or dental fear.  a1134-7937  a2174-0437