{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T05:53:35Z","timestamp":1791006815995,"version":"4.1.0"},"reference-count":55,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ft\u0131rma Kurumu","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical extraction of Impacted Third Molar (ITM) is one of the most frequently performed oral surgical procedures. The effects of relaxation exercises and VR after ITM surgery remain underinvestigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effects of relaxation exercises and VR on pain, sleep quality, kinesiophobia, and anxiety levels following ITM surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 36 individuals between the ages of 18 and 35 with mandibular third molars in Class 2 position B, according to the Pell and Gregory classification. All third molar extractions were performed under local anaesthesia. Participants in the Relaxation Exercise Group (G1) received relaxation exercises and patient education; participants in the Relaxation Exercise\u2009+\u2009VR Group (G2) received relaxation exercises, VR and patient education; and participants in the Control Group (G3) received patient education only. We assessed pain levels using the Visual Analog Scale (VAS), kinesiophobia levels using the Tampa Scale for Kinesiophobia for Temporomandibular Disorders, sleep quality using the Visual Analog Sleep Scale, and anxiety levels using the State subscale of the State\u2013Trait Anxiety Inventory (STAI\u2010S). The same researcher performed assessments three times: immediately after ITM extraction and on postoperative days 2 and 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      On postoperative days 2 and 7, the three groups differed significantly in VAS and STAI\u2010S scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Relaxation exercises, alone or combined with VR, appear to be viable approaches for managing pain and anxiety after ITM surgery and may represent a promising avenue for future rehabilitation research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov\/NCT06917989<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70324","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T05:14:19Z","timestamp":1791004459000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Virtual Reality and Relaxation Exercises Shape Pain, Sleep, Kinesiophobia and Anxiety Over Time After Impacted Third Molar Surgery?: A Randomized Controlled Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9822-0965","authenticated-orcid":false,"given":"Buse","family":"Kilinc Ozay","sequence":"first","affiliation":[{"name":"Gulhane Institute of Health Sciences University of Health Sciences T\u00fcrkiye  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8249-8628","authenticated-orcid":false,"given":"Emre Serdar","family":"Atalay","sequence":"additional","affiliation":[{"name":"Gulhane Faculty of Physiotherapy and Rehabilitation University of Health Sciences T\u00fcrkiye  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6118-8081","authenticated-orcid":false,"given":"Sara","family":"Samur Erguven","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Gulhane Faculty of Dentistry University of Health Sciences T\u00fcrkiye  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2576-9118","authenticated-orcid":false,"given":"Ayd\u0131n","family":"Ozkan","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Gulhane Faculty of Dentistry University of Health Sciences T\u00fcrkiye  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6053-2418","authenticated-orcid":false,"given":"Ozlem","family":"Akkoyun Sert","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences KTO Karatay University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5527-4290","authenticated-orcid":false,"given":"Necmiye","family":"Un Yildirim","sequence":"additional","affiliation":[{"name":"Gulhane Faculty of Physiotherapy and Rehabilitation University of Health Sciences T\u00fcrkiye  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"issue":"5","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.oooo.2021.03.004","article-title":"Third Molar Surgery: Past, Present, and the Future","volume":"132","author":"Sifuentes\u2010Cervantes J. 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