Purpose: To determine if virtual reality (VR) is associated with reduced dental anxiety in neurotypical children and children with special health care needs compared with usual care or other distraction methods. Methods: This systematic review was conducted following PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420251126502). A comprehensive search was performed in August 2025 in PubMed, Scopus, LILACS, CAPES, Cochrane Library, ClinicalTrials. gov, and Google Scholar…
