The goal of this clinical trial is to investigate the effectiveness of virtual reality distraction therapy using virtual reality glasses in reducing dental anxiety during the surgical extraction of impacted lower third molar teeth.The main questions it aims to answer are:

• Is the use of the virtual reality distraction during the procedure effective on perceived pain and anxiety?
• Evaluation of the effectiveness of the virtual reality distraction based on initial anxiety test scores.
• Does the use of the virtual reality headset cause difficulties for the clinician in performing the procedure?

Patients will undergo anxiety tests before surgery.

Pre-operative vital signs will be recorded.

The procedure will be performed either with or without virtual reality glasses, according to the randomly assigned groups.

Post-operative vital signs will be recorded.

At the end of the procedure, all patients will undergo anxiety tests and verbal rating scales.

Inclusion Criteria:

• Being over 18 years old
• Being systemically healthy
• Needing surgical extraction treatment of impacted lower third molar (in mesioangular position according to Tetsch and Wagner Classification)
• Having a score of 11 or higher on the dental anxiety scale

Exclusion Criteria:

• History of seizures or convulsive disorders
• Balance disorders such as nystagmus or vertigo
• Use of psychotropic medications
• Undergoing treatment for anxiety
• Patients with psychiatric disorders
• Presence of dermatological lesions, especially around the face and eyes
• Presence of any lesion in the eye that would prevent the use of virtual reality
• Presence of systemic diseases and medication use contraindicating surgical extraction of impacted teeth

- Healthy volunteers