Abstract
Effect of Music Therapy on Dental Anxiety in Periodontal Surgery
Introduction: Pharmacological or non-pharmacological methods are applied to eliminate fear and anxiety problems related to dental treatments in many patients. As a non-invasive, non-pharmacological method with an anxiolytic effect, music therapy is preferred in the management of anxiety and fear. This study aimed to investigate the effect of music therapy on dental anxiety in patients scheduled to undergo periodontal surgery.
Material and Method: The study included a total of 46 patients, 23 in the study group and 23 in the control group, who were scheduled to undergo periodontal surgery. During the surgical procedure, the patients in the study group listened to music using in-ear headphones that isolated ambient sounds. The patients in the control group wore in-ear headphones to isolate ambient sounds, but they did not listen to any music. All patients were asked to complete the Modified Dentistry Anxiety Scale (MDAS), the State-Trait Anxiety Inventory-State (STAI-S), and the Dental Fear Survey (DFS) before and after surgery. Systolic blood pressure (SBP) and diastolic blood pressure were measured as vital signs before and after surgery, and the Visual Analog Scale (VAS) scores were recorded twice (at the end of and 30 minutes after the surgical procedure).
Results: In the study group, the post-test MDAS, STAI-S, and DFS measurement values showed statistically significant decreases compared to the pre-test measurement values (P<0.001, P=0.009, and P<0.001, respectively), but there was no statistically significant difference in the control group (P=0.093, P=0.923, and P=0.460, respectively). In both the study and control groups, the post-test VAS measurement values statistically significantly decreased compared to the pre-test measurement values (P=0.002 and P=0.019, respectively). While the post-test SBP values decreased statistically significantly in the study group compared to the pre-test measurement values (P=0.020), there was no statistically significant difference in the control group (P=0.705). No statistically significant difference was found between the pre-test and post-test measurement values of the DFS scores in the study or control group (P=0.083 and P=0.160, respectively).
Clinical significance: This study is the first clinical study to evaluate the effect of music on anxiety in periodontal surgery simultaneously with four different scales. Music therapy was found to be effective in reducing dental anxiety and fear during periodontal surgery.
Keywords
dental anxiety music therapy periodontal surgery systolic and diastolic blood pressure MDAS STAI-S DFS VAS.
References
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- 2. Doebling S, Rowe MM. Negative perceptions of dental stimuli and their effects on dental fear. Journal of Dental Hygiene, 2000;74(2):110-116.
- 3. Erakman T, Bayram B. Evaluation of the effect of intra-operative music on patient anxiety in impacted 3rd molar surgery Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2019;46(2):77-90.
- 4. Winter MJ, Paskin S, Baker T. Music reduces stress and anxiety of patients in the surgical holding area. Journal of Post Anesthesia Nursing, 1994;9(6):340-343.
- 5. Smolen D, Topp R, Singer L. The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure. Applied Nursing Research, ANR, 2002;15(3):126-136.
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- 24. Lepage C, Drolet P, Girard M, Grenier Y, DeGagné R. Music decreases sedative requirements during spinal anesthesia. Anesthesia and Analgesia, 2001;93(4):912–916.
- 25. Ün İ. Farmakoloji ile Müzik Arasındaki Etkileşimin Araştırılması. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Halk Hekimliği Dergisi, 2016;6(3):159-164.
- 26. Gümüş M, Yüksel D, Kara R, Yardımcı F, Şenol S, Yılmaz H. Çocuklarda post-operatif dönemde non-farmakolojik ağrı giderme yöntemi olarak müziğin kullanılması: sistemik derleme. Dokuz Eylül Üniversitesi Diş Hekimliği Fakültesi Elektronik Dergisi, 2020; 13(4):245-250.
- 27. Şen H, Yanarateş Ö, Sızlan A, Kılıç E, Özkan S, Dağlı G. The efficiency and duration of the analgesic effects of musical therapy on postoperative pain. TSK Koruyucu Hekimlik Bülteni, 2010;22(4):145-150.
- 28. Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S. Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials. Minerva Anestesiologica, 2019;85(8):86–898.
Abstract
References
- 1. Akarslan ZZ, Erten H. Diş Hekimliği Korkusu ve Kaygısı. Hacettepe Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2009;33(3):62-68.
- 2. Doebling S, Rowe MM. Negative perceptions of dental stimuli and their effects on dental fear. Journal of Dental Hygiene, 2000;74(2):110-116.
- 3. Erakman T, Bayram B. Evaluation of the effect of intra-operative music on patient anxiety in impacted 3rd molar surgery Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2019;46(2):77-90.
- 4. Winter MJ, Paskin S, Baker T. Music reduces stress and anxiety of patients in the surgical holding area. Journal of Post Anesthesia Nursing, 1994;9(6):340-343.
- 5. Smolen D, Topp R, Singer L. The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure. Applied Nursing Research, ANR, 2002;15(3):126-136.
- 6. Bradt J, Teague A. Music interventions for dental anxiety. Oral Diseases, 2018;24(3):300-306.
- 7. Moola S, Pearson A, Hagger C. Effectiveness of music interventions on dental anxiety in paediatric and adult patients: a systematic review. JBI library of Systematic Reviews, 2011;9(18):588-630.
- 8. Sazak Y, Kanadlı Aytekin K, Olgun N. Yoğun Bakım Hastalarında Müzik Uygulamasının Fizyolojik ve Psikolojik Etkileri: Sistematik Derleme. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2021;8(2):203-212.
- 9. Meltem U, Korhan EA. Yoğun bakım hastalarında müzik terapinin ağrı ve anksiyete üzerine etkisi. Ağrı. 2011;23(4):139-146.
- 10. Hollander MH, Schortinghuis J, Vissink A. Changes in heart rate during third molar surgery. International Journal of Oral Maxillofac Surgery, 2016;45(12):652-1657.
- 11. Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and validity of the modified dental anxiety scale in Turkish patients. The Journal of İnternational Medical Research, 2005;33(2):252-259.
- 12. Schuurs AH, Hoogstraten J. Appraisal of dental anxiety and fear questionnaires: a review. Community Dentistry and Oral Epidemiology, 1993;21(6):329-339.
- 13. Hakeberg M, Berggren U. Dimensions of the Dental Fear Survey among patients with dental phobia. Acta Odontologica Scandinavica, 1997;55(5):314-318.
- 14. Humphris GM, Clarke HMM, Freeman R. Does completing a dental anxiety questionnaire increase anxiety? A randomised controlled trial with adults in general dental practice. British Dental Journal, 2006;201(1):33-35.
- 15. Öst LG, Skaret E. Cognitive Behaviour Therapy for Dental Phobia and Anxiety. (L. Öst & E. Skaret, editors) Cognitive Behaviour Therapy for Dental Phobia and Anxiety Wiley.2013
- 16. Karalar M, Keleş I, Doğantekin E, Kahveci OK, Sarici H. Reduced Pain and Anxiety with Music and Noise-Canceling Headphones During Shockwave Lithotripsy. Journal of Endourology, 2016;30(6):674-677.
- 17. Zorba YO, Yıldız M, Turgut H, Bayındır YZ. Konservatif Tedavi Esnasında Anksiyetenin Yaş, Cinsiyet ve Eğitim Durumu Bakımından İncelenmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2004;14(3):35-40.
- 18. Holtzman JM, Berg RG, Mann J, Berkey DB. The Relationship of Age and Gender to Fear and Anxiety in Response to Dental Care. Spec Care Dentist, 1997;17(3):82-87.
- 19. Packyanathan JS, Lakshmanan R, Jayashri P. Effect of music therapy on anxiety levels on patient undergoing dental extractions. Journal of Family Medicine and Primary Care, 2019;8(12):3854–3860.
- 20. Mejía-Rubalcava C, Alanís-Tavira J, Mendieta-Zerón H, Sánchez-Pérez L. Changes induced by music therapy to physiologic parameters in patients with dental anxiety. Complementary Therapies in Clinical Practice, 2015;21(4):282-286.
- 21. Bradt J, Dileo C, Magill L, Teague A. Music interventions for improving psychological and physical outcomes in cancer patients. The Cochrane Database of Systematic Reviews, 2016(8), CD006911.
- 22. Lai HL, Hwang MJ, Chen CJ, Chang KF, Peng TC, Chang FM. Randomised controlled trial of music on state anxiety and physiological indices in patients undergoing root canal treatment. Journal of Clinical Nursing, 2008;17(19):2654–2660.
- 23. Karamızrak N. Ses ve Müziğin Organları İyileştirici Etkisi. Koşuyolu Heart Journal, 2014;17(1):54-57
- 24. Lepage C, Drolet P, Girard M, Grenier Y, DeGagné R. Music decreases sedative requirements during spinal anesthesia. Anesthesia and Analgesia, 2001;93(4):912–916.
- 25. Ün İ. Farmakoloji ile Müzik Arasındaki Etkileşimin Araştırılması. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Halk Hekimliği Dergisi, 2016;6(3):159-164.
- 26. Gümüş M, Yüksel D, Kara R, Yardımcı F, Şenol S, Yılmaz H. Çocuklarda post-operatif dönemde non-farmakolojik ağrı giderme yöntemi olarak müziğin kullanılması: sistemik derleme. Dokuz Eylül Üniversitesi Diş Hekimliği Fakültesi Elektronik Dergisi, 2020; 13(4):245-250.
- 27. Şen H, Yanarateş Ö, Sızlan A, Kılıç E, Özkan S, Dağlı G. The efficiency and duration of the analgesic effects of musical therapy on postoperative pain. TSK Koruyucu Hekimlik Bülteni, 2010;22(4):145-150.
- 28. Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S. Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials. Minerva Anestesiologica, 2019;85(8):86–898.
Details
| Primary Language | English |
|---|---|
| Subjects | Periodontics |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | February 16, 2024 |
| Submission Date | November 10, 2023 |
| Acceptance Date | January 18, 2024 |
| Published in Issue | Year 2024 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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