Serra-Negra J M, Abreu M H, Flores-Mendoza C E, Brant M O, Auad S M
Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, Belo Horizonte, Minas Gerais, 31270-901, Brazil.
Department of Public Health, Faculty of Dentistry, Universidade Federal de Minas Geraisl, Av. Antônio Carlos 6627, Belo Horizonte, Minas Gerais, 31270-901, Brazil.
Eur Arch Paediatr Dent. 2019 Oct;20(5):441-449. doi: 10.1007/s40368-019-00422-y. Epub 2019 Feb 26.
The objective of this study was to analyze the reassuring role of music associated with the personality traits of children during dental care.
The study involved a randomized crossover clinical trial with 34 children, aged from 4 to 6 years, who exhibited two carious lesions on the occlusal surfaces of the molars. The children were divided into two groups: (G1) first tooth restoration intervention session with music, second session without music; and (G2) first tooth restoration intervention session without music, second session with music. The first consultation was to perform a clinical examination, and the second and third to perform modified Atraumatic Restorative Treatment (mART). Symphony No. 40 by Mozart was played via headphones. Pulse rate (PR) was measured using a pulse oximeter. The Brazilian version of the Eysenck Personality Questionnaire-Junior (EPQ-J) was used to measure the children's personality. For statistical analysis, descriptive, Chi-square, and Wilcoxon tests were carried out.
The G1 group exhibited a lower PR at the time of the intervention during the second consultation compared to the third consultation (p = 0.012). The G2 group exhibited a lower PR at the time of the intervention during the third consultation compared to the first consultation (p = 0.002). The majority of the children with a low level of extraversion presented with higher PR (p = 0.005).
Music could reduce the PR among children during dental intervention. Children with low extraversion showed a tendency towards a higher PR without music during dental care.
本研究的目的是分析音乐在儿童牙科护理过程中与儿童人格特质相关的安抚作用。
该研究为一项随机交叉临床试验，涉及34名4至6岁的儿童，他们的磨牙咬合面有两处龋损。将儿童分为两组：（G1）第一次牙齿修复干预 session 有音乐，第二次 session 无音乐；（G2）第一次牙齿修复干预 session 无音乐，第二次 session 有音乐。第一次会诊进行临床检查，第二次和第三次会诊进行改良非创伤性修复治疗（mART）。通过耳机播放莫扎特的《第40号交响曲》。使用脉搏血氧仪测量脉搏率（PR）。采用巴西版艾森克儿童人格问卷（EPQ-J）测量儿童的人格。进行描述性、卡方检验和威尔科克森检验以进行统计分析。
与第三次会诊相比，G1组在第二次会诊干预时的PR较低（p = 0.012）。与第一次会诊相比，G2组在第三次会诊干预时的PR较低（p = 0.002）。大多数外向性水平较低的儿童PR较高（p = 0.005）。
音乐可降低儿童牙科干预期间的PR。外向性低的儿童在牙科护理期间无音乐时PR有升高的趋势。
