Old Dominion University, Higher Education Center, 1881 University Drive, Virginia Beach, VA, 23453, USA.
Complement Ther Clin Pract. 2021 Feb;42:101279. doi: 10.1016/j.ctcp.2020.101279. Epub 2020 Nov 25.
Dental anxiety is particularly problematic for individuals with Intellectual and Developmental Disabilities (IDD), resulting in a greater reluctance to undergo dental procedures and exacerbating poor oral health. Drugs commonly used for dental anxiety have undesirable side effects and may not be preferred by patients and guardians. Alternative methods for managing dental anxiety are needed. The purpose of this study was to evaluate the effects of music listening on anxiety levels of patients with IDD awaiting dental procedures.
A convenience sample of 15 patients with IDD listened to piano music for 10 min before scheduled outpatient dental procedures. Preprocedural dental anxiety levels as measured by Revised ADAMS scores, pulse rates, and blood pressures were compared pre and post music listening. Participants' premedication requirements for the procedure with music listening was compared to their respective previously scheduled procedure with no music listening.
Post music listening, patients demonstrated reduced anxiety levels as evidenced by lower Revised ADAMS scores (p = 0.001), mean arterial pressures (p = 0.09), pulse rates (p = 0.02), and reduced premedication requirements.
Study results suggest that music listening offers an effective, nonpharmacologic alternative to reducing preprocedural dental anxiety in patients with IDD.
对于智力和发育障碍（IDD）患者来说，牙科焦虑是一个特别棘手的问题，这导致他们更不愿意接受牙科治疗，并使口腔健康状况恶化。常用于治疗牙科焦虑的药物有不良副作用，可能不受患者和监护人的青睐。因此，需要寻找替代方法来管理牙科焦虑。本研究旨在评估音乐聆听对等待牙科治疗的 IDD 患者焦虑水平的影响。
本研究采用便利抽样法，选取 15 名 IDD 患者，在门诊牙科治疗前聆听 10 分钟的钢琴音乐。通过修订后的 ADAMS 评分、脉搏率和血压来评估患者在治疗前和治疗后的牙科焦虑水平。并将患者在聆听音乐时的术前用药要求与未聆听音乐时的各自预定治疗进行比较。
音乐聆听后，患者的焦虑水平明显降低，表现为修订后的 ADAMS 评分（p=0.001）、平均动脉压（p=0.09）、脉搏率（p=0.02）降低，以及术前用药需求减少。
研究结果表明，音乐聆听是一种有效、非药物的替代方法，可以降低 IDD 患者术前的牙科焦虑。
