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调查中度牙焦虑症患者在修复后牙窝沟龋时听音乐的效果。

Investigation of the effect of music listened to by patients with moderate dental anxiety during restoration of posterior occlusal dental caries.

机构信息

Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.

Department of Medical Biochemistry, Graduate School of Medical Science, Karadeniz Technical University, Trabzon, Turkey.

出版信息

Clin Oral Investig. 2023 Jul;27(7):3521-3530. doi: 10.1007/s00784-023-04966-8. Epub 2023 Mar 24.

Abstract

OBJECTIVE

The aim of this randomized controlled study was to investigate the effect of music therapy during restorative dental treatments on patients with moderate dental anxiety.

MATERIALS AND METHODS

Seventy patients were determined to have moderate dental anxiety by the Modified Dental Anxiety Scale (MDAS) and were divided randomly into two groups (n = 35). The first group did not listen to music during their restorative treatment (control group), and the second group listened to music of their choice (experimental group). Systolic blood pressure, diastolic blood pressure, heart rate, oxygen saturation, and body temperature were measured three times for each patient: once before the treatment, once after their dental caries were removed, and once at the end of the treatment. Salivary cortisol samples were taken from each patient before and after the treatment. The MDAS was re-administered to the patients at the end of the treatment, and the data were analyzed statistically.

RESULTS

Only the diastolic blood pressure (P = 0.042) and the MDAS scores of the experimental group (P = 0.001) were significantly lower than the control group at the end of the treatment.

CONCLUSION

While music listening did not have an effect on the physiologic parameters of the patients during restorative treatment, it decreased the MDAS scores of the patients.

CLINICAL RELEVANCE

Although music therapy did not affect the physiological parameters during the restorative dental treatment, it may help to reduce patients' self reported anxiety level.

摘要

目的

本随机对照研究旨在探讨在修复性牙科治疗中使用音乐疗法对中度牙科焦虑症患者的影响。

材料和方法

70 名患者通过改良牙科焦虑量表(MDAS)被确定为中度牙科焦虑症,并随机分为两组(n = 35)。第一组在修复治疗期间不聆听音乐(对照组),第二组聆听他们选择的音乐(实验组)。对每位患者的收缩压、舒张压、心率、血氧饱和度和体温进行了三次测量:一次在治疗前,一次在龋齿去除后,一次在治疗结束时。每位患者在治疗前后都采集了唾液皮质醇样本。在治疗结束时再次对患者进行 MDAS 评估,并进行统计学数据分析。

结果

只有舒张压(P = 0.042)和实验组的 MDAS 评分(P = 0.001)在治疗结束时显著低于对照组。

结论

虽然音乐聆听对修复治疗期间患者的生理参数没有影响,但它降低了患者的 MDAS 评分。

临床意义

尽管音乐疗法在修复性牙科治疗期间并未影响患者的生理参数,但它可能有助于降低患者自我报告的焦虑水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c37/10036243/9c4f8cb616f1/784_2023_4966_Fig1_HTML.jpg

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