Abdulhameed Sarah Ali, Nagendrababu Venkateshbabu, Gorduysus Mehmet Omer, Dummer Paul M H, Gopinath Vellore Kannan
Quintessence Int. 2024 Sep 27;55(8):670-680. doi: 10.3290/j.qi.b5640066.
This randomized clinical trial compared the effectiveness of music and informative videos as distraction tools to reduce the anxiety of patients during root canal treatment and retreatment.
A total of 90 patients were enrolled in the study. The patients were randomly allocated to three groups: Group 1 listened to music during the treatment (n = 30), Group 2 watched an informative preoperative video (n = 30), and a control group underwent treatment without a distraction method (n = 30). Prior to treatment, the Corah Dental Anxiety Scale (CDAS) and a visual analog scale for pain were used to assess anxiety and preoperative pain. Systolic blood pressure, diastolic blood pressure, heart rate, and oxygen saturation were recorded before the intervention (T1), after the local anesthetic (T2), following pulp extirpation or removal of root fillings (T3), and immediately following rubber dam removal (T4). One-way ANOVA, followed by post-hoc Bonferroni tests for multiple comparisons, were used to compare mean values of systolic blood pressure, diastolic blood pressure, heart rate, and oxygen saturation among the groups. A P value of 5% was considered as significant.
Listening to music reduced systolic blood pressure, heart rate (P .001), and diastolic blood pressure (P = .003) in patients undergoing root canal treatment and retreatment at T4 compared to the baseline (T1). Music (P .001) and informative video (P = .003) groups had significantly lower postoperative visual analog scale pain scores.
Listening to music during root canal treatment and retreatment reduced anxiety levels in patients compared to informative preoperative videos and no distraction technique.
本随机临床试验比较了音乐和信息视频作为分散注意力工具在减少根管治疗和再治疗过程中患者焦虑方面的有效性。
共有90名患者纳入本研究。患者被随机分为三组：第1组在治疗期间听音乐（n = 30），第2组观看术前信息视频（n = 30），对照组在无分散注意力方法的情况下接受治疗（n = 30）。治疗前，使用科拉牙科焦虑量表（CDAS）和疼痛视觉模拟量表评估焦虑和术前疼痛。在干预前（T1）、局部麻醉后（T2）、牙髓摘除或去除根充物后（T3）以及去除橡皮障后立即（T4）记录收缩压、舒张压、心率和血氧饱和度。采用单因素方差分析，随后进行用于多重比较的事后邦费罗尼检验，以比较各组收缩压、舒张压、心率和血氧饱和度的平均值。P值小于5%被认为具有统计学意义。
与基线（T1）相比，在根管治疗和再治疗的患者中，听音乐在T4时降低了收缩压、心率（P <.001）和舒张压（P =.003）。音乐组（P <.001）和信息视频组（P =.003）术后视觉模拟量表疼痛评分显著更低。
与术前信息视频和无分散注意力技术相比，在根管治疗和再治疗期间听音乐可降低患者的焦虑水平。
