Dental Anxiety, Dental Procedures, Fissure Sealant, Pain Perception, Pediatric Dental Patients
Conditions
Keywords
Pediatric Dentistry, Auditory Distraction, Pain Measurement, Dental Anxiety, Music Therapy, Pit and Fissure Sealants
Brief summary
This study aimed to evaluate the effects of music on anxiety, heart rate, and pain perception in children during fissure sealant application, and to compare the effectiveness of clinician-selected and patient-selected music. A total of 90 children aged 6-9 years were included in this split-mouth study. Each child received fissure sealant treatment on three permanent first molars under three different conditions: no music, clinician-selected music, and patient-selected music. Anxiety levels were assessed using the Facial Image Scale (FIS), heart rate was measured with a pulse oximeter, and pain perception was evaluated using the Wong-Baker Pain Scale. Measurements were recorded before and after each procedure. Data were analyzed using paired t-tests and repeated measures ANOVA with Bonferroni correction.
Interventions
OTHERMusic intervention 1
Participants listened to a standardized classical music piece (Pachelbel's Canon in D Major) played through a speaker for approximately 5 minutes during the procedure. The volume was kept constant.
OTHERMusic intervention 2
Participants listened to their preferred music played through a speaker for approximately 5 minutes during the procedure. If the selected music was shorter than 5 minutes, it was replayed to standardize the duration. The volume was kept constant.
Sponsors
Nigde Omer Halisdemir University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This study was designed as a split-mouth randomized crossover trial in which each participant received all three interventions (control, researcher-selected music, and patient-selected music) in different sequences.
Eligibility
Sex/Gender
ALL
Age
6 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
1. Children aged 6-9 years 2. Children with at least 3 fully erupted permanent first molars 3. Children requiring pit and fissure sealant application 4. Children with no previous dental treatment experience 5. Children without learning disabilities 6. Children without any systemic diseases
Exclusion criteria
1. Children with any physical or mental disability 2. Children who have previously experienced any psychological disorder that could affect anxiety measurement 3. Children who have previously received fissure sealant or any other dental treatment 4. Children whose permanent first molars have not fully erupted, are carious, or have previously undergone other procedures 5. Children who were unable to cooperate during the procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety Level | Immediately before and after the procedure | Anxiety levels of children were assessed using the Facial Image Scale before and after each intervention.The scale was scored by ranging from 1 (most positive emotion) to 5 (most negative emotion). |
| Pulse Rate | Immediately before and after the procedure | The children's pulses were assessed before and after each intervention using a finger pulse oximeter. |
Countries
Turkey (Türkiye)
Outcome results
None listed