Acute Stress Response During Orthodontic Mini-screw Placement
Conditions
Keywords
Music Therapy, Salivary Cortisol, Salivary Alpha-amylase, Physiological Stress Response
Brief summary
This randomized clinical trial evaluated acute stress responses during orthodontic mini-screw placement and whether listening to music during the procedure influenced these responses. Thirty-two participants aged 14 to 20 years who were undergoing mini-screw placement for the first time were randomly assigned in equal numbers to a music intervention group or a control group receiving the same orthodontic procedure without music. Saliva samples were collected immediately before and after the procedure to measure salivary cortisol and alpha-amylase. Pulse rate, systolic and diastolic blood pressure, body temperature, and oxygen saturation were also measured at the same time points. The study was designed to determine whether mini-screw placement produced a measurable acute stress response and whether music influenced biochemical and physiological changes associated with the procedure.
Interventions
BEHAVIORALMusic Listening Intervention
Participants assigned to the experimental arm listened to the same prespecified music throughout the standardized orthodontic mini-screw placement procedure. The music intervention was initiated after completion of the baseline saliva collection and physiological measurements and continued until the clinical procedure was completed. Post-procedure saliva collection and physiological measurements were then performed. Participants in the control arm underwent the same clinical procedure and measurement protocol without music.
Sponsors
Himmet YILDIRIM
Kırıkkale University Medical Faculty Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Participants and the clinician performing the procedure were not masked because of the nature of the music intervention. Laboratory personnel analyzing the saliva samples and the statistician were masked to group allocation. Samples and study data were identified using coded labels.
Eligibility
Sex/Gender
ALL
Age
14 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
Aged 14 to 20 years Scheduled to undergo orthodontic mini-screw placement for the first time Healthy, with no systemic disease
Exclusion criteria
Regular alcohol use Pregnancy, oral contraceptive use, or being in the menstrual period at the study visit Psychiatric or psychological disorders Use of antihistamine, antipsychotic, antidepressant, or anticholinergic medications Hearing impairment Oral lesions History of salivary gland disease or surgery involving the salivary glands
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Salivary Cortisol Level | Immediately before and immediately after orthodontic mini-screw placement |
Secondary
| Measure | Time frame |
|---|---|
| Change in Salivary Alpha-amylase Level | Immediately before and immediately after orthodontic mini-screw placement |
| Change in Pulse rate | Immediately before and immediately after orthodontic mini-screw placement |
| Change in Systolic blood pressure | Immediately before and immediately after orthodontic mini-screw placement |
| Change in Diastolic Blood Pressure | Immediately before and immediately after orthodontic mini-screw placement |
| Change in Body temparature | Immediately before and immediately after orthodontic mini-screw placement |
| Change in Oxygen Saturation | Immediately before and immediately after orthodontic mini-screw placement |
Countries
Turkey (Türkiye)
Outcome results
None listed