The Effect of Music Therapy in Reducing Dental Anxiety and Lowering Physiological Stressors

The Effect of Music Therapy in Reducing Dental Anxiety and Lowering Physiological Stressors

Authors

  • Mohammad Wazzan University of Sharjah
  • Mohammed Estaitia University of Sharjah, College of Dental Medicine
  • Sima Habrawi University of Sharjah, College of Dental Medicine
  • Dina Mansour University of Sharjah https://orcid.org/0000-0001-7469-1404
  • Zain Jalal Department of Oral & Craniofacial Health, College of Dental Medicine, University of Sharjah P.O. Box: 27272, Sharjah, United Arab Emirates
  • Hadir Ahmed University of sharjah
  • Hayder A. Hasan Sharjah Institute for Medical and Health Sciences; University of Sharjah, Sharjah, United Arab Emirates
  • Sausan Al Kawas a:1:{s:5:"en_US";s:21:"University of Sharjah";}

Keywords:

Music therapy, dental anxiety, salivary cortisol, heart rate, blood pressure, dental treatment, body temperature, ELISA

Abstract

Background and aim: The anxiolytic effects of music have been studied during the past twenty years in different medical therapies. The aim of this study is to evaluate the effect of music therapy on patients’ dental anxiety, salivary cortisol, heart rate, blood pressure and body temperature during dental treatment. Methods: In this randomized control study, 46 patients were randomly selected from the Urgent Care dental clinic who needed urgent endodontic treatment (endodontic access and pulp extirpation). Participants were divided into two groups: intervention group (N=23) which was exposed to slow rhythm melody music and had no lyrics throughout the entire procedure and a control group (N=23) who undergoes the same dental procedure without being exposed to music. Participants’ blood pressure, heart rate, body temperature and salivary cortisol were measured before and after the treatment for both groups. Results: Patients in the intervention group showed lower salivary cortisol, blood pressure, heart rate and body temperature compared to those in the control group, however, the differences did not reach to statistical significance. Conclusion: ­Despite the change in the dental anxiety and stress during treatment with music, the findings of this study could not establish evidence of the effect of music in reducing dental anxiety and lowering physiological stressors. Therefore, further studies with larger sample size may be needed. (www.actabiomedica.it)

Author Biography

Mohammad Wazzan, University of Sharjah

Department of Oral & Craniofacial Health, College of Dental Medicine

References

1. Nilsson U. The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN journal. 2008; 87(4): 780-807.
2. Packyanathan JS, Lakshmanan R, Jayashri P. Effect of music therapy on anxiety levels on patients undergoing dental extractions. J Family Med Prim Care 2019; 8: 3854-60.

3. Kamioka H, Tsutani, K., Yamada, M., et al. Effectiveness of music therapy: a summary of systematic reviews based on randomized controlled trials of music interventions. Patient preference and adherence. 2014; 8: 727-54.

4. Gfeller K. Music therapy in the treatment of medical conditions. In: Davis WB, Gfeller KE, Thaut MH, eds. An Introduction to Music Therapy and Practice. Dubuque, IA: WC Brown, 1992; 234-50.

5. Petot T, Bouscaren, N., Maillard, O., Huiart, L., Boukerrou, M., & Reynaud, D. Comparing the effects of self-selected music versus predetermined music on patient anxiety prior to gynaecological surgery: a study protocol for a randomised controlled trial. PMC - trials. 2019; 20(20).

6. Ostermann, T. and W. Schmid. Music therapy in the treatment of multiple sclerosis: a comprehensive literature review. Expert Rev Neurother. 2006; 6(4): 469-477.

7. Facco, E. and G. Zanette. The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review. Front Psychol. 2017; 8: 1155.

8. Maulina, T., et al. The Effect of Music Intervention on Dental Anxiety During Dental Extraction Procedure. Open Dent J. 2017; 11: 565-572.

9. Dionne, R. A., et al. Assessing the need for anesthesia and sedation in the general population. J Am Dent Assoc. 1998; 129(2): 167-173.

10. Klingberg, G. and A. G. Broberg. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent. 2007; 17(6): 391-406.

11. Carr, C., et al. A systematic review of music therapy practice and outcomes with acute adult psychiatric in-patients. PLoS One. 2013; 8(8): e70252.
12. Moola, S., et al. Effectiveness of music interventions on dental anxiety in paediatric and adult patients: a systematic review. JBI Libr Syst Rev. 2011; 9(18): 588-630.

13. Tam, W. W., et al. Effect of music on procedure time and sedation during colonoscopy: a meta-analysis. World J Gastroenterol. 2008; 14(34): 5336-5343.

14. Galaal, K., et al. Interventions for reducing anxiety in women undergoing colposcopy. Cochrane Database Syst Rev. 2011; (12): Cd006013.

15. Mitchell, M. Patient anxiety and modern elective surgery: a literature review. J Clin Nurse. 2003; 12(6):806-815.
16. Maggirias, John & Locker, David. Fiver-Year inicidence of dental anxiety in an adult population. Community dental health. 2002; 19:173-9.

17. Corah, N. L. Development of a dental anxiety scale. J Dent Res. 1969; 48(4): 596.

18. Corah, N. L., Gale, E. N., & Illig, S. J. Assessment of a dental anxiety scale. The Journal of the American Dental Association. 1978; 97(5): 816-819.

19. Mejía-Rubalcava, C., et al. Changes induced by music therapy to physiologic parameters in patients with dental anxiety. Complement Ther Clin Practice. 2015; 21(4): 282-286.

20. Marks I. F. & Nesse R.M. Fear and fitness: An evolutionary analysis of anxiety disorders. Ethology and Sociobiology. 1994; 15(5): 247-261.

21. Appukuttan D. P. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clinical, cosmetic and investigational dentistry. 2016; 8: 35–50.

22. Armfield JM, Spencer AJ, Stewart JF. Dental fear in Australia: who's afraid of the dentist? Aust Dent J. 2006; 51(1): 78–85.

23. Thomson WM, Stewart JF, Carter KD, Spencer AJ. Dental anxiety among Australians. Int Dent J. 1996; 46(4): 320–4.

24. Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007; 7: 1.

25. Thomson WM, Locker D, Poulton R. Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol. 2000; 28: 289–94.

26. McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol. 2004; 32: 67–72.

27. Hofer D, Thoma MV, Schmidlin PR, Attin T, Ehlert U, Nater UM. Pre-treatment anxiety in a dental hygiene recall population: a cross-sectional pilot study. BMC Oral Health. 2016; 16: 43–7.

28. Hagglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol. 2000; 28: 451–60.

29. Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Sadaat Binandeh E. The prevalence of dental anxiety and fear in patients referred to Isfahan dental school, Iran. Dental Research Journal. 2015; 2(3): 248–53.

30. Kaakko T, Getz T, Martin MD. Dental anxiety among new patients attending a dental school emergency clinic. J Dent Educ. 1999; 63(10): 748–52.
31. Woodmansey KF. The prevalence of dental anxiety in patients of a university dental clinic. J Am College Health. 2005; 54(1): 59–61.

32. Ofori MA, Adu-Ababio F, Nyako EA, Ndanu TA. Prevalence of dental fear and anxiety amongst patients in selected dental clinics in Ghana. Health Educ J. 2009; 68(2): 130–9.

33. Singh D, Samadi F. Stress reduction through audio distraction in anxious paediatric dental patients: an adjunctive clinical study. Int J Clin Pediatr Dent 2014; 7: 149-152.

34. Standley J M. Music research in medical/dental treatment: Meta-analysis and clinical applications. J Music Ther 1986; 23: 56-122.

35. Corah N L, Gale E N. Comparative study. Relaxation and Musical programming as a means of reducing psychological stress during dental procedures. J Am Dent Assoc 1981; 103: 232-234.

36. Nater, U. M. and N. Rohleder. Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: current state of research. Psychoneuroendocrinology. 2009; 34(4): 486-496.

37. Guzzetta C. Music therapy: nursing the music of the soul. In: Campbell D, ed. Music Physician for Times to Come. Wheaton, IL: Quest Books, 1991, 146–66.

38. Ogba, F. N., et al. Effectiveness of music therapy with relaxation technique on stress management as measured by perceived stress scale. Medicine (Baltimore). 2019; 98(15): e15107.

39. Raghav, K., et al. Efficacy of virtual reality exposure therapy for treatment of dental phobia: a randomized control trial. BMC Oral Health. 2016; 16: 25.


40. Sadock, B. J., et al. Book Review: Kaplan & Sadock's Pocket Handbook of Clinical Psychiatry, 5th Edition. 2010; 44(10): 1684-1684.

41. Miller, C. S., et al Salivary cortisol response to dental treatment of varying stress. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 79(4): 436-441.

42. Nater, U. M., et al. Human salivary alpha-amylase reactivity in a psychosocial stress paradigm. Int J Psychophysiol. 2005; 55(3): 333-342.


43. AlMaummar, M., et al. The impact of dental treatment and age on salivary cortisol and alpha-amylase levels of patients with varying degrees of dental anxiety. BMC Oral Health. 2019; 19(1): 211.


44. Maggirias J, Locker D. Psychological factors and perceptions of pain associated with dental treatment. Community Dent Oral Epidemiol. 2002; 30:151–9.

45. Gupta, A., & Ahmed, B. Experience of listening to music on patient anxiety during minor oral surgery procedures: a pilot study. Br Dent J, 2020; 228, 89-92.
46. Kim S M, Kim Y K, Myoung H. Musical intervention reduces patients' anxiety in surgical extraction of an impacted mandibular third molar. J Oral Maxillofac Surg. 2011; 69: 1036-1045.
47. Wong, J. A., et al. Cortisol levels decrease after acute tobacco abstinence in regular smokers. Hum Psychopharmacol. 2014; 29(2): 152-162.

48. Kankaanpää, R., Auvinen, J., Rantavuori, K., Jokelainen, J., Karppinen, J., & Lahti, S. Pressure pain sensitivity is associated with dental fear in adults in middle age: Findings from the Northern Finland 1966 birth cohort study. Community dentistry and oral epidemiology. 2019; 47(3), 193–200.


49. Ping, J., Lei, Y. Y., Liu, L., Wang, T. T., Feng, Y. H., & Wang, H. Inheritable stimulatory effects of caffeine on steroidogenic acute regulatory protein expression and cortisol production in human adrenocortical cells. Chemico-biological interactions, 2012; 195(1), 68–75.

50. Larsson, C. A., et al. Salivary cortisol differs with age and sex and shows inverse associations with WHR in Swedish women: a cross-sectional study. BMC Endocr Disord. 2009; 9: 16.

51. Gorka, S. M., Lieberman, L., Shankman, S. A., & Phan, K. L. Startle potentiation to uncertain threat as a psychophysiological indicator of fear-based psychopathology: An examination across multiple internalizing disorders. Journal of abnormal psychology. 2017; 126(1), 8–18.


52. Cohen, S. M., et al. The impact of dental anxiety on daily living. Br Dent J. 2000; 189(7): 3.

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Published

19-01-2022

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ORIGINAL ARTICLES

How to Cite

1.
Wazzan M, Estaitia M, Habrawi S, Mansour D, Jalal Z, Ahmed H, et al. The Effect of Music Therapy in Reducing Dental Anxiety and Lowering Physiological Stressors. Acta Biomed [Internet]. 2022 Jan. 19 [cited 2024 Jul. 17];92(6):e2021393. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/11668