Abstract
ABSTRACT Objective: The objective of this study was to evaluate the impact of music on anxiety in children during dental care Methods: A total of 40 children 5 to 11 years old were selected; they were randomized into 2 groups (n = 20): group 1: experimental, children were subjected to music therapy; group 2: control, children were not subjected to music therapy. We measured oxygen saturation, heart rate and levels of Corah anxiety scale and pain scale. The results for heart rate were evaluated by ANOVA. The Kruskal Wallis (Dunn) test was used to evaluate the oxygen saturation results and the Wilcoxon test for Corah anxiety and pain scores Results: There was a significant decrease in heart rate (pulse) in children who listened to music during dental treatment (p = 0.05). In the group without music, heart rate remained unchanged throughout the care (p = 0.53). There was no significant difference in oxygen saturation or Corah anxiety and pain scores in children who listened to music during dental care (p > 0.05) Conclusion: It can be concluded that music is a non-pharmacological alternative that reduces anxiety levels in children during dental treatment.
Highlights
Fear and stress are the main factors that cause anxiety in children when they undergo dental treatment
The Corah dental anxiety scale [25,26] was applied before the welcome and after the end of the treatment, where the children were asked to answer the questions on the scale that corresponded with their feeling at the moment of our contact
Concerning the use of music for the reduction of anxiety levels, there was a significant reduction in heart rate in children who listened to music during dental care (p = 0.05)
Summary
Fear and stress are the main factors that cause anxiety in children when they undergo dental treatment. The office may be the cause of anxiety in children, and in addition, the sensation of having part of the body invaded can generate in the pediatric dental patient an escape or avoidance behavior [1,2,3]. Verbal and non-verbal communication, the hand over the mouth technique and music are alternatives in controlling children in the dental office [1,4]. Music therapy used by dentists and their assistants has been an alternative to sedation or administration of anxiolytics This method is not invasive, and it is economical and well accepted by patients. To increase the scientific evidence on the use of music in pediatric dentistry, this study evaluated music in controlling anxiety in children undergoing dental treatment. The null hypothesis was that music has no effect on the control of a child’s anxiety during dental treatment
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