Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis

<i>Objective</i> To evaluate the effectiveness of music therapy for dental anxiety disorders. <i>Methods</i> In order to gather clinical randomized controlled trials comparing the effectiveness of music interventions to traditional oral manipulation in patients with dental an...

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Main Authors: Kui Tan, Hao Liu, Shuang Huang, Conghua Li
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/2/209
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author Kui Tan
Hao Liu
Shuang Huang
Conghua Li
author_facet Kui Tan
Hao Liu
Shuang Huang
Conghua Li
author_sort Kui Tan
collection DOAJ
description <i>Objective</i> To evaluate the effectiveness of music therapy for dental anxiety disorders. <i>Methods</i> In order to gather clinical randomized controlled trials comparing the effectiveness of music interventions to traditional oral manipulation in patients with dental anxiety disorders, computer searches of the electronic databases of Wanfang, CNKI, VIP, PubMed, Web of Science, ScienceDirect, Cochrane library, Scopus, and CINAHL were conducted. The search period covered from 23 December 2022, through to the development of the database. The Cochrane Handbook was used to assess the quality of the included literature, and two researchers independently conducted the literature screening and data extraction. Stata 17.0 and RevMan 5.3 were used to conduct the meta-analysis. <i>Results</i> The preoperative baseline levels of the music intervention group were similar to those of the control group (<i>p</i> > 0.05), according to the meta-analysis, and music intervention significantly decreased heart rate (I<sup>2</sup> = 81.2%, WMD (95% CI): −7.33 (−10.07, −4.58), <i>p</i> < 0.0001), systolic blood pressure fluctuations (I<sup>2</sup> = 85.6%, WMD (95% CI): −6.10(−9.25, 2.95), <i>p</i> < 0.0001), diastolic blood pressure (I<sup>2</sup> = 79.7%, WMD (95% CI): −4.29(−6.57, −2.02), <i>p</i> < 0.0001) fluctuations, anxiety scores (I<sup>2</sup> = 19.6%, WMD (95% CI): −9.04(−11.45, 6.63), <i>p</i> < 0.0001), and pain scores (I<sup>2</sup> = 32.7%, WMD (95% CI): −7.64(−9.43, −5.85), <i>p</i> < 0.0001), as well as significantly lowered anxiety and pain levels and raised patients’ cooperation rates (I<sup>2</sup> = 0%, OR (95% CI): 3.03(1.24, 7.40), <i>p</i> = 0.02). <i>Conclusions</i> Music interventions are effective for dental anxiety disorders, but given the limitations of the study, more multicenter, large-sample, high-quality randomized controlled trials are needed to further validate the findings and obtain more objective and reliable clinical evidence.
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spelling doaj.art-cf3c613c0e2b46a890eff056187c99782023-11-16T21:58:37ZengMDPI AGMedicina1010-660X1648-91442023-01-0159220910.3390/medicina59020209Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-AnalysisKui Tan0Hao Liu1Shuang Huang2Conghua Li3Stomatological Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing 401147, ChinaStomatological Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing 401147, ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400010, ChinaStomatological Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing 401147, China<i>Objective</i> To evaluate the effectiveness of music therapy for dental anxiety disorders. <i>Methods</i> In order to gather clinical randomized controlled trials comparing the effectiveness of music interventions to traditional oral manipulation in patients with dental anxiety disorders, computer searches of the electronic databases of Wanfang, CNKI, VIP, PubMed, Web of Science, ScienceDirect, Cochrane library, Scopus, and CINAHL were conducted. The search period covered from 23 December 2022, through to the development of the database. The Cochrane Handbook was used to assess the quality of the included literature, and two researchers independently conducted the literature screening and data extraction. Stata 17.0 and RevMan 5.3 were used to conduct the meta-analysis. <i>Results</i> The preoperative baseline levels of the music intervention group were similar to those of the control group (<i>p</i> > 0.05), according to the meta-analysis, and music intervention significantly decreased heart rate (I<sup>2</sup> = 81.2%, WMD (95% CI): −7.33 (−10.07, −4.58), <i>p</i> < 0.0001), systolic blood pressure fluctuations (I<sup>2</sup> = 85.6%, WMD (95% CI): −6.10(−9.25, 2.95), <i>p</i> < 0.0001), diastolic blood pressure (I<sup>2</sup> = 79.7%, WMD (95% CI): −4.29(−6.57, −2.02), <i>p</i> < 0.0001) fluctuations, anxiety scores (I<sup>2</sup> = 19.6%, WMD (95% CI): −9.04(−11.45, 6.63), <i>p</i> < 0.0001), and pain scores (I<sup>2</sup> = 32.7%, WMD (95% CI): −7.64(−9.43, −5.85), <i>p</i> < 0.0001), as well as significantly lowered anxiety and pain levels and raised patients’ cooperation rates (I<sup>2</sup> = 0%, OR (95% CI): 3.03(1.24, 7.40), <i>p</i> = 0.02). <i>Conclusions</i> Music interventions are effective for dental anxiety disorders, but given the limitations of the study, more multicenter, large-sample, high-quality randomized controlled trials are needed to further validate the findings and obtain more objective and reliable clinical evidence.https://www.mdpi.com/1648-9144/59/2/209dental anxiety disordermusicmeta-analysis
spellingShingle Kui Tan
Hao Liu
Shuang Huang
Conghua Li
Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
Medicina
dental anxiety disorder
music
meta-analysis
title Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
title_full Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
title_fullStr Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
title_full_unstemmed Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
title_short Efficacy of Music Intervention for Dental Anxiety Disorders: A Systematic Review and Meta-Analysis
title_sort efficacy of music intervention for dental anxiety disorders a systematic review and meta analysis
topic dental anxiety disorder
music
meta-analysis
url https://www.mdpi.com/1648-9144/59/2/209
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AT shuanghuang efficacyofmusicinterventionfordentalanxietydisordersasystematicreviewandmetaanalysis
AT conghuali efficacyofmusicinterventionfordentalanxietydisordersasystematicreviewandmetaanalysis