Abstract
Aim
The objective of this study was to analyze the reassuring role of music associated with the personality traits of children during dental care.
Method
The study involved a randomized crossover clinical trial with 34 children, aged from 4 to 6 years, who exhibited two carious lesions on the occlusal surfaces of the molars. The children were divided into two groups: (G1) first tooth restoration intervention session with music, second session without music; and (G2) first tooth restoration intervention session without music, second session with music. The first consultation was to perform a clinical examination, and the second and third to perform modified Atraumatic Restorative Treatment (mART). Symphony No. 40 by Mozart was played via headphones. Pulse rate (PR) was measured using a pulse oximeter. The Brazilian version of the Eysenck Personality Questionnaire-Junior (EPQ-J) was used to measure the children’s personality. For statistical analysis, descriptive, Chi-square, and Wilcoxon tests were carried out.
Results
The G1 group exhibited a lower PR at the time of the intervention during the second consultation compared to the third consultation (p = 0.012). The G2 group exhibited a lower PR at the time of the intervention during the third consultation compared to the first consultation (p = 0.002). The majority of the children with a low level of extraversion presented with higher PR (p = 0.005).
Conclusion
Music could reduce the PR among children during dental intervention. Children with low extraversion showed a tendency towards a higher PR without music during dental care.
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References
Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016;10(8):35–50. https://doi.org/10.2147/CCIDE.S63626.
Bekhuis T. Music therapy may reduce pain and anxiety in children undergoing medical and dental procedures. J Evid Based Dent Pract. 2009;9(4):213–4.
Boso M, Politi P, Barale F, Enzo E. Neurophysiology and neurobiology of the musical experience. Funct Neurol. 2006;21(4):187–91.
Chafin S, Roy M, Gerin W, Christenfeld N. Music can facilitate blood pressure recovery from stress. Br J Health Psychol. 2004;9(3):393–403.
Corah NL, Gale EN, Pace LF, Seyrek SK. Relaxation and musical programming as means of reducing psychological stress during dental procedures. J Am Dent Assoc. 1981;103(2):232–4.
Corrêa-Faria P, Paixão-Gonçalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Braz Oral Res. 2016. https://doi.org/10.1590/1807-3107.
Eysenck SB, Eysenck HJ. Scores on three personality variables as a function of age, sex and social class. Br J Soc Clin Psychol. 1969;8(1):69–76.
Fleming S, Thompson M, Stevens R, et al. Normal ranges of heart rate and respiratory rate in children from birth to 18 years: a systematic review of observational studies. Lancet. 2011;377(9770):1011–1018. https://doi.org/10.1016/S0140-6736(10)62226-X.
Hartmann AS, Czaja J, Rief W, Hilbert A. Personality and psychopathology in children with and without loss of control over eating. Compr Psychiatry. 2010;51(6):572–8.
Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L. Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials. Ambul Pediatr. 2008;8(2):117–28.
Lin LC, Lee WT, Wu HC, et al. Mozart K.448 and epileptiform discharges: effect of ratio of lower to higher harmonics. Epilepsy Res. 2010;89(2–3):238–45.
Lubetzky R, Mimouni FB, Dollberg S, Reifen R, Ashbel G, Mandel D. Effect of music by Mozart on energy expenditure in growing preterm infants. Pediatrics. 2010;125(1):e24–8. https://doi.org/10.1542/peds.2009-0990.
Marwah N, Prabhakar AR, Raju OS. Music distraction–its efficacy in management of anxious pediatric dental patients. J Indian Soc Pedod Prev Dent. 2005;23(4):168–70.
Massara MeL, Bönecker M. Modified ART: why not? Braz Oral Res. 2012;26(3):187–9.
Nada PJ. Heart rate variability in the assessment and biofeedback training of common mental health problems in children. Med Arh. 2009;63(5):244–8.
Nomura LH, Bastos JL, Peres MA. Dental pain prevalence and association with dental caries and socioeconomic status in schoolchildren, Southern Brazil, 2002. Braz Oral Res. 2004;18(2):134–40.
Nuvvula S, Alahari S, Kamatham R, Challa RR. Effect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial. Eur Arch Paediatr Dent. 2015;16(1):43–50.
Oliveira MA, Bendo CB, Ferreira MC, Paiva SM, Vale MP, Serra-Negra JM. Association between childhood dental experiences and dental fear among dental, psychology and mathematics undergraduates in Brazil. Int J Environ Res Public Health. 2012;9(12):4676–87.
Pop-Jordanova N, Sarakinova O, Markovska-Simoska S, Loleska S. Anxiety and personality characteristics in children undergoing dental interventions. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2013;34(3):93–103.
Raggio DP, Hesse D, Lenzi TL, Guglielmi CA, Braga MM. Is Atraumatic restorative treatment an option for restoring occlusoproximal caries lesions in primary teeth? A systematic review and meta-analysis. Int J Paediatr Dent. 2013;23(6):435–43.
Ramos-Jorge ML, Marques LS, Pavia SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006;7(4):253–7.
Ramos-Jorge J, Marques LS, Homem MA,, et al. Degree of dental anxiety in children with and without toothache: prospective assessment. Int J Paediatr Dent. 2013;23(2):125–30.
Rogalsky C, Rong F, Saberi K, Hickok G. Functional anatomy of language and music perception: temporal and structural factors investigated using functional magnetic resonance imaging. J Neurosci. 2011;31(10):3843–52. https://doi.org/10.1523/JNEUROSCI.4515-10.2011.
Ross PA, Newth CJ, Khemani RG. Accuracy of pulse oximetry in children. Pediatrics. 2014;133(1):22–9. https://doi.org/10.1542/peds.2013-1760.
Santos MT, Flores-Mendoza CE. Adaptation of the eysenck personality questionnaire junior for preschoolers—observer rating version. Aval Psicol. 2012;11(2):203–13.
Schriks MC, van Amerongen WE. Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments. Community Dent Oral Epidemiol. 2003;31(1):15–20.
Singh D, Samadi F, Jaiswal J, Tripathi AM. Stress reduction through audio distraction in anxious pediatric dental patients: An adjunctive clinical study. Int J Clin Pediatr Dent. 2014;7(3):149–52. https://doi.org/10.5005/jp-journals-10005-1254.
Tiwari N, Tiwari S, Thakur R, Agrawal N, Shashikiran ND, Singla S. Evaluation of treatment related fear using a newly developed fear scale for children: “Fear assessment picture scale” and its association with physiological response. Contemp Clin Dent. 2015;6(3):327–31. https://doi.org/10.4103/0976-237X.161871.
Trappe HJ. The effects of music on the cardiovascular system and cardiovascular health. Heart. 2010;96(23):1868–71.
Trappe HJ. Role of music in intensive care medicine. Int J Crit Illn Inj Sci. 2012;2(1):27–31.
Venkataraghavan K, Shah J, Kaur M, Trivedi K, Shah S, Virda M. Pro-activeness of parents in accepting behavior management techniques: A cross-sectional evaluative study. J Clin Diagn Res. 2016;10(7):ZC46–9. https://doi.org/10.7860/JCDR/2016/18378.8162.
Xia B, Wang CL, Ge LH. Factors associated with dental behaviour management problems in children aged 2–8 years in Beijing, China. Int J Paediatr Dent. 2011;21(3):200–9. https://doi.org/10.1111/j.1365-263X.2011.01111.x.
Zatorre RJ, Salimpoor VN. From perception to pleasure: music and its neural substrates. Proc Natl Acad Sci. 2013;110(2):10430–7. https://doi.org/10.1073/pnas.1301228110.
Acknowledgements
This study was supported by the following Brazilian agencies: the Conselho Nacional de Desenvolvimento Científico e Tecnológico (National Council for Scientific and Technological Development) (CNPq); the Fundação de Amparo à Pesquisa do Estado de Minas Gerais (Research Support Foundation of the State of Minas Gerais) (FAPEMIG). We are grateful for the important collaboration of Dr. Andrea Antonia Costa and Prof. Saul Paiva in this research.
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Serra-Negra, J.M., Abreu, M.H., Flores-Mendoza, C.E. et al. The reassuring role of music associated with the personality traits of children during dental care: a randomized clinical trial. Eur Arch Paediatr Dent 20, 441–449 (2019). https://doi.org/10.1007/s40368-019-00422-y
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DOI: https://doi.org/10.1007/s40368-019-00422-y