The Effects of Music Listening During Extraction of the Impacted Mandibular Third Molar on the Autonomic Nervous System and Psychological State
The Effects of Music Listening During Extraction of the Impacted Mandibular Third Molar on the Autonomic Nervous System and Psychological State
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DOI：
10.1016/j.joms.2019.02.028
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发表时间：
2019-06-01
影响因子：
1.9
通讯作者：
Sugimura, Mitsutaka
中科院分区：
文献类型：
--
作者：
Yamashita, Kaoru;Kibe, Toshiro;Sugimura, Mitsutaka
目的：与牙科手术有关的疼痛、焦虑和紧张可引起自主神经系统的急性变化。在牙科治疗期间，音乐被广泛接受为一种放松方法；然而，它在牙科治疗中的作用尚不清楚。作者探讨了下颌阻生第三磨牙拔除过程中听音乐对自主神经系统和心理状态的影响，并假设听音乐可以抑制交感神经活动，减少焦虑。材料与方法：本前瞻性研究将40例拟拔除下颌阻生第三磨牙的患者随机分为两组：无音乐拔除组（对照组）和听音乐拔除组（音乐组）。在实验过程中记录心率变异性，并在手术前后记录改良牙科焦虑量表和状态-特质焦虑量表（STAI）得分。计算描述性和双变量统计量，P值设为0.05。结果：对照组在切口及瓣反射、去骨、冠分离过程中低高频比升高；音乐组在各时间点间的差异有统计学意义（P < 0.05）。与对照组相比，音乐组术后STAI状态焦虑评分较术前显著降低（P < 0.05）。结论：本研究提示在拔除下颌阻生第三磨牙时听音乐可以抑制切牙、瓣反射、去骨、牙冠分离过程中交感神经的活动，缓解治疗后的焦虑。未来的研究将集中在所涉及的机制和预防系统性事件发生的方法上。(C) 2019年美国口腔颌面外科医师协会
Purpose: Pain, anxiety, and nervousness related to dental procedures can cause acute changes in the autonomic nervous system. Music is widely accepted as a relaxation method during dental treatment; however, its effects during dental treatment are unclear. The authors explored the effects of listening to music during extraction of the impacted mandibular third molar on the autonomic nervous system and the psychological state and hypothesized that listening to music would suppress sympathetic nervous activity and decrease anxiety.Materials and Methods: In this prospective study, 40 patients scheduled for extraction of an impacted mandibular third molar were randomized into 2 groups: extraction without music (control group) and extraction while listening to music (music group). Heart rate variability was recorded during the experiment, and Modified Dental Anxiety Scale and State-Trait Anxiety Inventory (STAI) scores were recorded before and after the procedure. Descriptive and bivariate statistics were computed and the P value was set at .05.Results: An increased low-to-high frequency ratio was observed in the control group during incision and flap reflection, bone removal, and separation of the tooth crown; the ratio was significantly decreased in the music group during these time points (P < .05). Compared with the control group, the music group had a significantly greater decrease in postoperative STAI State Anxiety scores from preoperative levels (P < .05).Conclusions: This study suggested that listening to music while undergoing extraction of the impacted mandibular third molar suppresses activity of the sympathetic nerves during incision, flap reflection, bone removal, and separation of the tooth crown and relieves anxiety after treatment. Future studies will focus on the mechanisms involved and methods to prevent the onset of systemic incidents. (C) 2019 American Association of Oral and Maxillofacial Surgeons