Effect of virtual reality and music therapy on anxiety and perioperative pain in surgical extraction of impacted third molars
Sorribes De Ramón LA, Ferrández Martínez AF, García Carricondo AR, Espín Gálvez F, Alarcón Rodríguez R
Journal of the American Dental Association (1939) · 29 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2023-01-25 · J Am Dent Assoc · vol. 154 · número 3 · págs. 206–214
- Editorial
- Elsevier BV
- Citado
- 45 citas · más que el 99% de estudios similares · 13.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 35 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Dental Anxiety and Anesthesia Techniques · Pediatric Pain Management Techniques
- Palabras clave
- virtual reality, music therapy, preoperative anxiety, perioperative pain, impacted third molar extraction, non-pharmacological treatment, local anesthesia, blood pressure, heart rate, maxillofacial surgery
- MeSH
- molar, third, humans, pain, music therapy, anxiety, australia, virtual reality
5 autores
- Laura Andrea Sorribes De Ramón
- Antonio Francisco Ferrández Martínez
- Ana Rocío García Carricondo
- Fernando Espín Gálvez
- Raquel Alarcón
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
The objective of this study was to evaluate the effect of virtual reality (VR) and music therapy on anxiety and perioperative pain in patients undergoing extraction of impacted third molars.
Methods
A total of 275 patients who had to undergo surgery for third-molar extraction participated in a randomized controlled trial and were divided into 3 parallel groups: music therapy intervention (n = 91), VR intervention (n = 93), and control (n = 91). The Spielberger State-Trait Anxiety Inventory and the visual analog scale of pain intensity were used as measurements in this study.
Results
Patients in the music therapy and VR groups showed a greater reduction in anxiety level scores after third-molar extraction surgery (reduction in total anxiety in music group: 15.12; 95% CI, 13.16 to 17.08; Rosenthal r, 1.61; P < .001; reduction in total anxiety in VR group: 9.80; 95% CI, 7.66 to 11.95; Rosenthal r, 0.97; P < .001; reduction in total anxiety in control group: 9.80; 95% CI, 7.66 to 11.95; Rosenthal r, 0.97; P < .001). The intensity of pain after the intervention was lower in patients in the music therapy group than patients in the control group (P = .04). After the intervention, the music therapy and VR groups presented a significant decrease in systolic blood pressure (P < .05), diastolic blood pressure (P < .05), and heart rate (P < .05) compared with the control group.
Conclusions
These findings suggest that the use of music therapy and VR during third-molar extraction surgery reduces anxiety and improves the patient's physiological parameters.
Practical implications
Implementation of these interventions (noninvasive, nonpharmacologic, economic) in the field of oral and maxillofacial surgery and dentistry could improve procedures performed under local anesthesia, improving the clinical experience of patients. This clinical trial was registered with the Australian New Zealand Clinical Trials Registry. The registration number is ACTRN12622000384752.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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