Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study

Introduction: Patients often experience dental anxiety, which can range from mild apprehension to severe phobia. In addition to pharmacological treatments, methods like sedation, aromatherapy, behavioural techniques, and music therapy have proven effective in reducing anxiety. Music, in particular,...

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Main Authors: Ajay Singh Rao, Namrata Bajpai, Nimisha Chinmay Shah, Deebah Choudhary, Meetu Mathur, Vishnu Pratap Singh Rathore, Ridhhi Vasa
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/21068/74205_CE[Ra1]_F(IS)_QC(AN_SS)_PF1(VD_SS)_redo_PFA(IS)_PN(IS).pdf
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author Ajay Singh Rao
Namrata Bajpai
Nimisha Chinmay Shah
Deebah Choudhary
Meetu Mathur
Vishnu Pratap Singh Rathore
Ridhhi Vasa
author_facet Ajay Singh Rao
Namrata Bajpai
Nimisha Chinmay Shah
Deebah Choudhary
Meetu Mathur
Vishnu Pratap Singh Rathore
Ridhhi Vasa
author_sort Ajay Singh Rao
collection DOAJ
description Introduction: Patients often experience dental anxiety, which can range from mild apprehension to severe phobia. In addition to pharmacological treatments, methods like sedation, aromatherapy, behavioural techniques, and music therapy have proven effective in reducing anxiety. Music, in particular, has been well-studied in clinical settings. Aim: To compare the reduction in anxiety levels of patients undergoing endodontic therapy with two different audio-analgesic tracks. Materials and Methods: This randomised clinical study was carried out in the Department of Conservative Dentistry and Endodontics at KM Shah Dental College and Hospital, Vadodara, Gujarat, India, from May 2019 to November 2019. A total of 120 patients were enrolled in the study. Before initiating endodontic therapy, patients were assessed for baseline anxiety using the Visual Analogue Scale (VAS), along with measurements of Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), and Pulse Rate (PR). Participants were randomly divided into three groups: Group A: Om chanting music; Group B: weightless music; and Group C: control (no music). Vitals (SBP, DBP, PR) were recorded at three intervals: before treatment, at 30 minutes, and at one hour. The results were then statistically analysed using Statistical Packages of Social Sciences (SPSS) software version 22.0, employing the Analysis of Variance (ANOVA) test and Tukey’s Post-hoc analysis. Results: Out of the 120 patients, 82 (68.33%) were male and 38 (31.66%) were female, with a mean age of 35 years. The results indicated that SBP was significant during (p=0.004) and after treatment (p=0.002). Additionally, DBP was significant after treatment (p=0.037). PR was highly significant before, during, and after treatment (p<0.001 for all). The differences in SBP between groups B and C during treatment (p=0.003), as well as between groups A and C (p=0.004) and groups B and C (p=0.008) after treatment, were statistically significant. Additionally, a significant difference in DBP was observed between groups A and C after treatment (p=0.043). However, no significant differences in Heart Rate (HR) were found before, during, or after treatment among the groups (p>0.05). Conclusion: In the present study, both music tracks demonstrated clinically and statistically acceptable performance compared to the control group, with the Om chanting track having a more substantial influence on anxiety levels, SBP, and DBP than the weightless track. Additionally, there was a significant difference in HR, indicating the efficiency of music in reducing anxiety during dental treatment.
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spelling doaj-art-2df39382fbc74a70aae588c587aa914f2025-08-20T02:34:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-06-01196ZC07ZC1110.7860/JCDR/2025/74205.21068Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical StudyAjay Singh Rao0Namrata Bajpai1Nimisha Chinmay Shah2Deebah Choudhary3Meetu Mathur4Vishnu Pratap Singh Rathore5Ridhhi Vasa6Professor, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Senior Lecturer, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Professor and Head, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Reader, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Professor, Department of Conservative Dentistry and Endodontics, Rajasthan Dental College and Hospital, Nirwan University, Jaipur, Rajasthan, India.Professor, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Postgraduate, Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth (Deemed to be University), Vadodara, Gujarat, India.Introduction: Patients often experience dental anxiety, which can range from mild apprehension to severe phobia. In addition to pharmacological treatments, methods like sedation, aromatherapy, behavioural techniques, and music therapy have proven effective in reducing anxiety. Music, in particular, has been well-studied in clinical settings. Aim: To compare the reduction in anxiety levels of patients undergoing endodontic therapy with two different audio-analgesic tracks. Materials and Methods: This randomised clinical study was carried out in the Department of Conservative Dentistry and Endodontics at KM Shah Dental College and Hospital, Vadodara, Gujarat, India, from May 2019 to November 2019. A total of 120 patients were enrolled in the study. Before initiating endodontic therapy, patients were assessed for baseline anxiety using the Visual Analogue Scale (VAS), along with measurements of Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), and Pulse Rate (PR). Participants were randomly divided into three groups: Group A: Om chanting music; Group B: weightless music; and Group C: control (no music). Vitals (SBP, DBP, PR) were recorded at three intervals: before treatment, at 30 minutes, and at one hour. The results were then statistically analysed using Statistical Packages of Social Sciences (SPSS) software version 22.0, employing the Analysis of Variance (ANOVA) test and Tukey’s Post-hoc analysis. Results: Out of the 120 patients, 82 (68.33%) were male and 38 (31.66%) were female, with a mean age of 35 years. The results indicated that SBP was significant during (p=0.004) and after treatment (p=0.002). Additionally, DBP was significant after treatment (p=0.037). PR was highly significant before, during, and after treatment (p<0.001 for all). The differences in SBP between groups B and C during treatment (p=0.003), as well as between groups A and C (p=0.004) and groups B and C (p=0.008) after treatment, were statistically significant. Additionally, a significant difference in DBP was observed between groups A and C after treatment (p=0.043). However, no significant differences in Heart Rate (HR) were found before, during, or after treatment among the groups (p>0.05). Conclusion: In the present study, both music tracks demonstrated clinically and statistically acceptable performance compared to the control group, with the Om chanting track having a more substantial influence on anxiety levels, SBP, and DBP than the weightless track. Additionally, there was a significant difference in HR, indicating the efficiency of music in reducing anxiety during dental treatment.https://jcdr.net/articles/PDF/21068/74205_CE[Ra1]_F(IS)_QC(AN_SS)_PF1(VD_SS)_redo_PFA(IS)_PN(IS).pdfaudio-analgesiadental anxietymusic therapyom chanting trackweightless track
spellingShingle Ajay Singh Rao
Namrata Bajpai
Nimisha Chinmay Shah
Deebah Choudhary
Meetu Mathur
Vishnu Pratap Singh Rathore
Ridhhi Vasa
Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
Journal of Clinical and Diagnostic Research
audio-analgesia
dental anxiety
music therapy
om chanting track
weightless track
title Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
title_full Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
title_fullStr Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
title_full_unstemmed Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
title_short Comparative Evaluation of Two Audio-analgesic Tracks on Reduction of Anxiety Level in Patients Undergoing Root Canal Treatment: A Randomised Clinical Study
title_sort comparative evaluation of two audio analgesic tracks on reduction of anxiety level in patients undergoing root canal treatment a randomised clinical study
topic audio-analgesia
dental anxiety
music therapy
om chanting track
weightless track
url https://jcdr.net/articles/PDF/21068/74205_CE[Ra1]_F(IS)_QC(AN_SS)_PF1(VD_SS)_redo_PFA(IS)_PN(IS).pdf
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