Meta-analysis2023Open access

A systematic review and network meta-analysis of virtual reality, audiovisuals and music interventions for reducing dental anxiety related to tooth extraction

Hao T, Pang J, Liu Q, Xin P

BMC oral health · 19 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Fundamental Research Program of Shanxi Province
University or hospital
Fund for Shanxi Bethune Hospital "Beacon Project" Talent Training

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2023-09-21 · BMC Oral Health · vol. 23 · issue 1 · p. 684
Publisher
BioMed Central
Cited
30 citations · more than 87% of similar papers · 2.2× the field average
References
44 works
Access
Open access (journal) · CC-BY
Research areas
Dental Anxiety and Anesthesia Techniques · Dental Research and COVID-19 · Pediatric Pain Management Techniques
Keywords
Medicine, Anxiety, Meta-analysis, Psychological intervention, Dentistry, Oral and maxillofacial surgery, Orthodontics, Psychiatry, Pathology
MeSH
humans, music therapy, tooth extraction, dental anxiety, music

4 authors

From CN

  • Tiedan HaoShanxi Medical University; Shanxi Academy of Medical Sciences; Tongji Hospital; Huazhong University of Science and Technology
  • Jun PangShanxi Academy of Medical Sciences; Tongji Hospital; Huazhong University of Science and Technology
  • Qingmei LiuShanxi Medical University; Shanxi Academy of Medical Sciences; Tongji Hospital; Huazhong University of Science and Technology
  • Pengfei Xin · correspondingShanxi Academy of Medical Sciences; Tongji Hospital; Huazhong University of Science and Technology

Abstract

Background

Tooth extraction is a common procedure performed by oral and maxillofacial surgeons or dentists, often resulting in dental fear and anxiety. The use of relaxing music, audiovisuals, and virtual reality (VR) technologies has been employed to reduce dental anxiety. This network meta-analysis (NMA) aimed to assess the comparative effectiveness of relaxing music, audiovisuals, and VR in reducing dental anxiety associated with tooth extraction.

Methods

Four electronic databases were searched up to March 8, 2023, to identify randomized controlled trials (RCTs) evaluating different multimedia interventions, including the application of using relaxing music, audiovisuals, and VR technologies for dental anxiety. Studies utilizing various anxiety scales for tooth extraction were considered eligible. The pooled standard mean difference (SMD) and 95% confidence interval (CI) of anxiety scale scores were analyzed using Bayesian NMA.

Results

A total of 11 RCTs were included in this NMA. The Bayesian NMA results demonstrated that relaxing music (SMD = -0.64, 95% CI: -1.04, -0.25) and VR (SMD = -0.54, 95% CI: -1.08, -0.02) were associated with a reduction in dental anxiety, while audiovisuals (SMD = -0.34, 95% CI: -0.97, 0.33) required further consideration. Ranking probabilities indicated that relaxing music might be the most acceptable method for individuals with dental anxiety. The frequentist NMA yielded consistent rankings in a sensitivity analysis.

Conclusions

Relaxing music shows the greatest potential for reducing dental anxiety related to tooth extraction when compared to other multimedia interventions.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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