{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:16:44Z","timestamp":1788513404526,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the efficacy of non\u2010pharmacologic interventions, specifically auditory distraction (music or comedy) and haptic distraction (stress\u2010relief device), in maintaining hemodynamic stability during dental implant surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      This was a prospective, single\u2010center, randomized trial. We included 150 patients getting single\u2010tooth implants. Patients were split into three groups of 50. The Control group got standard care. The Auditory Distraction group listened to patient\u2010selected Guzheng music or Xiangsheng comedy. The Haptic Distraction group used a stress\u2010relief device. We recorded systolic and diastolic blood pressure and heart rate before and after surgery. We used paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and one\u2010way ANOVA with Tukey's post hoc tests for analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Surgery increased blood pressure in all groups (\n                      <jats:italic>p\u2009&lt;<\/jats:italic>\n                      \u20090.0001). The heart rate response was different between groups. The Control group had a significant increase in heart rate (\n                      <jats:italic>p\u2009&lt;<\/jats:italic>\n                      \u20090.05). Both the Auditory and Haptic Distraction groups had lower heart rates after surgery (\n                      <jats:italic>p\u2009&lt;<\/jats:italic>\n                      \u20090.05). There was no significant difference between the two interventions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Non\u2010pharmacologic interventions may not fully prevent the rise in blood pressure from procedure\u2010related BP elevation. However, these methods help stop the heart rate from rising due to physiological stress. Listening to familiar music or comedy, or using a simple stress\u2010relief device, can help steady the heart during dental implant surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Auditory and haptic distractions are low\u2010cost, non\u2010invasive, and effective adjuncts for managing procedure\u2010related physiological stress. By stabilizing heart rate, these interventions enhance patient safety and comfort, offering a viable alternative or supplement to pharmacological sedation in implant dentistry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cid.70177","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T10:47:10Z","timestamp":1786013230000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Non\u2010Pharmacologic Interventions for Hemodynamic Stability During Dental Implant Surgery: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5635-0582","authenticated-orcid":false,"given":"Feng","family":"Luo","sequence":"first","affiliation":[{"name":"State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology Sichuan University  Chengdu China"},{"name":"Department of General Dentistry, West China School of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zongli","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, West China School of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, West China School of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, West China School of Stomatology Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, West China School of Stomatology Sichuan University  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