{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:36:15Z","timestamp":1792020975206,"version":"4.4.0"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"129","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to examine the effects of music therapy combined with noise reduction technology on anxiety and pain perception in dental patients.\n Methods:<\/jats:bold>\n Clinical records of 148 edentulous patients receiving dental implantation from April 2022 to April 2025 were retrospectively reviewed. Groups were stratified by institutional protocol timelines: conventional group (\n n<\/jats:italic>\n \u2009=\u200950, standard care only, April 2022\u2013June 2023), music group (\n n<\/jats:italic>\n \u2009=\u200949, standard care plus music therapy, July 2023\u2013June 2024) and noise reduction group (\n n<\/jats:italic>\n \u2009=\u200949, standard care, music therapy and active noise control, July 2024\u2013April 2025). Comparative metrics included pre-therapy versus post-therapy anxiety [Modified Dental Anxiety Scale (MDAS) and State Anxiety Inventory (S-AI)]; intraoperative pain perception [Visual Analogue Scale (VAS)] during osteotomy preparation, implant placement and gingival suturing and perioperative physiological parameters [heart rate (HR) and systolic\/diastolic blood pressure (SBP\/DBP)] at 30 minutes preoperatively, during implant placement and during suturing.\n Results:<\/jats:bold>\n Compared with pre-therapy baselines, all groups exhibited reduced MDAS and S-AI scores post-therapy (\n P<\/jats:italic>\n < 0.05), with the noise reduction group demonstrating lower scores than the music and conventional groups, and the music group had lower values than the conventional group (\n P<\/jats:italic>\n < 0.05). VAS scores during osteotomy, implant placement and suturing were lower in the noise reduction group than in the other groups (\n P<\/jats:italic>\n < 0.05), whereas the music group showed reduced scores versus the conventional group at all surgical phases (\n P<\/jats:italic>\n < 0.05). At 30 minutes before the operation, elevated HR\/SBP\/DBP occurred during implant placement\/suturing in all groups (\n P<\/jats:italic>\n < 0.05), with the noise reduction group maintaining lower levels than the two other groups, and the music group demonstrated lower values than the conventional group during both surgical phases (\n P<\/jats:italic>\n < 0.05).\n Conclusion:<\/jats:bold>\n The integration of music therapy with noise reduction technology may alleviate anxiety and pain perception in dental implant patients, potentially attenuating perioperative physiological stress responses. However, as a retrospective investigation, these findings reflect associative trends requiring validation through prospective randomised controlled trials.\n <\/jats:p>","DOI":"10.4103\/nah.nah_166_25","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T12:00:21Z","timestamp":1767441621000},"page":"785-793","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Retrospective Analysis of the Influence of Music Therapy Combined with Noise Reduction Technology in Dental Implant Patients"],"prefix":"10.4103","volume":"27","author":[{"given":"XiaoLu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Zheng","sequence":"additional","affiliation":[{"name":"Oral Maxillofacial Surgery, Beijing LuHe Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DaZhuang","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Implant Dentistry, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WeiJuan","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LiJia","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"R1-20260112","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/prd.12419","article-title":"Oral health-related quality of life of patients rehabilitated with fixed and removable implant-supported dental prostheses","volume":"88","author":"Duong","year":"2022","journal-title":"Periodontol 2000"},{"key":"R2-20260112","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/scd.12736","article-title":"Use of dental implants among older adults of two southern Brazilian cities: a population-based cross-sectional study","volume":"43","author":"Muniz","year":"2023","journal-title":"Spec Care Dentist"},{"key":"R3-20260112","doi-asserted-by":"crossref","first-page":"6118","DOI":"10.3390\/ijerph20126118","article-title":"Prevalence and socio-demographic correlates of dental anxiety among a group of adult patients attending dental outpatient clinics: a study from UAE","volume":"20","author":"Alansaari","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"R4-20260112","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1111\/adj.12926","article-title":"Management strategies for adult patients with dental anxiety in the dental clinic: a systematic review","volume":"67","author":"Hoffmann","year":"2022","journal-title":"Aust Dent J"},{"key":"R5-20260112","doi-asserted-by":"crossref","first-page":"e12907","DOI":"10.1111\/eos.12907","article-title":"The complexity of dental anxiety and its association with oral health-related quality of life: An exploratory study","volume":"131","author":"Aardal","year":"2023","journal-title":"Eur J Oral Sci"},{"key":"R6-20260112","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.jad.2025.02.011","article-title":"Stressor-evoked heart rate, perceived physiological arousal, and anxiety symptoms in young adults","volume":"376","author":"Cook","year":"2025","journal-title":"J Affect Disord"},{"key":"R7-20260112","doi-asserted-by":"crossref","first-page":"102891","DOI":"10.1016\/j.janxdis.2024.102891","article-title":"Interventions to reduce adult state anxiety, dental trait anxiety, and dental phobia: a systematic review and meta-analyses of randomized controlled trials","volume":"105","author":"Steenen","year":"2024","journal-title":"J Anxiety Disord"},{"key":"R8-20260112","first-page":"670","article-title":"A randomized clinical trial comparing the effects of music and informative videos on patient anxiety during root canal treatment and retreatment","volume":"55","author":"Abdulhameed","year":"2024","journal-title":"Quintessence Int"},{"key":"R9-20260112","doi-asserted-by":"crossref","first-page":"540","DOI":"10.47391\/JPMA.21023","article-title":"Comparing binaural beats and 432\u2009Hz music for reduction of preoperative anxiety in root canal patients: a randomized controlled trial","volume":"75","author":"Zaki","year":"2025","journal-title":"J Pak Med Assoc"},{"key":"R10-20260112","doi-asserted-by":"crossref","first-page":"1352817","DOI":"10.3389\/fpsyt.2024.1352817","article-title":"Efficacy of music therapy on stress and anxiety prior to dental treatment: a systematic review and meta-analysis of randomized clinical trials","volume":"15","author":"L\u00f3pez-Valverde","year":"2024","journal-title":"Front Psychiatry"},{"key":"R11-20260112","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1186\/s12903-024-04017-y","article-title":"Impact of high-speed handpiece noise-induced dental anxiety on heart rate: analyzing experienced and non-experienced patients \u2212 a comparative study","volume":"24","author":"Ghaffar","year":"2024","journal-title":"BMC Oral Health"},{"key":"R12-20260112","doi-asserted-by":"crossref","first-page":"9417","DOI":"10.3390\/ijerph19159417","article-title":"Assessment of real-time active noise control devices in dental treatment conditions","volume":"19","author":"Kim","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R13-20260112","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1177\/00220345690480041801","article-title":"Development of a dental anxiety scale","volume":"48","author":"Corah","year":"1969","journal-title":"J Dent Res"},{"key":"R14-20260112","first-page":"143","article-title":"The Modified Dental Anxiety Scale: validation and United Kingdom norms","volume":"12","author":"Humphris","year":"1995","journal-title":"Community Dent Health"},{"key":"R15-20260112","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1472-6831-9-20","article-title":"The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age","volume":"9","author":"Humphris","year":"2009","journal-title":"BMC Oral Health"},{"key":"R16-20260112","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/1477-7525-6-22","article-title":"Some psychometric properties of the Chinese version of the Modified Dental Anxiety Scale with cross validation","volume":"6","author":"Yuan","year":"2008","journal-title":"Health Qual Life Outcomes"},{"key":"R19-20260112","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1111\/j.1365-2850.2012.01945.x","article-title":"Evaluation of psychometric properties of the Chinese Mandarin version State-Trait Anxiety Inventory Y form in Taiwanese outpatients with anxiety disorders","volume":"20","author":"Ma","year":"2013","journal-title":"J Psychiatr Ment Health Nurs"},{"key":"R20-20260112","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0022-3999(72)90041-4","article-title":"Some relationships between subjective measures of pain","volume":"16","author":"Woodforde","year":"1972","journal-title":"J Psychosom Res"},{"key":"R21-20260112","first-page":"324","article-title":"Feasibility analysis of visual analogue scale in esthetic evaluation of anterior implant-supported single crown in maxilla","volume":"56","author":"Yang","year":"2021","journal-title":"Chinese J Stomatol"},{"key":"R22-20260112","first-page":"88","article-title":"Prevalence of dental anxiety among adults in China: a Meta-analysis","volume":"41","author":"Hong","year":"2023","journal-title":"West China J Stomatol"},{"key":"R23-20260112","doi-asserted-by":"crossref","first-page":"e0309248","DOI":"10.1371\/journal.pone.0309248","article-title":"A cross sectional study on levels of dental anxiety, its influencing factors, and the preferred management techniques among patients in Riyadh, Saudi Arabia","volume":"19","author":"Alowid","year":"2024","journal-title":"PLoS One"},{"key":"R24-20260112","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1186\/s12903-024-05288-1","article-title":"Prevalence and associated factors of dental anxiety among adults attending public outpatient dental clinic in the Eastern Province","volume":"24","author":"Dhanapriyanka","year":"2024","journal-title":"Sri Lanka. BMC Oral Health"},{"key":"R25-20260112","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1186\/s12903-024-04366-8","article-title":"Immediate implant placement influenced by musical flow: a prospective randomized controlled clinical trial","volume":"24","author":"Pellicer","year":"2024","journal-title":"BMC Oral Health"},{"key":"R26-20260112","doi-asserted-by":"crossref","first-page":"6079","DOI":"10.1007\/s00784-022-04640-5","article-title":"Does listening to music reduce anxiety and pain in third molar surgery? A systematic review","volume":"26","author":"Monteiro","year":"2022","journal-title":"Clin Oral Investig"},{"key":"R27-20260112","doi-asserted-by":"crossref","first-page":"590","DOI":"10.4103\/ija.ija_740_22","article-title":"Effect of binaural beat music and noise cancelling headphones on intraoperative anxiety in patients undergoing spinal anaesthesia \u2212 a randomised controlled study","volume":"67","author":"Ligree","year":"2023","journal-title":"Indian J Anaesth"},{"key":"R28-20260112","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.jhsg.2021.05.008","article-title":"Noise-canceling headphones and music decrease intraoperative patient anxiety during wide-awake hand surgery: a randomized controlled trial","volume":"3","author":"Townsend","year":"2021","journal-title":"J Hand Surg Glob Online"},{"key":"R29-20260112","doi-asserted-by":"crossref","first-page":"137576","DOI":"10.1016\/j.neulet.2023.137576","article-title":"Effect of music rhythm magnetic field on long-term potentiation of hippocampal Schaffer-CA1 synapse plasticity","volume":"820","author":"Dong","year":"2024","journal-title":"Neurosci Lett"},{"key":"R30-20260112","doi-asserted-by":"crossref","first-page":"928","DOI":"10.3390\/metabo13080928","article-title":"Effect of noise and music on neurotransmitters in the amygdala: the role auditory stimuli play in emotion regulation","volume":"13","author":"Nian","year":"2023","journal-title":"Metabolites"},{"key":"R31-20260112","doi-asserted-by":"crossref","first-page":"6491","DOI":"10.3390\/jcm13216491","article-title":"The effect of music distraction on dental anxiety during invasive dental procedures in children and adults: a meta-analysis","volume":"13","author":"Shih","year":"2024","journal-title":"J Clin Med"},{"key":"R32-20260112","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1097\/AUD.0000000000001144","article-title":"Effect of noise reduction on cortical speech-in-noise processing and its variance due to individual noise tolerance","volume":"43","author":"Kim","year":"2022","journal-title":"Ear Hear"},{"key":"R33-20260112","doi-asserted-by":"crossref","first-page":"269","DOI":"10.5051\/jpis.2202200110","article-title":"Efficacy of active noise-canceling headphones in patients undergoing ultrasonic scaling","volume":"53","author":"Kim","year":"2023","journal-title":"J Periodontal Implant Sci"},{"key":"R34-20260112","doi-asserted-by":"crossref","first-page":"104091","DOI":"10.1016\/j.jdent.2022.104091","article-title":"Effect of personalized musical intervention on burden of care in dental implant surgery: a pilot randomized controlled trial","volume":"120","author":"Bertacco","year":"2022","journal-title":"J Dent"},{"key":"R35-20260112","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/prd.12465","article-title":"Minimal invasiveness in soft tissue augmentation at dental implants: a systematic review and meta-analysis of patient-reported outcome measures","volume":"91","author":"Thoma","year":"2023","journal-title":"Periodontol 2000"},{"key":"R36-20260112","doi-asserted-by":"crossref","first-page":"111286","DOI":"10.1016\/j.jclinane.2023.111286","article-title":"Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: a randomized clinical trial","volume":"92","author":"You","year":"2024","journal-title":"J Clin Anesth"},{"key":"R37-20260112","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1159\/000539312","article-title":"Music from noise-canceling headphones is beneficial against anxiety in male bladder cancer patients undergoing follow-up cystoscopy: a prospective randomized trial","volume":"108","author":"Cho","year":"2024","journal-title":"Urol Int"},{"key":"R38-20260112","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.joms.2022.10.004","article-title":"Can music decrease anxiety and pain during dental implant surgery? A randomized clinical trial","volume":"81","author":"Esteban Pellicer","year":"2023","journal-title":"J Oral Maxillofac Surg"},{"key":"R39-20260112","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.adaj.2022.11.008","article-title":"Effect of virtual reality and music therapy on anxiety and perioperative pain in surgical extraction of impacted third molars","volume":"154","author":"Sorribes De Ram\u00f3n","year":"2023","journal-title":"J Am Dent Assoc"},{"key":"R40-20260112","first-page":"262","article-title":"A passive noise attenuation earplug designed to minimise unwanted air turbine driven high-speed dental drill noise","volume":"31","author":"Jiang","year":"2023","journal-title":"Eur J Prosthodont Restor Dent"},{"key":"R41-20260112","doi-asserted-by":"crossref","first-page":"320","DOI":"10.3390\/medicina59020320","article-title":"Failed attempt to recommend noise cancelling headphones for knee arthroplasty surgeons-results of a pilot study","volume":"59","author":"Stadler","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"R42-20260112","first-page":"e60090","article-title":"Bluetooth noise-canceling headphones improve the quality of ophthalmic exams in patients with hearing loss: a randomized controlled trial","volume":"16","author":"Glanzer","year":"2024","journal-title":"Cureus"},{"key":"R43-20260112","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1186\/s12903-023-03392-2","article-title":"Assessment of hearing performance of dental technicians due to the professional noise exposure","volume":"23","author":"Vaddamanu","year":"2023","journal-title":"BMC Oral Health"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_166_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:59:54Z","timestamp":1786647594000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_166_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":41,"journal-issue":{"issue":"129","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_166_25","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-09-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}