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Effect of Regular Piano Playing on Dental Anxiety and Stress

15 mei 2026 bijgewerkt door: DİLARA NİL GÜNAÇAR, Recep Tayyip Erdogan University Training and Research Hospital

Evaluation of the Effects of Regular Piano Training on Dental Anxiety and Stress Levels in Children During Preventive Dental Treatment

This study aims to evaluate dental anxiety and stress levels in children receiving regular piano training compared with children without piano training during preventive dental treatment. A total of 80 children aged 7-11 years, including 40 children receiving piano education and 40 controls, were included in the study. All participants underwent fissure sealant application using the Tell-Show-Do behavioral guidance technique. Dental anxiety was assessed before and after treatment using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf), Facial Image Scale (FIS), and physiological parameters including pulse rate, blood pressure, oxygen saturation, and body temperature. Stress levels were evaluated using the PeSSKi scale. The study investigates whether regular piano education contributes to reduced dental anxiety and stress responses in pediatric dental patients.

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

80

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Rize Province
      • Merkez, Rize Province, Turkije (Türkiye), 53020
        • Recep Tayyip Erdogan University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:

  • Children aged between 7 and 11 years
  • Patients attending the Department of Pediatric Dentistry, Faculty of Dentistry,
  • Recep Tayyip Erdoğan University, and participants invited from two different art schools
  • Voluntary participation in the study
  • Presence of fissure sealant indication in the mandibular permanent first molars
  • Systemically healthy children (ASA I) with no known history of allergy
  • No hearing impairment
  • Cognitive ability sufficient to understand and answer questionnaire items
  • Cooperative behavior classified as "Positive" or "Definitely Positive" according to the Frankl Behavior Rating Scale

Exclusion Criteria:

  • Presence of any systemic disease or history of allergy
  • Children classified as "Negative" or "Definitely Negative" according to the Frankl Behavior Rating Scale
  • Active psychological and/or psychiatric treatment
  • Physical or mental disability preventing communication or questionnaire completion

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ondersteunende zorg
  • Toewijzing: Niet-gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Regular Piano Training Group
Children aged 7-11 years who received regular piano training and underwent fissure sealant application.
Regular piano education received by children prior to preventive dental treatment. Children in this group had ongoing piano training and were evaluated for dental anxiety, stress levels, and physiological responses during fissure sealant application using the Tell-Show-Do technique.
Ander: Control Group
Children aged 7-11 years without regular piano training who underwent fissure sealant application.
Children without regular piano training who underwent preventive dental treatment and fissure sealant application using the Tell-Show-Do technique. Dental anxiety, stress levels, and physiological parameters were evaluated before and after treatment.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Dental Anxiety Level Measured by the Modified Child Dental Anxiety Scale-Faces Version
Tijdsspanne: Before and immediately after fissure sealant application
Dental anxiety levels during preventive dental treatment will be assessed using the Modified Child Dental Anxiety Scale-Faces Version (MCDASf). The MCDASf score ranges from 8 to 40 points, with higher scores indicating greater dental anxiety.
Before and immediately after fissure sealant application
Dental Anxiety Level Measured by the Facial Image Scale
Tijdsspanne: Before and immediately after fissure sealant application
Dental anxiety levels during preventive dental treatment will be assessed using the Facial Image Scale (FIS). The FIS score ranges from 1 to 5 points, with higher scores indicating greater dental anxiety.
Before and immediately after fissure sealant application

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Stress Level Measured by the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI)
Tijdsspanne: Before and immediately after fissure sealant application

Stress levels will be assessed using the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI) during preventive dental treatment.

The PeSSKi total score ranges from 10 to 50 points, with higher scores indicating higher perceived stress levels in children.

Before and immediately after fissure sealant application
Pulse Rate During Preventive Dental Treatment
Tijdsspanne: Before and immediately after fissure sealant application
Pulse rate will be measured in beats per minute (bpm) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological arousal/anxiety.
Before and immediately after fissure sealant application
Systolic Blood Pressure
Tijdsspanne: Before and immediately after fissure sealant application.
Systolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response.
Before and immediately after fissure sealant application.
Diastolic Blood Pressure
Tijdsspanne: Before and immediately after fissure sealant application
Diastolic blood pressure will be measured in millimeters of mercury (mmHg) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate increased physiological stress response.
Before and immediately after fissure sealant application
Oxygen Saturation
Tijdsspanne: Before and immediately after fissure sealant application
Peripheral oxygen saturation (SpO₂) will be measured as percentage (%) before and immediately after fissure sealant application during preventive dental treatment. Higher values indicate better oxygenation status.
Before and immediately after fissure sealant application
Body Temperature
Tijdsspanne: Before and immediately after fissure sealant application
Body temperature will be measured in degrees Celsius (°C) before and immediately after fissure sealant application during preventive dental treatment.
Before and immediately after fissure sealant application

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 augustus 2025

Primaire voltooiing (Werkelijk)

25 maart 2026

Studie voltooiing (Werkelijk)

1 april 2026

Studieregistratiedata

Eerst ingediend

10 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

15 mei 2026

Eerst geplaatst (Werkelijk)

22 mei 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

22 mei 2026

Laatste update ingediend die voldeed aan QC-criteria

15 mei 2026

Laatst geverifieerd

1 mei 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • 2025/348

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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