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ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ

Yıl 2019, Cilt: 46 Sayı: 2, 77 - 90, 01.08.2019

Öz

Gömülü mandibular 20 yaş dişi ameliyatı toplum tarafından korkutucu olarak nitelendirilen diş hekimliğinde sık uygulanan bir işlemdir. Hekimler tarafından düşük riskli bir tedavi olmasına rağmen ciddi komplikasyon riskleri de bulunmaktadır. Hastaların anksiyete durumu psikolojisini de etkiler. İntraoperatif anestezik maddeye olan ihtiyaçta artış, daha yüksek perioperatif ağrı algısı ve cerrahi sonrasında analjezik madde ihtiyacında artış, istenmeyen kardiyovasküler etkilerle sonuçlanabilecek şekilde hemodinamik değişiklikler de anksiyete ile ilişkilidir. Perioperatif anksiyetenin kontrol edilmesi için ilaç tedavisi ve psikolojik girişimlerde bulunulur. Bu tür girişimlerden en kolay ve non-invaziv olanı intraoperatif müzik dinletisi uygulamasıdır. Bu çalışmada 20 yaş diş çekimi ameliyatı sırasında müzik dinletmenin anksiyolitik etkisi ve vital bulgulardaki değişimin araştırılması amaçlanmıştır. Alt çenede kemik retansiyonlu gömülü yirmi yaş dişi operasyonu geçirecek olan 80 hasta kontrol grubu, 80 hasta deney grubu olarak değerlendirildi. Deney grubundaki hastalara ameliyat esnasında kulaklıktan müzik dinletildi.Tüm hastalara ameliyat öncesi Modified Dental Anxiety Scale (MDAS) kullanılarak anksiyete seviyesi belirlendi. Vital bulgular ise kan basıncı ve nabız ölçümleri ile değerlendirildi. Ölçümler bekleme salonunda, hasta diş ünitine oturduğunda, lokal anestezi yapıldığında, cerrahi örtüler örtüldüğünde, insizyon yapıldığı sırada, kemik kaldırma ya da dişin bölünmesi sırasında, dişin çekildiği sırada, yara bölgesine dikiş atıldığında ve ameliyat sonunda hasta üzerinden ameliyat örtüleri kaldırıldığında kaydedildi. İstatistiksel analiz için Student’s t-testi ve. eşleştirilmiş t-testi kullanıldı (p≤0.05).Ameliyat sırasında alınan kan basıncı ve nabız ölçümleri bakımından müzik dinletilen ve dinletilmeyen gruplar arasında istatistiksel olarak anlamlı bir fark bulunamamıştır. Yalnızca sutur atıldığı sırada alınan nabız ölçümleri bakımından müzik dinletilen ve dinletilmeyen gruplar arasında istatistiksel olarak anlamlı bir fark vardır (p=0,036). MDAS skorlarına göre operasyon sırasında müzik dinletilen grup ile müzik dinletilmeden operasyona alınan grup arasında istatistiksel olarak anlamlı (p=0,953) bir fark bulunamamıştır.

Kaynakça

  • Worrall SF, Riden K, Haskell R, et al: UK National Third Molar Project: The initial report. Br J Oral Maxillofac Sufg 36:14, 1999.
  • Desjardins PJ: Patient pain and anxiety The medical and psychological challenges facing oral and maxillofacial surgery.J Oral Maxillofac Surg 58(suppl 2): 1, 2000
  • Litt MD, Nye C, Shafer D: Preparing for oral surgery: Evaluating elements of coping. J Behav Med 18:435, 1995.
  • Aznar-Arasa L, Figueiredo R, ValmasedaCastellón E, Gay-Escoda C. Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study. Int J Oral Maxillofac Surg. 2014 Sep;43(9):1131-6.
  • Tarazona B, Tarazona-Álvarez P, Peñarrocha-Oltra D, Rojo-Moreno J, Peñarrocha-Diago M. Anxiety before extraction of impacted lower third molars. Med Oral Patol Oral Cir Bucal. 2015 Mar 1;20(2):e246-50.
  • Maranets I, Kain ZN: Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg 89:1346, 1999.
  • Vaughn F, Wichowski H, Bosworth G: Does preoperative anxiety level predict postoperative pain? AORN J 85:589, 2007.
  • 0zalp G, Sarioglu R, Tuncel G, et al: Preoperativc emotional states in patients with breast cancer and postopetative pain. Acta Anaesthesiol Scand 47:26, 2003.
  • Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? J Dent Child. 1962;29:150– 63.
  • Meyer FU Hemodynamic changes under emotional stress following a minor surgical procedure under local anesthesia. Int J Oral Maxillofac Surg 16:688, 1987.
  • Brand HS, Gortzak R, palmer CC, et al : Cardiovascular and neuroendocrine response during acute stress induced by different types of dental treatment. Int Dent J 45:45, 1995.
  • Rathod NR Alprazolam poisoning. Indian J Med Sci 55:218, 2001.
  • Brunges MJ, Avigne G: Music therapy for reducing surgical anxiety. AORN J 78:816, 2003.
  • Steelman VM: Intraoperative music therapy: Effect on anxiety, blood pressure. AORN J 52:1026, 1990.
  • Lepage C, Drolet P, Girard M et al : Music decreases sedative requirement during spinal anesthesia. Anesth Analg 93:912, 2001.
  • Marwick C: Leaving concert hall for clinic, therapists now test music's charm. JAMA 275:257, 1996.
  • Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health 2009;9:20.
  • Pell GJ, Gregory BT: Impacted mandibular third molars: Classification and modified techniques for removal. Dent Dig 39:330, 1933.
  • Winter MJ, Paskin S, Baker T: Music reduces stress and anxiety of patient in the surgical holding area. J Post Anesth Nurs 15:1045, 1999.
  • Brunges MJ, Avigne G: Music therapy for reducing surgical anxiety. AORN J 78:816, 2003
  • Lepage C, Drolet P, Girard M et al: Music decreases sedative requirement during spinal anesthesia. Anesth Analg 93:912, 2001.
  • Marwick C: Leaving concert hall for clinic, therapists now test music’s charm. JAMA 275:257, 1996.
  • Winter MJ, Paskin S, Baker T: Music reduces stress and anxiety of patient in the surgical holding area. J Post Anesth Nurs 9:340, 1994.
  • Smolen D, Topp R, Singer L: The effect of self-select music during colonoscopy on anxiety, heart rate, and blood pressure. Nurs Rev 16:126, 2002
  • Mok, E, Wong KY: Effect of music on patient anxiety. AORN J 77:396, 2003
  • Millett CR, Gooding LF. Comparing Active and Passive Distraction-Based Music Therapy Interventions on Preoperative Anxiety in Pediatric Patients and Their Caregivers. J Music Ther. 2018 Jan 13;54(4):460-478.
  • Bruscia KE1. Standards of Integrity for Qualitative Music Therapy Research. J Music Ther. 1998;35(3):176-200.
  • Gillen E, Biley F, Allen D. Effects of music listening on adult patients' pre-procedural state anxiety in hospital. JBI Libr Syst Rev. 2008;6(17):686-732.
  • Munro S, Mount B. Music therapy in palliative care. Can Med Assoc J. 1978 Nov 4;119(9):1029-34.
  • Cook D. Music and medical education. Med Educ. 2002 Dec;36(12):1169-70.
  • Winter, GB. Impacted Mandibular Third Molar. St Louis, American Medical Book Co., 1926.
  • Corah NL: Assessment, reduction and increasing patient satisfaction. Dent Clin North Am 32:779, 1998.
  • Hakeberg M, Berggren U, Gröndahl H-G. A radiographic study of dental health in adult patients with dental anxiety. Community Dentistry and Oral Epidemiology. 1993;21(1):27-30.
  • Skaret E, Soevdsnes EK. Behavioural science in dentistry. The role of the dental hygienist in prevention and treatment of the fearful dental patient. International Journal of Dental Hygiene. 2005;3(1):2-6.
  • Berggren U. Long-term management of the fearful adult patient using behavior modification and other modalities. Journal of Dental Education. 2001;65(12):1357-68.
  • Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behaviour Research and Therapy. 1993;31(7):659-66.
  • Deva Priya Appukuttan Strategies to manage patients with dental anxiety and dental phobia: literature review Clin Cosmet Investig Dent. 2016; 8: 35–50.
  • Hakeberg M, Berggren U, Gröndahl H-G. A radiographic study of dental health in adult patients with dental anxiety. Community Dentistry and Oral Epidemiology. 1993;21(1):27-30.
  • Milgrom P, Weinstein P, Getz T. Treating fearful dental patients: a patient management handbook. Seattle, Wash.: University of Washington, Continuing Dental Education; 1995. XVIII, 359 s. p.
  • Venhamm LL. The effect of mother's presence on child's response to dental treatment. J Dent Child 1979;46:219-25
  • Jain M, Tandon S, Sharma A, Jain V, Rani Yadav N. Cross-Cultural adaption, validity and reliability of a Hindi version of the Corah's Dental Anxiety Scale. Health Promot Perspect. 2018 Apr 18;8(2):120-126
  • Sitheeque M, Massoud M, Yahya S, Humphris G. Validation of the Malay version of the Modified Dental Anxiety Scale and the prevalence of dental anxiety in a Malaysian population. J Investig Clin Dent. 2015 Nov;6(4):313-20
  • Bonafe FS, Campos JA. Validation and Invariance of the Dental Anxiety Scale in a Brazilian sample.Braz Oral Res. 2016 Dec 22;30(1):e138
  • Wong HM, Humphris GM, Lee GT. Preliminary validation and reliability of the Modified Child Dental Anxiety Scale. Psychol Rep. 1998 Dec;83(3 Pt 2):1179-86.
  • Hollander MH, Schortinghuis J, Vissink A. Changes in heart rate during third molar surgery. Int J Oral Maxillofac Surg. 2016 Dec;45(12):1652-1657
  • Le SH, Tonami K, Umemori S, Nguyen LT, Ngo LT, Mataki S. The potential of heart rate variability for exploring dental anxiety in mandibular third molar surgery. Int J Oral Maxillofac Surg. 2018 Jun;47(6):809-815

Evaluation of the Effect of Intra-Operative Music on Patient Anxiety in Impacted 3rd Molar Surgery

Yıl 2019, Cilt: 46 Sayı: 2, 77 - 90, 01.08.2019

Öz

Mandibular impacted third molar surgery is considered scary among the society. Yet it’s a low risk application according to dentists. Although it has serious complication risks cited in dental literature. Patients’ anxiexty status had direct effect on their psychology. Excess need for the intra-operative anesthetic solution, post operative pain killer, higher perioperative pain sensation, undesired cardiovascular situations are related to anxiety. Medication and psychological interventions are used in order to deal with the anxiety. Music is the easiest and non-invasive method for relaxation of the patients. In the present study anxiolytic effects of music and changes in vital signs are examined. 80 patients who are going to take an impacted lower third molar surgery are assigned for the experiment group, and 80 patients for the control group. Experiment group patients listened music using headphones during the surgery. All patients took Modified Dental Anxiety Scale (MDAS) tests prior to the surgery. Vital signs are tracked with blood pressure and pulse measurements which are taken during waiting room, after sitting on the dental chair, during local anestesia administration, incision, bone reduction, suturing and at the end of the surgery. Student’s t-test and paired t-test were used for statistical analysis (p≤0.05). No statisticaly significant differences were recorded for control and experiment groups except for time time of suturing. According to MDAS scores no statistically significant differences were recorded as well.

Kaynakça

  • Worrall SF, Riden K, Haskell R, et al: UK National Third Molar Project: The initial report. Br J Oral Maxillofac Sufg 36:14, 1999.
  • Desjardins PJ: Patient pain and anxiety The medical and psychological challenges facing oral and maxillofacial surgery.J Oral Maxillofac Surg 58(suppl 2): 1, 2000
  • Litt MD, Nye C, Shafer D: Preparing for oral surgery: Evaluating elements of coping. J Behav Med 18:435, 1995.
  • Aznar-Arasa L, Figueiredo R, ValmasedaCastellón E, Gay-Escoda C. Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study. Int J Oral Maxillofac Surg. 2014 Sep;43(9):1131-6.
  • Tarazona B, Tarazona-Álvarez P, Peñarrocha-Oltra D, Rojo-Moreno J, Peñarrocha-Diago M. Anxiety before extraction of impacted lower third molars. Med Oral Patol Oral Cir Bucal. 2015 Mar 1;20(2):e246-50.
  • Maranets I, Kain ZN: Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg 89:1346, 1999.
  • Vaughn F, Wichowski H, Bosworth G: Does preoperative anxiety level predict postoperative pain? AORN J 85:589, 2007.
  • 0zalp G, Sarioglu R, Tuncel G, et al: Preoperativc emotional states in patients with breast cancer and postopetative pain. Acta Anaesthesiol Scand 47:26, 2003.
  • Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? J Dent Child. 1962;29:150– 63.
  • Meyer FU Hemodynamic changes under emotional stress following a minor surgical procedure under local anesthesia. Int J Oral Maxillofac Surg 16:688, 1987.
  • Brand HS, Gortzak R, palmer CC, et al : Cardiovascular and neuroendocrine response during acute stress induced by different types of dental treatment. Int Dent J 45:45, 1995.
  • Rathod NR Alprazolam poisoning. Indian J Med Sci 55:218, 2001.
  • Brunges MJ, Avigne G: Music therapy for reducing surgical anxiety. AORN J 78:816, 2003.
  • Steelman VM: Intraoperative music therapy: Effect on anxiety, blood pressure. AORN J 52:1026, 1990.
  • Lepage C, Drolet P, Girard M et al : Music decreases sedative requirement during spinal anesthesia. Anesth Analg 93:912, 2001.
  • Marwick C: Leaving concert hall for clinic, therapists now test music's charm. JAMA 275:257, 1996.
  • Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health 2009;9:20.
  • Pell GJ, Gregory BT: Impacted mandibular third molars: Classification and modified techniques for removal. Dent Dig 39:330, 1933.
  • Winter MJ, Paskin S, Baker T: Music reduces stress and anxiety of patient in the surgical holding area. J Post Anesth Nurs 15:1045, 1999.
  • Brunges MJ, Avigne G: Music therapy for reducing surgical anxiety. AORN J 78:816, 2003
  • Lepage C, Drolet P, Girard M et al: Music decreases sedative requirement during spinal anesthesia. Anesth Analg 93:912, 2001.
  • Marwick C: Leaving concert hall for clinic, therapists now test music’s charm. JAMA 275:257, 1996.
  • Winter MJ, Paskin S, Baker T: Music reduces stress and anxiety of patient in the surgical holding area. J Post Anesth Nurs 9:340, 1994.
  • Smolen D, Topp R, Singer L: The effect of self-select music during colonoscopy on anxiety, heart rate, and blood pressure. Nurs Rev 16:126, 2002
  • Mok, E, Wong KY: Effect of music on patient anxiety. AORN J 77:396, 2003
  • Millett CR, Gooding LF. Comparing Active and Passive Distraction-Based Music Therapy Interventions on Preoperative Anxiety in Pediatric Patients and Their Caregivers. J Music Ther. 2018 Jan 13;54(4):460-478.
  • Bruscia KE1. Standards of Integrity for Qualitative Music Therapy Research. J Music Ther. 1998;35(3):176-200.
  • Gillen E, Biley F, Allen D. Effects of music listening on adult patients' pre-procedural state anxiety in hospital. JBI Libr Syst Rev. 2008;6(17):686-732.
  • Munro S, Mount B. Music therapy in palliative care. Can Med Assoc J. 1978 Nov 4;119(9):1029-34.
  • Cook D. Music and medical education. Med Educ. 2002 Dec;36(12):1169-70.
  • Winter, GB. Impacted Mandibular Third Molar. St Louis, American Medical Book Co., 1926.
  • Corah NL: Assessment, reduction and increasing patient satisfaction. Dent Clin North Am 32:779, 1998.
  • Hakeberg M, Berggren U, Gröndahl H-G. A radiographic study of dental health in adult patients with dental anxiety. Community Dentistry and Oral Epidemiology. 1993;21(1):27-30.
  • Skaret E, Soevdsnes EK. Behavioural science in dentistry. The role of the dental hygienist in prevention and treatment of the fearful dental patient. International Journal of Dental Hygiene. 2005;3(1):2-6.
  • Berggren U. Long-term management of the fearful adult patient using behavior modification and other modalities. Journal of Dental Education. 2001;65(12):1357-68.
  • Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behaviour Research and Therapy. 1993;31(7):659-66.
  • Deva Priya Appukuttan Strategies to manage patients with dental anxiety and dental phobia: literature review Clin Cosmet Investig Dent. 2016; 8: 35–50.
  • Hakeberg M, Berggren U, Gröndahl H-G. A radiographic study of dental health in adult patients with dental anxiety. Community Dentistry and Oral Epidemiology. 1993;21(1):27-30.
  • Milgrom P, Weinstein P, Getz T. Treating fearful dental patients: a patient management handbook. Seattle, Wash.: University of Washington, Continuing Dental Education; 1995. XVIII, 359 s. p.
  • Venhamm LL. The effect of mother's presence on child's response to dental treatment. J Dent Child 1979;46:219-25
  • Jain M, Tandon S, Sharma A, Jain V, Rani Yadav N. Cross-Cultural adaption, validity and reliability of a Hindi version of the Corah's Dental Anxiety Scale. Health Promot Perspect. 2018 Apr 18;8(2):120-126
  • Sitheeque M, Massoud M, Yahya S, Humphris G. Validation of the Malay version of the Modified Dental Anxiety Scale and the prevalence of dental anxiety in a Malaysian population. J Investig Clin Dent. 2015 Nov;6(4):313-20
  • Bonafe FS, Campos JA. Validation and Invariance of the Dental Anxiety Scale in a Brazilian sample.Braz Oral Res. 2016 Dec 22;30(1):e138
  • Wong HM, Humphris GM, Lee GT. Preliminary validation and reliability of the Modified Child Dental Anxiety Scale. Psychol Rep. 1998 Dec;83(3 Pt 2):1179-86.
  • Hollander MH, Schortinghuis J, Vissink A. Changes in heart rate during third molar surgery. Int J Oral Maxillofac Surg. 2016 Dec;45(12):1652-1657
  • Le SH, Tonami K, Umemori S, Nguyen LT, Ngo LT, Mataki S. The potential of heart rate variability for exploring dental anxiety in mandibular third molar surgery. Int J Oral Maxillofac Surg. 2018 Jun;47(6):809-815
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma makaleleri
Yazarlar

Tansu Erakman Bu kişi benim

Burak Bayram Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 46 Sayı: 2

Kaynak Göster

APA Erakman, T., & Bayram, B. (2019). ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, 46(2), 77-90.
AMA Erakman T, Bayram B. ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ. AÜDHF dergisi. Ağustos 2019;46(2):77-90.
Chicago Erakman, Tansu, ve Burak Bayram. “ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 46, sy. 2 (Ağustos 2019): 77-90.
EndNote Erakman T, Bayram B (01 Ağustos 2019) ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 46 2 77–90.
IEEE T. Erakman ve B. Bayram, “ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ”, AÜDHF dergisi, c. 46, sy. 2, ss. 77–90, 2019.
ISNAD Erakman, Tansu - Bayram, Burak. “ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 46/2 (Ağustos 2019), 77-90.
JAMA Erakman T, Bayram B. ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ. AÜDHF dergisi. 2019;46:77–90.
MLA Erakman, Tansu ve Burak Bayram. “ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 46, sy. 2, 2019, ss. 77-90.
Vancouver Erakman T, Bayram B. ALT ÇENE GÖMÜLÜ 20 YAŞ CERRAHİSİNDE MÜZİK DiNLETİSİNİN ANKSİYETE ÜZERİNE ETKİSİ. AÜDHF dergisi. 2019;46(2):77-90.