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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.
Four electronic databases were searched up to March 8, , 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. 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. Relaxing music shows the greatest potential for reducing dental anxiety related to tooth extraction when compared to other multimedia interventions. Tooth extraction is a common procedure performed by oral and maxillofacial surgeons or dentists, often leading to dental fear and anxiety.
Regardless of the tooth being removed, both children and some adults experience dental anxiety or fear during the extraction surgery. Anxiety levels can be particularly high for the extraction of impacted third molars. Individuals with pre-existing hypertension may even face life-threatening medical emergencies, such as hypertensive and tachycardic emergencies, due to the stress of tooth extraction [ 2 ].