Evaluation of Effectiveness of Hindustani Classical Music and Tell-show-do Technique on the Anxiety of Children Receiving Oral Health Care: A Single-blinded Study
Niraj S Gokhale, Shivayogi M Hugar, Krishna S Kadam, Neha Kohli, Vidyavathi H Patil, Bhuvanesh Bhusari
Keywords :
Anxiety, Bhimpalas, Instrumental music, Music distraction, Todi
Citation Information :
Gokhale NS, Hugar SM, Kadam KS, Kohli N, Patil VH, Bhusari B. Evaluation of Effectiveness of Hindustani Classical Music and Tell-show-do Technique on the Anxiety of Children Receiving Oral Health Care: A Single-blinded Study. World J Dent 2024; 15 (12):1007-1013.
Aim: To evaluate and compare the effect of Raag Todi, Raag Bhimpalas, and the tell-show-do (TSD) technique in anxiety reduction in children aged 4–12 years undergoing dental treatment.
Materials and methods: About 60 children (4–12 years old) were selected and randomly allocated to three groups: Raag Todi, Raag Bhimpalas, and TSD. All children received oral prophylaxis or restoration as noninvasive treatment (NiT) in the first visit and pulp therapy, root canal treatment, or extraction as invasive treatment (IT) in the second visit. Dental anxiety was evaluated via physiological parameters, that is, pulse rate, and via a self-administered anxiety scale, that is, Venham's picture scale, at the baseline and at the end of each visit. The child's behavior was assessed via the Frankl's behavior rating scale at the baseline and at the end of each visit.
Results: All three groups showed a noteworthy and statistically significant diminution in anxiety levels (p < 0.001) when intragroup comparison was made. On intergroup comparison, it was seen that the Venham's score after the treatment showed statistically significant reduction (p = 0.045). For NiTs, the pulse rate before the treatment showed statistically significant values (p = 0.017). For the ITs, pulse rate before and after showed a statistically significant reduction with p-values = 0.001 and 0.003, respectively. Also, there was a noticeable change in the behavior of the patient by virtue of the change in the behavior rating scores from negative to positive and definitely positive in all three groups.
Conclusion: The results of this study make obvious the significant effects of Raag Todi, Raag Bhimpalas, and TSD in anxiety reduction in children aged 4–12 years. However, the TSD showed a better reduction in the anxiety scores when compared to the other two groups. Hence, all three groups can be used in anxiety reduction in children undergoing dental treatment.
Clinical significance: Raag Todi, Raag Bhimpalas, and tell-show-do (TSD) can be used effectively to reduce anxiety in children undergoing dental treatment, which may be acceptable to the parents and could be easily implemented in a clinical setting.
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