Immediate implant placement influenced by musical flow: A prospective randomized controlled clinical trial

Objetives The purpose of this study was to test how musical flow using baroque (BM) and classical era music (CM) as a non-pharmacological therapy can control anxiety and pain levels among patients undergoing IPI (Immediate post-extraction implants). Material: and Methods 78 patients who required an IPI were enrolled in this randomized clinical trial. Each patient was assigned to one of the three experimental groups with a simple randomization: Group I (n=26) listened to BM; Group II (n=27) listened to CM; and Group III (n=25) did not listen to music and was the control group (C). The physiological dependent variables analyzed were SBP, DBP, HR and SpO2. The psychological dependent variable analyzed was MDAS and VAS, measured before and after surgery. In all cases, the level of statistical significance was set at p < 0.01. Results: Statistically significant differences were found in the SBP decrease in the CM group (p=.001, CI=1.9716-6.5840) and the BM group (p=.003, CI=1.4450-6.4396). Anxiety levels during the intervention decreased in both groups that listened to music: BM group (p=.002, CI=.645-2.662) and CM group (p=.000, CI=1.523-3.884). Conclusion: Patients undergoing IPI placement surgery can register lower levels of SPB when listening to BM and CM, improving their anxiety levels. Clinical relevance The evidence on the effect of music as a non-pharmacological tool in reducing anxiety during dental implant surgery is very scarce. Only two randomized clinical trials have been previously published (Gülnahar & Kupeli, 2020 and Esteban Pellicer et al., 2022). The present study is the first to be published on immediate post-extraction implants. Trial Registration Number: NCT05052034 https://beta.clinicaltrials.gov/study/NCT05052034?distance=50&cond=%20NCT05052034&rank=1