Effect of Regular Piano Playing on Dental Anxiety and Stress

NCT07602075 | Completed

• 1 other identifier: 2025/348
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Dental Anxiety in Children

Outcome Measures

Primary Outcomes (2)

• Dental Anxiety Level Measured by the Modified Child Dental Anxiety Scale-Faces Version

  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

  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

Secondary Outcomes (6)

• Stress Level Measured by the Pediatric Emotional Stress Scale in Kindergarten Intervention (PeSSKI)

  Before and immediately after fissure sealant application

• Pulse Rate During Preventive Dental Treatment

  Before and immediately after fissure sealant application

• Systolic Blood Pressure

  Before and immediately after fissure sealant application.

• Diastolic Blood Pressure

  Before and immediately after fissure sealant application

• Oxygen Saturation

  Before and immediately after fissure sealant application

Study Arms (2)

Regular Piano Training Group

EXPERIMENTAL

Children aged 7-11 years who received regular piano training and underwent fissure sealant application.

Behavioral: Regular Piano Training

Control Group

OTHER

Children aged 7-11 years without regular piano training who underwent fissure sealant application.

Other: No Piano Training

Interventions

Regular Piano Training BEHAVIORAL

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.

Regular Piano Training Group

No Piano Training OTHER

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.

Control Group

Eligibility Criteria

• Age: 7 Years - 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Recep Tayyip Erdogan University Training and Research Hospital: lead

Study Sites (1)

Recep Tayyip Erdoğan University

Merkez, Rize Province, 53020, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Study Record Dates

• First Submitted: May 10, 2026
• First Posted: May 22, 2026
• Study Start: August 1, 2025
• Primary Completion: March 25, 2026
• Study Completion: April 1, 2026
• Last Updated: May 22, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)