An observational study in Endodontic Disease, sponsored by University Hospital, Brest. Status unknown at 1 site in France. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-01-27.
Sponsored by University Hospital, Brest · Observational
According to several studies, patients consider endodontic treatment as one of the most stress-inducing dental procedures. Two studies demonstrated that music enables the patient to be less stressed during RCT.
RCTs are also stressful for the practitioner, and particularly for students who start their dental practice. Endodontic and prosthetic cares are considered the most demanding by students. RCT requires high degree of precision in gestures and patience because those technical acts are, in part, blindly realised and can be long. In a preliminary study, it was found that the most stress-inducing steps for the students during endodontic treatment are root-canal preparation and filling.
The beneficial side of listening to music on the patient's stress during RCT has been proved; but to our knowledge, no study assessed the effect of listening to music on the stress of the practitioner and more particularly of the young practitioner, during endodontic treatment, and in particular during root canal preparation. This is the main aim of this study.
Root canal treatment (RCT) consists in eliminating infected and /or inflammatory tissues inside the root canal system of the tooth by a chemo-mechanical preparation and then filling the latter in a three-dimensional, bacteriostatic and durable way to enable healing. This treatment is commonly carried out and can sometimes be long and tedious, as, for instance, on molars with several roots.
According to numerous studies, patients consider endodontic treatment as one of the most stress-inducing dental procedures. The preliminary study Stressendo has shown that anesthesia is the most stressful step for the patient. In some studies, patients also fear the pain and discomfort during RCT. Stress and pain have neurological consequences including the activation of neuroendocrine system which secretes catecholamines. Those act on the heart by increasing the heart rate and arterial pressure.
Two studies demonstrated that relaxing music enables the patient to be less stressed during RCT.
Another study has shown that music also enables the patient to feel less painful during dental care. This would be explained by the fact that music can help reducing the sound perceived as stressful for the patients, in addition to the distraction it produces. Music also has a physiological and psychological role, which enables the patient to feel more relaxed. However, it would depend on its style and the fact that the patient likes it or not. Many studies demonstrated that when the patient likes the music used, the reduction of anxiety is higher than with relaxing music.
RCTs are stressful for the patient, but one must keep in mind that it is also stressful for the practitioner, and particularly for students who start their dental practice.
The students have to treat patients with many parameters to manage. Combining theoretical and clinical practice knowledge is difficult and stressful for students according to a study. Endodontic and prosthetic cares are considered the most demanding by students. RCT requires high degree of precision in gestures and patience because those technical acts are, in part, blindly realised and can be long. In a preliminary study, it was found that the most stress-inducing steps for the students during endodontic treatment are root-canal preparation and obturation.
The beneficial side of listening to music (relaxing music) on the patient's stress during RCT has been proved; but to our knowledge, no study assessed the effect of listening to appreciated music on the stress of the practitioner and more particularly of the young practitioner, during endodontic treatment and in particular root canal preparation.This is the main aim of this study.
125 studies on the registry are indexed under Dental Pulp Diseases; 38 are open to participants now.
This study's planned enrollment of 176 is above the median of 128 across 20 observational studies indexed under Dental Pulp Diseases.
Browse Dental Pulp Diseases studies →University Hospital, Brest is the lead sponsor of 594 studies on the registry; 135 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Patient who needs an endodontic treatment and his practionner.
Patient:
Student:
Exclusion Criteria:
Patients and students:
Patient:
A part of the care is realized with music.
Other: Music
The entire care is realized without music.
A part of the RCT will be performed with music in the room. The music will be switch on just before anesthesia and off after the postoperative rest.
Change in practitioner's stress during canal root preparation
The student will evaluate his stress on an Analogic Visual Scale (AVS). 0 is "very relax" and 10 is "extremely stressed"
Time frame: T1bis (preoperative step of the second session of RCT); T4 (canal root preparation)
Variation of the practitioner's stress at different stages.
The student will evaluate his stress on an Analogic Visual Scale (AVS). 0 is "very relax" and 10 is "extremely stressed". AVS will be compared between each step and the preoperative step of the corresponding session. We will also compare the 3 preoperative steps and the 2 anesthesia steps.
Time frame: Each step of the RCT
Variation of the patient's stress at different stages.
The patient will evaluate his stress on an Analogic Visual Scale (AVS). 0 is "very relax" and 10 is "extremely stressed". AVS will be compared between each step and the preoperative step of the corresponding session. We will also compare the 3 preoperative steps and the 2 anesthesia steps.
Time frame: Each step of the RCT
Variation of the patient's pain at different stages.
The patient will evaluate his pain on an Analogic Visual Scale (AVS). 0 is "no pain" and 10 is "extremely painful". AVS will be compared between each step and the preoperative step of the corresponding session. We will also compare the 3 preoperative steps and the 2 anesthesia steps.
Time frame: Each step of the RCT
Variation of the patient's discomfort at different stages.
The patient will evaluate his discomfort on an Analogic Visual Scale (AVS). 0 is "very comfortable" and 10 is "extremely uncomfortable". AVS will be compared between each step and the preoperative step of the corresponding session. We will also compare the 3 preoperative steps and the 2 anesthesia steps.
Time frame: Each step of the RCT
Relation between patient and student's stress
The patient and student will evaluate their stress on an Analogic Visual Scale (AVS). 0 is "very relax" and 10 is "extremely stressed".
Time frame: Each step of the RCT
Evaluate the stress induced by an RCT with Spielberger's questionaires
Spielberger's questionnaires Y1 and Y2 for anxiety evaluation will be done on both patients and students to evaluate their general (Y2) and induced (Y1) anxiety. Both questionnaires are composed of 20 questions, total score is between 0 and 80. The higher the score, the more anxious the person is.
Time frame: Day 0, Day 15, Day 30
Dental anxiety
Dental anxiety will be evaluated by the Dental Anxiety Scale of Corah which consist of 4 questions. The total score is calculated between 4 and 20. The highest the score, the more anxious the person is.
Time frame: Day 0
Patient's blood pressure
Patient's systolic and diastolic blood pressure will be evaluated at each stage of the RCT, with a tensiometer (mmHg). This parameter can reflect the stress.
Time frame: Each step of the RCT
Patient's heart rate
Patient's heart rate will be evaluated at each stage of the RCT, with a cardiofrequencemeter (number of pulses per minute). This parameter can reflect the patient's stress.
Time frame: Each step of the RCT
Patient's heart rate variability
Patient's heart rate variability will be evaluated during the RCT, with a cardiofrequencemeter (ms). This parameter can reflect the patient's stress.
Time frame: during the RCT (day 0 and day 15)
Student's blood pressure
Student's systolic and diastolic blood pressure will be evaluated at each stage of the RCT, with a tensiometer (mmHg). This parameter can reflect the stress.
Time frame: Each step of the RCT
Student's heart rate
Student's heart rate will be evaluated at each stage of the RCT, with a cardiofrequencemeter (number of pulses per minute). This parameter can reflect the student's stress.
Time frame: Each step of the RCT
Student's heart rate variability
Student's heart rate variability will be evaluated during the RCT, with a cardiofrequencemeter (ms). This parameter can reflect the student's stress.
Time frame: during the RCT (day 0 and day 15)
Musical training questionnaire
An identical questionnaire for the practitioner and the patient will be filled for the music group. It aims to assess their musical training/knowledge and to evaluate whether a musical training/knowledge has an impact on the effect of the music during the RCT.
Time frame: Day 0
patient's satisfaction assessed by a scale and a questionnaire
The patient will assess his satisfaction on an Analogic Visual Scale (AVS). 0 is "not satisfied" and 10 is "extremely satisfied". The questionnaire aims at determining the sources of satisfaction.
Time frame: Day 15
student's satisfaction assessed by a scale and a questionnaire
The student will assess his satisfaction on an Analogic Visual Scale (AVS). 0 is "not satisfied" and 10 is "extremely satisfied". The questionnaire aims at determining the sources of satisfaction.
Time frame: Day 15
Plan to share: Yes — All collected data that underlie results in a publication.
Supporting information: Study protocol
No publications or documents are linked to this record.
This study is status unknown, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
University Hospital, Brest