Non‐Pharmacologic Interventions for Hemodynamic Stability During Dental Implant Surgery: A Randomized Controlled Trial
Feng Luo, Zongli Zhang, Qian Mao, Lin Luo, Ying ZhouABSTRACT
Objectives
To assess the efficacy of non‐pharmacologic interventions, specifically auditory distraction (music or comedy) and haptic distraction (stress‐relief device), in maintaining hemodynamic stability during dental implant surgery.
Material and Methods
This was a prospective, single‐center, randomized trial. We included 150 patients getting single‐tooth implants. Patients were split into three groups of 50. The Control group got standard care. The Auditory Distraction group listened to patient‐selected Guzheng music or Xiangsheng comedy. The Haptic Distraction group used a stress‐relief device. We recorded systolic and diastolic blood pressure and heart rate before and after surgery. We used paired t ‐tests and one‐way ANOVA with Tukey's post hoc tests for analysis.
Results
Surgery increased blood pressure in all groups ( p < 0.0001). The heart rate response was different between groups. The Control group had a significant increase in heart rate ( p < 0.05). Both the Auditory and Haptic Distraction groups had lower heart rates after surgery ( p < 0.05). There was no significant difference between the two interventions.
Conclusions
Non‐pharmacologic interventions may not fully prevent the rise in blood pressure from procedure‐related BP elevation. However, these methods help stop the heart rate from rising due to physiological stress. Listening to familiar music or comedy, or using a simple stress‐relief device, can help steady the heart during dental implant surgery.
Clinical Relevance
Auditory and haptic distractions are low‐cost, non‐invasive, and effective adjuncts for managing procedure‐related physiological stress. By stabilizing heart rate, these interventions enhance patient safety and comfort, offering a viable alternative or supplement to pharmacological sedation in implant dentistry.