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Comparing binaural beats and 432 Hz music for reduction of preoperative anxiety in root canal patients: a randomized controlled trial.

Zaki H, Ahmed S, Rehman Qazi FU, Fatima N, Ali YS. · JPMA. The Journal of the Pakistan Medical Association · 2025 · Double-blind randomized controlled trial

Original publication · Original publication

Recorded summary

In 99 root-canal patients, binaural beats and 432 Hz music each reduced preoperative anxiety relative to white noise. Participants and outcome assessors were described as blinded.

Recorded limitations

The two active audio conditions did not differ significantly. The trial does not demonstrate a unique therapeutic property of 432 Hz or superiority of binaural beats over music.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Double-blind randomized controlled trial
assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

assessed At
2026-10-26
registered Masking Basis
false
trust Factor
score
3
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
double
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
jadad
status
unassessed
score
Not recorded
evidence
intervention
Binaural beats or 432 Hz music
comparator
White noise and the other active audio condition
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://europepmc.org/article/MED/40269359

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
trial Id
NCT06349200
Topics and recorded topic scores
  1. key
    sound:i
    title
    Brain entrainment, pain, anxiety and heart-rate variability
    collection
    sound
    trust Score
    3
Citation snapshot and identifiers
id
pmid-40269359
doi
10.47391/jpma.21023
pmid
40269359
citation Snapshot
count
1
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/40269359
citations By Collection
sound
1
Complete approved library record
id
pmid-40269359
publication Key
doi:10.47391/jpma.21023
aliases
None recorded
title
Comparing binaural beats and 432 Hz music for reduction of preoperative anxiety in root canal patients: a randomized controlled trial.
journal
JPMA. The Journal of the Pakistan Medical Association
neurotransmitters
None recorded
year
2025
authors
Zaki H, Ahmed S, Rehman Qazi FU, Fatima N, Ali YS.
design
Double-blind randomized controlled trial
identity Conflict
Not recorded
doi
10.47391/jpma.21023
pmid
40269359
urls

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

collections

sound

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
In 99 root-canal patients, binaural beats and 432 Hz music each reduced preoperative anxiety relative to white noise. Participants and outcome assessors were described as blinded.
limitation
The two active audio conditions did not differ significantly. The trial does not demonstrate a unique therapeutic property of 432 Hz or superiority of binaural beats over music.
citation Count
1
citation Snapshot
count
1
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/40269359
study Design Assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

assessed At
2026-10-26
registered Masking Basis
false
paper Trust Assessment
score
3
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
double
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
citations By Collection
sound
1
topics
  1. key
    sound:i
    title
    Brain entrainment, pain, anxiety and heart-rate variability
    collection
    sound
    trust Score
    3
journal Key
jpmathejournalofthepakistanmedicalassociation
journal Label
JPMA. The Journal of the Pakistan Medical Association
chapter Entries
  1. title
    Comparing binaural beats and 432 Hz music for reduction of preoperative anxiety in root canal patients: a randomized controlled trial.
    journal
    JPMA. The Journal of the Pakistan Medical Association
    year
    2025
    authors
    Zaki H, Ahmed S, Rehman Qazi FU, Fatima N, Ali YS.
    design
    Double-blind randomized controlled trial
    urls

    https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

    doi
    10.47391/jpma.21023
    pmid
    40269359
    targets
    None recorded
    categories

    Clinical & self-report

    citation Count
    1
    citation Snapshot
    count
    1
    source
    Europe PMC
    retrieved At
    2026-10-26
    url
    https://europepmc.org/article/MED/40269359
    study Design Assessment
    category
    peer-reviewed
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

    assessed At
    2026-10-26
    registered Masking Basis
    false
    evidence
    intervention
    Binaural beats or 432 Hz music
    comparator
    White noise and the other active audio condition
    evidence Type
    Clinical or experimental outcomes
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

    checked At
    2026-10-26
    review Scope
    Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
    discovery Sources

    https://europepmc.org/article/MED/40269359

    selection Policy
    Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
    trial Id
    NCT06349200
    id
    sound-i-pmid-40269359
    record Id
    pmid-40269359
    quotes
    None recorded
    source Pages
    None recorded
    summary
    In 99 root-canal patients, binaural beats and 432 Hz music each reduced preoperative anxiety relative to white noise. Participants and outcome assessors were described as blinded.
    limitation
    The two active audio conditions did not differ significantly. The trial does not demonstrate a unique therapeutic property of 432 Hz or superiority of binaural beats over music.
    paper Trust Assessment
    score
    3
    scope
    Paper
    status
    assessed
    randomized Controlled Trial
    true
    blinding
    double
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

    review Scope
    Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
    assessed At
    2026-10-27
    publication Key
    doi:10.47391/jpma.21023
    collection
    sound
    chapter Number
    1
    topic Id
    i
    topic Title
    Brain entrainment, pain, anxiety and heart-rate variability
    trust Score
    3
evidence
intervention
Binaural beats or 432 Hz music
comparator
White noise and the other active audio condition
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/40269359/ · https://doi.org/10.47391/jpma.21023

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://europepmc.org/article/MED/40269359

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
trial Id
NCT06349200
jadad
status
unassessed
score
Not recorded
condition Evidence
  1. id
    anxiety
    evidence
    1. field
      curated primary-source summary
      text
      In 99 root-canal patients, binaural beats and 432 Hz music each reduced preoperative anxiety relative to white noise. Participants and outcome assessors were described as blinded.
      matched Text
      anxiety
conditions

anxiety

topic Trust Scores

3

full Text
status
not-indexed
retrieval Available
false

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