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Auditory Stimuli and Performance Outcomes in Simulation-Based Dental Education: A Randomised Repeated-Measures Study
Cihan Küden1, Seda Nur Karakaş2, Sevde Gül Batmaz2
1Department of Endodontics, Faculty of Dentistry, Cukurova University, Adana, Turkey.
International Endodontic Journal
|February 16, 2026
Summary
Listening to individually selected music significantly reduced anxiety and improved performance in dental students during preclinical endodontic training. Auditory stimuli enhance simulation-based dental education.
Area of Science:
- Dental Education
- Endodontics
- Psychology
Background:
- Preclinical endodontic training is crucial for developing dental students' skills.
- Anxiety and performance variability can impact learning outcomes in simulation-based settings.
- The role of auditory stimuli in modulating performance and anxiety in dental education is not fully understood.
Purpose of the Study:
- To evaluate the impact of auditory stimuli on performance scores and anxiety levels.
- To compare the effects of classical music, individually selected music, and silence during endodontic procedures.
- To assess the feasibility of auditory interventions in enhancing preclinical dental training.
Main Methods:
- A single-blinded, randomised repeated-measures study involving 105 third-year dental students.
- Participants were assigned to groups listening to Mozart, individually selected music, or no music.
- Anxiety (STAI-S), performance scores, and procedure times were recorded during simulated root canal treatments.
Main Results:
- Individually selected music significantly reduced anxiety (p=0.006) and improved performance (p<0.001).
- Mozart's music significantly decreased anxiety (p<0.001) but did not affect performance.
- No significant changes in anxiety or performance were observed in the no-music group.
Conclusions:
- Individually selected music is an effective auditory intervention for reducing anxiety and enhancing performance in preclinical endodontic training.
- Personalized auditory strategies can be integrated into simulation-based dental education to improve student outcomes.
- Auditory stimuli offer a promising, non-invasive method to optimize the learning environment in dental simulation.

