This randomized controlled trial evaluated the effect of music listening on anxiety, stress, and pain in patients undergoing diode laser frenectomy. Participants were adults aged 18 to 65 years who were scheduled to receive frenectomy as part of their routine periodontal treatment. Participants were allocated into two groups: a music group, in which patients listened to a pre-recorded music performance during the procedure, and a control group, in which patients received the routine procedure without music.

Anxiety and stress levels were assessed using validated questionnaires before and after the procedure. Postoperative pain was evaluated using a visual analogue scale. In the music group, patients also completed an additional questionnaire about their experience with music during the procedure. The study aimed to determine whether listening to music during frenectomy could improve patient comfort by reducing anxiety, perceived stress, and pain.

Dental anxiety, perceived stress, and postoperative pain can negatively affect patient comfort and cooperation during minor oral surgical procedures. Music listening is a simple, low-cost, and non-pharmacological approach that may help reduce anxiety and improve the perioperative experience.

This randomized controlled trial was conducted in adult patients scheduled for diode laser frenectomy as part of routine periodontal care. Participants were allocated to either a music listening group or a control group. In the music group, patients listened to a pre-recorded instrumental music performance during the procedure. The music recording was performed by academic staff from the Department of Instrument Education, Turkish Music State Conservatory, Necmettin Erbakan University. Patients in the control group underwent the same routine diode laser frenectomy procedure without music listening.

The study evaluated patient-centered outcomes related to anxiety, perceived stress, and pain. Dental anxiety was assessed before and after the procedure using validated dental anxiety scales. Perceived stress was assessed before and after the procedure using the Perceived Stress Scale. Postoperative pain intensity was evaluated using a visual analogue scale. In addition, participants in the music group completed a questionnaire about their experience with music listening during the procedure, including their comfort, satisfaction, and willingness to receive music during a similar treatment in the future.

The purpose of the study was to determine whether music listening during diode laser frenectomy could reduce anxiety, stress, and pain and improve patient comfort during routine periodontal surgical care.

Inclusion Criteria:

• Adults aged 18 to 65 years Patients scheduled for diode laser frenectomy as part of routine periodontal treatment Patients who completed phase 1 periodontal treatment before frenectomy Patients who agreed to participate in the study and signed the informed consent form Patients who smoked fewer than 10 cigarettes per day, if applicable

Exclusion Criteria:

- Patients with any uncontrolled systemic disease Pregnant or breastfeeding patients Patients younger than 18 years or older than 65 years Patients who smoked 10 or more cigarettes per day Patients who did not agree to participate or did not provide informed consent