Binaural beats for dental anxiety and pain: a meta-analysis (Shukla 2025)
Binaural beats significantly reduced dental anxiety versus control (VAS mean difference −1.50, 95% CI −2.34 to −0.65). The effect on pain was inconclusive against a no-intervention control, and the certainty of the evidence was rated low.
The question: Do binaural beats reduce anxiety and pain during dental treatment in children and adults?
| Type of study | Meta-analysis |
|---|---|
| Who took part | 9 trials reviewed, 6 pooled; children aged 5–8 and adults aged 18–48 |
| What was done | Trials used binaural beats in the alpha, theta and delta ranges, several delivered as app-generated tracks; specific frequencies varied by trial. |
| How much weight it carries | Mixed evidence |
What it found
- Binaural beats significantly reduced dental anxiety versus control (VAS mean difference −1.50, 95% CI −2.34 to −0.65, I² = 0%; a pulse-rate measure −1.37, 95% CI −1.98 to −0.76).
- Against a no-intervention control, the effect on pain was inconclusive (mean difference −3.30, 95% CI −37.67 to 31.06, I² = 94%).
- Only against a positive control did pain drop significantly (mean difference −13.78, 95% CI −25.68 to −1.88, I² = 68%).
- GRADE certainty was rated low.
Limits
- Only 6 trials were pooled.
- There was high risk of selection and detection bias, and non-English studies were excluded.
- Heterogeneity on the pain outcomes was heavy (I² up to 94%).
- The authors call for methodologically robust trials.
Where this sits
More in the library on anxiety and stress. For the wider picture, read Binaural beats for anxiety.
This is our plain-language reading of the paper. It is not medical advice, and one study rarely settles a question.
Sources
- Shukla, A.D., Subhadra, H.N., Unnikrishnan, S., & Katre, A.N. (2025). Effectiveness of Binaural Beats in Reducing Dental Pain and Anxiety among Children and Adults: A Systematic Review and Meta-analysis. International Journal of Clinical Pediatric Dentistry, 18(8), 1023–1030. (PROSPERO CRD42024499347.) doi.org/10.5005/jp-journals-10005-3230