The instrument is deeply rooted in the folklore of Burgos, Segovia, Soria, in some areas of Ávila, Madrid, Guadalajara, Cuenca, León and Salamanca, less extended in the Basque Autonomous Community and widely used in Navarre and La Rioja.
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In the region of Aragon, especially in the town of Huesca, the dulzaina is played along with gaitas de boto, regional bagpipes, and sometimes drums.