Assessment of Salivary Cortisol Concentrations as a Level of Stress Indicator among Individuals Undergoing Dental Extraction Procedure

Thayumanavan, B.; Krithika, Chandrasekaran; Mohideen, Khadijah; Ranjalitha, AV R.; Twinkle, CM Sacred; Pravda, C; Prabhu, Smitha

doi:10.4103/jpbs.jpbs_557_20

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Most patients who experienced it consider it one of the worst experiences in their life [4,[18][19][20][21][22]. Recent research indicates that patients with pronounced anxiety tend to categorize oral surgical interventions as extremely unpleasant even though they have not had or experienced such an experience, and show a tendency to overestimate the intensity of postoperative pain [23,24]. Anxiety before the application of local anesthesia and tooth extraction confirms a wide range of physical and psychological complications, and can stimulate the adrenal cortex to increase serum cortisol levels.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Selimović,

Bečulić,

Begagić

et al. 2024

Arch. Psychiatry Res.

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Aim: To examine whether there is a correlation between blood pressure, heart rate, and pain with the level of preoperative and postoperative anxiety in surgery of impacted third molars under local anesthesia. Subjects and Methods: In the study, which included adult patients of both sexes with an indication for surgical extraction of impacted third molars, research parameters were measured as follows: 1st measurement (day of examination) - blood pressure, heart rate, preoperative anxiety with Spielberger’s State-Trait Anxiety Inventory (STAI); 2nd measurement (immediately before the intervention) - blood pressure, heart rate, preoperative anxiety with STAI; 3rd measurement (day after intervention) - blood pressure, heart rate, postoperative anxiety with STAI, postoperative pain with visual analog scale. Results: The values of preoperative and postoperative anxiety and the measured parameters of blood pressure, heart rate, and postoperative pain were statistically significantly positively correlated with each other during all measurements. Conclusion: In order to increase the satisfaction of both the patient and the ordinarius, and to prevent possible complications in this type of oral surgical intervention, it would be useful to consider adequate therapy in order to prevent the development of anxiety, considering the confirmed correlation with the measured parameters.

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Section: Discussionmentioning

confidence: 99%

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Selimović,

Bečulić,

Begagić

et al. 2024

Arch. Psychiatry Res.

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“…The DFA appearance before application of local anesthesia and tooth extraction was confirmed by a wide range of physical and psychological events and could stimulate the adrenal cortex to increase the level of cortisol in the serum. Some authors pointed to a significant increase in cortisol in saliva before tooth extraction, which indicated the patient's psychological burden 23,24 . In addition to the influence of DFA on the level of pain, we determined in our research its influence on vital parameters, primarily the cardiovascular response of the body and breathing rhythm.…”

Section: Discussionmentioning

confidence: 99%

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Selimović,

Bajrić

2024

Balkan J Dent Med

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Background/Aim: Dental fear and anxiety (DFA) are psychological phenomena normally arising and developed in the dental office during various kinds of dental procedures and interventions. The most usual stressors for the DFA appearance are those related to dental pain, no matter if the pain has already been caused, or potentially will be committed. There are a few main dental pain-provoking factors related to endangering body integrity in the oral cavity, and tooth extraction is the strongest one. The research aimed to observe, notify, and analyze physiological parameters of DFA in adults related to oral surgical therapy procedures of removing impacted third permanent molars. Material and Methods: After inclusive selection 500 patients entered into the study. The study protocol included preoperative assessment of DFA presence with Corah's Dental Anxiety Scale (CDAS) on examination day, preoperative assessment of physiological parameters on examination day and operative day before the treatment, as well as their postoperative assessment followed by evaluation of postoperative pain, on the day after the treatment. Results: The results of our research indicated that an increase in DFA led to increased values of the measured physiological parameters for all preoperative measurement days. The postoperative decrease in the physiological parameters values could be explained by the fact that the oral-surgical procedure was completed, so the psychological burden of the patients was also less. Conclusions: Patients with higher values of the DFA presence have also declared more postoperative pain.

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Probable Bruxism and Psychological Issues among Dental Students in Serbia during the COVID-19 Pandemic

Kolak¹,

Pavlović²,

Aleksic³

et al. 2022

IJERPH

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The COVID-19 pandemic has drastically changed the routine way of life, having consequences in many segments of life, including dental practice and education. The aim of this study was to evaluate the frequency of probable bruxism in a sample of dental students in Serbia and to estimate the potential association between psychological factors related to the COVID-19 pandemic and the presence of bruxism. A cross-sectional study included 178 dental students in Serbia, who were interviewed using a specially-designed self-administered online questionnaire, which consisted of three sections, and after that, a clinical examination for the presence of bruxism symptoms in the oral cavity. Psychological status was evaluated using the Depression, Anxiety and Stress Scale-21 (DASS-21) and the Fear of COVID-19 Scale (FCV-19S). Saliva samples were taken to analyze salivary cortisol levels. The prevalence of probable bruxism was 34.8%. Respondents with probable bruxism had significantly higher DASS-21 and FCV-19S scores and mean values of salivary cortisol compared to non-bruxers. A history of COVID-19 infection, high stress, and fear of COVID-19 scores were associated with the presence of probable bruxism. The findings suggest that the COVID-19 pandemic has had a great psychological impact and impact on the presence and worsening of bruxism symptoms in a sample of dental students in Serbia.

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Assessment of Salivary Cortisol Concentrations as a Level of Stress Indicator among Individuals Undergoing Dental Extraction Procedure

Cited by 3 publications

References 27 publications

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Correlation of Blood Pressure, Heart Rate and Pain with Anxiety, and Importance of its Prevention in Surgery of Impacted Third Molars Under Local Anesthesia

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Probable Bruxism and Psychological Issues among Dental Students in Serbia during the COVID-19 Pandemic

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