The Role of Stress Hormones in Dental Management Behavior Problems

Dušková, Michaela; Vašáková, Jana; Dušková, J; Kaiferová, J.; Broukal, Z; Stárka, L

doi:10.33549/physiolres.933718

Cited by 11 publications

(6 citation statements)

References 39 publications

(25 reference statements)

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“…2,3,[5][6][7]9,20,36 The blocking of the nervous stimulation by dental anaesthesia decreases the central nervous system response to painful stimuli, also decreasing the patient's anxiety during dental treatment. Nevertheless, the greater the dental anxiety, the greater the non-cooperative behaviour 40 and the difficulty to manage children's behaviour. Considering this, some authors also evaluated the stress and anxiety during conventional and computerized anaesthesia 1,15,18,21,35 and no difference was reported.…”

Section: Discussionmentioning

confidence: 99%

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

Smolarek

Wambier

Silva

et al. 2019

Int J Paed Dentistry

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This systematic review and meta‐analysis analysed whether pain and disruptive behaviour can be decreased by the use of computerized local dental anaesthesia (CDLA) in children. The literature was screened to select randomized clinical trials that compared computerized and conventional anaesthesia. The primary outcome was pain perception during anaesthesia; the secondary, disruptive behaviour. The risk of bias of individual papers and the quality of the evidence were evaluated. After search, 8389 records were found and 20 studies remained for the qualitative and quantitative syntheses. High heterogeneity was detected for both outcomes. For the pain perception, the overall analysis showed a standard mean difference of −0.78 (−1.31, −0.25) favouring CDLA; however, when only studies at low risk of bias were analysed (subgroup analysis), there was no difference between the two techniques [−0.12(−0.46, 0.22)]. For disruptive behaviour, no differences were detected for continuous [−0.26 (−0.68, 0.16)] or dichotomous data [0.81 (0.62, 1.06)]. The quality of evidence was judged as low for pain perception and very low for disruptive behaviour. It is concluded that there is no difference in the pain perception and disruptive behaviour in children subjected to computerized or conventional dental local anaesthesia. Notwithstanding, the quality of the available evidence is low.

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Section: Discussionmentioning

confidence: 99%

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

Smolarek

Wambier

Silva

et al. 2019

Int J Paed Dentistry

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show abstract

“…10 However, no significant correlations were found between anxiety and pain in other studies. [11][12][13] Furthermore, DA and pain perception of patients related to oral implant surgery might be multifactorial 14,15 and the patient's anxiety level may change before and during surgery. The definite relationship between DA and pain perception during oral implant surgery remains unclear.…”

Section: Introductionmentioning

confidence: 99%

A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Xiao

Wang

Qiao

et al. 2019

Clin Implant Dent Rel Res

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Background Accumulating evidence has revealed that dental anxiety (DA) is associated with pain and patient satisfaction related to dental procedures. However, relevant reports are limited and inconsistent in oral implant patients. Purpose The purpose of this study was to investigate the prevalence of dental anxiety, pain perception, and analyze their interrelationship in Chinese patients with oral implant surgery. Materials and Methods A cross‐sectional study was performed according to the strengthening the reporting of observational studies in epidemiology (STROBE) guideline. Consecutive patients who received oral implant surgeries during February‐March of 2018 in Shanghai Ninth People's Hospital were recruited. The modified dental anxiety scale and visual analog scale were used to evaluate the level of the patient's DA and pain perception. Multivariate logistic regression was applied to analyze the influence of DA on pain perception of patients during oral implant surgery. Results The prevalences of moderate and high preoperative DA were 66.6% and 11.9% in Chinese patients with oral implant surgery, respectively. Seven points eight percent of patients experienced pain perception during surgery. The result of multiple logistic regression showed that there was no significant influence of moderate preoperative DA (OR = 2.0, 95%CI: 0.5‐8.2) on pain perception. However, a significant influence of high preoperative DA (OR = 6.4, 95%CI: 1.3‐30.8) was found on pain perception of patients with oral implant surgery. Significant influences of moderate perioperative DA (OR = 5.0, 95%CI: 1.1‐22.9) and high perioperative DA (OR = 8.7, 95%CI: 1.1‐69.9) were also found on pain perception of patients during oral implant surgery. Conclusions The results of the study indicated that DA was very common in Chinese patients with oral implant surgery. DA may increase pain perception of patients during oral implant surgery.

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“…Cortisol levels are generally higher in the morning and lower at night. Non-invasive salivary cortisol has been recommended as a marker of cortisol levels of the body 36 , 37 . Salivary cortisol can reflect instantaneous changes in the body, but the concentrations of cortisol in serum and urine cannot.…”

Section: Discussionmentioning

confidence: 99%

Extraction of mandibular third molars: relationship of preoperative anxiety with body mass index, serum high-sensitivity C-reactive protein levels, and visual analog scale scores and predictors of postoperative complications

Lee,

Jee,

Jung

et al. 2023

JKAOMS

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Objectives Patients undergoing oral surgery exhibit high anxiety, which may elevate their cortisol levels and affect postoperative recovery. Overweight patients are often encountered in the dental clinic due to the increasing prevalence of overweight. We aimed to investigate the relationships between preoperatively assessed body mass index (BMI), serum cortisol and high-sensitivity C-reactive protein (hs-CRP) levels, and visual analog scale (VAS) scores and preoperative anxiety in patients undergoing mandibular third molar (MM3) extraction and to identify predictors of postoperative complications. Patients and Methods We analyzed 43 patients (age, 20-42 years) undergoing MM3 extraction. At the first visit, patients completed the Modified Dental Anxiety Scale (MDAS) and Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaires. Their BMI and VAS scores were also calculated. The participants underwent blood tests 1 hour before MM3 extraction. On the first postoperative day, the participants’ VAS scores and serum hs-CRP levels were reevaluated. Results We found that BMI was significantly correlated with preoperative VAS scores. Further, BMI and preoperative hs-CRP levels were significantly correlated among women and patients undergoing extractions of fully impacted MM3s. No correlations were found between serum cortisol and other variables. The preoperative MDAS and VAS scores were significantly positively correlated, especially among patients undergoing extractions of fully impacted MM3s. Multiple linear regression showed that BMI and the eruption status of the MM3 were significant predictors of postoperative hs-CRP levels and VAS scores, respectively. Conclusion In MM3 removals, patients with higher BMI showed elevated hs-CRP and higher VAS scores before surgery. Patients with higher anxiety among those undergoing extractions of fully impacted MM3s showed higher preoperative VAS scores. The two main predictors of postoperative complications were BMI and MM3 eruption status.

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The Role of Stress Hormones in Dental Management Behavior Problems

Cited by 11 publications

References 39 publications

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Extraction of mandibular third molars: relationship of preoperative anxiety with body mass index, serum high-sensitivity C-reactive protein levels, and visual analog scale scores and predictors of postoperative complications

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