Serveur d'exploration sur le suicide chez les dentistes

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Comparing Dental Stress in New Child Patients and Returning Patients Using Salivary Cortisol, Immunoglobulin-A and Alpha- Amylase.

Identifieur interne : 000123 ( Main/Exploration ); précédent : 000122; suivant : 000124

Comparing Dental Stress in New Child Patients and Returning Patients Using Salivary Cortisol, Immunoglobulin-A and Alpha- Amylase.

Auteurs : Sumer M. Alaki ; Ayman Safi ; Soliman Ouda ; Alaa Nadhreen

Source :

RBID : pubmed:28937902

Descripteurs français

English descriptors

Abstract

OBJECTIVES

this study was aimed at comparing dental stress in children having their first dental visit to those returning for dental treatment using salivary biomarkers of stress including salivary cortisol (s-cortisol), Immunoglobulin-A (s-IgA) and alpha-amylase (s-α-amylase). Additionally, the study was aimed at monitoring the change in stress in new patients as they progressed from the waiting to the clinical areas.

STUDY DESIGN

salivary samples were collected from 40 children who had not been to a dentist before and similar samples were collected from 40 children who were returning for completion of dental treatment. Salivary cortisol, s-IgA and s-α-amylase concentrations were obtained by Enzyme-linked Immunosorbent Assay (ELISA).

RESULTS

salivary cortisol levels were higher for new patients at the waiting area compared to that at the dental chair (p=0.05). Salivary alpha-amylase significantly increased in new patients while being seated in the dental chair. Returning patients had higher s-α-amylase (p=0.001) and s-IgA (p=0.016) compared to new patients. Returning patients had the lowest level of s-cortisol when providers were faculty pediatric dentists than with students and interns (p=0.035).

CONCLUSIONS

children coming in for their first dental visit may experience dental stress at the waiting area before being seated for dental examination. Returning children may experience higher levels of stress compared to new child patients possibly due to previous dental exposure.


DOI: 10.17796/1053-4628-41.6.8
PubMed: 28937902


Affiliations:


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Le document en format XML

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<name sortKey="Ouda, Soliman" sort="Ouda, Soliman" uniqKey="Ouda S" first="Soliman" last="Ouda">Soliman Ouda</name>
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<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hydrocortisone (analysis)</term>
<term>Hydrocortisone (biosynthesis)</term>
<term>Immunoglobulin A (analysis)</term>
<term>Immunoglobulin A (biosynthesis)</term>
<term>Male (MeSH)</term>
<term>Saliva (chemistry)</term>
<term>Salivary alpha-Amylases (analysis)</term>
<term>Salivary alpha-Amylases (biosynthesis)</term>
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<term>Enfant (MeSH)</term>
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<term>Immunoglobuline A (biosynthèse)</term>
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<term>alpha-Amylases salivaires (analyse)</term>
<term>alpha-Amylases salivaires (biosynthèse)</term>
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<term>Hydrocortisone</term>
<term>Immunoglobulin A</term>
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<term>Immunoglobulin A</term>
<term>Salivary alpha-Amylases</term>
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<term>Hydrocortisone</term>
<term>Immunoglobuline A</term>
<term>alpha-Amylases salivaires</term>
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<term>Hydrocortisone</term>
<term>Immunoglobuline A</term>
<term>alpha-Amylases salivaires</term>
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<keywords scheme="MESH" qualifier="chemistry" xml:lang="en">
<term>Saliva</term>
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<b>OBJECTIVES</b>
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<p>this study was aimed at comparing dental stress in children having their first dental visit to those returning for dental treatment using salivary biomarkers of stress including salivary cortisol (s-cortisol), Immunoglobulin-A (s-IgA) and alpha-amylase (s-α-amylase). Additionally, the study was aimed at monitoring the change in stress in new patients as they progressed from the waiting to the clinical areas.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN</b>
</p>
<p>salivary samples were collected from 40 children who had not been to a dentist before and similar samples were collected from 40 children who were returning for completion of dental treatment. Salivary cortisol, s-IgA and s-α-amylase concentrations were obtained by Enzyme-linked Immunosorbent Assay (ELISA).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>salivary cortisol levels were higher for new patients at the waiting area compared to that at the dental chair (p=0.05). Salivary alpha-amylase significantly increased in new patients while being seated in the dental chair. Returning patients had higher s-α-amylase (p=0.001) and s-IgA (p=0.016) compared to new patients. Returning patients had the lowest level of s-cortisol when providers were faculty pediatric dentists than with students and interns (p=0.035).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>children coming in for their first dental visit may experience dental stress at the waiting area before being seated for dental examination. Returning children may experience higher levels of stress compared to new child patients possibly due to previous dental exposure.</p>
</div>
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