Children's stress during a restorative dental treatment: assessment using salivary cortisol measurements.
Identifieur interne : 000595 ( Main/Exploration ); précédent : 000594; suivant : 000596Children's stress during a restorative dental treatment: assessment using salivary cortisol measurements.
Auteurs : S. Akyuz [Turquie] ; S. Pince ; N. HekinSource :
- The Journal of clinical pediatric dentistry [ 1053-4628 ] ; 1996.
Descripteurs français
- KwdFr :
- Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Humains (MeSH), Hydrocortisone (analyse), Hydrocortisone (métabolisme), Hydrocortisone (sang), Mâle (MeSH), Phobie des soins dentaires (diagnostic), Phobie des soins dentaires (métabolisme), Phobie des soins dentaires (étiologie), Préparation de cavité dentaire (effets indésirables), Préparation de cavité dentaire (psychologie), Restaurations dentaires permanentes (effets indésirables), Restaurations dentaires permanentes (psychologie), Salive (composition chimique), Soins dentaires pour enfants (psychologie), Stress psychologique (métabolisme).
- MESH :
- analyse : Hydrocortisone.
- composition chimique : Salive.
- diagnostic : Phobie des soins dentaires.
- effets indésirables : Préparation de cavité dentaire, Restaurations dentaires permanentes.
- métabolisme : Hydrocortisone, Phobie des soins dentaires, Stress psychologique.
- psychologie : Préparation de cavité dentaire, Restaurations dentaires permanentes, Soins dentaires pour enfants.
- sang : Hydrocortisone.
- étiologie : Phobie des soins dentaires.
- Enfant, Enfant d'âge préscolaire, Femelle, Humains, Mâle.
English descriptors
- KwdEn :
- Child (MeSH), Child, Preschool (MeSH), Dental Anxiety (diagnosis), Dental Anxiety (etiology), Dental Anxiety (metabolism), Dental Care for Children (psychology), Dental Cavity Preparation (adverse effects), Dental Cavity Preparation (psychology), Dental Restoration, Permanent (adverse effects), Dental Restoration, Permanent (psychology), Female (MeSH), Humans (MeSH), Hydrocortisone (analysis), Hydrocortisone (blood), Hydrocortisone (metabolism), Male (MeSH), Saliva (chemistry), Stress, Psychological (metabolism).
- MESH :
- chemical , analysis : Hydrocortisone.
- adverse effects : Dental Cavity Preparation, Dental Restoration, Permanent.
- chemical , blood : Hydrocortisone.
- chemistry : Saliva.
- diagnosis : Dental Anxiety.
- etiology : Dental Anxiety.
- metabolism : Dental Anxiety, Hydrocortisone, Stress, Psychological.
- psychology : Dental Care for Children, Dental Cavity Preparation, Dental Restoration, Permanent.
- Child, Child, Preschool, Female, Humans, Male.
Abstract
Dental environment may be a source of stress for the young patient. Such stressful conditions may provoke fear in anxious children. It is well known that stress produces an activation adrenal steroid secretion. Among the methods for assessing child dental fear, measurement of salivary cortisol level is a simple method, because especially in children, sampling of saliva is easy, and cortisol levels in saliva closely mirror serum free cortisol levels, independent of salivary flow rate. For this study, the salivary cortisol levels of 8 children (mean age 5.6 yr) were measured receiving initial dental treatment. Saliva samples were collected via cotton rolls placed to the floor of the mouth at four stages; prior to treatment, during cavitation, placement of the liner and the restoration. Statistical comparison of the results were done by Student-t test. The increase in salivary cortisol levels during cavitation at the first and secondary appointments were significant (p<0.01 and p<0.05), but not at the second. The other comparisons were not statistically significant (p>0.05). The results of this study suggest that in restorative procedures, mostly it is the cavitation step that creates stress and anxiety in children. Knowledge of the most stressful condition may be helpful for the dentist to prepare the child to treatment steps.
PubMed: 8634209
Affiliations:
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Hekin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8634209</idno><idno type="pmid">8634209</idno><idno type="wicri:Area/Main/Corpus">000597</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000597</idno><idno type="wicri:Area/Main/Curation">000597</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000597</idno><idno type="wicri:Area/Main/Exploration">000597</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Children's stress during a restorative dental treatment: assessment using salivary cortisol measurements.</title><author><name sortKey="Akyuz, S" sort="Akyuz, S" uniqKey="Akyuz S" first="S" last="Akyuz">S. Akyuz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Dentistry, Marmara University, Faculty of Dentistry, Istanbul, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Pediatric Dentistry, Marmara University, Faculty of Dentistry, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Pince, S" sort="Pince, S" uniqKey="Pince S" first="S" last="Pince">S. Pince</name></author><author><name sortKey="Hekin, N" sort="Hekin, N" uniqKey="Hekin N" first="N" last="Hekin">N. Hekin</name></author></analytic><series><title level="j">The Journal of clinical pediatric dentistry</title><idno type="ISSN">1053-4628</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Dental Anxiety (diagnosis)</term><term>Dental Anxiety (etiology)</term><term>Dental Anxiety (metabolism)</term><term>Dental Care for Children (psychology)</term><term>Dental Cavity Preparation (adverse effects)</term><term>Dental Cavity Preparation (psychology)</term><term>Dental Restoration, Permanent (adverse effects)</term><term>Dental Restoration, Permanent (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Hydrocortisone (analysis)</term><term>Hydrocortisone (blood)</term><term>Hydrocortisone (metabolism)</term><term>Male (MeSH)</term><term>Saliva (chemistry)</term><term>Stress, Psychological (metabolism)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hydrocortisone (analyse)</term><term>Hydrocortisone (métabolisme)</term><term>Hydrocortisone (sang)</term><term>Mâle (MeSH)</term><term>Phobie des soins dentaires (diagnostic)</term><term>Phobie des soins dentaires (métabolisme)</term><term>Phobie des soins dentaires (étiologie)</term><term>Préparation de cavité dentaire (effets indésirables)</term><term>Préparation de cavité dentaire (psychologie)</term><term>Restaurations dentaires permanentes (effets indésirables)</term><term>Restaurations dentaires permanentes (psychologie)</term><term>Salive (composition chimique)</term><term>Soins dentaires pour enfants (psychologie)</term><term>Stress psychologique (métabolisme)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Cavity Preparation</term><term>Dental Restoration, Permanent</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="composition chimique" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Anxiety</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Phobie des soins dentaires</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Préparation de cavité dentaire</term><term>Restaurations dentaires permanentes</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Anxiety</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Dental Anxiety</term><term>Hydrocortisone</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Hydrocortisone</term><term>Phobie des soins dentaires</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Préparation de cavité dentaire</term><term>Restaurations dentaires permanentes</term><term>Soins dentaires pour enfants</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dental Care for Children</term><term>Dental Cavity Preparation</term><term>Dental Restoration, Permanent</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Hydrocortisone</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Phobie des soins dentaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dental environment may be a source of stress for the young patient. Such stressful conditions may provoke fear in anxious children. It is well known that stress produces an activation adrenal steroid secretion. Among the methods for assessing child dental fear, measurement of salivary cortisol level is a simple method, because especially in children, sampling of saliva is easy, and cortisol levels in saliva closely mirror serum free cortisol levels, independent of salivary flow rate. For this study, the salivary cortisol levels of 8 children (mean age 5.6 yr) were measured receiving initial dental treatment. Saliva samples were collected via cotton rolls placed to the floor of the mouth at four stages; prior to treatment, during cavitation, placement of the liner and the restoration. Statistical comparison of the results were done by Student-t test. The increase in salivary cortisol levels during cavitation at the first and secondary appointments were significant (p<0.01 and p<0.05), but not at the second. The other comparisons were not statistically significant (p>0.05). The results of this study suggest that in restorative procedures, mostly it is the cavitation step that creates stress and anxiety in children. Knowledge of the most stressful condition may be helpful for the dentist to prepare the child to treatment steps.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8634209</PMID><DateCompleted><Year>1996</Year><Month>07</Month><Day>10</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1053-4628</ISSN><JournalIssue CitedMedium="Print"><Volume>20</Volume><Issue>3</Issue><PubDate><Year>1996</Year><Season>Spring</Season></PubDate></JournalIssue><Title>The Journal of clinical pediatric dentistry</Title><ISOAbbreviation>J Clin Pediatr Dent</ISOAbbreviation></Journal><ArticleTitle>Children's stress during a restorative dental treatment: assessment using salivary cortisol measurements.</ArticleTitle><Pagination><MedlinePgn>219-23</MedlinePgn></Pagination><Abstract><AbstractText>Dental environment may be a source of stress for the young patient. Such stressful conditions may provoke fear in anxious children. It is well known that stress produces an activation adrenal steroid secretion. Among the methods for assessing child dental fear, measurement of salivary cortisol level is a simple method, because especially in children, sampling of saliva is easy, and cortisol levels in saliva closely mirror serum free cortisol levels, independent of salivary flow rate. For this study, the salivary cortisol levels of 8 children (mean age 5.6 yr) were measured receiving initial dental treatment. Saliva samples were collected via cotton rolls placed to the floor of the mouth at four stages; prior to treatment, during cavitation, placement of the liner and the restoration. Statistical comparison of the results were done by Student-t test. The increase in salivary cortisol levels during cavitation at the first and secondary appointments were significant (p<0.01 and p<0.05), but not at the second. The other comparisons were not statistically significant (p>0.05). The results of this study suggest that in restorative procedures, mostly it is the cavitation step that creates stress and anxiety in children. Knowledge of the most stressful condition may be helpful for the dentist to prepare the child to treatment steps.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Akyuz</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pediatric Dentistry, Marmara University, Faculty of Dentistry, Istanbul, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pince</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Hekin</LastName><ForeName>N</ForeName><Initials>N</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Pediatr Dent</MedlineTA><NlmUniqueID>9100079</NlmUniqueID><ISSNLinking>1053-4628</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>WI4X0X7BPJ</RegistryNumber><NameOfSubstance UI="D006854">Hydrocortisone</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016854" MajorTopicYN="N">Dental Anxiety</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019140" MajorTopicYN="N">Dental Care for Children</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003737" MajorTopicYN="N">Dental Cavity Preparation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003793" MajorTopicYN="N">Dental Restoration, Permanent</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006854" MajorTopicYN="N">Hydrocortisone</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000737" MajorTopicYN="N">chemistry</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1996</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8634209</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Turquie</li></country></list><tree><noCountry><name sortKey="Hekin, N" sort="Hekin, N" uniqKey="Hekin N" first="N" last="Hekin">N. Hekin</name><name sortKey="Pince, S" sort="Pince, S" uniqKey="Pince S" first="S" last="Pince">S. Pince</name></noCountry><country name="Turquie"><noRegion><name sortKey="Akyuz, S" sort="Akyuz, S" uniqKey="Akyuz S" first="S" last="Akyuz">S. Akyuz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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