Dental anxiety in dental urgency atttendance and its relation with pain and salivary cortisol levels / Ansiedade ao tratamento odontológico de urgência e a sua relação com a dor e os níveis de cortisol salivar

AUTOR(ES)

Kazue Kanegane

DATA DE PUBLICAÇÃO

2007

RESUMO

Dental anxiety is still prevalent in patients undergoing urgency attendance, despite technical and materials improvements. The purpose of this study was to determine the relationship between dental anxiety and salivary cortisol concentrations in urgency patients in Setor de Urgência Odontológica da Faculdade de Odontologia da Universidade de São Paulo (SUO-FOUSP).The mean age of participants was 38,22 years (range 18 to 76). 73 patients completed a questionnaire including the Modified Dental Anxiety Scale (MDAS) and provided a saliva sample prior to attendance. Pain intensity was assessed by a visual analogue scale (VAS). Among the participants 30 were dentally anxious and 41 had a pain complaint. There were no differences in gender and age between anxious and non anxious patients. Anxious patients reported more aversive experiences (p<0,05), mainly related to surgical and anesthetic procedures. There was no relationship between dental anxiety and salivary cortisol concentration. There was a difference between gender only in non anxious group (p<0,05). Non anxious female patients had lower concentration than their counterparts. Patients with pain complaint were younger and showed higher salivary cortisol concentrations (p<0,05). Salivary cortisol concentration increased with pain intensity measured by VAS, but there was no difference between the extremes (VAS until 10mm e VAS up to de 91mm). There was a statistical difference in salivary cortisol levels between anxious patients with and without pain (p<0,05), between non anxious patients with pain and anxious patients without pain (p<0,05) and between non anxious patients with and without pain (p<0,05). Although dental anxiety induces stress, pain was a stronger stimulus for increases in salivary cortisol concentration.

ASSUNTO(S)

cortisol salivar dor ansiedade ao tratamento odontológico pain dental anxiety salivary cortisol

Documentos Relacionados

• Ansiedade ao tratamento odontológico em atendimento de urgência
• Avaliação das disfunções orofaciais e temporomandibulares, ansiedade e níveis de cortisol salivar em crianças e adolescentes com bruxismo do sono
• Cortisol salivar matutino em relação ao sexo em indivíduos com sintomas de dor facial
• Avaliação da ansiedade ao tratamento odontológico e do estresse relacionado à cirurgia de terceiro molar inferior
• Níveis de cortisol salivar, grau de estresse e de ansiedade em indivíduos com síndrome de ardência bucal