Non-randomized controlled prospective study on perioperative levels of stress and dysautonomia during dental implant surgery

Morino, Miyuki; Masaki, Chihiro; Seo, Yoshinori; Mukai, Chisato; Mukaibo, Taro; Kondo, Yusuke; Shiiba, Shunji; Nakamoto, Tetsuji; Hosokawa, Ryuji

doi:10.1016/j.jpor.2014.03.006

Cited by 14 publications

(16 citation statements)

References 29 publications

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“…Some stressors, such as prolonged mental and physical effort, public speaking, examinations, apprehension before surgery [8], [9], can induce an increasing of these stress biomarkers, with pathological consequences on health. One of the most common stressors which workers are often subjected to is the so called “occupational stress”.…”

Section: Introductionmentioning

confidence: 99%

Correlation between Surgeon's Experience, Surgery Complexity and the Alteration of Stress Related Physiological Parameters

et al. 2014

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IntroductionIn the present work we analyzed the hormonal (salivary Cortisol; sC), immune (salivary Immunoglobulin A; sIgA) and cardiovascular (Heart rate, HR, and systolic blood pressure, SBP) responses induced by stress conditions in oral surgeons, randomly recruited according to their expertise level.Materials and methodsEach surgeon performed three different surgical procedures with increasing degrees of technical difficulty and under time-limited conditions, to assess whether these variants may influence the risks of stress-induced secondary hypertension among the involved health professionals. sC and sIgA samples and cardiovascular function measurements were taken up before, during, and two hours after every surgery. Salivary samples and cardiovascular measurements were taken also during non-surgical days, as baseline controls.ResultsWe observed that more experienced surgeons showed a higher stress management ability compared to those with less experience or, generally, younger, which are more exposed to the risks of developing secondary hypertension. Nevertheless, indipendently of sex and experience, oral surgeons are constantly exposed to high risks of developing stress-related diseases.ConclusionsOn the basis of the issues addressed and the results obtained, we have highlighted the importance of the investigated stress biomarkers to monitor and to prevent stress-related pathologies among oral surgeons. This approach is aimed to emphasize the significance of these specific stress-biomarkers, which represent a powerful instrument to evaluate stress levels in oral surgeons, and that may help to reduce the most severe life-threatening risks to which they are daily exposed. In conclusion, final goal of this study is to suggest an useful guideline to monitor the stress levels of oral and maxillofacial surgeons in order to improve their quality of life, which is inevitably reflected on the quality of the performances provided and, finally, to prevent possible mistakes in their daily activities.

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Section: Introductionmentioning

confidence: 99%

Correlation between Surgeon's Experience, Surgery Complexity and the Alteration of Stress Related Physiological Parameters

et al. 2014

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“…Bilinçli IV (intravenöz) sedasyon yapılan hastaların rahatlığı ve iş birliği, cerrahın operasyona odaklanmasını arttırılabilir (20). Ameliyat öncesi anksiyetesi olan bireylerin stres seviyelerini belirleyecek ve IV sedasyon uygulaması için endikasyon oluşturabilecek geçerli bir parametre şuana kadar bulunamamıştır (29). Sonuç olarak; dental tedaviler ve özellikle ağız cerrahisi işlemleri hastalarda anksiyete oluşma ihtimalini yükseltir.…”

Section: Discussionunclassified

“…Bir çalışmada operasyon öncesi anksiyete skorları, implant cerrahisinde periodontal cerrahiye göre daha yüksek çıkmıştır. Aynı çalışmada tedavisi tekrarlanan hastaların 3. veya 4. defa cerrahi işlem gören hastalara göre daha yüksek anksiyeteye sahip oldukları görülmüştür (29). Anksiyete ile İlişkili Faktörler: Cinsiyetin anksiyete üzerine etkisinin incelendiği çalışmaların dördünde kadınların ve erkeklerin anksiyeteleri arasında farklılık görülmemiştir (18,25,26,28).…”

Section: Anksiyetenin Görülme Sıklığı Tipi Ve Zamanıunclassified

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Anxiety in Dental Implant Surgery: Literature Review

Ciğerim¹,

Ciğerim²

2017

Van Med J

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“…However, when comparing HRV before and after surgery in patients who received local anaesthesia with or without intravenous sedation in dental implant surgery, Morino et al 21 observed that HF, LF and LF/HF ratio did not differ between study times (pre-and post-operative).…”

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confidence: 99%

Non-linear indices of heart rate variability during endodontic treatment

et al. 2016

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Dental treatment promotes psychosomatic change that can influence the procedure and compromise the general well-being of the patient. In this context, it highlights the importance of evaluating the function of the autonomic nervous system in individuals undergoing endodontic treatment. Thus, this manuscript aimed to analyse cardiac autonomic modulation, through non-linear indices of heart rate variability (HRV) during endodontic treatment. Analysis of 50 subjects of either sex aged between 18 and 40 years diagnosed with irreversible pulp necrosis of lower molars undergoing endodontic treatment was undertaken. We carried out fractal and symbolic analysis of HRV, which was recorded in the first session of the endodontic treatment at four intervals: T1: 0-10 min before the onset of the treatment session; T2: 0-10 min after the application of anaesthesia; T3: throughout the period of treatment; and T4: 0-30 min after the end of the treatment session. There was reduction of α1 in T2 compared to T1 and T4 (p < 0.0001). The α2 index also reduced in T2 compared to T3 (p = 0.0035). There was an increase in the α1/α2 ratio in T4 compared to T2 and T3 (p = 0.0003). It was found that 0V% was significantly lower in T2 (p = 0.002), while 2UV% was significantly higher (p < 0.0001) when compared to other points in time. In conclusion, HRV is reduced during endodontic treatment, and after applying local anaesthetic the parasympathetic component of HRV increases. These data indicate that endodontic treatment acutely overcharges the heart, supporting the stress involved in this situation.

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Non-randomized controlled prospective study on perioperative levels of stress and dysautonomia during dental implant surgery

Cited by 14 publications

References 29 publications

Correlation between Surgeon's Experience, Surgery Complexity and the Alteration of Stress Related Physiological Parameters

Correlation between Surgeon's Experience, Surgery Complexity and the Alteration of Stress Related Physiological Parameters

Anxiety in Dental Implant Surgery: Literature Review

Non-linear indices of heart rate variability during endodontic treatment

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