Salivary cortisol response to dental treatment of varying stress

Miller, Craig S.; Dembo, J.; Falace, Donald A.; Kaplan, Alan L.

doi:10.1016/s1079-2104(05)80123-4

Cited by 94 publications

(89 citation statements)

References 31 publications

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“…Studies have shown that patients before tooth extraction had significantly higher concentration of cortisol than those in the control group. Similar results were obtained by Miller et al [22], who found higher concentration of cortisol in saliva in patients prior to tooth extraction compared to the control group, and the highest level of cortisol before tooth extraction compared to other dental procedures.…”

Section: Discussionsupporting

confidence: 89%

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Salivary Cortisol Measurement as a Test for Dental Anxiety Before Tooth Extraction

Jakiel¹,

Szyszkowska²,

Szczerba-Gwóźdź³

et al. 2015

Dent. Med. Probl.

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Section: Discussionsupporting

confidence: 89%

“…Miller et al [22] studied 50 healthy men aged between 18 and 53, from which 196 samples of saliva were taken before dental procedures. Cortisol concentration ranged from 0.1 μg/dL to 3.8 μg/dL.…”

Section: Discussionmentioning

confidence: 99%

Salivary Cortisol Measurement as a Test for Dental Anxiety Before Tooth Extraction

Jakiel¹,

Szyszkowska²,

Szczerba-Gwóźdź³

et al. 2015

Dent. Med. Probl.

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“…A study by Krueger et al 31 showed that patients who have higher anxiety showed significantly higher salivary cortisol levels in an educational session compared to those who had a low 22 it was demonstrated that salivary cortisol levels in dental treatment are highest in patients undergoing tooth extraction compared to other procedures such as prophylaxis, restorative, and examination. On the contrary to all prior literature mentioned, Brand 33 attempted to correlate between DAS scale score and salivary cortisol; however, no statistically significant correlation was observed.…”

Section: Anxiety Stress and Salivary Cortisolmentioning

confidence: 99%

“…21 In addition, they were higher in patients undergoing wisdom teeth extractions and prior to urgent dental care. 22 Similar to alpha amylase, cortisol has a definite circadian rhythm.…”

mentioning

confidence: 99%

Salivary Cortisol, Salivary Alpha Amylase, and the Dental Anxiety Scale

Sadi¹,

Finkelman²,

Rosenberg

2013

Anesthesia Progress

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The aim of this study was to investigate the correlation between dental anxiety, salivary cortisol, and salivary alpha amylase (sAA) levels. Furthermore, the aim was to look into individual differences such as age, race, gender, any existing pain, or traumatic dental experience and their effect on dental anxiety. This study followed a cross-sectional design and included a convenience sample of 46. Every patient was asked to complete the Dental Anxiety Scale (DAS) and a basic demographic/dental history questionnaire. A saliva sample, utilizing the method of passive drooling, was then collected in 2-mL cryovials. Samples were analyzed for salivary cortisol and sAA levels by Salimetrics. Significant associations were observed between DAS scores and presence of pain and history of traumatic dental experience. However, no significant correlations were observed between DAS, cortisol, and sAA levels. Our study reconfirms that dental anxiety is associated with presence of pain and a history of traumatic dental experience. On the other hand, our study was the first to our knowledge to test the correlation between the DAS and sAA; nevertheless, our results failed to show any significant correlation between dental anxiety, cortisol, and sAA levels.

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“…However some studies have examined salivary cortisol levels as these are considered by some authors to correlate well with plasma cortisol levels, 54 although other studies 55 have suggested a better correlation of urinary cortisol levels with those of plasma. Investigations by Brand, 55 Miller et al 56 and Akyuz et al 57 have shown an increase in salivary cortisol levels both before and during restorative dental treatment. Additionally, the study by Brand demonstrated persistent elevated urinary levels of cortisol following treatment.…”

Section: Dentistrymentioning

confidence: 97%

Steroid cover for dental patients on long-term steroid medication: proposed clinical guidelines based upon a critical review of the literature

Gibson

Ferguson

2004

Br Dent J

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Based to a great extent upon mainly anecdotal case reports and theory, there is a general acceptance that patients on longterm systemic steroid medication should receive supplementary glucocorticoids or 'steroid cover' when undergoing certain types of stressful treatment including dentistry. The theoretical basis to this practice is that exogenous steroids suppress adrenal function to an extent that insufficient levels of cortisol can be produced in response to stress, posing the risk of acute adrenal crisis with hypotension and collapse. The purpose of this paper is to review relevant literature and propose clinical guidelines for dental practitioners. Of numerous reported cases of adrenal crisis following procedural interventions, few stand up to critical evaluation. Other reviewers have reached similar conclusions. A number of studies confirm the low likelihood of significant adrenal insufficiency even following major surgical procedures. Various authors have suggested modified guidelines for management of patients on steroid medications. Patients on long-term steroid medication do not require supplementary 'steroid cover' for routine dentistry, including minor surgical procedures, under local anaesthesia. Patients undergoing general anaesthesia for surgical procedures may require supplementary steroids dependent upon the dose of steroid and duration of treatment.

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Salivary cortisol response to dental treatment of varying stress

Cited by 94 publications

References 31 publications

Salivary Cortisol Measurement as a Test for Dental Anxiety Before Tooth Extraction

Salivary Cortisol Measurement as a Test for Dental Anxiety Before Tooth Extraction

Salivary Cortisol, Salivary Alpha Amylase, and the Dental Anxiety Scale

Steroid cover for dental patients on long-term steroid medication: proposed clinical guidelines based upon a critical review of the literature

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