Sadi Hana, Finkelman Matthew, Rosenberg Morton
Tufts University School of Dental Medicine, Boston, Massachusetts, USA.
Anesth Prog. 2013 Summer;60(2):46-53. doi: 10.2344/0003-3006-60.2.46.
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.
本研究的目的是调查牙科焦虑、唾液皮质醇和唾液α淀粉酶（sAA）水平之间的相关性。此外，目的是研究年龄、种族、性别、任何现有的疼痛或牙科创伤经历等个体差异及其对牙科焦虑的影响。本研究采用横断面设计，纳入了46例方便样本。每位患者都被要求完成牙科焦虑量表（DAS）和一份基本人口统计学/牙科病史问卷。然后采用被动流涎法在2毫升冷冻管中收集唾液样本。样本由Salimetrics分析唾液皮质醇和sAA水平。观察到DAS评分与疼痛的存在和牙科创伤经历史之间存在显著关联。然而，未观察到DAS、皮质醇和sAA水平之间存在显著相关性。我们的研究再次证实，牙科焦虑与疼痛的存在和牙科创伤经历史有关。另一方面，据我们所知，我们的研究是首次测试DAS与sAA之间的相关性；然而，我们的结果未能显示牙科焦虑、皮质醇和sAA水平之间存在任何显著相关性。
