Dušková M, Vašáková J, Dušková J, Kaiferová J, Broukal Z, Stárka L
Department of Steroids and Proteofactors, Institute of Endocrinology, Prague, Czech Republic.
Physiol Res. 2017 Sep 26;66(Suppl 3):S317-S322. doi: 10.33549/physiolres.933718.
Dental management behavior problems are thought to be both multifactorial and multidimensional, consisting of physiological, behavioral and cognitive components. The stress response to pain or even the anticipation of distress initiates activation of the hypothalamic-pituitary-adrenal axis and causes an increase of cortisol and catecholamines. The literature on the role of hormones in dental management behavior problems comprises about one hundred papers, which have mainly been focused on this activation of the HPA axis in various situations in dental care. They have generally used salivary cortisol as a marker of the activity of the HPA axis, sometimes combined with salivary alpha amylase. Here we summarize the literature data on the role of stress hormones in dental management behavior problems.
牙科管理行为问题被认为是多因素和多维度的，由生理、行为和认知成分组成。对疼痛的应激反应，甚至对痛苦的预期都会引发下丘脑-垂体-肾上腺轴的激活，并导致皮质醇和儿茶酚胺增加。关于激素在牙科管理行为问题中作用的文献约有100篇，主要集中在牙科护理各种情况下的下丘脑-垂体-肾上腺轴激活。他们通常使用唾液皮质醇作为下丘脑-垂体-肾上腺轴活动的标志物，有时还结合唾液α淀粉酶。在此，我们总结了应激激素在牙科管理行为问题中作用的文献数据。
