Tomasin Maria de Fátima-Monteiro, de Sant'Anna Giselle-Rodrigues, Hoshi Adriano-Tomio, Duarte Danilo-Antônio
Department of Pediatric Dentistry, School of Dentistry, Western Paraná State University, Brazil.
Department of Graduate Studies, São Leopoldo Mandic School of Dentistry, Brazil.
J Clin Exp Dent. 2021 Nov 1;13(11):e1112-e1117. doi: 10.4317/jced.58392. eCollection 2021 Nov.
To evaluate the level of stress during dental care in children and preadolescents with cerebral palsy through biological and psychological parameters.
A total of 38 children aged 7 to 12 years were divided into two groups: one with 18 children with cerebral palsy and the other with 20 healthy children (control group). Saliva was noninvasively collected before and after dental care to analyze salivary biomarkers. The Frankl Behavior Scale and the Facial Image Scale were applied.
After the dental procedure, cortisol levels were significantly higher ( = 0.02) in the cerebral palsy group than in the control group. Salivary alpha-amylase was not significantly different between groups. Regarding psychological parameters, anxiety was significantly higher ( = 0.00012) in the cerebral palsy group than in the control group.
There was a change in physiological parameters (salivary cortisol and salivary alpha-amylase) and in psychological parameters (Frankl Behavioral Scale and Facial Image Scale) in patients with cerebral palsy, who exhibited higher stress and anxiety levels than did children without cerebral palsy. Ortisol, physiological stress, dental care, cerebral palsy, dental treatment anxiety.
通过生物学和心理学参数评估脑瘫儿童和青少年在牙科治疗期间的应激水平。
将38名7至12岁的儿童分为两组：一组为18名脑瘫儿童，另一组为20名健康儿童（对照组）。在牙科治疗前后无创采集唾液，以分析唾液生物标志物。应用弗兰克尔行为量表和面部图像量表。
牙科治疗后，脑瘫组的皮质醇水平显著高于对照组（=0.02）。两组间唾液α淀粉酶无显著差异。关于心理参数，脑瘫组的焦虑水平显著高于对照组（=0.00012）。
脑瘫患者的生理参数（唾液皮质醇和唾液α淀粉酶）和心理参数（弗兰克尔行为量表和面部图像量表）发生了变化，其应激和焦虑水平高于无脑瘫的儿童。皮质醇、生理应激、牙科护理、脑瘫、牙科治疗焦虑。
