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压力与下丘脑-垂体-肾上腺轴:对牙科治疗预后的影响。

Stress and Hypothalamic-Pituitary-Adrenal Axis: Effect on Prognosis of Dental Treatment.

机构信息

Department of Integral Adult Care Dentistry, Temporomandibular Disorder and Orofacial Pain Program, Sleep & Pain Research Group, Universidad de La Frontera, Temuco, Chile.

Department of Integral Adult Care Dentistry, Temporomandibular Disorder and Orofacial Pain Program, Sleep & Pain Research Group, Universidad de La Frontera, Temuco, Chile.

出版信息

Dent Clin North Am. 2024 Oct;68(4):619-626. doi: 10.1016/j.cden.2024.07.003. Epub 2024 Aug 7.

DOI:10.1016/j.cden.2024.07.003
PMID:39244247
Abstract

Stress is a process that activates neuronal, metabolic, and neuroendocrine mechanisms. The individual's response may be determined by variables such as genetic factors, environmental conditions, sex, and age, among others. These responses are critical for survival, and the involvement of the hypothalamic-pituitary-adrenal axis is necessary for adaptation, which through counter-regulatory mechanisms seeks to restore homeostasis. Dentists are aware that there are variations in people's response to treatment, and there are many patients in whom dental treatment generates an important source of stress, which in many cases leads to treatment avoidance behavior.

摘要

压力是激活神经元、代谢和神经内分泌机制的一个过程。个体的反应可能由遗传因素、环境条件、性别和年龄等变量决定。这些反应对生存至关重要,而下丘脑-垂体-肾上腺轴的参与对于适应是必要的,通过反向调节机制寻求恢复体内平衡。牙医们知道,人们对治疗的反应存在差异,有许多患者在接受牙科治疗时会产生很大的压力,在许多情况下这会导致他们逃避治疗。

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Stress and Hypothalamic-Pituitary-Adrenal Axis: Effect on Prognosis of Dental Treatment.压力与下丘脑-垂体-肾上腺轴:对牙科治疗预后的影响。
Dent Clin North Am. 2024 Oct;68(4):619-626. doi: 10.1016/j.cden.2024.07.003. Epub 2024 Aug 7.
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