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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Assessment of anxiety and stress markers in children submitted to educational strategies and ART-restoration: A randomized clinical trial

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Author(s):
Salas Huamani, Juana Rosmeri [1] ; Barbosa, Tais de Souza [2] ; de Freitas, Camila Nobre [1] ; de Sousa, Karina Guedes [1] ; Duarte Gaviao, Maria Beatriz [1] ; Leal, Soraya Coelho [3] ; Mialhe, Fabio Luiz [4] ; Castelo, Paula Midori [5]
Total Authors: 8
Affiliation:
[1] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Pediat Dent, Piracicaba - Brazil
[2] Univ Fed Juiz de Fora, Dept Dent, Ave Doutor Raimundo Rezende 330, BR-35012140 Governador Valadares, MG - Brazil
[3] Univ Brasilia, Dept Dent, Fac Hlth Sci, Brasilia, DF - Brazil
[4] Univ Estadual Campinas, Piracicaba Dent Sch, Dept Community Dent, Piracicaba - Brazil
[5] Univ Fed Sao Paulo, Dept Pharmaceut Sci, Diadema - Brazil
Total Affiliations: 5
Document type: Journal article
Source: ARCHIVES OF ORAL BIOLOGY; v. 97, p. 191-197, JAN 2019.
Web of Science Citations: 0
Abstract

Objective: Although atraumatic restorative treatment (ART) is considered to be a good option for anxious patients, there is a lack of information whether ART associated to oral health educational strategy (OHES) would positively influence the level of anxiety and stress in children. This study aimed to evaluate the impact of OHES on anxiety and stress markers of schoolchildren submitted to ART. Design: A sample of 78 six- to eight-year-old schoolchildren, with carious lesions in dentin, were randomly divided into groups: OHES + ART-group (n = 39) and ART-group (n = 39). OHES consisted of an educational interactive strategy performed once a week for four weeks. ART was performed using a standardized procedure with hand instruments and glass-ionomer cement. Anxiety and stress markers were assessed subjectively by the modified Venham Picture Test (m-VPT), modified Venham Anxiety Scale (m-VAS), while objective measures consisted of heart rate (HR) and salivary cortisol and alpha-amylase levels evaluated before, during and after treatment. Results: The two groups did not differ in the perceived anxiety and in anxious behavior, and the variation along the treatment was not significant in both groups (p > 0.05). Both groups also showed higher HR ``Before ART-restoration{''} than the other time-points as an anticipatory anxiety. ART group showed higher HR than OHES + ART group during the ``Explanation of procedure{''} (p = 0.041) and ``Deep excavation{''} (p = 0.018), and only ART group showed higher amylase levels ``Before ART{''} compared to ``After ART{''} (p = 0.004). Conclusions: It was concluded that OHES associated with ART showed a positive effect in modulating heart rate and alpha-amylase levels, that is, those markers of stress objectively measured during ART-restoration. (AU)

FAPESP's process: 14/20464-4 - Impact of atraumatic restorative treatment associated with oral health educational strategies on dental anxiety of schoolchildren
Grantee:Juana Rosmeri Salas Huamani
Support Opportunities: Scholarships in Brazil - Master