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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: ARCHIVES OF ORAL BIOLOGY; v. 97, p. 191-197, JAN 2019.
• Citações Web of Science: 0

Resumo

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)

• Processo FAPESP: 14/20464-4 - Impacto do tratamento restaurador atraumático associado a estratégias educativas em saúde bucal na ansiedade odontológica de escolares
• Beneficiário: Juana Rosmeri Salas Huamani
• Modalidade de apoio: Bolsas no Brasil - Mestrado