Correlation of the modified dental anxiety scale value with salivary alpha-amylase in pre-odontectomy patients

Daisy Wulansari, Indra Hadikrishna, Endang Syamsudin

Abstract


Introduction: Odontectomy is a minor surgical procedure that often results in dental anxiety. Dental anxiety can interfere during odontectomy treatment. Dental anxiety can be examined using the Modified Dental Anxiety Scale (MDAS) and through the level of the salivary alpha-amylase enzyme, both of which are dental anxiety biomarkers. The objective of this study was to analyse the correlation between anxiety values with salivary alpha-amylase levels using MDAS as an indicator of anxiety in pre-odontectomy patients. Methods: This study was conducted on 60 research samples of women aged 18-40 years who came to the minor surgery clinic of Department of Oral and Maxillofacial Surgery, Universitas Padjadjaran Dental Hospital, to have odontectomy treatment of maxillary or mandibular third molars impaction, not having systemic and oral diseases, and willing to participate in this study. Patients who met the inclusion criteria then required to sign the research consent statement; afterwards, the MDAS data was taken. The salivary alpha-amylase enzyme data was taken using the Cocoro meter (Nipro, Japan) tip which was kept under the tongue for 30 seconds, then the tip was inserted into the monitor, and the enzyme levels would be counted. The data obtained will be analysed using the Spearman rank correlation test. Results: The results showed that there was a significant relationship (p < 0.01) with a strong positive correlation (r = 0.85). Conclusion: There is a correlation between MDAS value and salivary alpha-amylase enzyme as an indicator of dental anxiety.


Keywords


Dental anxiety; Modified Dental Anxiety Scale (MDAS); salivary alpha-amylase

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References


Ahmed SS, El-Sharrawy EA, Hamed TA. Clinical evaluation of cox-2 inhibitor for management of post operative complication after odontectomy of impacted lower third molar. J Am Sci. 2014; 10(11): 60-3.

Juodzbalys G, Daugela P. Mandibular third molar impaction: Review of literature and a proposal of a classification. J Oral Maxillofac Res. 2013; 4(2): e1. DOI: 10.5037/jomr.2013.4201

Landi L, Manicone PF, Piccinelli S, Raia A, Raia R. A novel surgical approach to impacted mandibular third molar to reduce the risk of paresthesia: A case series. J Oral Maxillofac Surg. 2010; 68(5): 969-74. DOI: 10.1016/j.joms.2009.09.097

Susarla SM, Blaeser BF, Magalnick D. Third molar surgery and associated complications. Oral Maxillofac Surg Clin North Am. 2003; 15(2): 177-86. DOI: 10.1016/S1042-3699(02)00102-4

Contar CMM, de Oliveira P, Kanegusuku K, Berticelli RDS, Azevedo-Alanis LR, Machado MAN. Complications in third molar removal: A retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal. 2010; 15(1): e74-8. DOI: 10.4317/medoral.15.e74

Kim S, Lee YJ, Lee S, Moon HS, Chung MK. Assessment of pain and anxiety following surgical placement of dental implants. Int J Oral Maxillofac Implants. 2013; 28(2): 531-5. DOI: 10.11607/jomi.2713

Matsuda Y, Seto M, Kikuta T. Relationship between the evaluation of anxiety before the impacted third molar surgery and the autonomic nervous activity. Med Bull Fukuoka Univ. 2014; 41(2): 77-85.

Tarazona B, Tarazona-Alvarez P, Peñarrocha-Oltra D, Rojo-Moreno J, Peñarrocha-Diago MA. Anxiety before extraction of impacted blower third molar. Med Oral Patol Oral Cir Bucal. 2015; 20(2): e246-e250. DOI: 10.4317/medoral.20105

Al-Madi EM, Abdel Latif H. Assessment of dental fear and anxiety pamong adolescent females in Riyadh, Saudi Arabia. Saudi Dent J. 2002; 14(2): 77-81.

Bare LC, Dundes L. Strategies for combating dental anxiety. J Dent Educ. 2004; 68(11): 1172-7. DOI: 10.1002/j.0022-0337.2004.68.11.tb03862.x

Hmud R, Walsh LJ. Dental anxiety: Causes, complication and management approaches. Journal of Minimum Intervention in Dentistry. Int Dent SA. 2007; 9(5): 6-16.

Kanegane K, Penha SS, Borsatti MA, Rocha RG. Dental anxiety in an emergency dental service. Rev Saude Publica. 2003; 37(6): 786-92. DOI: 10.1590/s0034-89102003000600015

Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: A review. Aust Dent J. 2013; 58(4): 390-407. DOI: 10.1111/adj.12118

Shives LR. Basic Concepts of Psychiatric-Mental Health Nursing. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Suhartini S. Effectiveness of music therapy toward reducing patient’s anxiety in intensive care unit. Nurse Med J Nursing. 2008; 2(1): 31-6. DOI: 10.14710/nmjn.v2i1.737

Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent Health. 1995; 12(3): 143-50.

Payne LA, Hibel LC, Granger DA, Tsao JCI, Zetlzer LK. Relationship of salivary alpha amylase and cortisol to social anxiety in healthy children undergoing laboratory pain tasks. J Child Adolesc Behav. 2014; 2: 1000129. DOI: 10.4172/jcalb.1000129

Rashkova MR, Ribagin LS, Toneva NG. Correlation between salivary α-amylase and stress-related anxiety. Folia Med (Plovdiv). 2012; 54(2): 46-51. DOI: 10.2478/v10153-011-0088-4

Takai N, Yamaguchi M, Aragaki T, Eto K, Uchihashi K, Nishikawa Y. Effect of psychological stres on the salivary cortisol and amylase level Ni healty young adults. Arch Oral Biol. 2004; 49(12): 963-8. DOI: 10.1016/j.archoralbio.2004.06.007

Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: Validation and United Kingdom norms. Community Dent Health. 1995; 12(3): 143-50.

Sugimoto K, Kanai A, Shoji N. The effectiveness of the Uchida-Kraepelin test for psychological stres: An analysis of plasma and salivary stress substances. Biopsychosoc Med. 2009; 3(5): 1-11. DOI: 10.1186/1751-0759-3-5

Appukuttan D, Datchnamurthy M, Deborah SP, Hirudayaraj GJ, Tadepalli A, Victor DJ. Reliability and validity of the Tamil version of modified dental anxiety scale. J Oral Sci. 2012; 54(43): 313-20. DOI: 10.2334/josnusd.54.313

Lynch CD, Sundaram R, Maisog JM, Sweeney AM, Louis GMB. Preconception stress increase the risk of infertility: Results from a couple-based praspective cohort study--The LIFE study. Hum Reprod. 2014; 29(5): 1067-75. DOI: 10.1093/humrep/deu032

Mulrine BL, Sheehan MF, Burrell LM, Matthews MD. Measuring stres and ability to recover from stres with salivary α-amylase level. Department of Behavioral Sciences and Leadership. Report number: PL488E11, 2011. pp. 8-16.

Thoma MV, Kirschbaum C, Wolf JM, Rohleder N. Acute stress responses in salivary alpha-amylase predict increases of plasma norepinephrine. Biol Psychol. 2012; 91(3): 342-8. DOI: 10.1016/j.biopsycho.2012.07.008

Nater UM, Rohleder N. Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: Current state of research. Psychoneuroendocrinology. 2009; 34(4): 486-96. DOI: 10.1016/j.psyneuen.2009.01.014

Vineetha R, Pai KM, Vengal M, Gopalakrishna K and Narayanakurup D. Usefulness of salivary alpha amylase as a biomarker of chronic stress and stress related oral mucosal changes-A pilot study. J Clin Exp Dent. 2014; 6(2): e132-e137. DOI: 10.4317/jced.51355




DOI: https://doi.org/10.24198/pjd.vol32no2.15304

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