This study will measure the stress levels of pediatric dentists performing dental treatments under deep sedation and general anesthesia. Stress levels will be compared during sedation and general anesthesia procedures performed using three different methods. Salivary alpha-amylase and salivary cortisol levels will be measured to assess stress.
The aim of this study is to determine the stress levels of pediatric dentists during dental treatment procedures using different airway devices (nasal mask, laryngeal mask (LMA), intubation tube) in the operating room environment and to examine the changes according to the methods. Three female dentists with at least 10 years of experience, systemically healthy, and similar age, height, and weight, working at the Pediatric Dentistry Clinic of Erciyes University Faculty of Dentistry participated in this study. Each dentist treated 42 patients, 14 each, using nasal mask, laryngeal mask and general anesthesia methods. A total of 126 patients were treated in the operating room. Vital signs (systolic blood pressure, diastolic blood pressure, pulse, oxygen saturation) were measured three times by physicians, 10 minutes before starting the treatment, 25 minutes after the treatment, and 10 minutes after the treatment ended, and saliva samples were taken. All measurements were made between 9:00 and 12:00 a.m. salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Roche Cortisol II kit and the Roche Cobas e 801 analyzer. Salivary alpha amylase was measured by colorimetric enzyme test using Roche Cobas c 701 analyzer. Physicians' stress was assessed using VAS (Visual Analog Scale), one of the psychogenic methods.
Study Type
OBSERVATIONAL
Enrollment
3
Erciyes University Faculty of Dentistry, Department of Pediatric Dentistry
Kayseri, Melikgazi, Turkey (Türkiye)
salivary alpha amylase
Alpha amylase levels were measured in saliva samples taken from pediatric dentists.
Time frame: Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.
salivary cortisol
Cortisol levels were measured in saliva samples taken from pediatric dentists.
Time frame: Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.
systolic and diastolic blood pressure
Systolic and diastolic blood pressure was measured in pediatric dentists.
Time frame: Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.
pulse
The pulse of pediatric dentists was taken.
Time frame: Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.
oxygen saturation
Oxygen saturation was measured in pediatric dentists.
Time frame: Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.
Visual Analog Scale (VAS) score
Physicians used the Visual Analog Scale to indicate stress levels after each treatment.This scale is scored from 0 to 10. A score of 0 means "no stress". A score of 10 describes the "maximum stress" level. Higher scores on this scale indicate increasing stress levels.
Time frame: Each physician conducted an evaluation at the end of each treatment session.
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