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Journal ID : TMJ-27-01-2022-11047
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Title : Measurement of Salivary Cortisol Level and Self-reported Anxiety among Adults visiting Primary Care Clinic

Abstract :

Dental anxiety remains an everyday difficulty for practicing dentists, as well as a barrier for many patients seeking quality dental care, despite rapid advancements in the area and innovations in dental techniques. The goal of this study is to determine the salivary cortisol level in adult patients receiving emergency treatment at REU's primary care clinic, as well as the anxiety level as measured by the Modified Dental Anxiety Scale (MDAS). A cross-sectional design was done using convenient sampling to achieve the required sample number. Saliva was collected between 9 a.m. and 12 p.m from 40 adult patients. The salivary cortisol was measured by means of the electro-chemiluminescence immunoassay “ECLIA” using the Cobas e411 analyzer. The mean (SD) VAS score was 5.15 (3.00) and the mean (SD) cortisol level was 53.78 (32.97), indicating moderate pain. The pain score and cortisol level had a non-statistically significant negative connection (p=0.893). The age and cortisol levels had a positive link (p=0.267). Females (p=0.221) and non-Saudi nationals (p=0.552) had higher mean (SD) cortisol levels. In conclusion, higher salivary cortisol was not shown to be linked with self-reported dental anxiety in the presence of pain.

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