The Effects of Providing Advance Notice and Stress-Coping Traits on Physiological Stress of Patients during Dental Treatment

Sachi Umemori, Kanako Noritake, Ken-ichi Tonami, Son Hoang Le, Masayo Sunaga, Yasuyuki Kimura, Yuna Kanamori, Ayako Sekiguchi and Hiroshi Nitta
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Sachi Umemori: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan
Kanako Noritake: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan
Ken-ichi Tonami: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan
Son Hoang Le: Department of Oral Surgery, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 72714, Vietnam
Masayo Sunaga: Department of Educational Media Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 1138510, Japan
Yasuyuki Kimura: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan
Yuna Kanamori: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan
Ayako Sekiguchi: Department of Oral Diagnosis and General Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo 1138549, Japan
Hiroshi Nitta: Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Tokyo 1138549, Japan

IJERPH, 2022, vol. 19, issue 5, 1-9

Abstract: Patients tend to feel stress in association with dental treatment due to uneasiness and fear. We investigated the effects of providing advance notice and stress-coping traits on the physiological stress of patients during dental treatment. Sixty non-dental professionals (male, n = 26; female, n = 34; mean age, 49.9 years) were recruited for this study and informed consent was obtained. Subjects were given simulated dental treatment including three stimuli, air, percussion and running of an air turbine, with or without advance notice of the stimulation during dental treatment. Real-time sympathetic nerve activity (SN) and parasympathetic nerve activity (PN) during the treatment were measured using a biological information monitor. The stress-coping traits of each subject were examined using the Lazarus-Type Stress Coping Inventory (SCI). Correlations between the nerve-activity and scores of eight stress-coping strategies of SCI and the presence/absence of advance notice were analyzed. Age, types of stimuli and order of stimuli significantly affected SN, while age, types of stimuli, and the pattern of stimulation significantly affected PN. The interaction of the stress-coping trait and presence/absence of advance notice significantly affected PN. Providing advance notice may have different effects on physiological stress depending on how the patient copes with stress.

Keywords: stress; R-R interval on ECG; psychological test (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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