Stressors and mood measured on a momentary basis are associated with salivary cortisol secretion

The aim of the present study was to investigate the feasibility of saliva collection from highly anxious dental patients and to evaluate whether salivary cortisol concentrations could discriminate between 13 highly anxious dental patients and 13 non-anxious subjects. Whole mixed saliva was sampled by suction after stimulation with citric acid crystals. Salivary free cortisol levels were measured in duplicate by radioimmunoassay. Collection of saliva took 2-5 min and was not experienced as unpleasant. Salivary free cortisol concentrations were significantly elevated if the patients manifested anxiety according to the scores on the Dental Anxiety Scale. The measurement of salivary cortisol may be a convenient method for the assessment of dental anxiety.

Increased Salivary Cortisol in Severe Dental Anxiety

Anxiety and cortisol excretion correlate prior to dental treatment.

An investigation into the effects of surgical stress on the fit and poor-risk patient including the modifying effect of relative analgesia and beta-blockade. Part I. The effects of surgical stress on fit and poor-risk patients.

Subjective and objective measurement of responses to third molar impaction surgery.

Stress in dental patients. IV. Effect of local anesthetic administration on serum free 17-hydroxycorticosteroid patterns.

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Stress in dental patients. IV. Effect of local anesthetic administration on serum free 17-hydroxycorticosteroid patterns.