COMPARATIVE EVALUATION OF SALIVARY CORTISOL LEVELS AND DENTAL ANXIETY IN CHILDREN WITH AUTISM

Dr. N S Venkatesh Babu, Dr. Shikha Shah

Abstract


 

Background- Anxiety is the main factor  producing stress and there are evidences that dental anxiety acquired in childhood may persist to influence adult behaviour and  cause changes in the stress related hormones. Dental treatment is often considered as anxiety producing and stressful especially in children with special health care needs

Aim- To compare the salivary cortisol (SC) levels and dental anxiety in autistic and healthy children during dental examination

Methodology- 10 autistic and 10 healthy children aged between 11-15 years were selected. Unstimulated salivary sample collection was done pre and post dental examination .Salivary cortisol levels were estimated using ECLIA method. Dental anxiety was recorded using modified dental anxiety scale .

Statistical analysis- The Shapiro-Wilk test , Student’s t-test, SPSS Version 20.1 were used for statistical analysis and to analyse the findings

Results- Children with autism showed increased pre dental examination SC levels and decreased post dental examination SC levels. Healthy children showed equal levels of salivary cortisol in both pre and post dental examination. Children were highly anxious waiting in the reception area before the procedure. MDAS score showed no correlation with salivary cortisol levels in both the groups.

Keywords- Dental anxiety, Autism, Salivary cortisol


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ISSN : 2251-1547