Stress Level Among Dentists in Performing Treatment

NCT05394480 | Completed

• 1 other identifier: 82021
• Study Type: interventional
• Target: 4
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: To evaluate the stress levels of dentists working under clinical, deep sedation, or general anaesthesia. Methods: Blood pressure (Systolic, Diastolic blood pressure), Pulse value, O2 saturations were measured, and saliva samples were taken by the dentists 10 minutes before the dental treatment, at the 25th minute of the treatment, and 30 minutes after the treatment under clinic, deep sedation, and general anesthesia. Salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Cobas Cortisol ll kit. The data are analayse statistically

Conditions

Stress, Job

Keywords

DEEP SEDATION; GENERAL ANESTHESIA; pediatric dentistry; STRESS LEVELS

Outcome Measures

Primary Outcomes (3)

• Salivary cortisol

  Salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Cobas Cortisol ll kit.

  saliva samples were taken by the dentists 10 minutes before the dental treatment

• Salivary cortisol

  Salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Cobas Cortisol ll kit.

  saliva samples were taken by the dentists at the 25th minute of the treatment

• Salivary cortisol

  Salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Cobas Cortisol ll kit.

  saliva samples were taken by the dentists at the 30 minutes after the treatment

Secondary Outcomes (6)

• Systolic, Blood pressure

  Systolic Blood pressure were measured by the dentists 10 minutes before the dental treatment

• Diastolic Blood pressure

  Diastolic Blood pressure were measured by the dentists 10 minutes before the dental treatment

• Systolic Blood pressure

  Systolic Blood pressure were measured by the dentists at the 25th minute of the treatment

• Diastolic Blood pressure

  Diastolic Blood pressure were measured by the dentists at the 25th minute of the treatment

• Systolic Blood pressure

  Systolic Blood pressure were measured by the dentists 30 minutes after the treatment

Other Outcomes (6)

• Pulse value

  Pulse value were measured by the dentists 10 minutes before the dental treatment

• Pulse value

  Pulse value were measured by the dentists at the 25th minute of the treatment

• Pulse value

  Pulse value were measured by the dentists 30 minutes after the treatment

Study Arms (3)

clinical treatment

EXPERIMENTAL

4 dentist treated 36 patient in clinical group \- For treatment in a clinic, children with positive or definitely positive (Frankl 3 and 4) behaviour according to the Frankl Scale (Behavior Evaluation Scale) 28, with the data observed in the first session, were included in the clinical treatment group. According to the clinical examination of these patients, 36 healthy children aged 5-6 years who did not require pulpal treatment and whose caries level was 1-4 according to the ICDAS (International Caries Detection And Assessment System) 29 scoring were selected. The limits of the treatment were determined as compomer filling applied to 2 primary molars after local anaesthesia, and the duration of the treatment was limited to 30 to 60 minutes.

Diagnostic Test: Blood pressure (Systolic, Diastolic), Pulse value, O2 saturations were measured.

deep sedation

EXPERIMENTAL

4 dentist treated 36 patient in clinical group \- Children aged 48-72 months, children with negative or absolutely negative behaviour (Frankl 1 and 2) according to the Frankl Scale, were reserved for treatment under deep sedation. In order to provide standardization among patients suitable for sedation, 36 children (n=9) whose dmft (decayed, missing, filled teeth index) were less than their age, and the duration of the procedure would be limited to between 30 and 40 minutes, were included in the study.

Diagnostic Test: Blood pressure (Systolic, Diastolic), Pulse value, O2 saturations were measured.

general anaesthesia

EXPERIMENTAL

4 dentist treated 36 patient in clinical group \- Children aged 48-72 months, children with negative or definitely negative behaviour according to the Frankl Scale (Frankl 1 and 2), were reserved for treatment under general anaesthesia. In order to provide standardization among patients suitable for general anaesthesia, 36 healthy children (n=9) whose dmft was equal to, or higher than their age were allocated. In addition, patients whose treatment time would be limited to 30 to 60 minutes were included.

Diagnostic Test: Blood pressure (Systolic, Diastolic), Pulse value, O2 saturations were measured.

Interventions

Blood pressure (Systolic, Diastolic), Pulse value, O2 saturations were measured. DIAGNOSTIC_TEST

Salivary cortisol was measured by electrochemiluminescence (ECLIA) method using the Cobas Cortisol ll kit.

Also known as: Salivary cortisol

clinical treatment; deep sedation; general anaesthesia

Eligibility Criteria

• Age: 30 Years - 33 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• dentists, who started their specialization training, simultaneously in Erciyes University Faculty of Dentistry, Department of Pediatric Dentistry, with equal clinical experience and training.
• Woman
• Between the ages of 30-33
• Weights 52-55 kg
• No systemic disease
• Dentists who have actively treated patients for at least 2 years in a clinic, with deep sedation and general anaesthesia are included.

You may not qualify if:

• Children who were previously hospitalized due to health problems or who did not live with their biological family were also excluded from the study.

Sponsors & Collaborators

• TC Erciyes University: lead

Study Sites (1)

Esra Kizilci

Kayseri, 38000, Turkey (Türkiye)

Location

Related Publications (1)

• Basu S, Qayyum H, Mason S. Occupational stress in the ED: a systematic literature review. Emerg Med J. 2017 Jul;34(7):441-447. doi: 10.1136/emermed-2016-205827. Epub 2016 Oct 11.

  PMID: 27729392 BACKGROUND

MeSH Terms

Conditions

Occupational Stress

Interventions

Blood Pressure; Systole; Diastole

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Vital Signs; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Hemodynamics; Cardiovascular Physiological Phenomena; Circulatory and Respiratory Physiological Phenomena; Myocardial Contraction; Muscle Contraction; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Muscle Relaxation

Study Officials

• ESRA KIZILCI, 1

  erciyes university pediatric dentistry

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: 4 dentist treated 27 patients in 3 different treatment groups, and the study resulted in a total of 108 patients. Children were grouped after being evaluated by a single pediatric dentist. The patients were randomly distributed to the physicians, and their treatment was carried out. The study did not include children with general health problems or whose parents refused to be treated with general anaesthesia/sedation.
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist prof dr. Erciyes University pediatric dentistry department

Model Details: In the present study, it was aimed to evaluate the stress which was experienced by dentists working with children while treating children in all three treatment protocols by using objective (salivary cortisol, pulse, blood pressure, O2 saturation) and subjective (Dentists' Stress Questionnaire) findings 27. The H0 hypothesis of the study is that the stress levels of dentists change according to the different treatment protocols. each dentist treated 27 patients in 3 different treatment approaches, and the study resulted in a total of 108 patients.

Study Record Dates

• First Submitted: January 2, 2022
• First Posted: May 27, 2022
• Study Start: January 20, 2021
• Primary Completion: April 24, 2021
• Study Completion: August 14, 2021
• Last Updated: May 27, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)