Evaluation Of Stress Levels Of Pediatric Dentist Performing Dental Treatment In The Operating Room

NCT07541508 | Completed

• 1 other identifier: EU-DHF-MK-01
• Study Type: observational
• Target: 3
• Locations: 1 country
• Sites: 1

Brief Summary

This study will measure the stress levels of pediatric dentists performing dental treatments under deep sedation and general anesthesia. Stress levels will be compared during sedation and general anesthesia procedures performed using three different methods. Salivary alpha-amylase and salivary cortisol levels will be measured to assess stress.

Conditions

Stress

Keywords

paediatric dentist; stress; general anesthesia; laryngeal mask; nasal mask; salivary cortisol; salivary alpha amylase; deep sedation

Outcome Measures

Primary Outcomes (6)

• salivary alpha amylase

  Alpha amylase levels were measured in saliva samples taken from pediatric dentists.

  Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.

• salivary cortisol

  Cortisol levels were measured in saliva samples taken from pediatric dentists.

  Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.

• systolic and diastolic blood pressure

  Systolic and diastolic blood pressure was measured in pediatric dentists.

  Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.

• pulse

  The pulse of pediatric dentists was taken.

  Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.

• oxygen saturation

  Oxygen saturation was measured in pediatric dentists.

  Measurements were taken three times: 10 minutes before each treatment, 25 minutes after treatment begins, and 10 minutes after the treatment.

• Visual Analog Scale (VAS) score

  Physicians used the Visual Analog Scale to indicate stress levels after each treatment.This scale is scored from 0 to 10. A score of 0 means "no stress". A score of 10 describes the "maximum stress" level. Higher scores on this scale indicate increasing stress levels.

  Each physician conducted an evaluation at the end of each treatment session.

Study Arms (3)

Deep sedation with nasal mask

Three pediatric dentists each treated 14 patients under deep sedation with a nasal mask. The dentists' stress levels were measured throughout the treatments.

Deep sedation with laryngeal mask

Three pediatric dentists each treated 14 patients under deep sedation using a laryngeal mask. The dentists' stress levels were measured throughout the treatments.

general anesthesia

Three pediatric dentists each treated 14 patients under general anesthesia. The dentists' stress levels were measured throughout the treatment.

Eligibility Criteria

• Age: 37 Years - 39 Years
• Gender Eligibility Details: woman
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

The participants were selected from female pediatric dentists working at the Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University.

You may qualify if:

• Body mass index (BMI) of 25 kg/m² and less
• Systemically healthy
• Without a diagnosed stress-anxiety disorder or depression
• Having worked with pediatric patients in an operating room environment for at least 10 years.
• Responding to chronic occupational stress questions similar to the Dentist Job Stress Questionnaire (DJS).
• Female pediatric dentist

You may not qualify if:

• pregnant women
• breastfeeding mothers

Sponsors & Collaborators

• TC Erciyes University: lead

Study Sites (1)

Erciyes University Faculty of Dentistry, Department of Pediatric Dentistry

Kayseri, Melikgazi, 38039, Turkey (Türkiye)

Location

Related Publications (14)

• Lesage FX, Berjot S. Validity of occupational stress assessment using a visual analogue scale. Occupational medicine (Oxford, England). 2011;61(6):434-6.

  BACKGROUND

• Nater UM, Rohleder N. Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: current state of research. Psychoneuroendocrinology. 2009;34(4):486-96.

  BACKGROUND

• Hellhammer DH, Wust S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology. 2009 Feb;34(2):163-171. doi: 10.1016/j.psyneuen.2008.10.026. Epub 2008 Dec 18.

  PMID: 19095358 BACKGROUND

• Lovallo WR, Buchanan TW. Stress hormones in psychophysiological research: emotional, behavioral, and cognitive implications. 2017.

  BACKGROUND

• Özmert S. Derin Sedasyon Altında Dental Tedavi Uygulanan Çocuklarda Anestezik Yaklaşımın Değerlendirilmesi. Turkish Journal of Pediatric Disease. 2019;13(1):30-5.

  BACKGROUND

• Meadows JL, Shah S, Burg MM, Pfau S, Soufer R. Cardiovascular Imaging of Biology and Emotion: Considerations Toward a New Paradigm. Circulation Cardiovascular imaging. 2020;13(8):e011054.

  BACKGROUND

• Giacomello G, Scholten A, Parr MK. Current methods for stress marker detection in saliva. Journal of pharmaceutical and biomedical analysis. 2020;191:113604.

  BACKGROUND

• Chojnowska S, Ptaszyńska-Sarosiek I, Kępka A, Knaś M, Waszkiewicz N. Salivary Biomarkers of Stress, Anxiety and Depression. Journal of clinical medicine. 2021;10(3).

  BACKGROUND

• Song KW, Kim HK. Job stress and its related factors among Korean dentists: An online survey study. International dental journal. 2019;69(6):436-44.

  BACKGROUND

• Kızılcı E, Kızılay F, Mahyaddinova T, Muhtaroğlu S, Kolçakoğlu K. Stress levels of a group of dentists while providing dental care under clinical, deep sedation, and general anesthesia. Clinical oral investigations. 2023;27(7):3601-9.

  BACKGROUND

• Anabuki AA, Corrêa-Faria P, Batista AC, Costa LR. Paediatric dentists' stress during dental care for children under sedation: a cross-sectional study. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry. 2021;22(2):301-6.

  BACKGROUND

• Humphris G. A review of burnout in dentists. Dental update. 1998;25(9):392-6.

  BACKGROUND

• Dewa CS, Lin E, Kooehoorn M, Goldner E. Association of chronic work stress, psychiatric disorders, and chronic physical conditions with disability among workers. Psychiatric services (Washington, DC). 2007;58(5):652-8.

  BACKGROUND

• Davidovich E, Pessov Y, Baniel A, Ram D. Levels of Stress among General Practitioners, Students and Specialists In Pediatric Dentistry during Dental Treatment. The Journal of clinical pediatric dentistry. 2015;39(5):419-22.

  BACKGROUND

Related Links

• saliva collection protocol
• saliva alpha amylase measurement protocol

Study Officials

• Esra Kızılcı

  Erciyes Üniversitesi Diş Hekimliği Fakültesi

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 18, 2025
• First Posted: April 21, 2026
• Study Start: February 15, 2024
• Primary Completion: February 15, 2025
• Study Completion: May 1, 2025
• Last Updated: April 21, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)