Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.

<h4>Background</h4>Previous studies on dental anxiety have examined the psychophysiological responses evoked in dentally anxious subjects by dental-related stimuli, but not during a real-life dental examination, which was achieved in the present study.<h4>Methods</h4>The hear...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Tadea Košir, Jakob Sajovic, Maja Grošelj, Aleš Fidler, Gorazd Drevenšek, Polona Selič-Zupančič
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/400b58d37bee49c1b110b02ccc5160a0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:400b58d37bee49c1b110b02ccc5160a0
record_format	dspace
spelling	oai:doaj.org-article:400b58d37bee49c1b110b02ccc5160a02021-12-02T20:03:58ZReal-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.1932-620310.1371/journal.pone.0252128https://doaj.org/article/400b58d37bee49c1b110b02ccc5160a02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252128https://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies on dental anxiety have examined the psychophysiological responses evoked in dentally anxious subjects by dental-related stimuli, but not during a real-life dental examination, which was achieved in the present study.<h4>Methods</h4>The heart rate, skin conductance level, and heart rate variability of 25 subjects with dental anxiety and 25 healthy controls were examined. Anxiety was determined by the Modified Dental Anxiety Scale and the Dental Anxiety Scale-Revised. The psychophysiological reactions of the two groups were compared during exposure to dental-related pictures, dental-related sounds, and an actual examination in a dental surgery.<h4>Results</h4>All the dental-related stimuli provoked an increase in heart rate, i.e. visual stimuli (p<0.001; 95% CI 0.98-3.95 bpm), auditory stimuli (p<0.001; 95% CI 1.34-4.99 bpm), and a dental examination (p<0.001; 95% CI 1.26-5.39 bpm). Dental-related pictures provoked inferior skin conductance level changes compared to dental-related sounds and the dental examination (visual modality vs auditory p<0.001; 95% CI 0.039-0.152; visual modality vs examination p<0.001; 95% CI 0.083-0.275). Heart rate variability manifested in a complex pattern of responses to the dental examination. However, when exposed to all three dental-related stimuli presentation conditions, the heart rate (F = 0.352, p = 0.556), skin conductance level (F = 0.009, p = 0.926), and heart rate variability parameters of subjects with dental anxiety did not differ in comparison to the healthy controls.<h4>Conclusions</h4>This pilot study represents an evaluation of psychophysiological reactions during a real-life dental examination compared to single modality stimuli, and shows that a real-life dental examination provokes an increase in heart rate, heart rate variability and skin conductance level. Additionally, autonomic responses did not differ between the experimental and control groups. The key issue for future studies is the effect of real-life situations on the physiological and psychological state of the subjects, which should be considered when planning new research and studied in depth.Tadea KoširJakob SajovicMaja GrošeljAleš FidlerGorazd DrevenšekPolona Selič-ZupančičPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252128 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tadea Košir Jakob Sajovic Maja Grošelj Aleš Fidler Gorazd Drevenšek Polona Selič-Zupančič Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
description	<h4>Background</h4>Previous studies on dental anxiety have examined the psychophysiological responses evoked in dentally anxious subjects by dental-related stimuli, but not during a real-life dental examination, which was achieved in the present study.<h4>Methods</h4>The heart rate, skin conductance level, and heart rate variability of 25 subjects with dental anxiety and 25 healthy controls were examined. Anxiety was determined by the Modified Dental Anxiety Scale and the Dental Anxiety Scale-Revised. The psychophysiological reactions of the two groups were compared during exposure to dental-related pictures, dental-related sounds, and an actual examination in a dental surgery.<h4>Results</h4>All the dental-related stimuli provoked an increase in heart rate, i.e. visual stimuli (p<0.001; 95% CI 0.98-3.95 bpm), auditory stimuli (p<0.001; 95% CI 1.34-4.99 bpm), and a dental examination (p<0.001; 95% CI 1.26-5.39 bpm). Dental-related pictures provoked inferior skin conductance level changes compared to dental-related sounds and the dental examination (visual modality vs auditory p<0.001; 95% CI 0.039-0.152; visual modality vs examination p<0.001; 95% CI 0.083-0.275). Heart rate variability manifested in a complex pattern of responses to the dental examination. However, when exposed to all three dental-related stimuli presentation conditions, the heart rate (F = 0.352, p = 0.556), skin conductance level (F = 0.009, p = 0.926), and heart rate variability parameters of subjects with dental anxiety did not differ in comparison to the healthy controls.<h4>Conclusions</h4>This pilot study represents an evaluation of psychophysiological reactions during a real-life dental examination compared to single modality stimuli, and shows that a real-life dental examination provokes an increase in heart rate, heart rate variability and skin conductance level. Additionally, autonomic responses did not differ between the experimental and control groups. The key issue for future studies is the effect of real-life situations on the physiological and psychological state of the subjects, which should be considered when planning new research and studied in depth.
format	article
author	Tadea Košir Jakob Sajovic Maja Grošelj Aleš Fidler Gorazd Drevenšek Polona Selič-Zupančič
author_facet	Tadea Košir Jakob Sajovic Maja Grošelj Aleš Fidler Gorazd Drevenšek Polona Selič-Zupančič
author_sort	Tadea Košir
title	Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
title_short	Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
title_full	Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
title_fullStr	Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
title_full_unstemmed	Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
title_sort	real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/400b58d37bee49c1b110b02ccc5160a0
work_keys_str_mv	AT tadeakosir reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli AT jakobsajovic reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli AT majagroselj reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli AT alesfidler reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli AT gorazddrevensek reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli AT polonaseliczupancic reallifedentalexaminationelicitsphysiologicalresponsesdifferenttovisualandauditorydentalrelatedstimuli
_version_	1718375596710428672

Real-life dental examination elicits physiological responses different to visual and auditory dental-related stimuli.

Ejemplares similares