Stress Factors Induced by Patient and Young Clinicien During Endodontic Treatment

Summary

The aim of this pilot study is to examine the patient's induced stress and the young dentist's induced stress, during endodontic treatment. This study is carried out using physiologic (cortisol measurement, arterial pressure and heart rate) and psychological data (VAS visual analog scale of stress, pain and discomfort, CORAH and HAD Scales) collected from patients of Brest University Dental Hospital at various stages of root canal treatment. The endodontic treatment is carried out under the usual standards and practices.

Conditions

• Endodontic Treatment

Interventions

PROCEDURE

Endodontic treatment

Endodontic treatment or root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.

OTHER

VAS of stress

The VAS is a 10-cm scale without graduation on which subjects are asked to score the specific level of stress experienced from 0 (not stressed at all) to 10 (worst stress imaginable)

OTHER

CORAH scale

At the beginning of the treatment (T1), the patient is asked to complete a French version of the Corah Dental Anxiety scale (DAS).

OTHER

HAD Scale

At the beginning of the treatment (T1), patients and students are asked to complete the Hospital Anxiety and Depression Scale (HAD Scale) which is presented as a reliable instrument for assessing clinically significant anxiety and depression.

OTHER

Cardiovascular Parameters

For each subject, the physiological indicators of stress (ie, heart rate \[HR\], systolic blood pressure \[SBP\], and diastolic blood pressure \[DBP\]) are monitored during each of the 6 steps.

OTHER

Cortisol Measurements

Salivary samples are collected during each of the 6 steps of endodontic treatment which are then stored at -20° before being sent to the laboratory to test cortisol levels .

OTHER

Discomfort and Pain Experienced During Treatment

Patients were asked to report the levels of discomfort and pain experienced during the 6 steps using the VAS and at the next visit for the final restoration.

OTHER

Patient's preferences.

After the completion of each treatment patients will have to report whether they thought that they would have experienced as much pain, stress, or discomfort if they had received premedication before treatment.

OTHER

student preferences.

When the treatment is complete the students are asked to report: 1. his/her level of satisfaction with the course of treatment, 2. whether he/she felt awkward faced with the patient's manifestations of stress, discomfort, or pain during the session 3. whether he/she would have preferred that the patient had received sedative medication before the endodontic treatment.

Sponsors & Collaborators

• University Hospital, Brest

  lead OTHER

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-03-28

Primary Completion

2018-04-19

Completion

2018-04-19

Countries

• France

Study Locations