Assessment of anxiety and stress markers in children submitted to educational strategies and ART-restoration: A randomized clinical trial.

摘要: Abstract Objective Although atraumatic restorative treatment (ART) is considered to be a good option for anxious patients, there lack of information whether ART associated oral health educational strategy (OHES) would positively influence the level anxiety and stress in children. This study aimed evaluate impact OHES on markers schoolchildren submitted ART. Design A sample 78 six- eight-year-old schoolchildren, with carious lesions dentin, were randomly divided into groups: OHES + ART-group (n = 39) ART-group (n = 39). consisted an interactive performed once week four weeks. was using standardized procedure hand instruments glass-ionomer cement. Anxiety assessed subjectively by modified Venham Picture Test (m-VPT), Scale (m-VAS), while objective measures heart rate (HR) salivary cortisol alpha-amylase levels evaluated before, during after treatment. Results The two groups did not differ perceived behavior, variation along significant both (p > 0.05). Both also showed higher HR “Before ART-restoration” than other time-points as anticipatory anxiety. group OHES + ART “Explanation procedure” (p = 0.041) “Deep excavation” (p = 0.018), only amylase ART” compared “After (p = 0.004). Conclusions It concluded that positive effect modulating levels, is, those objectively measured ART-restoration.