Salivary alpha amylase and cortisol levels in children with global developmental delay and their relation with the expectation of dental care and behavior during the intervention

► We analysis marker of physiological stress between GDD and healthy children. ► We compared marker of physiological stress with behavior scale in GDD children. ► GDD children showed higher levels of sAA prior to dental treatment. ► Healthy children showed higher levels of sAA prior to dental treatm...

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Published in:Research in developmental disabilities 2012-03, Vol.33 (2), p.499-505
Main Authors: Santos, Márcio José Possari dos, Bernabé, Daniel Galera, Nakamune, Ana Cláudia de Melo Stevanato, Perri, Silvia Helena Venturoli, de Aguiar, Sandra Maria Herondina Coelho Ávila, de Oliveira, Sandra Helena Penha
Format: Article
Language:English
Subjects:
Alpha-amylase
Anxiety
Biological and medical sciences
Biomarkers - metabolism
Child
Child Behavior
Children
Comparative Analysis
Cortisol
Dental Anxiety - diagnosis
Dental Anxiety - metabolism
Dental Anxiety - psychology
Dental care
Dental Care for Children - psychology
Dental Health
Dental treatment
Dentistry
Developmental Delays
Developmental Disabilities - metabolism
Developmental Disabilities - psychology
Developmentally delayed children
Disabilities
Expectation
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Global developmental delay
Health Behavior
Humans
Hydrocortisone - metabolism
Hyperactivity
Intervention
Male
Medical sciences
Mental Retardation
Metabolism
Non tumoral diseases
Otorhinolaryngology. Stomatology
Paediatric
Saliva - metabolism
Salivary alpha-Amylases - metabolism
Salivary cortisol
Stress Management
Stress, Psychological - diagnosis
Stress, Psychological - metabolism
Stress, Psychological - psychology
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Summary:► We analysis marker of physiological stress between GDD and healthy children. ► We compared marker of physiological stress with behavior scale in GDD children. ► GDD children showed higher levels of sAA prior to dental treatment. ► Healthy children showed higher levels of sAA prior to dental treatment. ► GDD children with more favorable behavior during dental care had lower sAA levels. The purpose of this study was to analyze the alpha-amylase (sAA) and cortisol levels in children with Global developmental delay (GDD) before and after dental treatment and its association with the children's behavior during treatment. The morning salivary cortisol levels and activity of sAA of 33 children with GDD were evaluated before and after dental treatment and were compared to 19 healthy children. The behavior of children with GDD during dental care was assessed by the Frankl scale. Children with GDD showed lower levels of sAA activity than healthy children, but this result was not significant. The salivary cortisol levels were similar between GDD and healthy children. GDD children showed increased levels of sAA (but not cortisol) prior to the dental treatment as compared to the post-treatment phase. GDD children who showed less favorable behavior during dental care had higher levels of sAA and salivary cortisol than GDD children with more favorable behavior, but only the sAA results were significant. In conclusion, GDD children show hyperactivity of the SNS-axis in anticipation of dental treatment which indicates the need for strategies to reduce their anxiety levels before and during dental care.
ISSN:0891-4222
1873-3379
DOI:10.1016/j.ridd.2011.10.015