Acute stress, salivary cortisol and calcium ions, in patients undergoing dental extraction procedure


Stress is well approved to be co-related to the dental extraction procedure, andlinked to the increase in cortisol levels in patients undergoing dental treatments. Boneaffected vastly by exposure to cortisol and that is mainly due to scavenging ofminerals (calcium and phosphorus) from the bone by cortisol to be consumed as a fueland energy source in the process of gluconeogenesis; hence, alter the density of boneand can cause substantial deterioration in bone quality and quantity. Cortisol can beinfluential on the function of both the osteoblasts and the osteoclasts and that willdemonstrate significant changes on bone as well. This research investigated therelation between the levels of cortisol and calcium ions with the degree of stressbefore and after routine dental extraction.Fifty two participants were included in this study, all met the inclusion andexclusion criteria designated for the research; they were subdivided into 2 groups, firstgroup was admitted to salivary cortisol evaluation, and salivary calcium ions wereachieved for the second group.The collected data represent a significant increase in both salivary cortisol andsalivary calcium ions in the post – dental extraction group when compared to the preextractiongroup. The evaluated salivary cortisol with mean of 4.589± 0.819 mmol/Lfor pre- extraction while, in the post-extraction the mean was 5.364 ± 1.017 mmol/Lwith a significant changes. The salivary calcium ions mean were 5.66 ±0.985mmol/L, while for the post-extraction mean was 6.380± 1.161 mmol/L with asignificant changes .The findings of this research gave an insight that stress plays an essential role inaltering both salivary calcium ions and cortisol levels in the post-extraction period, asboth increased significantly.