Moscow, Moscow, Russian Federation
UDC 616.31
This article examines the impact of the General Adaptation Syndrome (GAS), commonly known as stress, on the dental status of patients. Based on Hans Selye's concept, stress is interpreted as the body's mobilization response to a threat to homeostasis, which adversely affects oral tissues by lowering the pain threshold and increasing the risk of inflammation, enamel erosion, and caries. The aim of the study was to conduct a comprehensive rapid diagnosis of stress in 100 patients (aged 20–40 years) using the following methods: electroodontodiagnostics (EOD), periodontal thermometry, salivary pH-metry, fluorescent diagnostics, Stange and Sheikh-Zade test, and Spielberger test. The results demonstrate significant changes in metabolic, morphofunctional, functional, and psychological parameters before and after treatment: a 27.3% increase in pulp conductivity, a 0.6°C rise in mucosal temperature, a decrease in salivary pH by 0.27 units, a 28.5% worsening in the Stange test, a 46.1% increase in the Sheikh-Zade index, a high level of anxiety, and a 10- to 20-fold increase in porphyrin fluorescence. Following a period of rest, these parameters normalized. The conclusion emphasizes the necessity of correcting psychoemotional status for the accurate diagnosis of dental status, particularly when using fluorescent technologies. The implementation of innovative methodologies is recommended to eliminate the influence of GAS on rehabilitation outcomes. The key finding is that stress significantly distorts dental parameters, necessitating the integration of psychoemotional unloading into clinical practice. Further research should focus on the long-term effects of stress, the integration of AI for data analysis, and interdisciplinary approaches to managing the psychoemotional state of patients in dentistry.
General Adaptation Syndrome, stress, dental status, fluorescent diagnostics, electroodontodiagnostics, psychoemotional state, metabolic parameters, Stange test, Sheikh-Zade index, Spielberger test
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