Mamai O. V., Bilash S. M, Boiko D. I., Svyryda O. S., Oleksiienko V. V., Kopytko N. S., Kolomiiets S. V.

STATE OF THE AUTONOMOUS NERVOUS SYSTEM AND STRESS AT OUTPATIENT APPOINTMENT OF DENTAL-SURGEON'S PATIENTS WITH SYNCOPATHIC CONDITIONS

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About the author:

Mamai O. V., Bilash S. M, Boiko D. I., Svyryda O. S., Oleksiienko V. V., Kopytko N. S., Kolomiiets S. V.

Heading:

DENTISTRY

Type of article:

Scientific article

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Emergency conditions remain an urgent problem for a doctor of any speciality. At the same time, epileptic seizures, cardiac arrest, various syncopal conditions, and others can occur during an outpatient visit to a dental surgeon. Although syncope is considered a benign transient condition, its prevention can improve the quality of dental care and increase patient satisfaction by reducing anxiety about the procedures. The aim is to assess the level of perceived stress and the state of the autonomic nervous system in outpatients of a dental surgeon at the beginning of the appointment, depending on the further development of syncope. We conducted a pilot prospective study that included 33 outpatients of a dental surgeon, who were divided into two groups: group 1 - patients who developed syncope (n=11); group 2 - patients who did not develop syncope during the visit to the clinic (n=22). The PSS-10 was used to assess perceived stress, and the state of the autonomic nervous system was determined by the Kerdo index and dermographism. Patients in both groups did not have statistically significant differences in gender, age, diagnosis, and time spent in the queue. There were no statistically significant differences between the groups of patients in terms of perceived stress. A statistically significant higher Kerdo index was found in group 1 with a tendency to sympathicotonia. Thus, we have determined that it is the increased activity of the sympathetic nervous system before an outpatient visit to a dental surgeon, rather than the subjective level of perceived stress, that may be potentially associated with the likelihood of developing a syncopal state, which requires more detailed research.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2023 Issue 3, 170, 493-500 pages, index UDC 616.8:616.314-085

DOI:

10.29254/2077-4214-2023-3-170-493-500