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Titolo:
Pain and immunologic response to root canal treatment and subsequent health outcomes
Autore:
Logan, HL; Lutgendorf, S; Kirchner, HL; Rivera, EM; Lubaroff, D;
Indirizzi:
Univ Florida, Div Publ Hlth Serv & Res, Gainesville, FL 32610 USA Univ Florida Gainesville FL USA 32610 rv & Res, Gainesville, FL 32610 USA Univ Iowa, Dept Psychol, Iowa City, IA USA Univ Iowa Iowa City IA USAUniv Iowa, Dept Psychol, Iowa City, IA USA Univ Iowa, Dept Endodont, Iowa City, IA USA Univ Iowa Iowa City IA USAUniv Iowa, Dept Endodont, Iowa City, IA USA Univ Iowa, Dept Urol & Microbiol, Iowa City, IA USA Univ Iowa Iowa City IA USA owa, Dept Urol & Microbiol, Iowa City, IA USA Case Western Reserve Univ, Dept Pediat, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA
Titolo Testata:
PSYCHOSOMATIC MEDICINE
fascicolo: 3, volume: 63, anno: 2001,
pagine: 453 - 462
SICI:
0033-3174(200105/06)63:3<453:PAIRTR>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
KILLER-CELL ACTIVITY; PSYCHOLOGICAL STRESS; IMMUNE-RESPONSE; FELT CONTROL; INFECTIOUS-DISEASE; TECHNICAL QUALITY; PERCEIVED STRESS; DENTAL TREATMENT; DESIRED CONTROL; SENSORY FOCUS;
Keywords:
pain; stress; natural killer cell cytotoxicity; health outcomes; dental procedures;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
55
Recensione:
Indirizzi per estratti:
Indirizzo: Logan, HL Univ Florida, Div Publ Hlth Serv & Res, Box 100404,1600 SW Archer Rd,D8-39, Gainesville, FL 32610 USA Univ Florida Box 100404,1600 SW Archer Rd,D8-39 Gainesville FL USA 32610
Citazione:
H.L. Logan et al., "Pain and immunologic response to root canal treatment and subsequent health outcomes", PSYCHOS MED, 63(3), 2001, pp. 453-462

Abstract

Objective: This study examined the effects of pain and stress associated with a dental procedure, root canal treatment (RCT), on natural killer cell cytotoxicity (NKCC) and the subsequent development of symptoms of upper respiratory illness during the following month. Methods: Patients (N = 33) were recruited from those scheduled for RCT appointments. Subjects for a non-RCT comparison group (N = 14) were also recruited from dental clinic patients. Peripheral blood was drawn by use of an indwelling catheter three times:just before RCT, 30 minutes after injection of a local anesthetic, and 30 minutes after RCT (a parallel time course was followed for the comparison group,) Blood was assayed for cortisol and NKCC, Subjects completed a healthdiary in the month after RCT. Results: Patients showed a significant increase in NKCC between baseline and RCT and a significant decrease from RCT toafter RCT, whereas the comparison group did not. The NKCC following the RCT was negatively correlated with the pain level during RCT (r = -0.48, p < .01) and pain levels 2 and 6 hours after RCT (r = -0.43, p < .05; r = -0.44p < .05, respectively). The patient group reported significantly more illness episodes 2 weeks after RCT than the comparison group (Wilcoxon rank sum= 4.78, p = .03), Discriminant function analysis correctly classified 88% of the subjects into the illness category using predictor variables of post-RCT NKCC, stress, and pain levels during RCT (F(3,21) = 8.23, p < .001). Conclusions: Transitory changes in NKCC associated with pain and stress may be implicated in the development of infectious disease episodes after an acute stressful event.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:40:37