Does toxic stress impact paediatric dental procedures? An integrative review
Highlights
Abstract
Toxic stress is defined as strong, repetitive stress with prolonged activation, without the child having the support of an adult caregiver. It is plausible that invasive and complex paediatric interventions produce or contribute to the development of toxic stress. This article aims to evaluate, discuss and synthesize the association between toxic stress and paediatric dental clinical practice through an integrative review of studies published in several databases. The results of this study allow us to state that this subject is little explored in the dental literature and, therefore, that it is essential to encourage clinical studies and specific research. The expansion of these studies will provide health professionals with scientific evidence regarding the implementation of proper clinical practice, thus reducing or even eliminating the development of toxic stress.
Keywords: Adverse Childhood Experiences; Anxiety; Child; Pediatric Dentistry
Author Affiliations
- Undergraduate student. Department of Pediatric Dentistry, School of Dentistry, APCD. São Paulo, Brazil ( Correspondence: victorbottesini@gmail.com)
- Undergraduate student. Department of Pediatric Dentistry, School of Dentistry, APCD. São Paulo, Brazil
- Undergraduate student. Department of Pediatric Dentistry, School of Dentistry, APCD. São Paulo, Brazil
- Professor, Department of Pediatric Dentistry, School of Dentistry, APCD. São Paulo, Brazil
References
- Juster R-P, McEwen BS, Lupien SJ. Allostatic load biomarkers of chronic stress and impact on health and cognition. Neurosci Biobehav Rev 2010;35:2–16
- McEwen BS, Gianaros PJ. Central role of the brain in stress and adaptation: Links to socioeconomic status, health, and disease. Ann N Y Acad Sci 2010;1186:190–222
- National Scientific Council on the Developing Child. Excessive Stress Disrupts the Architecture of the Developing Brain: Working Paper 3. Work Pap 2014;1:1–12
- Shonkoff JP. Building a New Biodevelopmental Framework to Guide the Future of Early Childhood Policy. Child Dev 2010;81:357–367
- Shonkoff JP, Garner AS, Siegel BS, Dobbins MI, Earls MF, Garner AS, et al. The Lifelong Effects of Early Childhood Adversity and Toxic Stress. Pediatrics 2012;129:232–246
- Felitti VJ. Adverse Childhood Experiences and Adult Health. Acad Pediatr 2009;9:131–132
- Poulton R, Caspi A, Milne BJ, Thomson WM, Taylor A, Sears MR, et al. Association between children’s experience of socioeconomic disadvantage and adult health: a life-course study. Lancet 2002;360:1640–1645
- Bierhaus A, Wolf J, Andrassy M, Rohleder N, Humpert PM, Petrov D, et al. A mechanism converting psychosocial stress into mononuclear cell activation. Proc Natl Acad Sci 2003;100:1920–1925
- Araújo JP, Lourenço P, Azevedo A, Friões F, Rocha-Gonçalves F, Ferreira A, et al. Prognostic Value of High-Sensitivity C-Reactive Protein in Heart Failure: A Systematic Review. J Card Fail 2009;15:256–266
- Galkina E, Ley K. Immune and Inflammatory Mechanisms of Atherosclerosis. Annu Rev Immunol 2009;27:165–197
- Miller GE, Chen E. Harsh Family Climate in Early Life Presages the Emergence of a Proinflammatory Phenotype in Adolescence. Psychol Sci 2010;21:848–856
- Drumond CL, Paiva SM, Vieira-Andrade RG, Ramos-Jorge J, Ramos-Jorge ML, Provini F, et al. Do family functioning and mothers’ and children’s stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Investig 2020;24:1025–1033
- Goettems ML, Zborowski EJ, Costa F dos S, Costa VPP, Torriani DD. Nonpharmacologic Intervention on the Prevention of Pain and Anxiety During Pediatric Dental Care: A Systematic Review. Acad Pediatr 2017;17:110–119
- Pani SC, Al Odhaib M. The impact of dental treatment on the salivary cortisol levels of children with severe early childhood caries. Eur Arch Paediatr Dent 2013;14:307–312
- Bright MA, Alford SM, Hinojosa MS, Knapp C, Fernandez-Baca DE. Adverse childhood experiences and dental health in children and adolescents. Community Dent Oral Epidemiol 2015;43:193–199
- Subramaniam P, Haqh M, Gupta M. Assessment of trait and state anxiety in 3-6-year old children during sequential phases of dental treatment. Contemp Pediatr Dent 2020;1:22–32
- Porritt J, Buchanan H, Hall M, Gilchrist F, Marshman Z. Assessing children’s dental anxiety: a systematic review of current measures. Community Dent Oral Epidemiol 2013;41:130–142
- Asl AN, Shokravi M, Jamali Z, Shirazi S. Barriers and Drawbacks of the Assessment of Dental Fear, Dental Anxiety and Dental Phobia in Children: A Critical Literature Review. J Clin Pediatr Dent 2017;41:399–423
- Mitchual S, da Fonseca MA, Raja S, Weatherspoon D, Koerber A. Association Between Childhood Traumatic Stress and Behavior in the Pediatric Dental Clinic. Pediatr Dent 2017;39:203-208
- Hermont AP, Zina LG, Martins-júnior PA, Mayra J. Revisões integrativas : conceitos , planejamento e execução. Arq Odontol 2021;57:3–7
- Long N. Stress and economic hardship: the impact on children and parents. Pediatr Dent 2014;36:109–114
- McEwen BS, Gianaros PJ. Stress- and Allostasis-Induced Brain Plasticity. Annu Rev Med 2011;62:431–445
- Hellhammer DH, Wüst S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology 2009;34:163–171
- Silveira ER da, Goettems ML, Demarco FF, Azevedo MS. Clinical and Individual Variables in Children’s Dental Fear: A School-Based Investigation. Braz Dent J 2017;28:398–404
- Shonkoff JP, Slopen N, Williams DR. Early Childhood Adversity, Toxic Stress, and the Impacts of Racism on the Foundations of Health. Annu Rev Public Health 2021;42:115–134
Article Info
DOI: 10.51463/cpd.2021.76
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How to Cite
Victor Cavallaro Bottesini, Gabriel Florio Cairo, Gabriel Marcelino, Danilo Antonio Duarte. Does toxic stress impact paediatric dental procedures? An integrative review. Contemp Pediatr Dent 2021:2(3):135-141.