Assessment of cortisol as salivary psychological stress marker in relation to temporomandibular disorders among a sample of dental students
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Abstract
Materials and methods: A total eighty participants age between 20 to 24 were recruited for this study. The participants were University dental students under graduate students at final examination period who were examined and gave saliva samples in final examination period. Salivary assay kits as cortisol was used to measure those variables and a Helkimo anamnestic and clinical dysfunction scoring for TMD.
Results: The group of participants with stress and temporomandibular disorder showed significantly higher levels of salivary cortisol than the control group, the salivary cortisol has statistically significant correlation with Helkimo anamnestic categories (Di-I mild, Di-II moderate and Di-III severe. Salivary cortisol levels show significant but weak association with two categories of clinical dysfunction criteria in Helkimo index system, which are Muscle pain and TMJ pain on palpation.
Conclusion: This study demonstrated that University students perceived a high level of stress before the final examination. Salivary cortisol is the stress biomarker that is most often used to measure acute stress. Helkimo anamnestic and clinical dysfunction scoring criteria for still the pioneer for measuring a temporomandibular disorder.
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