Real time measurement of stress by electroencephalogram during contentious mouth opening

Ryoko Otsuka, Y. Nomura, Ayako Okada, Masahide Uraguchi, H. Tadokoro, Tetsuya Nagai, Yoshihito Fujii, M. Miura, Ryo Kawachi, M. Yamamoto, Taketoshi Wakana, N. Hanada
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Abstract

Purpose: Dental treatment is a stressful event. The aim of this study was to evaluate the feasibility of electroencephalography (EEG) for the measurement of stress the stress of the patient’s ongoing dental treatment. Materials and Methods: Real-time brain activity was measured for five healthy subjects (three males and two females) under contentious opening mouth conditions and compared with the relaxed conditions for 18 minutes. Brain activities were measured under the conditions that subjects were sited on the dental chair in horizontal situation. Electroencephalograph (EEG) were used to measure the five type of brain waves: θ, α1, α2, α3, and β. Results: In θ wave, α3 wave and β wave, widening gap between opening mouth condition and closing mouth conditions were observed with over the time course. This tendency was confirmed by autoregressive moving average (ARMA) model and mixed effect modeling. All of the coefficients of opening mouths were statistically significant, when closing mouth used as reference. EEG may be useful tool to measure the stress during dental treatment. Stress by sitting on dental chair in horizontal situation was depended on personality traits. Conclusion: Contentious opening mouth may be stressful; however, the amount of stress may be small. The changes can be seen within 18 min. Prolonged chair time for the dental treatment may not be recommended. (Asian Pac J Dent 2019; 19: 45-50.)
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争议性张口时脑电图压力的实时测量
目的:牙科治疗是一件令人紧张的事情。本研究的目的是评估脑电图(EEG)测量压力的可行性,病人正在进行牙科治疗的压力。材料与方法:对5名健康受试者(3男2女)在争议性张嘴条件下的实时脑活动进行测量,并与放松条件下的18分钟进行比较。测量受试者水平坐在牙科椅上的脑活动。用脑电图仪(EEG)测量5种脑电波:θ、α1、α2、α3和β。结果:在θ波、α3波和β波中,随着时间的推移,开口状态和闭口状态之间的差距越来越大。自回归移动平均(ARMA)模型和混合效应模型证实了这一趋势。以闭口为参照,张开口各系数均有统计学意义。脑电图可作为测量牙科治疗过程中应力的有效工具。水平坐在牙科椅上的压力与人格特质有关。结论:争议性开口可能有压力;然而,压力的量可能很小。在18分钟内可以看到变化。不建议延长牙科治疗的椅子时间。(亚太杂志2019;19: 45 - 50)。
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