MT Alexandrov*

Department of Dentistry, FUV GBUZ MO, Moscow Regional Research Clinical Institute, Russia

*Corresponding Author: MT Alexandrov, Department of Dentistry, FUV GBUZ MO, Moscow Regional Research Clinical Institute, Russia.

Received: June 18, 2026; Published: July 14, 2026

Background. Information on objective data and reference indicators characterizing the condition and relationship of maxillofacial organs (MFO) with general adaptation syndrome and stress is poorly understood. The aim of this study is an experimental and clinical investigation of the objectivity of a method for digital, comprehensive, and express diagnostics of students' dental status under stressful conditions based on metabolic, morphometric, and functional indicators of maxillofacial tissues.

Material and Methods. The study involved 30 students aged 18 to 21 years (17 females and 13 males) before and after mentally challenging classes, after physical exercise, after the end of the first year of study, and at the beginning and middle of the first semester of the second year of study. Electroodontodiagnostics, pH-metry and fluorescence diagnostics of saliva, thermometry of periodontal tissues, Stange test, calculation of the Sheikh-Zade formula, and the Spielberger psychological test were carried out. Statistical analysis of the results was performed using standard statistical complexes in Microsoft Excel.

Results. EOD: after two classes with mental stress - an increase in the indicator by 46.5% (p < 0.01). After physical unloading - recovery by 23.2% (p < 0.05). pH-metry of saliva: at the end of the academic year - 6.41 ± 0.19, after two months of summer vacation - 6.87 ± 0.11, and in the middle of the first semester of the second year - 6.63 ± 0.11. A comparative analysis of periodontal tissue thermometry readings in students at the end of the academic year and after a two-month rest revealed an average increase in gum temperature of 0.62 °C (p < 0.05). Measuring the fluorescence intensity of saliva samples before and after academic stress compared to baseline revealed a significant increase in the 600-650 nm wavelength range and a 10-30-fold increase in integral intensity, while a 7-10-fold decrease was observed after a night's rest. Stange's test revealed a 31.5% decrease (p < 0.001) after two mentally challenging sessions and a 19.3% improvement (p < 0.001) after physical stress. Sheikh-Zadeh formula: after two sessions with mental stress - an increase of 57.2% (p < 0.001), after physical unloading - dynamics to decrease by 18.6% (p < 0.05). Spielberger psychological test after summer vacation: prevalence of the average level of personal anxiety and a high level of reactive anxiety.

Conclusion: the specified examination methods can reasonably be included in a comprehensive assessment of the dental status with the intensification of their correction for the stress factor. The presented indicators of the maxillofacial region objectively and multifactorially reflect the dental status of the maxillofacial region and can be used as reference in assessing stress loads in students at the stages of their training. Key words: stress; reference indicators of stress; maxillofacial region; saliva; fluorescence. For citation: Alexandrov M.T.

Keywords: Maxillofacial Organs (MFO); Metabolic; Saliva

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Citation

Citation: MT Alexandrov. “Assessing the Impact of Stress on the Objectivity of Dental Diagnostic Indicators". Acta Scientific Dental Sciences 10.8 (2026): 13-18.

Copyright

Copyright: © 2026 MT Alexandrov. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.