Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study

AimTo assess through salivary biomarkers if clinical practices generate stress and a systemic inflammatory response in dental surgery post-graduate students.Materials and methodsA cross-sectional analytical observational study was conducted with students from the Master’s in Clinical Dentistry progr...

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Main Authors: Laura Barrientos-Moral, María José Gimeno-Longas, Cristina Obispo-Díaz, Andrea Martín-Vacas, Marta Macarena Paz-Cortés, Juan Manuel Aragoneses
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1568047/full
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author Laura Barrientos-Moral
Laura Barrientos-Moral
María José Gimeno-Longas
Cristina Obispo-Díaz
Andrea Martín-Vacas
Marta Macarena Paz-Cortés
Marta Macarena Paz-Cortés
Juan Manuel Aragoneses
author_facet Laura Barrientos-Moral
Laura Barrientos-Moral
María José Gimeno-Longas
Cristina Obispo-Díaz
Andrea Martín-Vacas
Marta Macarena Paz-Cortés
Marta Macarena Paz-Cortés
Juan Manuel Aragoneses
author_sort Laura Barrientos-Moral
collection DOAJ
description AimTo assess through salivary biomarkers if clinical practices generate stress and a systemic inflammatory response in dental surgery post-graduate students.Materials and methodsA cross-sectional analytical observational study was conducted with students from the Master’s in Clinical Dentistry program. Salivary samples were collected before and after surgical procedures to quantify stress (cortisol) and inflammation biomarkers (IL-6, IL-1β, and CRP). Additionally, students completed the Perceived Stress Scale (PSS) questionnaire prior to the surgical procedure. Descriptive and analytic statistics were conducted with a 95% significance level.ResultsA total analyzed sample included 21 subjects, with a mean age of 25.5 years. The influence of academic year, gender, or smoking status was none found to have a significant impact. The results show a significant decrease in cortisol levels between the pre- and post-measurements (mean difference = −108.2 ± 166.7). However, an increase in IL-6 levels was obtained (p < 0.05). High IL-6 levels were associated with elevated CRP levels. An inverse relationship was seen between perceived stress and salivary cortisol concentrations.ConclusionThe findings show a significant decrease in salivary cortisol (stress) levels and a significant increase in salivary IL-6 levels following a dental implantology procedure in postgraduate oral surgery students.
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spelling doaj-art-1d646c036e6c4bf983ce4a47e612c6612025-08-20T02:23:51ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.15680471568047Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot studyLaura Barrientos-Moral0Laura Barrientos-Moral1María José Gimeno-Longas2Cristina Obispo-Díaz3Andrea Martín-Vacas4Marta Macarena Paz-Cortés5Marta Macarena Paz-Cortés6Juan Manuel Aragoneses7Department of Systems Biology, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Alcalá de Henares, SpainExperimental and Clinical Dentistry – Research Group, Facultad de Odontología, Universidad Alfonso X El Sabio, Villanueva de la Cañada, SpainDepartment of Cell Biology and Histology, School of Medicine, Universidad Complutense de Madrid, Madrid, SpainExperimental and Clinical Dentistry – Research Group, Facultad de Odontología, Universidad Alfonso X El Sabio, Villanueva de la Cañada, SpainExperimental and Clinical Dentistry – Research Group, Facultad de Odontología, Universidad Alfonso X El Sabio, Villanueva de la Cañada, SpainExperimental and Clinical Dentistry – Research Group, Facultad de Odontología, Universidad Alfonso X El Sabio, Villanueva de la Cañada, SpainClinical Specialties Department, Faculty of Dentistry. Universidad Complutense de Madrid, Madrid, SpainDepartment of Dental Research, Federico Henriquez y Carvajal University, Santo Domingo, Dominican RepublicAimTo assess through salivary biomarkers if clinical practices generate stress and a systemic inflammatory response in dental surgery post-graduate students.Materials and methodsA cross-sectional analytical observational study was conducted with students from the Master’s in Clinical Dentistry program. Salivary samples were collected before and after surgical procedures to quantify stress (cortisol) and inflammation biomarkers (IL-6, IL-1β, and CRP). Additionally, students completed the Perceived Stress Scale (PSS) questionnaire prior to the surgical procedure. Descriptive and analytic statistics were conducted with a 95% significance level.ResultsA total analyzed sample included 21 subjects, with a mean age of 25.5 years. The influence of academic year, gender, or smoking status was none found to have a significant impact. The results show a significant decrease in cortisol levels between the pre- and post-measurements (mean difference = −108.2 ± 166.7). However, an increase in IL-6 levels was obtained (p < 0.05). High IL-6 levels were associated with elevated CRP levels. An inverse relationship was seen between perceived stress and salivary cortisol concentrations.ConclusionThe findings show a significant decrease in salivary cortisol (stress) levels and a significant increase in salivary IL-6 levels following a dental implantology procedure in postgraduate oral surgery students.https://www.frontiersin.org/articles/10.3389/fmed.2025.1568047/fulldentistrydental educationoral surgeryinflammation mediatorsbiomarkers
spellingShingle Laura Barrientos-Moral
Laura Barrientos-Moral
María José Gimeno-Longas
Cristina Obispo-Díaz
Andrea Martín-Vacas
Marta Macarena Paz-Cortés
Marta Macarena Paz-Cortés
Juan Manuel Aragoneses
Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
Frontiers in Medicine
dentistry
dental education
oral surgery
inflammation mediators
biomarkers
title Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
title_full Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
title_fullStr Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
title_full_unstemmed Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
title_short Analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students: a pilot study
title_sort analysis of the impact of clinical practices on salivary biomarkers of inflammation and stress in oral surgery postgraduate students a pilot study
topic dentistry
dental education
oral surgery
inflammation mediators
biomarkers
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1568047/full
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