PMID- 24332810 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20200810 IS - 2212-4632 (Electronic) IS - 1883-1958 (Linking) VI - 58 IP - 1 DP - 2014 Jan TI - Differences of salivary cortisol levels between long-term and short-term wearers of dento-maxillary prosthesis due to head and neck cancer resection. PG - 41-7 LID - S1883-1958(13)00124-2 [pii] LID - 10.1016/j.jpor.2013.10.001 [doi] AB - PURPOSE: The purpose of this study was to use cortisol awakening response (CAR) to investigate the differences in daily life stress experienced by individuals wearing either a long-term (LT) or a short-term (ST) dento-maxillary prosthesis following head and neck cancer (HNC) resection. Also we used the University of Washington Quality of Life (UW-QOL) version 4 questionnaire to evaluate the differences in quality of life (QOL) scores between ST and LT wearers of a dento-maxillary prosthesis. METHODS: Salivary samples were collected from 11 LT and 10 ST prosthesis wearers on two consecutive days at two time points, immediately after waking up (T0) and 30min later (T30), by passive drool collection. Cortisol levels were measured using a high sensitivity salivary cortisol enzyme immunoassay kit (Salimetrics, LLC, State College, PA, USA) and CAR (the differences between the cortisol levels at T0 and T30) was compared between LT and ST prosthesis wearers. In addition, both the groups completed the UW-QOL questionnaire and the scores were compared. RESULTS: A significant difference was observed in CAR between the two groups. CAR of the ST prosthesis wearers was significantly lower compared with that of the LT prosthesis wearers; moreover, the ST prosthesis wearers revealed significantly lower total UW-QOL scores and there were significant differences in appearance, activity, recreation, speech, and anxiety. CONCLUSION: Within the limitations of this study, the findings suggest that individuals wearing ST dento-maxillary prostheses following HNC resection experience some sort of daily life stress and complicated socio-demographic factors may influence their QOL. CI - Copyright (c) 2013 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved. FAU - Kosaka, Moe AU - Kosaka M AD - Department of Maxillofacial Prosthetics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. Electronic address: kosamfp@tmd.ac.jp. FAU - Sumita, Yuka I AU - Sumita YI AD - Department of Maxillofacial Prosthetics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. FAU - Otomaru, Takafumi AU - Otomaru T AD - Department of Maxillofacial Prosthetics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. FAU - Taniguchi, Hisashi AU - Taniguchi H AD - Department of Maxillofacial Prosthetics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131214 PL - Japan TA - J Prosthodont Res JT - Journal of prosthodontic research JID - 101490359 RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adult MH - Aged MH - Demography MH - Female MH - Head and Neck Neoplasms/*physiopathology/surgery MH - Humans MH - Hydrocortisone/*analysis MH - Male MH - Maxillofacial Prosthesis/*adverse effects/*psychology MH - Middle Aged MH - Quality of Life MH - Saliva/*chemistry MH - Stress, Psychological/*etiology/*physiopathology MH - Surveys and Questionnaires MH - Time Factors OTO - NOTNLM OT - Cortisol levels OT - Dento-maxillary prosthesis wearers OT - Saliva EDAT- 2013/12/18 06:00 MHDA- 2014/09/30 06:00 CRDT- 2013/12/17 06:00 PHST- 2012/11/14 00:00 [received] PHST- 2013/10/02 00:00 [revised] PHST- 2013/10/15 00:00 [accepted] PHST- 2013/12/17 06:00 [entrez] PHST- 2013/12/18 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] AID - S1883-1958(13)00124-2 [pii] AID - 10.1016/j.jpor.2013.10.001 [doi] PST - ppublish SO - J Prosthodont Res. 2014 Jan;58(1):41-7. doi: 10.1016/j.jpor.2013.10.001. Epub 2013 Dec 14.