Actively Recruiting

Age: 8Years - 12Years
All Genders
Healthy Volunteers
ID07389148

Evaluation of Salivary Cortisol Levels and Physiological Stress Parameters in Children With Molar Incisor Hypomineralization: A Comparative Observational Study

Led by Lokman Hekim University · Updated on 2026-02-09

90

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

Sponsors

L

Lokman Hekim University

Lead Sponsor

T

The Scientific and Technological Research Council of Turkey

Collaborating Sponsor

AI-Summary

What this Trial Is About

Molar incisor hypomineralization (MIH) is a condition affecting the enamel of permanent molars and incisors in children, often causing tooth sensitivity, discomfort, and challenges during dental care. This condition may increase dental anxiety and trigger physiological stress responses. This observational study aims to evaluate such stress responses in children with MIH by measuring salivary cortisol levels, heart rate, and oxygen saturation, then comparing these with children without MIH. The study includes two groups of children aged 8 to 12 years: one group diagnosed with MIH and a healthy control group matched by age and sex. All participants will undergo a routine clinical dental examination without any treatment or intervention. Physiological stress parameters will be recorded during the visit, and saliva samples for cortisol analysis will be collected immediately after the examination using a non-invasive method. Participants will have their heart rate and oxygen saturation monitored during the dental visit, and saliva will be collected to measure cortisol levels. These assessments will help researchers understand stress responses related to dental anxiety in children with MIH. The study procedures are designed to be non-invasive and standardized. Participation lasts for the duration of the dental visit, and results may support the development of more anxiety-sensitive dental care approaches.

CONDITIONS

Brief Title

Salivary Cortisol Levels in Children With Molar Incisor Hypomineralization

Who Can Participate

Age: 8Years - 12Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged between 8 and 12 years
  • Children diagnosed with molar incisor hypomineralization (MIH) according to the European Academy of Paediatric Dentistry (EAPD) criteria or healthy children without MIH
  • Ability to cooperate sufficiently to complete the clinical dental examination and study procedures
  • Written informed consent obtained from a parent or legal guardian
Not Eligible

You will not qualify if you...

  • Presence of systemic, hormonal, or metabolic diseases
  • Regular use of medications known to affect salivary cortisol levels or cardiovascular parameters (e.g., corticosteroids, beta-blockers)
  • History of systemic conditions that may influence stress response
  • Refusal of participation by the child or parent/legal guardian

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - 1 day

Participants undergo a routine clinical dental examination during which physiological stress parameters such as heart rate and oxygen saturation are recorded. Saliva samples are collected immediately after the examination to assess cortisol levels.

1 visit (in-person)

Long-term Monitoring

Duration - Up to study completion date

Participants are observed to understand physiological stress responses associated with molar incisor hypomineralization over time.

No additional visits required

Trial Site Locations

Total: 1 location

1

Lokman Hekim University, Faculty of Dentistry

Ankara, Ankara, Turkey (Türkiye), 06510

Actively Recruiting

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Research Team

H

Hamide Comert, DDS, PhD

M

Merve Ozdemir, DDS, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Judgement criteria for molar incisor hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003.

K L Weerheijm, M Duggal, I Mejàre...

https://pubmed.ncbi.nlm.nih.gov/14529329

Can molar incisor hypomineralization cause dental fear and anxiety or influence the oral health-related quality of life in children and adolescents?-a systematic review.

B Jälevik, N Sabel, A Robertson

https://pubmed.ncbi.nlm.nih.gov/34110616

Salivary Cortisol as a Biomarker for Assessing Fear and Anxiety in Patients with Molar-Incisor Hypomineralization.

Laura-Roxana Contac, Silvia Izabella Pop, Minodora Dobreanu...

https://pubmed.ncbi.nlm.nih.gov/40002640