scholarly journals Impact of chronic stress on periodontal health

2018 ◽  
Vol 24 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Mathieu Gunepin ◽  
Florence Derache ◽  
Marion Trousselard ◽  
Bruno Salsou ◽  
Jean-Jacques Risso

Introduction: Periodontal diseases are caused by pathogenic microorganisms that induce increases in of local and systemic proinflammatory cytokines, resulting in periodontal damage. The onset and evolution of periodontal diseases are influenced by many local and systemic risk factors. Educational objective: In this article, we aim to review the results of the research on the impact of chronic stress on the occurrence, development, and response to periodontal disease treatments and on the pathophysiological mechanisms of periodontal disease. Conclusion: Chronic stress has a negative impact on the occurrence, development, and response to the treatment of periodontal disease via indirect actions on the periodontium. This can result from behavioral changes caused by stress (poor dental hygiene, smoking, etc.) and a direct neuroimmunoendocrinological action related to the consequences (particularly immunological) of the secretion of certain chemicals (e.g., cortisol) induced by the activation of the hypothalamus and the autonomic nervous system in response to stress. These factors necessitate multidisciplinary management (e.g., physician, oral surgeon, and psychologist) of patients to identify subjects with chronic stress and to employ countermeasures to decrease the impact of stress on the periodontium.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sausan Al Kawas ◽  
Farah Al-Marzooq ◽  
Betul Rahman ◽  
Jenni A. Shearston ◽  
Hiba Saad ◽  
...  

AbstractSmoking is a risk factor for periodontal disease, and a cause of oral microbiome dysbiosis. While this has been evaluated for traditional cigarette smoking, there is limited research on the effect of other tobacco types on the oral microbiome. This study investigates subgingival microbiome composition in smokers of different tobacco types and their effect on periodontal health. Subgingival plaques were collected from 40 individuals, including smokers of either cigarettes, medwakh, or shisha, and non-smokers seeking dental treatment at the University Dental Hospital in Sharjah, United Arab Emirates. The entire (~ 1500 bp) 16S rRNA bacterial gene was fully amplified and sequenced using Oxford Nanopore technology. Subjects were compared for the relative abundance and diversity of subgingival microbiota, considering smoking and periodontal condition. The relative abundances of several pathogens were significantly higher among smokers, such as Prevotella denticola and Treponema sp. OMZ 838 in medwakh smokers, Streptococcus mutans and Veillonella dispar in cigarette smokers, Streptococcus sanguinis and Tannerella forsythia in shisha smokers. Subgingival microbiome of smokers was altered even in subjects with no or mild periodontitis, probably making them more prone to severe periodontal diseases. Microbiome profiling can be a useful tool for periodontal risk assessment. Further studies are recommended to investigate the impact of tobacco cessation on periodontal disease progression and oral microbiome.


2010 ◽  
Vol 4 (Spl) ◽  
pp. 35-37
Author(s):  
Vivek Gupta ◽  
Bhavana Gupta

ABSTRACT Probiotics are live micro-organisms that when administered in adequate amounts confer health benefits upon the host. Although a lot of work has been done regarding the effects of probiotic applications on systemic health particularly gastro-intestinal, the impact of probiotics on oral health is relatively new with lots of research going on; the area of probiotics and periodontal disease is still in its infancy. The present article summarizes the role of probiotics in periodontal health and disease and its effectiveness in periodontal therapy.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Susanne Schulz ◽  
Natalie Pütz ◽  
Elisa Jurianz ◽  
Hans-Günter Schaller ◽  
Stefan Reichert

Background. Several studies suggest that there is a biologically plausible connection between rheumatoid arthritis (RA) and periodontal diseases (PD). Both disorders are characterized as multifactorial diseases potentially sharing common risk factors. Based on the inflammatory nature of RA and PD, the impact of genetic variations of genes of the immune system on both diseases was studied in this study.Materials and Methods. We conducted a case-control study (n=201) comparing 101 RA patients suffering from periodontal disease of different severities (no/mild PD vs. severe PD) with 100 systemically healthy controls without RA and severe PD. The genotype, allele, and haplotype distributions of 22 SNPs of 13 pro- and anti-inflammatory cytokines were assessed applying sequence-specific PCR.Results. Evaluating the impact of cytokine SNPs in RA, we identified the G allele of rs1801275 in IL4Rα(p=0.043) and the G allele of rs361525 in TNFα(p=0.005) as disease-associated risk factors in bivariate analyses. In multivariate analyses, these significant associations could not be proven. The A allele of rs2430561 in IFNγwas indicative for severe periodontitis among the patients with rheumatoid arthritis (p=0.039). Investigating the impact of rs2430561 in IFNγon comorbidity using binary logistic regression analyses, the A allele was confirmed as an independent risk factor for severe periodontal disease and RA (p=0.024).Conclusions. These results emphasize the association of genetic variations in proinflammatory cytokines (TNFαand IFNγ) and cytokine receptor (IL4Rα) and RA and periodontal diseases. In multivariate analyses, the A allele of IFNγwas proven to be a significant marker of RA and PD comorbidities. The study broadens the knowledge about disease-specific differences in genetic composition and provides an improved understanding of a possible association of both diseases.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Pamella Valente Palma ◽  
Paula Liparini Caetano ◽  
Isabel Cristina Gonçalves Leite

Objective.This study assessed the impact of periodontal diseases on health-related quality of life of adult users of the Brazilian Unified Health System.Study Design.A cross-sectional study was conducted on an outpatient basis. The sample included 151 adults treated in the Periodontics section at Dental Specialty Centres of Juiz de Fora (Minas Gerais, Brazil). TheOral Health Impact Profile(OHIP-14) measured the impact of periodontal disease on quality of life. Participants were interviewed to obtain self-perception of general and oral health and socioeconomic data, and dental records were consulted to obtain periodontal status data. The values of central tendency of the OHIP-14 were compared with socioeconomic, demographic, and self-reported health predictors using nonparametric tests. The final analysis was performed using multiple linear regressions.Results.The results showed that psychological discomfort and physical disability exhibited a negative impact. The following variables can explain approximately 27% of the impact of oral health conditions on health-related quality of life in this group: periodontal disease, self-perceived oral health, and the need to use or replace dental prosthesis.Conclusion.The need for prosthetic rehabilitation and worse periodontal status are associated with health-related quality of life, which can be predicted by the self-perception of health.


Dental Update ◽  
2019 ◽  
Vol 46 (10) ◽  
pp. 942-951
Author(s):  
Imogen Midwood ◽  
Penny Hodge

Non-surgical periodontal therapy (NSPT) underpins all other restorative treatment which takes place in the mouth. Therefore a thorough understanding of the process of delivery of effective NSPT and long-term maintenance of periodontal health is essential for every dental practitioner. This article covers the steps involved and discusses the benefits and challenges which may be encountered. CPD/Clinical Relevance: This article highlights the benefits and challenges of non-surgical management of periodontal disease and the key role that the patient plays in achieving and maintaining periodontal health.


Author(s):  
Milind Wasnik ◽  
Suryakant Kumar ◽  
Arun Sajjanar ◽  
Niharika Gahlod ◽  
Sneha Khekade ◽  
...  

The term “periodontal diseases” includes any inherited or acquired disorders of the tissues that are supporting the teeth i. e Gingiva, Cementum, PDL, and Alveolar bone. The periodontal disease can be either localized or generalized. Localized aggressive periodontitis (LAgP) patients have interproximal attachment loss on at least two permanent first molars and incisors, with attachment loss on no more than two teeth other than first molars and incisors. In children and adolescents LAgP occurs without clinical evidence of systemic disease and it is characterized by the severe loss of alveolar bone around permanent teeth [10]. Most commonly the disease is localized to the permanent first molars and incisors. Aim: The aim of this review article is explain in details about aggressive periodontitis including different management aspect of the same. Methods: This paper presents a review of the aggressive periodontitis in children. An electronic search was conducted using Pub Med®/MEDLINE, and Google search using the terms: Periodontium, Localized Aggressive Periodontitis, Children and periodontal health, periodontal health in adolescents, gingival disease in children, periodontal disease in children,  gingivitis, periodontitis, gingival disease and its prevalence, periodontal disease and its prevalence.


2019 ◽  
Vol 10 (2) ◽  
pp. 85-90
Author(s):  
Reem Al-Kattan ◽  
Nouf Al Shibani ◽  
Hanadi AL Zahrani ◽  
Ghadah Al Enazi ◽  
Demah Al Nafa

Aims and objectives: The aim of this study was to assess the influence of periodontal status on quality of life (QoL) with the use of a short version of the Oral Health Impact Profile (OHIP-14) in patients with periodontal disease attending university in Riyadh, Saudi Arabia. Materials and methods: Adult patients diagnosed with periodontal disease and having minimum of 15 teeth or more present was included. Included patients were requested to fill a questionnaire form and undergo a comprehensive clinical periodontal examination. The influence of oral health on patients’ QoL was assessed using the Arabic version of OHIP-14. Results: A total of 25 adults aged between 23 and 80 years with a mean age of 49 years completed the questionnaire. The impact of periodontal disease on patient’s QoL was statistically significant in 2 domains, namely physical pain ( P = .004) and psychological disability ( P = .001). The severity of periodontal disease did not show a negative impact on functional limitation. In general, the total OHIP-14 scores were statistically significant with the number of teeth with pocket depths of 5 mm ( P = .001) and 7 mm ( P = .011). Conclusions: Periodontal destruction has a negative impact on QoL. The use of this index as well as other patient-centered outcome measures has significant implications in periodontology, including treatment planning and evaluation of treatment results.


2021 ◽  
Vol 8 (1) ◽  
pp. 6
Author(s):  
Amaliya Amaliya ◽  
Snataka Pribadi ◽  
Yun Mukmin Akbar ◽  
Suhardjo Sitam

Background: Oral condition is one of substantial factors in general health. Good oral health will determine dental fitness or readiness in military troops. Oral diseases affecting soldiers may have negative impacts in readiness on deployment or fight and contributes to lowering morale among personnel. At the recruitment stage, the prevalence of periodontal disease is low and controlled before the commencement of the training. As a matter of fact, periodontal health was not considered to be maintained and found to be worsening through the course of time. In the end, many of soldiers were found to suffer from periodontal diseases. Method : This review article aims to discuss several factors in military way of life related to oral condition.Result : Lack of oral hygiene practices, stress, deficiency of nutritious food, and smoking among military personnel may contribute to the prevalence of periodontal disease. Several attempts should be incorporated in military life to reduce the negative impacts of these factors on oral health.Conclusion: Periodontal therapy should be provided early in the military careers and repeated at intervals specific to the needs of each personnel. Several risk factors contributing to the development and severity of periodontal disease should be assessed and overcome to arrest the progression of the disease.


2021 ◽  
Vol 30 (03) ◽  
pp. 164-169
Author(s):  
Wardah Ahmed ◽  
◽  
Mehmil Aslam ◽  
Syed Imran Hassan Hassan ◽  
Khalil Ahmed ◽  
...  

OBJECTIVE: To Evaluate the level of oral health literacy (OHL) among new patients seeking care at the private teaching dental hospital. METHODOLOGY: A cross-sectional study conducted at Department of Oral Diagnosis & Periodontology at Private Teaching Dental Hospital. Adults (>18years) was recruited in the study using non-probability convenient sampling technique. Participants verbally consented to participate, then interview based validated questionnaire was administered. Data collected from April 2019 to August 2019. The study was approved by Scientific Review Committee of Private Teaching Dental Hospital. OHL was measured by REALD-20. Clinical assessment was performed using periodontal index. Two investigators and 2 house surgeons were trained for increasing inter-examiner reliability. Demographic variables were examined as exploratory covariates. Statistical analysis was performed using SPSS 21.Fisher’s exact test used to determine bivariate association and Multivariate regression analysis showed the relationship. RESULTS: The total sample size was n=236 out of which 100 (42.6%) were male and 136 (57.6%) were female. Mean age of the sample was 36 years (±13.6) and majority 150(64%) had 12 years of education completed. Smokers were 50 (21%) were smokers. Respondents 173(73.3%) brush at least once in a day and 93% used toothpaste as dentifrice. Respondents belong to low-OHL had moderate 84 (36%) and severe periodontal 72 (31%) diseases. The mean Periodontal Index Score: 2± 0.54. OHL was significantly associated with periodontal disease (p 0.01). Smokers showing significant association (p 0.04) with periodontal disease. Multivariate regression analysis revealed that for one- point decrease in OHL score, the occurrence of periodontal disease reduced by 25% (Adjusted OR=0.75). CONCLUSION:This has been concluded that oral health literacy associated with periodontal health status. Understanding of periodontal health knowledge and its implication is vital for prevention of periodontal diseases. Future intervention researches are required to develop etiological relationship between oral health literacy and periodontal health status. KEYWORDS: Periodontal disease, dental oral health, smokes adults


Praxis medica ◽  
2020 ◽  
Vol 49 (1-2) ◽  
pp. 35-40
Author(s):  
Radojica Stolić ◽  
Vekoslav Mitrović ◽  
Naja Suljković ◽  
Dušica Miljković-Jakšić ◽  
Aleksandra Balović ◽  
...  

Objective: In the available literature data, there is not much information about problems of patients with end stage kidney disease in relation to oral health. Our objective was to show the importance of oral diseases for patients on hemodialysis. Data sources: In this review article, the sources of data are review articles and scientific articles in the English language published in MEDLINE database. The choice of studies was based on keywords: Chronic kidney disease, Hemodialysis, Oral health, Periodontal diseases. Results: It is assumed that almost 90% patients with chronic kidney disease manifest some symptoms of oral disease. Therefore, it is important to determine the impact of periodontal disease on the progression of kidney failure in these individuals, to evaluate inflammatory parameters in this patient population, to assess the degree of bone loss and periodontal disease index, to determine the presence of bacterial strains, paradontopathy of gingival fluid and antibody titers, to examine correlations of proinflammatory cytokines in the gingival sulcus and serum, as well as to determine the relationship between periodontal tissue and inflammatory mediators. Periodontal diseases can increase the possibility of developing chronic kidney disease by 1.5 to 2 times. These oral diseases include gingival hyperplasia, periodontitis, xerostomia, unpleasant breath, changes in the oral mucosa, malignancies, oral infections, dental abnormalities and bone lesions. Conclusion: This requires serious cooperation between nephrologists and dentists to make proper communication possible, in order to provide quality dental care for this growing patient population in accordance with new treatment strategies.


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