Relationship between psycho-emotional stress and periodontal disease

Abstract

ABSTRACT Introduction. The severity and nature of periodontal disease depend on a number of factors. An important place is occupied by the general condition of the body, the presence of systemic diseases, environmental influences, and chronic stress and so on. A number of clinical studies have examined the possible relationship between psychological stress and periodontal disease. Objectives. To determine the influence of psychosomatic state on periodontal tissues of the examined residents. Material and methods. To conduct the study, a questionnaire of 350 residents of Kyiv and several other cities of Ukraine was conducted. Diagnosis of anxiety self-assessment was performed by determining the Spielberger-Khanin test of reactive and personal anxiety and DASS-21. The subjects examined the oral cavity and assessed the condition of the periodontium. Results. A higher level of systemic diseases was found in residents with insufficient living conditions. It also affected the higher level of personal anxiety of residents. High levels of personal anxiety affect the prevalence and structure of periodontal disease. Thus, the study of the impact of psychoemotional stress on the course of periodontal disease and further development of appropriate schemes of rational treatment of periodontal disease (periodontitis) in people with psychoemotional stress. Conclusions. Analysis of the levels of reactive anxiety in the subjects depending on the presence and type of periodontal diseases showed that the subjects with the presence of chronic gingivitis, the level of reactive anxiety was quite moderate. A slightly higher level of reactive anxiety was found in patients with periodontitis. The level of personal anxiety is higher if the subjects have periodontitis. Key words: periodontal diseases, reactive and personal anxiety