Periodontal or gum disease is a pathological inflammatory condition of the gum and bone support periodontal tissues surrounding the teeth. Psychological disturbances can lead patients to neglect oral hygiene with resultant unfavorable effects on the periodontal tissues. To establish the treatment or prevention of an illness will always be necessary the eradication of all etiological factors, andor increase host local resistance andor improve the overall resistance of the. Novel biomarker between periodontal disease and psychosocial stress, journal of indian society of periodontology vol 17, issue 2, marapr 20 9 models to evaluate the role of stress in periodontal disease, ann periodontol 1998. Stress related immune system changes clearly have the potential to affect the pathogenesis of periodontal disease as well. Periodontal disease is generally due to bacteria in the mouth infecting the tissue around the teeth. It is the most common cause of tooth loss in adults. When youre stressed, you may also pick up some unhealthy eating habits, such as snacking on sugary foods or drinks. The body of evidence on the relationship of stress to disease activity appears to be greatest for rheumatoid arthritis. Stress and depression may affect the onset and progression of periodontal disease. The relationship between periodontal illness and the psychological predisposing factors is wellestablished in specific conditions, like, acute necrotizing ulcerative gingivitis anug is identified to be significantly associated with high levels of trait anxiety, depression, and other emotional disturbances. This pathophysiological situation persists through bouts of activity and quiescence.
Impact of chronic stress on periodontal health journal of oral. Periodontal health and disease in a nutshell even though it is largely preventable, periodontal disease remains a major public health issue in all countries around the world. Periodontal disease affects many americans and is the major cause of adult tooth loss. Periodontal disease is defined in this document as chronic inflammatory diseases of bacterial aetiology that affect the toothsupporting soft and hard tissues. Periodontal health and cardiovascular disease risk. The study, though, doesnt provide a conclusive, definitive relationship between stress, anxiety and gum disease. As periodontal disease is multifactorial, effective disease management requires a clear understanding of all the associated risk factors. The impact of stress on the immune system has been well established, and a possible influence on a chronic inflammatory disease like periodontitis appears probable. Periodontal disease is characterized by chronic inflammation of the gingiva gum tissues caused by infection with anaerobic bacteria. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.
Pdf periodontal diseases are common chronic inflammatory diseases caused by pathogenic microorganisms colonising the subgingival area and inducing. Periodontal gum disease is an infection of the tissues that hold your teeth in place. Bacteria in your mouth, called plaque, are the major cause of periodontal disease. Studies indicate that older people have the highest rates of periodontal disease.
When stress becomes chronic, it may influence inflammatory processes leading to development of systemic or local diseases such as rheumatoid arthritis 14, diabetes 15, cardiovascular diseases 16 or periodontal diseases 17. Its typically caused by poor brushing and flossing habits that allow plaquea sticky film of bacteriato build up on the. As stress influences the immune system and also changes the behaviour, it is extremely important to analyse if its influence is the same on the different forms of the periodontal disease. Periodontal disease, also known as gum disease, is an inflammatory process that results in the loss of gum tissue and the alveolar bone that contains the tooth sockets.
Psychosocial stress is thought to play an important role in the etiology and progression of periodontal diseases, and the outcome of treatment 4,5. If you dont take good care of your mouth and teeth, you raise your chances of getting cavities or gum disease. Poor periodontal health has been positively correlated with cardiovascular disease cvd in numerous observational studies. A tooths root is anchored to the bone within its socket by fibers called periodontal. The relationship between periodontal illness and the psychological predisposing factors is wellestablished in specific conditions, like, acute necrotizing ulcerative gingivitis anug is. Psychologicalpsychosocial stress and periodontal diseases. In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed. Stress and periodontal disease as stress influences the immune system and also changes the behaviour, it is extremely important to analyze if its influence is the same on the different forms of the periodontal disease. However, to the best of our knowledge, no published study has established whether the mechanisms by which stress and depression influence periodontal disease. Periodontal diseases do not tend to cause pain or intense discomfort. Stress diminishes saliva flow and increases dental plaque formation. Direct association between periodontal disease and stress remains to be proven, which is partly due to lack of an adequate animal models and difficulty to quantifying the amount and duration of stress. This form of gum disease does not include any loss of. There is evidence that microbial heat shock stress proteins hsp are immunodominant antigens of many microorganisms.
Is psychological stress a possible risk factor for periodontal. Most irish adults suffer from some form of periodontal disease. The main cause of periodontal gum disease is plaque, but other factors affect the health of your gums. Periodontal disease is a chronic inflammatory disease that destroys bone and gum tissues that support the teeth. The impact of stress on the immune system has been well established, and a possible influence on a chronic inflammatory disease like periodontitis. It has been reported that variations in severity of periodontal diseases are influenced by stress. An association between stress and periodontal disease. Dental plaque which harbours specific periodontal pathogens is its primary aetio logical factor. Periodontal health and disease fdi world dental federation. Teeth are supported by the gums, or gingiva and bone. Periodontal disease initiation and propagation is through a dysbiosis of the commensal oral microbiota dental plaque, which then interacts with the immune defences of the host, leading to inflammation and disease. Stress can affect your mood and cause you to skip brushing, flossing, and rinsing.
Stress, depression, cortisol, and periodontal disease. Periodontitis is a chronic inflammatory disease of the mouth that involves the gingiva gum tissues, teeth, and supporting bone. Periodontitis is clinically defined as the loss of connective. The astonishing link between osteoporosis and periodontal. In its more serious form, called periodontitis, the gums can pull away from the tooth. The condition you may refer to as gum disease also is called periodontal disease. The influence of psychological stress on periodontal disease. Periodontal disease is associated with several unpleasant symptoms including pain, bad breath, bleeding of the gums, and bad tastes in the mouth.
Risk factors include smoking, diabetes, hivaids, family history, and certain medications. Gingivitis stress diminishes saliva flow and increases dental. Relationship between stress, depression and periodontal disease. Stress disrupts the homeostasis of this network, which in turn, alters immune function. Periodontal disease oral health conditions division of. Humoral immunity to stress proteins and periodontal disease. Prevention and treatment of periodontal diseases in. Models to evaluate the role of stress in periodontal disease. We have prepared this periodontal gum disease fact sheet in order to provide you with a clearer picture of how gum disease begins, how it progresses, how it is treated, and what you can do to preventcontrol the disease.
Periodontal diseases are mainly the result of infections and inflammation of the gums and bone that surround and support the teeth. Data from the centers for disease control and prevention indicates that over 70% of americans 65 and older have periodontitis. Since 1950, emotional factor have been identified in periodontal disease. Periodontal gum disease national institute of dental. Stress and periodontal disease wiley online library.
Periodontal disease periodontal disease, also known as gum disease, is an infection that attacks the bone and gums that support your teeth. Stress induced immunosupression psychosocial stress impact the periodontal disease through alterations in immune system. Stress can make it more difficult for our bodies to fight infection and can also make it more difficult to look after yourself, when suffering with increased stress it is common for patients to engage in habits that can lead to gum disease. Prevention and treatment of periodontal diseases in primary care 7 management of patients with dental implants 51 7. If gum disease is more advanced, scaling and root planning can be performed to treat diseased periodontal pockets and gum infection. This study was undertaken to assess the relationships between immunity to human and microbial heat shock proteins, periodontal disease. Even the stress of loneliness can cause gum periodontal disease, says a study. Particularly, the evaluation of oxidative stress status was proposed as an important factor in diagnosing the development and progress of such general diseases as periodontal disease, oral cancer, diabetes, rheumatoid arthritis, chronic renal failure, obstructive sleep apnea syndrome, and hiv. Observations from several epidemiologic and clinical studies suggest that psychological stress has a role in the etiology and progression of periodontal diseases pd. Periodontal disease is defined in this document as chronic inflammatory diseases. In periodontology, the pathogenesis of gingivitis and periodontitis are.
90 469 1653 587 394 808 1290 887 1246 1075 19 217 1127 1544 242 1031 1151 963 603 553 769 1580 578 742 1411 1559 1146 483 1194 515 1116 984 397 1333