Stress reduction intervention and the initial periodontal therapy outcome in chronic periodontitis patients. a randomized controlled pilot study


  • karthikeyan Bangalore Varadhan Reader, Department of Periodontics, Krishnadevaraya college of dental Sciences, Bangalore, IndiaAffliated to Rajiv Gandhi University of dental Sciences
  • Munaga Shanmukha Venkata Nagarjuna Former Postgraduate Student, Department of Periodontics, Krishnadevaraya College Of Dental Sciences, Bangalore
  • Prabhuji Munivenkatappa Lakshmaiah Venkatesh Professor and Head, Department of Periodontics, Krishnadevaraya college of dental Sciences, Bangalore, IndiaAffliated to Rajiv Gandhi University of dental Sciences
  • Sai Jyothsna N Former Postgraduate Student, Department of Periodontics, Krishnadevaraya College Of Dental Sciences, Bangalore
  • Smiti Bhardwaj Former Postgraduate Student, Department of Periodontics, Krishnadevaraya College Of Dental Sciences, Bangalore
  • Rekha Murahari





Derogatis Stress Profile Scores, Non-Surgical Periodontal Therapy, Periodontal Disease, Psychological Stress, Stress Reduction Therapy, Salivary Cortisol.


Background: Psychosocial stress, have been implicated as risk indicators for periodontal disease. Minimal evidence in literature exists to assess the effect of stress reduction therapy (SRT) in the outcome of non-surgical periodontal therapy (NSPT).

Objective: Hence, we aimed to explore the possibility of employing SRT in stressed patients as an adjunctive intervention in the management NSPT.

Materials and Methods: Sixty male patients divided into Group 1 comprised of 20 unstressed chronic periodontitis patients receiving non-surgical periodontal therapy alone, Group 2a (20 stressed chronic periodontitis patients) received intervention focused on SPT with NSPT and Group 2b (20 stressed chronic periodontitis patients) received only NSPT without SPT. Their stress level was evaluated using a standard questionnaire method and salivary cortisol levels, at baseline and 3 months along with periodontal parameters.

Results: There was significant reduction in stress parameters for Group 2a patients. The reduction of total periodontitis affected sites was highest in Group I patients (55.4%), followed by Group 2a patients (53.2%) and Group 2b patients (38%).

Conclusion: SRT may result in comparable treatment outcome to unstressed chronic periodontitis patients. This study opens new avenues to investigate the effects of stress management as an adjunctive to conventional NSPT, which should be explored further.



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