Stress reduction intervention and the initial periodontal therapy outcome in chronic periodontitis patients. a randomized controlled pilot study
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2019-09-20 https://doi.org/10.14419/ijdr.v7i2.29595 -
Derogatis Stress Profile Scores, Non-Surgical Periodontal Therapy, Periodontal Disease, Psychological Stress, Stress Reduction Therapy, Salivary Cortisol. -
Abstract
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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References
[1] Ainamo J and Bay I. Problems and proposals for recording gingivitis and plaque. International Dental Journal 1975; 25:229-235.
[2] Armitage GC. Development of a classification system for periodontal diseases and conditions. Annals of Periodontology 1999; 4:1–6. https://doi.org/10.1902/annals.1999.4.1.1.
[3] Bartold PM, Kylstra A and Lawson R. Substance P: An immunohistochemical and biochemical study in human gingival tissues. A role for neurogenic inflammation? Journal of Periodontology 1994; 65:1113-1121. https://doi.org/10.1902/jop.1994.65.12.1113.
[4] Breivik T, Thrane PS, Murison R and Gjermo P. Emotional stress effects on immunity, gingivitis and periodontitis. European Journal of Oral Sciences 1996; 104:327-334. https://doi.org/10.1111/j.1600-0722.1996.tb00087.x.
[5] Breivik T and Thrane PS. Psychoneuroimmune interactions in periodontal disease. Psychoneuroimmunology 2001; 2:627-644.
[6] Dawes C, Tsang RWL and Suelzle T. The effects of gum chewing, four oral hygiene procedures, and two saliva collection techniques, on the output of bacteria into human whole saliva. Archives of Oral Biology 2001; 46:625-632. https://doi.org/10.1016/S0003-9969(01)00017-6.
[7] Derogatis LR. The Derogatis stress profile (DSP): A summary report. http://www.derogatis-tests.com/dsp_synopsis.asp
[8] Dickerson SS and Kemeny ME. Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychological Bulletin 2004; 130:355. https://doi.org/10.1037/0033-2909.130.3.355.
[9] Elter JR, Beck JD, Slade GD and Offenbacher S. Etiologic models for incident periodontal attachment loss in older adults. Journal of Clinical Periodontology 1999; 26:113-123. https://doi.org/10.1034/j.1600-051X.1999.260209.x.
[10] Genco RJ. Current View of Risk Factors for Periodontal Diseases. Journal of Periodontology 1996; 67:1041-1049. https://doi.org/10.1902/jop.1996.67.10.1041.
[11] Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG and Tedesco LA. Models to evaluate the role of stress in periodontal disease. Annals of Periodontology 1998; 3:288-302. https://doi.org/10.1902/annals.1998.3.1.288.
[12] Gharavi MJ, Oormazdi H and Roointan ES. A comparative study on sensitivity and specificity of conventional and unconventional IgG and IgM assays for diagnosis of Toxoplasmosis. Iranian Journal of Public Health 2008; 37:42-45.
[13] Kiecolt-Glaser JK, Preacher KJ, MacCallum RC, Atkinson C, Malarkey WB and Glaser R. Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proceedings of the National Academy of Sciences 2003; 100:9090-9095. https://doi.org/10.1073/pnas.1531903100.
[14] Koh DSQ and Koh GCH. The use of salivary biomarkers in occupational and environmental medicine. Occupational and Environmental Medicine 2007; 64:202-210. https://doi.org/10.1136/oem.2006.026567.
[15] LeResche L and Dworkin SF. The role of stress in inflammatory disease, including periodontal disease: review of concepts and current findings. Periodontology 2000 2002; 30:91-103. https://doi.org/10.1034/j.1600-0757.2002.03009.x.
[16] Loe H and Silness J. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontologica Scandinavica 1963; 21:533-551. https://doi.org/10.3109/00016356309011240.
[17] Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D and Munjal YP. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. Journal of the Association of Physicians of India 2009; 57:163-70.
[18] Moss D. Biofeedback, mind-body medicine, and the higher limits of human nature. Humanistic and transpersonal psychology: A historical and biographical sourcebook 1999; 145-161.
[19] Page RC and Beck JD. Risk assessment for periodontal diseases. International Dental Journal 1997; 47:61-87. https://doi.org/10.1111/j.1875-595X.1997.tb00680.x.
[20] Page RC. The pathobiology of periodontal diseases may affect systemic diseases: inversion of a paradigm. Annals of periodontology 1998; 3:108-120. https://doi.org/10.1902/annals.1998.3.1.108.
[21] Pilgram TK, Hildebolt CF, Yokoyamaâ€Crothers N, Dotson M, Cohen SC, Hauser JF and Kardaris E. Relationships between radiographic alveolar bone height and probing attachment level: data from healthy postâ€menopausal women. Journal of Clinical Periodontology 2000; 27:341-346. https://doi.org/10.1034/j.1600-051x.2000.027005341.x.
[22] Reners M and Brecx M. Stress and periodontal disease. International Journal of Dental Hygiene 2007; 5:199-204. https://doi.org/10.1111/j.1601-5037.2007.00267.x.
[23] Rosa EF, Corraini P, Inoue G, Gomes EF, Guglielmetti MR, Sanda SR, Lotufo JPB, Romito
[24] GA and Pannuti CM. Effect of smoking cessation on non-surgical periodontal therapy: Results after 24 months. Journal of Clinical Periodontology 2014; 41:1145-53. https://doi.org/10.1111/jcpe.12313.
[25] Seiffert K, Hosoi J, Torii H, Ozawa H, Ding W, Campton K and Granstein RD. Catecholamines inhibit the antigen-presenting capability of epidermal Langerhans cells. The Journal of Immunology 2002; 168:6128-6135. https://doi.org/10.4049/jimmunol.168.12.6128.
[26] Silness J and Loe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontologica Scandinavica 1964; 22:121-135. https://doi.org/10.3109/00016356408993968.
[27] Vining RF, McGinley RA, Maksvytis JJ and Ho KY. Salivary cortisol: a better measure of adrenal cortical function than serum cortisol. Annals of Clinical Biochemistry: An International Journal of Biochemistry in Medicine 1983; 20:329-335. https://doi.org/10.1177/000456328302000601.
[28] Wimmer G, Janda M, Wieselmann-Penkner K, Jakse N, Polansky R and Pertl C. Coping with stress: its influence on periodontal disease. Journal of Periodontology 2002; 73:1343-1351. https://doi.org/10.1902/jop.2002.73.11.1343.
[29] Wimmer G, Köhldorfer G, Mischak I, Lorenzoni M and Kallus KW. Coping with stress: Its influence on periodontal therapy. Journal of Periodontology 2005; 76:90-98. https://doi.org/10.1902/jop.2005.76.1.90.
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Bangalore Varadhan, karthikeyan, Shanmukha Venkata Nagarjuna, M., Munivenkatappa Lakshmaiah Venkatesh, P., Jyothsna N, S., Bhardwaj, S., & Murahari, R. (2019). Stress reduction intervention and the initial periodontal therapy outcome in chronic periodontitis patients. a randomized controlled pilot study. International Journal of Dental Research, 7(2), 23-31. https://doi.org/10.14419/ijdr.v7i2.29595Received date: 2019-07-05
Accepted date: 2019-08-23
Published date: 2019-09-20