A Systematic Review of Stress and Psychological Factors as Possible Risk Factors for Periodontal Disease

Abstract

Within the limitations of this systematic review, the majority of studies showed a positive relationship between stress/psychological factors and periodontal disease. However, in the future, well-designed and more representative studies should be considered to confirm these factors as a risk for periodontal disease.

Is Psychological Stress a Possible Risk Factor for Periodontal Disease? A Systematic Review

“…The quality of the adjustment for confounding variables that could interfere with the course of the periodontal disease was evaluated by randomization, stratification, restriction, calibration and/or matching. These characteristics were classified as present or absent, which is in agreement with Peruzzo et al [9]. The specificity of the data indicating the randomization technique and the calibration value was required to be designated as present.…”

“…Psychosocial stress is thought to play an important role in the etiology and progression of periodontal diseases, and the outcome of treatment [4,5]. The relationship between periodontitis and several dimensions of psychosocial distress such as stress, depression, anxiety, life events and poor coping reactions has attracted considerable attention from several groups of researchers during the last three decades [6][7][8][9]. A review showed a strong relationship between periodontal diseases and psychological factors such as stress, distress, anxiety, depression and loneliness [9].…”

“…The relationship between periodontitis and several dimensions of psychosocial distress such as stress, depression, anxiety, life events and poor coping reactions has attracted considerable attention from several groups of researchers during the last three decades [6][7][8][9]. A review showed a strong relationship between periodontal diseases and psychological factors such as stress, distress, anxiety, depression and loneliness [9]. The factors responsible for such an association could be due to psychologically induced modulation of the immune system, leading to increased blood levels of adrenocorticotropic hormones, alteration of crevicular cytokine levels, depressed polymorphnuclear leukocyte chemotaxis and phagocytosis, reduced proliferation of lymphocytes, changes in blood circulation and healing, modifications of the salivary flow and its components and endocrine changes leading to immunosuppression [10,11].…”

“…Psychological factors have been shown to be associated with the incidence and severity of periodontitis, but the mechanism of action is still unknown [9,26]. Hence this systematic analysis of the available literature on role of stress on periodontal disease is carried to identify and compile the available evidence to show the association.…”

The Convergence Impact of Oral Health Behaviors, Health behaviors to Stress in Korean Adolescents

“…그 중 청소년의 구강건강과 건강행태의 위험요인의 하나 로 스트레스를 지목하였고 [9], 심리사회적요인 중 스트레 스가 치주질환의 잠재적 위험요인이라 보고한 바 있다 [10]. 국외의 연구에서는 Broadben [11] …”