Involvement of psychosocial factors in the association of obesity with periodontitis

Abstract

The present case-control study of 79 subjects (19-69 yr) was designed to assess the relationship of several psychological determinants to periodontal disease and obesity. Periodontal clinical examinations were performed, and the subjects were asked to complete a set of questionnaires measuring Type A personality, anxiety, depression, dental anxiety, hopelessness, emotional intelligence, stress, self-esteem, optimism and satisfaction with life. In a bivariate analysis, overweight individuals presented higher levels of smoking exposure, anxiety and depression and lower levels of optimism and satisfaction with life. They were mainly females, with a higher number of sites and teeth with probing depth (PD) >6 mm and clinical attachment level (CAL) >5 mm. Patients with a mean PD exceeding 3 mm and a bleeding on probing index of >25% presented higher values of dental anxiety and lower levels of self-esteem. Multiple linear regression analyses revealed that dental anxiety was positively associated with the number of teeth with a PD of >6 mm and with reasons for visiting a dentist, while satisfaction with life was associated with flossing frequency. We conclude that there is an association between several psychological determinants, periodontitis, and body mass index. (J Oral Sci 52, 115-124, 2010)

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

“…All the three studies [38][39][40] showed a positive correlation between periodontal problems and stress. One study reported a negative outcome.…”

“…Two of the studies were conducted only with women [16,34], and two studies did not mention the gender distribution [29,31]. In most of the studies [4,17,[28][29][30]37,38,[40][41][42], the participants were patients at a university periodontal clinic or private dental practice. Five studies [31,33,35,36,41] were epidemiological surveys involving the residents in a particular area or a randomly selected general population.…”

“…In general, the majority of the studies used the Williams periodontal probe for periodontitis screening during oral health examinations. Two studies [28,40] used the University of North Carolina #15 periodontal probe, and one study each used the Michigan probe [17] and the Broke probe periodontal probe [37].…”

“…Twelve studies were cross-sectional [16,17,[28][29][30][31][32][33][34][35][36][37], three were casecontrol [38][39][40] studies, one was a cohort study [41] and two were prospective clinical trial [4,42] studies, comprising 5051 individuals. Two of the studies were conducted only with women [16,34], and two studies did not mention the gender distribution [29,31].…”

Prevalence of dental caries based on personality types of 35–44 years old residents in Davangere city

“…Psychosocial factors such as personality, stress and coping, sense of coherence, self-efficacy and social support are thought to alter patterns of health related behaviours that are directly related to health risks such as smoking, alcohol consumption and physical activity. 1 Hence, health of an individual is affected by his thoughts, emotions and behaviour, which reflect his personality.…”